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re: Need Info on TRT

Posted on 4/17/26 at 10:32 am to
Posted by dangerousdon
Baton Rouge
Member since Jun 2008
662 posts
Posted on 4/17/26 at 10:32 am to
Curious as to why you inject at night? It doesn’t interfere with your sleep for that night?
Posted by hugo
CenLa
Member since Sep 2007
1099 posts
Posted on 4/17/26 at 10:35 am to
Just when I started doing it and become routine. I haven’t noticed any issues with sleep more than any other night.
Posted by SETH6180
TEXAS
Member since Feb 2020
1173 posts
Posted on 4/17/26 at 10:47 am to
Split them, every 3.5 days, 1st shot wednesday 2nd shot saturday/sunday
Posted by Bamajedi
Member since Sep 2017
448 posts
Posted on 4/18/26 at 6:39 am to
Wanted to share a pinning technique I have discovered to work really well. After months of weekly IM injections with a 23 ga needle deep into glutes or quads, I tried 3x a week subq injections with insulin needles. This caused me welts at the injection point as well as the problem with getting that thick sludge through a tiny needle. I have now converted to 2x a week injection via a 27 ga 5/8" long needle. I am alternating glutes with a 90 degree IM technique. The test injection comes out reasonably quick and no pain or welts. Maybe worth trying if you are not finding a good groove for your injections.

One question for all that take cruises...Can I bring preloaded TRT syringes on the cruise or do you have to take the vial...or not allowed at all?
Posted by dangerousdon
Baton Rouge
Member since Jun 2008
662 posts
Posted on 4/23/26 at 6:11 am to
After not being happy with the Urologist I went to...I went to the doctor I was going to go to in the first place. This urologist at least seems to be more knowledgeable on the subject, and a little more thorough, but still not great. He tested me for luteinizing hormone and prolactin. Both came back pretty normal. He doesn't seem to care about free testosterone, SBHG, estrogen, or estradiol, or any of the other things we talk about here. SIGH. He also was big on a once every two weeks shot, but was okay with once a week. Obviously the joke is on him. I am likely to stick with three shots a week for a while. You all pretty much said this was going to be par for the course. Not sure what I was expecting. Anyway, I will probably stick with this doc for maybe a year. He wants me to come back in six months to check on things. After a year of this I will probably look into a clinic.
Posted by Arkapigdiesel
Faulkner County
Member since Jun 2009
15642 posts
Posted on 4/23/26 at 6:33 am to
quote:

the more frequently you can inject the less peaks and valleys you'll experience.
Less conversion to estrogen also.
Posted by BilJ
Member since Sep 2003
162902 posts
Posted on 4/23/26 at 10:42 am to
quote:

After a year of this I will probably look into a clinic.


many of the online vendors get you phyisician telehealth appointments and do bloodwork with local labs in your area. MUCH cheaper than the local clinics will run you
Posted by dangerousdon
Baton Rouge
Member since Jun 2008
662 posts
Posted on 4/23/26 at 11:56 am to
Thanks! I have one in mind that a friend uses. He has been very pleased with them and they are very reasonable. They are out of PA but service almost everywhere.



Posted by Bleed P&G
New Orleans
Member since Aug 2003
3118 posts
Posted on 4/28/26 at 5:25 pm to
Finally booked an appointment with an online TRT clinic. I went with Nuform Health because there pricing was good and they have great reviews on Trustpilot. They are prescribing test cyp 200mg/week split into two shots. They also prescribed 12.5 mg of Enclomiphene Citrate taken MWF and Anastrozole at 0.5 mg twice per week. Dr said that he was adding the Anastrozole because my labs showed that my estradiol is at 37 pg/mL and that it may double once I am on the TRT. After reading this thread, it seems as though I should avoid taking this unless I am having certain symptoms?

Dr said that the goal is to get my total T into the 1000-1200 range. He asked me if I wanted the moderate or aggressive approach, which was 160mg and 200mg, respectively. Is 200mg/week a high starting dose? It seems that most start at 100-150mg.
Posted by BRBro
Member since May 2025
62 posts
Posted on 4/28/26 at 6:33 pm to
What were your starting total T and free T numbers when they prescribed? Thanks
Posted by Uncle JackD
Member since Nov 2007
59564 posts
Posted on 4/28/26 at 7:21 pm to
Sounds like the usual cookie cutter TRT program. All good, you’ll get the prescription and will be able to adjust to your needs.


quote:

They are prescribing test cyp 200mg/week split into two shots


High dose for starting. I’d start 140ish. Just my opinion.
quote:

They also prescribed 12.5 mg of Enclomiphene Citrate taken MWF

What was the reason for this?

quote:

Dr said that he was adding the Anastrozole because my labs showed that my estradiol is at 37 pg/mL and that it may double once I am on the TRT. After reading this thread, it seems as though I should avoid taking this unless I am having certain symptoms?


