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Great! Whats the path forward from here?

Thanks for your input. Not sure if there is any value in front loading treatment to bring on the benefits earlier. Are there any graphs thats show the ramp up period for someone starting TRT?

Thank you very much for the great advice

What is a better starting does for Test C (administered 2x a week), 150mg or 200mg? I had thought staying with the 150mg and seeing where I am in 3 months is a good approach but the doc supplies enough for 200mg. The doc also prescribed 1000iu if hCG a week. In case composition matters I'm...

I edited your note Nelson and left my contact information, hopefully this helps

When is the best time of day to inject Test C or HCG? Natural testosterone is highest in the morning so it seems injecting Test in the evening is the best option? Don't have any idea when the best time to inject HCG is.

Is the amount of amortizing enzyme someone has (naturally or pre-TRT) more closely related to SHBG or estradiol level in the blood?

Some threads state some folks "aromatize a lot" or "aromatize a little". What does this mean? Is it related to SHBG?

Which is more effective; IM or SubQ? SubQ is definitely more comfortable. Doc currently has me administering Test C via IM and HCG via SubQ. Is IM better for oil based and SubQ better for water based?

Really helpful, thank you. I have seen a summary of this paper but never knew what level of test was administered - reading the full paper it says 200mg Test E once a week. Also withdrawing fluid from your testicles - :oops: I was perscribed 500 IU twice a week. Wonder if there is a benefit...

Does it matter if the HCG is not injected on the same day as the Test? Can I buy my own HCG to bring myself up to 500 IU every other day?

How does one calculate the correct amount of HCG to combine with TRT to preserve sperm production? My doc prescribed 100IU a week to go with my 150mg of test C. However the study in the link below suggests 500IU every other day - that's quite a difference! How does one determine the correct...

Thanks, was your high SHBG before or after treatment?

Thanks, didn't realize estrogen was less of an issue for lower body fat. By May I yearly target in the 7% range.

Thank you, what would be helpful to see in my labs? My SHBG ranged from 53.4-57.2 nmol/L from 4 blood tests. Also did you use a single injection with both the test and HCG?

After asking if the doc could split my dose into twice a week here is the protocol he recommended: Sunday evening: 75mg Test C taken intramuscularly Monday morning: .25mg HCG taken sub-Q Tuesday: 0.5mg Anastrozole Wednesday morning: 75mg Test C taken intramuscularly Thursday morning: .25mg HCG...

Due to very high SHBG and low Free T looking to start TRT. Have done multiple sperm and blood tests. Can I start TRT + HCG and if my sperm results are poor in 2 months can I hope off without any major consequence?

Thanks again. Have you come across any studies that corroborate this?

Thanks Vince. Can the same be said about HCG?

Are there any studies on the effects of TRT or exogenous testosterone on the likelihood of birth defects? I know TRT lowers spermatogenesis but don’t know of any impacts on child development.

If I'm ordering a "Free and Total Testosterone" and the "Sensitive Estradiol" from discount labs, do I need to order an Albumin or any other test? Trying to get the complete picture before starting TRT and hoping it'll guide injection frequency.

Hmm, sounds like I should do one more pre-TRT blood test where Total T, SHBG, Albumin, and E2 is checked.

Thank you for this really detailed response and sharing this resource

SystemLoad - again unbelievably helpful response. Great news on not getting quick tits - phew! If they did start growing I assume I could just reduce/cease TRT. I'm hoping I can handle the other non-fertility related side effects if E2 creeps up. I do have a Estradiol results from a few years...

To make sure I understand; the amount of estrogen is dependent more on injection frequency than injection amount (dose)? Too much aromatizing (can aromatase be made a verb?) is why I'm worried about too high a dose of TRT - I don't want to develop tits, become moody, carry water, moonface...

Thanks Systemlord. I've added my test results (including SHBG) to the original post.

Seems the standard protocol for TRT is to start at 100mg Test C per week. Should one consider a higher starting dose if they are: 1.) Larger (in my case 6'3", 200lbs, <10%bf) 2.) Have low total T of which a very high amount is SHBG My last test results are: Total test: 499 ng/dL SHBG: 55.1...

Starting TRT next Monday. Men’s health clinic nurse is recommending a starting dosage of 220mg of testosterone cypionate injected once a week. They will do the injections in their office. I’d rather do the injections at home but seemingly to have it covered by insurance they want to do it in...

Thank you Systemlord, didn't know FSH injections are available

Again thanks a lot cigpk. Is it a pain (both literally and figuratively) to inject everyday (seems hcg is only an injectable). Last question: can I ask what this brought your T up to?

Really appreciate this cigpk. Can you tell more about the dose and frequency of the Test C+ HCG? Did you start with Test C and then add HCG? Do you do any periodic cycling, or adjust when it's time to have kids?