I found a TRT protocol that works
- Thread starter UCFguy01
- Start date
madman
Super Moderator
Again you are only 5 weeks in.
Unless your FT was tested using an accurate assay (ED or UF) then we do not know where it truly sits.
Post reference ranges and the method used for testing.
madman
Super Moderator
This says it all!
5 weeks in and you want to jack your levels up further yet you have lowish SHBG.....go figure.
You would easily achieve a high FT just hitting a TT 1000-1200 ng/dL.
Unfortunately, you would have had no idea because your FT was most likely not tested using an accurate assay (Equilibrium Dialysis or Ultrafiltration) which means you would have absolutely no idea where your FT level truly sits on such protocol.
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Best TRt dosage
Like I said, haven’t felt much of a difference on this protocol, little improvements, but nothing significant. I am looking for ilprocements in libido, Ed, cognition and memory which are still very very poor. I walk Brian dead with no erection and confidence all the time, very annoying to live...
www.excelmale.com
Dec20/2020
My reply:
Perfect example.
He had his FT tested using the most accurate assay the gold standard Equilibrium Dialysis.
Through Labcorp which has a reference range of 52-280 (5.2-28.0 ng/dL) which I would prefer when testing FT.
His SHBG is 17.6 nmol/L and take a close look at where his FT level truly sits when running TT 1000s?
Are you telling me you were only hitting a FT 50 ng/dL running an absurd TT 2000 ng/dL?
Poor Sleep quality
Hey guys, Been having some terrible sleep issues lately. Waking up at 4-5am without the alarm feeling clammy and hot. The Testosterone Enanthate protocol below I have been on for 3 months now, and just added the Aromasin. Testosterone Enanthate - 33iu taken three times a week M,W,F (200mg/week...
www.excelmale.com
Completely ridiculous that you were running a TT 2000 ng/dL with a lowish SHBG 20 nmol/L.....your FT would be through the f***ing roof.....plain and simple.
No one would ever need to be running such absurdly high TT/FT levels on trt.
I'm officially off of the "wait 6-8 weeks" train of thought.
For me, 2-3 weeks is enough to know if something is working. Even though I want to up my dose to 9 pellets instead of 7, I still felt wayyyyy better after two weeks of pellets vs. being on injections.....especially in the libido department.
For me, 2-3 weeks is enough to know if something is working. Even though I want to up my dose to 9 pellets instead of 7, I still felt wayyyyy better after two weeks of pellets vs. being on injections.....especially in the libido department.
madman
Super Moderator
Regardless 2-3 weeks is jack s**t!
Especially when it comes to libido.
You are 5 weeks in yet you still want to up your dose let alone have no idea where your FT level truly sits and again with a TT 1000-1200 and lowish SHBG 20 nmol/L your FT is going to be high.
Need to give the body 2-3 months to adjust to truly gauge how you feel overall especially before you go on about feeling so great on the pellets and unfortunately you want to jack your levels up further without giving the body time to adapt to your current T levels (definitely not a fair assessment)!
You want to go and jack your levels up.....go nuts.
I'm tryin' to get swole!!! lol, just kidding
So, for the 2-3 months to adjust idea.......
Would that logically make sense? I mean, the pellets take your levels gradually up and gradually back down again. The levels aren't constant. So in essence, my FT levels are always in fluctuation (albeit gradually).
It is crazy I was at split 3X per week 180,150,120 then 14mg per day now 1100TT 214FT SHBG 28 44 E2. I am now going to 12mg per day. On the True T I am about 41 FT right now. LOWER and SLOWER wins this race. Listen to the older guys!
madman
Super Moderator
As stated in post#29.
There is an initial burst release of T (small short-lived peak) within the first 2 days (48 hrs) and levels will stay elevated off the hop as there is a plateau phase lasting roughly 60 days which is then followed by a gradual decline over the following months.
