Good TRT doctors in Australia, UK, Canada and other countries

[MjReut]

I am seeing a TRT specialist in Edmonton that seems to be helping. Had an Endo who was not doing all the tests and kept increasing my Testo until problems arose. So the TRT specialist has been pretty helpful at getting better.

Right on! That's really good. For me so far I've had 3 weeks of injections 0.75 mg each week. The first one was put into my right shoulder and before I got home my arm felt funny and at the dorsal base of my thumb was painful. Weird. But at thr same time I felt amazing. Alive for the first time in decades. And had the best sex in decades that night!! The next day was great but since then things have been mediocre. Better than before T but nothing like the first 48 hours. Maybe the nurse hit an artery in my shoulder idk but i think I got the full dose right away before I even got home. I've got an appt to talk to the doctor in a week and I want to tell him to up my dose 4 fold. At the very least double it. And i really want to get on hcg which he said id a hard no. Does your TRT specialist prescribe HCG?

 

[XXY47]

Right on! That's really good. For me so far I've had 3 weeks of injections 0.75 mg each week. The first one was put into my right shoulder and before I got home my arm felt funny and at the dorsal base of my thumb was painful. Weird. But at thr same time I felt amazing. Alive for the first time in decades. And had the best sex in decades that night!! The next day was great but since then things have been mediocre. Better than before T but nothing like the first 48 hours. Maybe the nurse hit an artery in my shoulder idk but i think I got the full dose right away before I even got home. I've got an appt to talk to the doctor in a week and I want to tell him to up my dose 4 fold. At the very least double it. And i really want to get on hcg which he said id a hard no. Does your TRT specialist prescribe HCG?

I am not sure if my TRT Specialist prescribes HCG, they have been reviewing my blood compounds and precribed vitamins which I was low in as well as DHEA. Apparently, I burned away all my stress hormones and this was contributing to my Testosterone no longer working. Something the Specialist also did was recommend I change my eating habits to work in more fasting. I must say the feeling of well being once you master how to fast is amazing. And fasting has allowed a complete reduction in all hormones relating to early stages diabetes and all manner of bad things. It is even repairing my gut health. Go figure something that Humanity has been doing for thousands of years could make such a drastic change for the best.

 

[madman]

Right on! That's really good. For me so far I've had 3 weeks of injections 0.75 mg each week. The first one was put into my right shoulder and before I got home my arm felt funny and at the dorsal base of my thumb was painful. Weird. But at thr same time I felt amazing. Alive for the first time in decades. And had the best sex in decades that night!! The next day was great but since then things have been mediocre. Better than before T but nothing like the first 48 hours. Maybe the nurse hit an artery in my shoulder idk but i think I got the full dose right away before I even got home. I've got an appt to talk to the doctor in a week and I want to tell him to up my dose 4 fold. At the very least double it. And i really want to get on hcg which he said id a hard no. Does your TRT specialist prescribe HCG?

I've got an appt to talk to the doctor in a week and I want to tell him to up my dose 4 fold. At the very least double it.

You need to understand how this works and upping your dose 4 fold would be completely ridiculous as we are on trt here!

The doses used for trt are 100-200 mg/week and 200 mg/week being the higher end which many will never need to achieve a healthy FT level.

Most men can easily achieve a healthy FT level on 100-150 mg/week of T.

Sure some may need slightly higher doses but again many would never need the high-end doses to achieve a healthy FT.

Believe it or not, some men even do well injecting <100mg/week!

You are getting ahead of yourself here.

Keep in mind that when first starting trt not only are you injecting exogenous testosterone but your hpta although dysfunctional has not been shut down yet.

After your first injection T levels will start rising and due to the esterified T used (enanthate/cypionate) hormone levels over the following weeks will be in FLUX until blood levels stabilize(4-6 weeks).

During this time it is common for many to experience what we call the honeymoon period where many tend to notice an increase in overall well-being and libido due to androgen levels rising/increased dopamine but unfortunately, this is short-lived and temporary as the body will eventually adapt once blood levels have stabilized (4-6 weeks) let alone the hpta will be shut down within the first (2-6 weeks) of starting trt.

The first 6 weeks of therapy can be very misleading and many make the critical mistake of gauging how they feel overall regarding low-t symptoms because during the weeks leading up until blood levels stabilize your hormones are in flux.

Even then once blood levels stabilize (4-6 weeks) it will take the body another 2-3 months to adapt to those new levels and this is the critical time period when one should truly gauge how they feel overall regarding relief/improvement of low-t symptoms.

Many get caught up with the euphoric like feeling and intense libido that they can experience when first starting trt or tweaking a trt protocol (increasing T dose) but unfortunately this is temporary and short-lived as eventually, the body will adapt to those new levels and in most cases, as long as healthy TT/FT levels let alone other hormones are achieved on such protocol than one should experience the beneficial effects (mood/energy/libido/erections/recovery) but it will be more in the norm as opposed to the so-called amazing!

You are only 3 weeks in and you will need to wait until blood levels stabilize (4-6 weeks) than blood work will be done to see where such protocol (dose T/injection frequency) has you trough TT/FT/e2/DHT let alone blood markers such as RBCs/hemoglobin/hematocrit.

The goal of trt is to replace physiological levels of testosterone through the use of exogenous testosterone in order to achieve a healthy TT/FT level which will result in the relief/improvement of low-t symptoms while at the same time minimizing/avoiding any potential side-effects (cosmetic/overall health) while keeping blood markers healthy long-term.

Blood work is critical!

Once you have blood work done at the 6-week mark if by chance your current protocol (.75 mg T ?) injected once weekly has your trough TT/FT level too low and you have not noticed any improvements in low-t symptoms then you may very well need a slight dose increase.

Even then we have no idea what dose of T you are injecting weekly as you state .75 mg so do you mean 75 mg or .75 ml?

If you meant 75 mg T then that is a fairly low-end dose and you may very well need a slight dose increase after 6 weeks once you have full blood work done.

If you meant .75 ml/week than if the strength of your T is 100 mg/mL the dose would be 75 mg T /week but if the strength of your T is 200 mg/mL the dose would be double 150 mg T/week which is a fairly high starting dose and will most likely have your trough TT/FT levels high!

The most commonly prescribed esters for trt in Canada are enanthate and cypionate.

The big pharma brands used are Delatestryl (200 mg/mL) and Depo-Testosterone (100 mg/mL).


Regarding the strengths manufactured in Canada:

Delatestryl only comes in 200 mg/ml and Depo-Testosterone (100 mg/mL).

In the US Delatestryl and Depo-Testosterone are both manufactured in 100 mg/mL and 200 mg/mL strength.


* hCG is prescribed in Canada for sole monotherapy or with testosterone (depends on the knowledge/experience of the doctor treating you).

Many may have a difficult time getting hCG prescribed along with testosterone!