Successful Story with Testosterone Cream Protocol

To all members:

Below is an overview of my history, and TRT cream protocol that I found most effective for myself and others

I am a 55-year-old business owner who has always exercised, eat healthy foods, and tried to stay on the path of wellness. For the last ten years or so, I've noticed a decline in the positive results I'd been getting due to walking this path: loss of energy, loss of focus, belly fat. Like most people, I attributed this to getting older. As a teenager, I was a skinny kid who wanted to gain muscle, so I started eating more and working out. I would read muscle magazines and research what supplements to take. Back then, I saw consistent positive results and was inspired to continue the path. The problem for me as I aged was that these results were fewer and farther apart. Some thirty years later I found myself swimming around trying to find the magic supplement, and becoming more and more discouraged. As a result, approximately ten years ago, I started looking for a "wellness" doctor.

testosterone-cream.webp


In addition to the above-mentioned issues, I have for my entire life suffered from migraine headaches. I'd tried all sorts of fixes and various prescriptions with minimal results. The problem with most mainstream doctors is that they have to follow a certain protocol. They are ignorant of the fact that drugs and/or surgery are not the only fix.

Five years ago, the stars aligned and I landed on a nutritionist and also a holistic MD. I started with the nutritionist first, and within three weeks, I noticed a difference. I had been a "meat and potatoes" guy all of my life. I discovered that the carbohydrates in addition to the lack of enzymes in my system were fueling my headaches. So I went on a modified Adkins diet. To date, my headaches are 95% cured.

The next step was to see the holistic MD. She tested my testosterone levels and they were at the time at 470. While this number was on the low side of normal on the conventional scale (400-600), I was blessed with a doctor who was not just looking at the numbers but at my symptoms. I started a TRT regiment approximately fifteen months ago. The combination of diet change, supplements, and TRT transformed me into what she, my doctor, calls me: Ironman. My numbers increased to 717 total/25.8 free testosterone.

Most people want a quick fix. They must understand that there are NO quick fixes in this world. If they find one, it is short-lived or many sometimes very bad side effects to go along with it.

The main question I ask many people is-- why can't health be the number one priority? I see new faces in the gym all the time. They are out of shape and trying hard to make a change. Most of them are there on doctor's orders. Don't wait for a health catastrophe to hit before you make a change. The secret to good health is a complete lifestyle commitment. No TRT program by itself is a magic bullet.



My TRT cream protocol

I have been on TRT for approximately five years. For the first 18 months, I had a very difficult time. Initially, it was a slow start mainly because of low dosage and poor-quality product.

I started with an alcohol-based bioidentical pharmaceutical packaged product. This product was worthless. I moved on to a local compound pharmacy, my current doctor uses this pharmacy for years. As I moved up from 50 to 200 milligrams per milliliter per day. I felt good for a while. But then I found myself applying more, but still not feeling the best. I switched compound labs using a cream based product. This process went on for over a year. I was carefully monitoring all my blood results along with how I felt on a daily basis. My best testosterone totals were approximately 750 range with Free being around 18.

The more I took the worse I felt. At one point I was taking 600 mg per day. My blood tests came back lower than before. I noticed from the second compound lab that the product was not consistent, it had hot spots. The pharmacy acknowledged it made me a new batched and then still charge me for it.

At this point, I was questioning the whole cream process versus injecting. I even tried suppositories. Me being a needle Phobia I was determined to make the cream work.
I started working with Nelson Vergel on the problem. I contacted Empower pharmacy and decided to give the cream one last try. To my amazement, I had fantastic results.
For the past few years, I've been on a steady protocol of approximately 250 mg/per milliliters Daily. My total testosterone averages 1100 with the free testosterone averaging 32

I thank Nelson Vergel and Dr. Ariane Cometa for my success to date.
www.cometawellness.com


I continue the wellness Road daily. I feel blessed and I mentor others that need help and struggle with similar issues. I believe a lot of men start a program and are doomed to fail at the start because of misinformation and/or poor monitoring by the physicians. Nelson should really be honored because he has paved the road for many and continue to do so. He is very inspirational and is a remarkable health coach, not to mention scientist. I am very grateful to work with him on this process and did not quit early on. Most people believe we are in a race/Sprint, this is not true we are running a marathon.


