protocol review

[tmix]

Dr put me on:

HCG - 500IU 2x / week

AI - 0.5 mg once a week

Testosterone Cypionate - 200 mg once a week


Do you guys think 200 is too high?

 

[James]

Dr put me on:
Testosterone Cypionate - 200 mg once a week

Do you guys think 200 is too high?

I do, yes. Haven't seen your numbers, but I'm a big proponent of starting with a lower dose, see how you do physically and emotionally, and increase from there as needed.

 

[Fireproof]

Without further data - it does seem a bit high for starting dose.

Do you have any pre-treatment lab results you can share (Total and Free Test, etc)?

 

[ERO]

It may or may not be too high for you - we don't have enough information to determine. However, it would be better to split your dose in half and inject every 3.5 days rather than once a week regardless. More even T levels, less conversion to E2 that way. Get some insulin syringes and ditch the 25 gauge 1" needles I am guessing your doc gave you.

Also, do you have sensitive E2 test results or overt symptoms of high E2 that show you need an AI, or did your doc just start you off with one? Better TRT docs start guys off with no AI and only add one if it is proven to be needed.

Good luck and let us know how you are doing going forward!

 

[Vince]

That's my present protocol, except no AI and I inject both T and HCG. Twice a week, same day and time.

 

[CoastWatcher]

I agree with ERO - give some consideration to splitting your dose into two, even doses every 3.5 days. An AI prescribed before TRT has begun...what was your E2 prior to beginning therapy?

 

[tmix]

Thanks everyone for the response.

early 30s, slim, 140 lbs,5'7"

base labs - no medications

E2 16.2 ......................8-35
Free T 14.5 .................8.7-25.1
Total T 390 ng/dl ..........348-1197
PSA 1.4 .....................0.0- 4.0
LH 3.1.........................1.7-8.6
TSH 2.5.......................0.450-4.5
FSH 2.6......................1.5-12.4
SHBG 21.3....................16.5-55.9
prolactin 8.6...................4.-15.2

hematocrit good
lipid panel good

 

[tmix]

Dr. had me take clomid 25mg daily for a month

E2 30..........................8-35
Total T 1000...............348-1197
FREE T 21.2............... 8.7-25.1

clomid caused me to have gyno. Felt like crap while on it for a month

 

[trt4me]

How are your numbers after stopping clomid? Reaching 1000 is good on clomid so wondering if after stopping it "stuck".

.5 mg ai is too much for many including me but I'm not taking 200mg a week.

 

[Jackie Treehorn]

Thanks everyone for the response.

early 30s, slim, 140 lbs,5'7"

base labs - no medications

E2 16.2 ......................8-35
Free T 14.5 .................8.7-25.1
Total T 390 ng/dl ..........348-1197
PSA 1.4 .....................0.0- 4.0
LH 3.1.........................1.7-8.6
TSH 2.5.......................0.450-4.5
FSH 2.6......................1.5-12.4
SHBG 21.3....................16.5-55.9
prolactin 8.6...................4.-15.2

hematocrit good
lipid panel good

I would definitely shift to a more frequent injection schedule. Your SHBG is on the low side, and you would benefit from injections every 3.5 days...possibly EOD. The 200mg dose is on the high side of TRT, but you can re-check labs in about 5 or 6 weeks, keeping an eye on your test levels along with your sensitive E2. You can titrate down from there if you need to.

Also...based on your pre-TRT E2 levels (is that a sensitive E2 level?), I think that an AI at this time is premature, and not necessary.

Lastly, has your doctor mentioned HCG to backfill your pathways, and maintain testicle size?