*The pharmacokinetic study in 14 hypogonadal men revealed an initial short-lived burst release of T with a peak concentration of 49.0 ± 3.7 nmol at 0.5 ± 0.13 days which was followed by a stable plateau lasting until day 63 (day 2, 35.2 ± 2.3; day 63, 34.8 ± 2.6 nmol). Thereafter serum T gradually declined and was close to baseline concentrations on day 300.
Regardless you still need to give the body time to adapt (2-3 months) to truly gauge how you feel overall.
tropicaldaze1950
Well-Known Member
Over the years I've chatted on forums with three guys who had pellets. Two of them had their libido/erectile function come roaring back in weeks. The other guy told me the first 3 months was hit and miss but on the second round of pellets, he was off and running with his girlfriend. They were both in their 60's and she'd had pellets implanted before him. I tried pellets and though my numbers looked great, felt nothing. My urologist was visibly disappointed. He thought, for me, this would bring my function back.
A couple of years ago, before my doctor relocated here to Florida, I saw a local urologist whom, I learned, does pellets, exclusively, and it was his experience that you just keep bumping up the number of pellets until there's a positive response. I'd also have to pay out of pocket for the compounded pellets. No big $$$ here.
madman
Super Moderator
You need to give the body 2-3 months to adapt.....period.
Otherwise, you will never be able to truly gauge whether such protocol (dose T) is effective.
If at the 3-month mark you find that you had been feeling off weeks prior and your labs show that your FT is not high enough then it would make sense to increase the dose slightly.
If at the 3-month mark you do not feel well overall regarding relief/improvement of low-t symptoms and labs show that your FT is still in a healthy range let alone other hormones then you need to take a step back and look at the overall picture.....pointless to keep jacking up your levels.
Even then many caught up on the more T is a better mentality not only end up struggling in the long run and unfortunately in many cases healthy T levels are not the issue as they may have underlying dysfunction thyroid/adrenals.
tropicaldaze1950
Well-Known Member
You're entitled to your opinion but real world responses, specifically, to pellets, can't be dismissed. I do agree with underlying thyroid and/or adrenal issues, especially cellular thyroid resistance or central hypothyroidism. Most psychiatrists should know about this but they forget that they're medical doctors, first. As a person with treatment resistant bipolar, I've had to self-medicate with desiccated and order my own labs, my psychiatrist being aware of this. She's on board...as long as I don't get her involved, lol.
madman
Super Moderator
Of course many can and will do well on pellets.
Regardless of the method used whether (pellets, patches, oral, transdermal (gels/creams), buccal, injectable you need to give the body time to adapt.
tropicaldaze1950
Well-Known Member
You're in Florida? How many pellets per insertion? Testopel, compounded or another brand? Thanks.
BioTe is the brand. He gave me 7 this time but after the bloodwork he wanted to bump it up to 9 so the good feelings last longer. His idea, not mine.....even though I wanted more he brought up adding a few before I said it.
madman
Super Moderator
As I stated earlier:
There is an initial burst release of T (small short-lived peak) within the first 2 days (48 hrs) and levels will stay elevated off the hop as there is a plateau phase lasting roughly 60 days which is then followed by a gradual decline over the following months.
Your T levels will be high for the first 2 months then levels will gradually decline.
Not like your T levels are taking a nosedive after 8 weeks!
This is the time when you should be getting labs done to see where your TT/FT/e2 levels sit let alone RBCs/hemoglobin/hematocrit.
As I have stated numerous times on the forum although TT is important to know FT is what truly matters as it is the active unbound fraction of testosterone responsible for the positive effects.
You have low SHBG and I would bet your FT levels are still high at the 8-week mark!
Keep in mind that you would need to use accurate assays when testing TT (LC/MS-MS) and FT (Equilibrium Dialysis or Ultrafiltration).
Man up and get this panel on day 60 (or a few days after).
I and many would be interested to see where your FT level truly sits 8 weeks in.
Either assay would suffice and #1 includes hematocrit
Hit Nelson up maybe you will get a discount!
1. Testosterone, Total and Free (NO Upper Limit) plus Hematocrit
2. Testosterone, Total, LC/MS and Free (Equilibrium Ultrafiltration)
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