HELP - Doubts about TRT

[BSS91]

Testosterone Therapy (TTh) - How To Treat - Abraham Morgentaler

Have every lecture! Link to some of them. Excel is littered with AM! https://vimeo.com/user19492999

www.excelmale.com

With hcg, do you think I should lower my starting dose of T (90 mg) or do you think I should still start with 100 mg?

My reasoning is that hcg already increases T and e2 on its own so T dose should be lowered

 

[BSS91]

forzen sperm and semen analysis done, the lady said good quality sperm with 99 million with 40% motility.

Also, might be of interest for someone, I have done on and off ``protocols`` with Mucuna pruriens over the years and always used the powder (was initially interested for meditation purposes as it helps enhance focus and mood), and this time with blood test, it raised my LH from 1.1 to 4.2 in the span of 2 months. I took the powder regularly around 5 days per week with dosage ranging from 2.5 to 5 grams. I think it helped with the sperm quality as well.

 

[Cataceous]

... it raised my LH from 1.1 to 4.2 in the span of 2 months. ...

LH is like a box of chocolates.

 

[BSS91]

LH is like a box of chocolates.
View attachment 43412

Wow okay,cause I tested this several times and it always comes back at 1 or 1.1, so this time it may have been by chance then, but it seems curious that for once, my LH as slightly elevated after mucuna.

 

[Mastodont]

Wow okay,cause I tested this several times and it always comes back at 1 or 1.1, so this time it may have been by chance then, but it seems curious that for once, my LH as slightly elevated after mucuna.

Did you always test at morning around the same time?

 

[madman]

With hcg, do you think I should lower my starting dose of T (90 mg) or do you think I should still start with 100 mg?

My reasoning is that hcg already increases T and e2 on its own so T dose should be lowered

Doubtful your going to get a significant boost from 100 IU hCG.

I would just go with 100 mg T/week split twice-weekly (50 mg every 3.5 days).

Yes you can start a little lower or inject more frequently but I see no huge benefit injecting 3X/week vs twice-weekly.

Do understand that if you choose to go with 3X/week (M/W/F) then your true trough would be Monday morning (72 hrs post-injection).

 

[JRos895]

This is misleading at best. Is it fair to assume that these individuals are injecting once a week at most and are measuring trough serum levels? Your statement then neglects that peak testosterone is usually going to be 2-3 times the trough level. In such cases a trough total testosterone of 300 ng/dL can easily signify that average testosterone is about 500 ng/dL, which is about the same as a healthy young guy who measures 600-700 ng/dL at his morning peak. The simple solution for the guy on TRT is to split his doses into more frequent injections.

A further confounding factor is that 80 mg TC/week is providing more testosterone than over half of all men would ever make naturally. Therefore it's common to see some suppression of SHBG, which in turn artificially reduces total testosterone, while not affecting free levels.

A little off topic but I always thought the average morning peak was about 680 and average daily level was about 600 (not 500).

Is this incorrect?

 

[Cataceous]

A little off topic but I always thought the average morning peak was about 680 and average daily level was about 600 (not 500).

Is this incorrect?

It depends on the particular dataset, but most historical data are consistent with peak testosterone for young men averaging around 600-700 ng/dL. Here's some diurnal data showing somewhat higher peaks, but the daily average for younger men is still about 530 ng/dL:

 

[JRos895]

It depends on the particular dataset, but most historical data are consistent with peak testosterone for young men averaging around 600-700 ng/dL. Here's some diurnal data showing somewhat higher peaks, but the daily average for younger men is still about 530 ng/dL:

Thanks!

 

[JRos895]

It depends on the particular dataset, but most historical data are consistent with peak testosterone for young men averaging around 600-700 ng/dL. Here's some diurnal data showing somewhat higher peaks, but the daily average for younger men is still about 530 ng/dL:

I guess the average FT throughout the day is around 11-12 and peak FT is about 13-14?

 

[Cataceous]

I guess the average FT throughout the day is around 11-12 and peak FT is about 13-14?

If you're referring to Vermeulen calculated free testosterone in ng/dL then those numbers are pretty close for healthy young men 20+ years ago.