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re: Need Info on TRT

Posted on 5/2/26 at 11:16 am to
Posted by Don Quixote
Member since May 2023
5357 posts
Posted on 5/2/26 at 11:16 am to
hematocrit levels can test high from being even the slightest bit dehydrated
plus, in my case, living at high elevation

recommend spread your dosage into smaller units more frequently will help with a lot of things including hematocrit and e2. I tell friends who start TRT to pin EOD or (in my case) daily. Doing this you should be able to omit the anastrozole

I've been on TRT 7 years, started at weekly, then went to 2x week, then EOD, and been daily for the past 4 years. I could feel a difference when I went to EOD, not so much when I went to daily but I do it that way because it's easier for me to remember and part of my daily routine.
This post was edited on 5/2/26 at 11:31 am
Posted by BeepBopBoop
Northshore
Member since Dec 2023
1545 posts
Posted on 5/2/26 at 12:02 pm to
That all makes sense. Ill mention EOD to the clinic Monday. Wonder if theyll want my hemoglobin and hematocrit numbers back down before starting EOD or can just doing EOD bring those numbers down over time? Fasting before the blood test probably had me a little dehydrated like you said.
Posted by riverdiver
Summerville SC
Member since May 2022
3084 posts
Posted on 5/3/26 at 3:53 pm to
“For most adults, intramuscular (IM) injections require a 1- to 1.5-inch needle to ensure the medication reaches the muscle, typically using a 22–25 gauge needle. Needle length selection depends on body weight and size: 1-inch is generally suitable for those under 130 lbs (60 kg) to 152 lbs (70 kg), while 1.5-inch is needed for adults over 200 lbs (90 kg) for women or 260 lbs (118 kg) for men.”

I’ve worked ICU for almost 30 years. Even with emaciated old people I’ve never used a 5/8” needle for IM injections, it’s too short.
Posted by Bleed P&G
New Orleans
Member since Aug 2003
3137 posts
Posted on 6/3/26 at 8:03 am to
What do you guys do for bloat? I started TRT on May 4th and since then, I'm holding on to more than 5 pounds of water according to my scale.

Posted by SETH6180
TEXAS
Member since Feb 2020
1358 posts
Posted on 6/3/26 at 8:41 am to
Give it a little time to stabilize, if i remember correctly I dealt with that for a couple months and it went away. Check your E2 levels and try and inject as frequently as possible, it could alleviate the side effects like water retention.
Posted by Marciano1
Marksville, LA
Member since Jun 2009
20143 posts
Posted on 6/3/26 at 12:29 pm to
quote:

What do you guys do for bloat? I started TRT on May 4th and since then, I'm holding on to more than 5 pounds of water according to my scale.
Give it a couple of months. The bloating and E2 increase will stabilize.
Posted by BeepBopBoop
Northshore
Member since Dec 2023
1545 posts
Posted on 6/3/26 at 1:02 pm to
Just a followup to my last post about high hematocrit levels.

Bloodwork showed estrogen level was a 7, very low which can help cause high hematocrit.

Switched to test shots twice a week and no anastrozole and been about 3 weeks, feeling much better, no headaches so far.
Posted by Don Quixote
Member since May 2023
5357 posts
Posted on 6/4/26 at 10:02 am to
7! holy crap, yeah I'm of the mind that any provider who automatically puts a new TRT patient on an aromatase inhibitor at the beginning of TRT doesn't know what they're doing and the patients should find another provider. Glad you're feeling better already at 3 weeks, it'll take 6-8 weeks to fully stabilize.

for the other poster who mentioned water retention - that's common and I'd forgotten completely that I had the same issue when I first started TRT; it lasted a couple months and then I suddenly starting pissing all the time and it's never returned.


Posted by Uncle JackD
Member since Nov 2007
59592 posts
Posted on 6/6/26 at 6:33 pm to
quote:

Bloodwork showed estrogen level was a 7,
Its been said here time after time, toss the AI’s in the garbage unless planning to do a blast.
Posted by SETH6180
TEXAS
Member since Feb 2020
1358 posts
Posted on 6/7/26 at 4:16 am to
Damn, do you feel like shite?
Posted by BeepBopBoop
Northshore
Member since Dec 2023
1545 posts
Posted on 6/7/26 at 9:21 am to
I felt great for the first 3 months then yes, started feeling like crap and bad headaches while lifting, hematocrit was 57.

I feel much better now. Back to how I felt the first 3 months
Posted by BillyGibbons
St. Somewhere
Member since Mar 2020
803 posts
Posted on 6/11/26 at 8:42 am to
LSU777, I saw something you said in another that thread that I'd like to pick your brain about. Any chance you could reach out to me @ miketh3tiger@gmail.com
Posted by DarthRebel
Tier Five is Alive
Member since Feb 2013
26022 posts
Posted on 6/15/26 at 5:23 pm to
quote:

200 mg once a week

quote:

My overall T is now 499


You should be higher than 499 at the 7 day mark, make sure to do it then if you are doing weekly shots.

quote:

What can be done.....give blood I know


Just do this and not over think it. Give blood every 8 weeks, you are helping people out and it keeps your hematocrit down.
Posted by Arkapigdiesel
Faulkner County
Member since Jun 2009
15748 posts
Posted on 6/15/26 at 7:48 pm to
quote:

Give blood every 8 weeks
Posted by BeepBopBoop
Northshore
Member since Dec 2023
1545 posts
Posted on 6/15/26 at 8:00 pm to
My T was 499 9 days after my last shot.

Ive now been on split 2 T shots a week, Mondays and Thursdays, HCL shots Saturday and Sunday, no anastrozole. Feel much better.

We’ll see what the blood donation situation is down the road. I was having terrible headaches during lifting and sex with my hematocrit at 57.

Posted by DarthRebel
Tier Five is Alive
Member since Feb 2013
26022 posts
Posted on 6/16/26 at 10:23 am to
quote:

I was having terrible headaches during lifting and sex with my hematocrit at 57.


I donate every 8-12 weeks and always feel much better after. It is a good practice to get into, just passed my 3 gallon mark since starting TRT.
Posted by Bleed P&G
New Orleans
Member since Aug 2003
3137 posts
Posted on 6/17/26 at 7:55 pm to
When you guys order your own labs, which tests are you running? I’d assume that you want:

Total test
Free test
Estradiol (standard, sensitive, what to get?)
SHBG
CBC for hematocrit

Anything else?
Posted by SETH6180
TEXAS
Member since Feb 2020
1358 posts
Posted on 6/18/26 at 7:59 am to
IMO you should be doing a comprehensive panel. I use the one from Goodlabs called "comprehensive mens" or "bodybuilder panel"
Goodlabs
Posted by BilJ
Member since Sep 2003
163058 posts
Posted on 6/18/26 at 4:13 pm to
5 months in
Starting 352 total 83 free
To
1047, 253 free
Posted by SWLA92
SWLA
Member since Feb 2015
5130 posts
Posted on 6/22/26 at 12:06 pm to
I’ve been feeling like crap, no energy, tired all the time, body just feels inflame and out of whack, over the last month. Ran all kinds of common blood work every thing came back good. PCP decided to run blood work for testosterone and found out my results.
Total was 243
Free was 48
Bioavail was 113

Don’t really read the Health board often but I’m really glad I ran across this thread. Very helpful to read all the comments that people have posted on here.
This post was edited on 6/22/26 at 12:21 pm
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