E2 of 37 is absolutely okay. And he has no idea if you’ll E2 will double. Unless your Bf% is high and he’s just assuming. Even when I was 300+, my E2 was still in check. So take that FWIW. Everyone will respond differently and very few need an AI unless they’re blasting >500mg/wk.
quote:

Dr said that the goal is to get my total T into the 1000-1200 range. He asked me if I wanted the moderate or aggressive approach
I can get on board with this. I run my doses aggressively but mainly because my Free T has always been shite and all my markers stay all within range.
This post was edited on 4/28/26 at 7:24 pm
Posted by Bleed P&G
New Orleans
Member since Aug 2003
3118 posts
Posted on 4/29/26 at 8:04 am to
quote:

What were your starting total T and free T numbers when they prescribed?

Total is 409 ng/dL and free is 66.4 pg/mL.
quote:

quote:
They also prescribed 12.5 mg of Enclomiphene Citrate taken MWF

What was the reason for this?

I forgot exactly what he said, but it had something to do with trying to preserve some testicular function. However, I think I was just upsold.
Posted by Uncle JackD
Member since Nov 2007
59564 posts
Posted on 4/29/26 at 8:21 am to
Unless you’re trying to maintain fertility, I wouldn’t waste my time. It’s just another factor to try and get dialed In. Easier to keep it simple and make small adjustments as needed.
Posted by SETH6180
TEXAS
Member since Feb 2020
1173 posts
Posted on 4/29/26 at 9:03 am to
Trash the e-blockers. I'm currently about 2.5 times your E2 levels and feel great. Don't treat it unless you are experiencing negative symptoms. I crashed my estrogen to almost zero and felt like hammered shite.
Posted by bad93ex
Walnut Cove
Member since Sep 2018
36085 posts
Posted on 4/29/26 at 11:19 am to
quote:

My current issue is that I am battling SHBG for my free test levels, recent results came back as

Total T - 1161
Free T- 21.1
SHBG - 55.54


New test results:

Total T - 955
Free T - 20.4
SHBG - 40.28

New inbody scan yesterday indicates that things are trending in the right direction:



Will be working on various stress management techniques in order to bring down SHBG.
Posted by Don Quixote
Member since May 2023
4998 posts
Posted on 4/29/26 at 11:48 am to
quote:

Enclomiphene Citrate


based on my experience with this, and I've heard similar from others, I wouldn't touch that stuff for any amount of money. made me very emotional and moody and I can finally somewhat relate to PMS symptoms women have

quote:

Anastrozole


Skip this one too, there's better ways to manage your e2 when and BIG IF that even becomes an issue; most notably taking smaller doses of TestCyp more frequently.
This post was edited on 4/29/26 at 12:05 pm
Posted by riverdiver
Summerville SC
Member since May 2022
2984 posts
Posted on 5/1/26 at 9:32 pm to
quote:

I have now converted to 2x a week injection via a 27 ga 5/8" long needle. I am alternating glutes with a 90 degree IM technique


If you’re using a 5/8” long needle you’re very likely still injecting Subq, not IM. Need a longer needle if your goal is an IM injection.
Posted by Bamajedi
Member since Sep 2017
448 posts
Posted on 5/2/26 at 8:35 am to
quote:


If you’re using a 5/8” long needle you’re very likely still injecting Subq, not IM. Need a longer needle if your goal is an IM injection.


You could be right but I'm about 12%BF and inject into peak glute muscle. I think the needle length is actually 1-inch. Either way; no blood, pain, or welts.
Posted by Uncle JackD
Member since Nov 2007
59564 posts
Posted on 5/2/26 at 9:10 am to
I use 27g 1/2” VG and it’s 100% IM.
Posted by BeepBopBoop
Northshore
Member since Dec 2023
1418 posts
Posted on 5/2/26 at 9:39 am to
Few questions:

I started December injecting in my butt muscle T 200 mg once a week, .5 anastrozole twice a week and 50 units subq Gonadorelin twice a week.

Felt great, seeing big differences, lifting weights great, libido and boners off the charts.

My original tests were T of 363, I'm 55, in shape, I lift, run, weight 175, 6 foot.

I started having headaches during sex, during lifting etc after about 3.5 months, essentially right after I started my second bottle of T from a different pharmacy.

Just did bloodwork 9 days after last T shot and my hematocrit is 57.2 (high) hemoglobin is high which can all be expected but somewhat dangerous I think. My overall T is now 499 but I want 1000 or 900, or so I think. The 499 is 9 days after my last shot. The DR said the blood test needed to be 7-10 days after my last T dose.

What can be done.....give blood I know, but that has pitfalls as well I believe. Lower the dosage? but I want to be higher, not lower.

Anyway, I know higher hematocrit levels is not unusual for TRT but what is the long term treatment to get things regulated and stay on TRT. Or do I just have to quit TRT?

Thanks, this thread has been a giant help. I just got the results today on a Saturday, I'll contact the DR Monday to get what they say but hell, you guys have more TRT knowledge than most DR.s.
This post was edited on 5/2/26 at 10:16 am
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