 
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I have used cream of and on from Empower with limited success. I really want it to work as I much prefer it to injecting myself all the time so interested to hear from others on your questions.
 
Can I wake this thread back up and get some feedback? Who is using cream out there? Tim L, the OP indicated he applies cream only at night. I am considering this, but have not seen anyone else state they are doing this and Tim L disappeared.

As of now, I apply cream in the AM only, but notice a surge of energy in mid to late afternoon, about 8 hours after application (don't know why, as free T is supposed to peak about 2 hours after application. Maybe it's the result of a downstream conversion? E2? DHT?). In any case, based on this, I have considered doing what the OP does and applying at night before bed to scrotum only. Tim L, if you are out there, are you still doing this? Is anyone else doing this, or have you tried it in the past?
I can actually feel the cream kick in. I like the way it feels applying prior to my workouts. I can't imagine dosing before bed.
 
I use Testavan 1 pump on the scrotum and lately had my tt and ft checked and the result was higher then max for both . I now returned to applying to my shoulders and just a tiny amount on my balls . In a month I will check again.
 
I use Testavan 1 pump on the scrotum and lately had my tt and ft checked and the result was higher then max for both . I now returned to applying to my shoulders and just a tiny amount on my balls . In a month I will check again.
I have bioidentical testosterone cream of 30Mg each dose. Passing this cream on the testicles is a very strong dose? I never used it on the testicle and I have doubts about the increase in DHT and PSA. Thank
 
Ciao,
These are my results with Testavan 1 pump on testicles.
It's way over the limit so I am now applying to shoulders and just a little on the testicles.
 

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I have been posting on an off about cream. About two months ago, I started with 50mg to scrotum, 50mg to shoulder in AM and another 50mg to shoulder in PM. Felt great initially, but started to have an ”over the top feeling” on that, so I started to back off.

I played with various strength creams (150 and 200) at various locations in various combinations. I came to a few conclusions:
  • I seemed to reach a max concentration of something (T or DHT) about 8-10 hours after a morning application
    • This confused me, as I thought max concentration was around 2 hours later. But, there is a pharmacokinetic article published in 2017 in the journal Andrology that everyone tends to cite when discussing scrotal absorption. The article actually quotes another study that has shown peak T concentrations can be 6-16 hours after application when applied to non-scrotal skin
    • This may explain why I felt the effects of the cream in the late afternoon/early evening
  • After the initial honeymoon, I got to a point when even small doses gave me an “over the top” feeling late in the day (rapid heart rate, a touch of a head rush, etc.)
I have not gotten bloodwork after using cream, but I suspect that even at low doses, I was probably uncomfortably supraphysiologic

To Gerardo’s question, scrotal application has very high absorption rates compared to the arms, so I would be careful. Pay attention to your symptoms and get bloodwork after starting your protocol. In my case, I was using 50mg on the scrotum and another 50 on the shoulder and it felt like it was too much. 30mg doesn’t seem unreasonable, but I know nothing about the product or the base it’s in.

For myself, I would not rule out trying some lower dose, maybe on the shoulder only. But, for now, it’s back to Natesto for me (gentle, easy, quick and easy to stop if I want to try something else).
 
I have been posting on an off about cream. About two months ago, I started with 50mg to scrotum, 50mg to shoulder in AM and another 50mg to shoulder in PM. Felt great initially, but started to have an ”over the top feeling” on that, so I started to back off.

I played with various strength creams (150 and 200) at various locations in various combinations. I came to a few conclusions:
  • I seemed to reach a max concentration of something (T or DHT) about 8-10 hours after a morning application
    • This confused me, as I thought max concentration was around 2 hours later. But, there is a pharmacokinetic article published in 2017 in the journal Andrology that everyone tends to cite when discussing scrotal absorption. The article actually quotes another study that has shown peak T concentrations can be 6-16 hours after application when applied to non-scrotal skin
    • This may explain why I felt the effects of the cream in the late afternoon/early evening
  • After the initial honeymoon, I got to a point when even small doses gave me an “over the top” feeling late in the day (rapid heart rate, a touch of a head rush, etc.)
I have not gotten bloodwork after using cream, but I suspect that even at low doses, I was probably uncomfortably supraphysiologic

To Gerardo’s question, scrotal application has very high absorption rates compared to the arms, so I would be careful. Pay attention to your symptoms and get bloodwork after starting your protocol. In my case, I was using 50mg on the scrotum and another 50 on the shoulder and it felt like it was too much. 30mg doesn’t seem unreasonable, but I know nothing about the product or the base it’s in.

