Starting TRT Soon

[joetown2001]

After years of trying other methods, and dodging going full go, I am finally starting a TRT regiment very soon. I finished my intake in my labs with Defy, and I have my initial consult on Monday afternoon. Looking forward to getting a full rundown of what they think of my labs.

After looking at my results, a couple things stand out. Obviously my total T and my free T are awful. My SHBG is low and my fatty liver numbers are kind of high. I just got off iron supplements a few days ago and we’re on the one I took my labs. I was dealing with a bleed that had to depleted my iron and ferritin levels down to almost nothing. My numbers are obviously back in the higher normal range after being on supplements for almost a year. I think those will level out now that I’m off the iron. I posted to my labs below, and was wondering if any of you veterans see some things that I should bring up in my console. I also know that defy will go over all these things with me in depth. Thank you.

 

[Phil Goodman]

Not much to add and I’m sure you’ll be in good hands with Defy. They may recommend adding DHEA supplementation as well, though they might want you to get dialed in on just the test by itself first. If you do go decide to add DHEA, you can order directly from Life Extensions and probably save some money. For the liver stuff, I’d say adding NAC(n-acetyl cysteine) and/or glutathione will probably help there. If they recommend that or you decide to try them, those are things you can get directly from Life Extensions as well. Good luck on your journey!

 

[madman]

After years of trying other methods, and dodging going full go, I am finally starting a TRT regiment very soon. I finished my intake in my labs with Defy, and I have my initial consult on Monday afternoon. Looking forward to getting a full rundown of what they think of my labs.

After looking at my results, a couple things stand out. Obviously my total T and my free T are awful. My SHBG is low and my fatty liver numbers are kind of high. I just got off iron supplements a few days ago and we’re on the one I took my labs. I was dealing with a bleed that had to depleted my iron and ferritin levels down to almost nothing. My numbers are obviously back in the higher normal range after being on supplements for almost a year. I think those will level out now that I’m off the iron. I posted to my labs below, and was wondering if any of you veterans see some things that I should bring up in my console. I also know that defy will go over all these things with me in depth. Thank you.

Start low and go slow!

Do not jump in head first here no matter what your provider tells you as many clinics tend to overmedicated men on T ffrom the get-go!

Most men on TTh are injecting 100-200 mg T/week whether once weekly or split into more frequent injections as in twice-weekly (every 3.5 days), M/W/F, EOD or daily.

The majority of men can easily achieve a healthy let alone high trough FT injecting 100-150 mg T/week especially when split into more frequent injections.

Yes there are some outliers who may need the higher-end dose 200 mg T/week but it is far from common as in RARE!

Seeing as your RBCs, H/H are already on the high-end pre-TTH then chances are you will end up struggling with elevated RBCs, hemoglobin and hematocrit once you jump on exogenous T especially if you push your trough/steady-state FT too high!

Its a given that you will drive up such blood markers and to what degree mainly comes down to dose/blood levels of FT achieved (trough/steady-state) on said protocol.

Most struggling with such are overmedicated!

You would be wise to pay out of pocket and do your own labs when it comes to the most critical blood marker free testosterone as Defy is out to lunch when it comes too testing FT as they use/rely upon the know to be inaccurate direct FT immunoassay!

In order to know where your FT level truly sits you would need to use what would be considered the most accurate assay the gold standard Equilibrium Dialysis especially in cases of altered SHBG or for anyone f**king withthose DHT gels/derivatives!

Your best bet if you are going to be paying out of pocket would be through Nelson's discounted labs.

Testosterone, Free (Equilibrium Dialysis) and Total, MS - Most Affordable and Accurate Test

Get an affordable and accurate testosterone test results with our Total Testosterone, M and Free (Equilibrium Dialysis) test. Visit DiscountedLabs.com for more information.

www.discountedlabs.com

 

[joetown2001]

Start low and go slow!

Do not jump in head first here no matter what your provider tells you as many clinics tend to overmedicated men on T ffrom the get-go!

Most men on TTh are injecting 100-200 mg T/week whether once weekly or split into more frequent injections as in twice-weekly (every 3.5 days), M/W/F, EOD or daily.

The majority of men can easily achieve a healthy let alone high trough FT injecting 100-150 mg T/week especially when split into more frequent injections.

Yes there are some outliers who may need the higher-end dose 200 mg T/week but it is far from common as in RARE!

Seeing as your RBCs, H/H are already on the high-end pre-TTH then chances are you will end up struggling with elevated RBCs, hemoglobin and hematocrit once you jump on exogenous T especially if you push your trough/steady-state FT too high!

Its a given that you will drive up such blood markers and to what degree mainly comes down to dose/blood levels of FT achieved (trough/steady-state) on said protocol.

Most struggling with such are overmedicated!

You would be wise to pay out of pocket and do your own labs when it comes to the most critical blood marker free testosterone as Defy is out to lunch when it comes too testing FT as they use/rely upon the know to be inaccurate direct FT immunoassay!

In order to know where your FT level truly sits you would need to use what would be considered the most accurate assay the gold standard Equilibrium Dialysis especially in cases of altered SHBG or for anyone f**king withthose DHT gels/derivatives!

Your best bet if you are going to be paying out of pocket would be through Nelson's discounted labs.

Testosterone, Free (Equilibrium Dialysis) and Total, MS - Most Affordable and Accurate Test

Get an affordable and accurate testosterone test results with our Total Testosterone, M and Free (Equilibrium Dialysis) test. Visit DiscountedLabs.com for more information.

www.discountedlabs.com

Thanks for the feedback. I agree to hope to start out between 100-150 a week as well. My blood count numbers are high because I was on iron supplements for over a year to drive my iron levels back up after a continuous bleed. I just stopped taking them three days ago. Normally my blood numbers are much lower than that.

 

[madman]

Thanks for the feedback. I agree to hope to start out between 101 150 a week as well. My blood count numbers are high because I was on iron supplements for over a year to drive my iron levels back up after a continuous bleed. I just stopped taking them three days ago. Normally my blood numbers are much lower than that.

The standard starting dose is 100 mg T/week or better yet 50 mg T injected twice-weekly.

Yes you can start a little higher say 120 mg/week but do not jump in any higher as you may very well easily achieve a high-end/high trough FT 100 mg T/week especiallly when split into more frquent injections.

Patience is key here!

There will always be time to increase your dose of T if need be.

 

[madman]

Thanks for the feedback. I agree to hope to start out between 100-150 a week as well. My blood count numbers are high because I was on iron supplements for over a year to drive my iron levels back up after a continuous bleed. I just stopped taking them three days ago. Normally my blood numbers are much lower than that.

Also need to tread lighty when it comes to everyone and their brother gunning from this so called needing to run a high-end let alone high trough FT as there is a drastic difference between a high-end/high trough FT injecting once weekly vs twice-weekly vs daily!

Definitely do not want to be hitting a high-end/high trough FT injecting once weekly!

Many overlook this and are left scratching their heads when they end up struggling with sides!

Yes there is such a thing as having too high a trough FT which can be just as bad in many ways as having too low a FT especially when it comes to libido and erectile function as you will be hammering the shit out of your dopamine 24/7 let alone T has a tonic effect on the CNS and can easily make one feel amped up!

Yes many may very well fare better achieving a high-end/high trough FT (within reason) but you need to pay attention to your injection frequency/trough level achieved.