For myself, I would not rule out trying some lower dose, maybe on the shoulder only. But, for now, it’s back to Natesto for me (gentle, easy, quick and easy to stop if I want to try something else).
Thank you Fortunate. My cream is based on pentravan. My intention is to apply it to the testicles just to increase DHT and libido a little and keep the TRT Protocol of 25 mg of cypionate 3x a week. Thank
 
I have been posting on an off about cream and Natesto. Still experimenting and if I reach a definitive conclusion, I will post feedback here. That said, one of the things I have concluded thus far is that I think I have the opposite problem many people notice with cream. Instead of not getting enough hormone, I sense I am getting too much. At doses similar to what many here describe using, I feel "over the top", nervous and anxious with cream. The other odd thing I've noticed is that I don't feel the subjective hormone effects until 8+ hours after application.

I know that commercial topicals (androgel, etc.) tend to get vilified here, but I wonder if the lower dose would be better for me. I currently have compounded topical hydrogel on order. The thinking is that I don't want more absorption. But, I wonder if it would be more rapid, rather than the 8 hour delay I feel now. If it works more quickly, I can just reduce the amount until I find the right dose.

Long prelude to my question: anyone here use Testim, Androgel or one of the other commercial products? If so, has it worked long term for you? I also posted a poll on this question here.
 
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How do you guys manage to not "contaminate" your wife?
Even if the scrotum is a small area that enters rarely in contact with my wife, it does enter in contact with her vagina when we have sex.
I try not to have sex at least 2 hours after application, but isn't it still transfering a significant amount of testosterone 2 hours after application?
 
I have been posting on an off about cream and Natesto. Still experimenting and if I reach a definitive conclusion, I will post feedback here. That said, one of the things I have concluded thus far is that I think I have the opposite problem many people notice with cream. Instead of not getting enough hormone, I sense I am getting too much. At doses similar to what many here describe using, I feel "over the top", nervous and anxious with cream. The other odd thing I've noticed is that I don't feel the subjective hormone effects until 8+ hours after application.

I know that commercial topicals (androgel, etc.) tend to get vilified here, but I wonder if the lower dose would be better for me. I currently have compounded topical hydrogel on order. The thinking is that I don't want more absorption. But, I wonder if it would be more rapid, rather than the 8 hour delay I feel now. If it works more quickly, I can just reduce the amount until I find the right dose.

Long prelude to my question: anyone here use Testim, Androgel or one of the other commercial products? If so, has it worked long term for you? I also posted a poll on this question here.

Have you been playing with lower dosages and applying on the abdomen rather than the scrotum?
That seems to do the trick for me, I'm feeling less anxious and lot more euphoric.
 
Have you been playing with lower dosages and applying on the abdomen rather than the scrotum?
That seems to do the trick for me, I'm feeling less anxious and lot more euphoric.
Tried low dose on shoulders. Around 75mg at a time. Had trouble with it. Never tried abdomen.
 
@Fortunate Any new impressions regarding Natesto?
Over the last several years, I have been on it more than other forms of TRT. My impression is the same:
  • Easy to apply
  • Little to no side effects at all
  • Never experience testosterone or metabolite levels that feel too high
  • Helps with mood
  • a bit annoying that it's three times a day
  • sometimes question consistency of absorption
  • undecided on what it does for libido
  • doubt it is helpful for body composition
  • overall, positive experience
If you don't tolerate other forms of TRT, you should definitely consider it.
 
Have you been playing with lower dosages and applying on the abdomen rather than the scrotum?
That seems to do the trick for me, I'm feeling less anxious and lot more euphoric.
I have a few follow-up questions: what dose are you using? What do you think accounts for the improved experience? Have you tried a similar dose on the shoulders? If so, how is your current protocol better than applying to the shoulders?
 

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