T Nation

53 - New User /Looking at TRT


#1

Hi there.
Yesterday I met a guy in his late 40’s who started TRT program 6-9 months ago. He was raving about the benefits. -mood/sleep/energy + body form.

Ive been inactive for 3 yrs due to variety of injuries. Recently I have returned to 3x yoga a week and some light weights. Feeling good.

What value would TRT have for me? A decade ago my T was at the acceptable range at the low end.

I carry a range of nagging injuries, poor sleep patterns and I travel 100k+ miles a year. Looking at this 40+ yr old who is ripped up in 6 months made me wonder if I should not explore.
Any advice would be welcome.
Best
H.


#2
  1. Go to the dr. get your bloodwork done
  2. while waiting for results, read the TRT stickies in this forum
  3. read the internet, get educated
  4. post your bloodwork here.
  5. ask KSMAN to PLEASE, PLEASE help you evaluate your test results (you had better come having done your homework)
  6. find a good dr to write scripts and who will listen to you
  7. get back to your old self

#3

Post labs with ranges please.

TRT would be around 100mg T cyp or eth per week.
TT would be high normal ~ 900
FT would be high normal

Good T levels will help with muscles, but most of that requires training and good diet. One is still bound by their genetics.

T helps muscles and connective tissue.
You could test IGF-1 to eval GH status. [Do not test GH itself].

Depending on climate, you are probably Vit-D3 deficient.

In USA you can find time release melatonin 3-5mg. Take 20 minutes before sleep time. Must be time release. I also use Rx trazodone. Very inexpensive [USA] 150mg tables, split to 50mg dose.

Thyroid is very important. Please self-eval overall thyroid via last paragraph in this post.

Please read the stickies found here: About the T Replacement Category

  • advice for new guys - need more info about you
  • things that damage your hormones
  • protocol for injections
  • finding a TRT doc

Evaluate your overall thyroid function by checking oral body temperatures as per the thyroid basics sticky. Thyroid hormone fT3 is what gets the job done and it regulates mitochondrial activity, the source of ATP which is the universal currency of cellular energy. This is part of the body’s temperature control loop. This can get messed up if you are iodine deficient. In many countries, you need to be using iodized salt. Other countries add iodine to dairy or bread.


#4

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I hope these are readable.

I’ve been reading stickies and I’m interested in understanding more.
These tests were NOT done early AM but I did not eat until after the test were taken [I try and fast 2 days a week].

AGE 53.
Height 6/1.
Weight 210
thick facial hair when I have it.
Fat is carried in midriff and limited man boobing [working out is reducing that].
No prostate drugs had first Prostate exam a year ago.
lean meats /lots a vegetables, limited carbs and classic binge junk food eating when I exercise a lot.
I do drink alcohol
3x yoga a week.
1-2 light weights at home
100 push ups every other day
reduced morning wood in last few yrs. and limited nocturnal erections.
noted lack of sex drive

Only ‘major medical history’ is Barrett’s disease which I’m treating with a Dr. I have no cancerous cells etc.


#5

2nd image. new user limit:
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#6

I am 48, taking TRT for a year. Had very low T at around 190 a year ago. Now, my levels are around 1200 - 1300 (Normal is around 750-800 for my age). I certainly see a difference with energy. Also taking IGF-1LR3, and now starting to take Sermotropin. So far, so good. The mix of weights and these meds has made me solid.


#7

TRT: You should go after TRT as vigorously as you can. It will be life changing. There really are no major side effects if you follow the guidelines suggested. You do need to monitor RBC and HTC as some guys have those go elevated.

Barrett’s disease: Probably a result of GERD. So I expect that you have been using a lot of PPI heart burn meds. These can lead to mineral absorption deficiencies and Vit-B12 deficiency. Do you have a Hiatal hernia? If so, that is often mostly driven by abdominal/visceral fat and weight loss becomes an urgent issue. Both low-T and low thyroid function drive fat gain. There can be other effects such as insulin resistance and lab A1C will be more indicative than glucose, especially with your fasting creating confusion.

Labs:
TT - low!
FT - will be low, no need to test again
E2 <<<<<<<<<<<<<<<<<
FSH - low, LH will be low
prolactin - low
CBC <<<<<<<<<<<<
hematocrit <<<<<<<<<<<<<
PSA

Please check overall thyroid function via last paragraph.
Explain your history of using iodized salt.

There is a lot that you need to read to protect your self from doctors who are almost always uninformed and dangerous. Doctors are the problem.

Please read the stickies found here: About the T Replacement Category

  • advice for new guys - need more info about you
  • things that damage your hormones
  • protocol for injections
  • finding a TRT doc

Evaluate your overall thyroid function by checking oral body temperatures as per the thyroid basics sticky. Thyroid hormone fT3 is what gets the job done and it regulates mitochondrial activity, the source of ATP which is the universal currency of cellular energy. This is part of the body’s temperature control loop. This can get messed up if you are iodine deficient. In many countries, you need to be using iodized salt. Other countries add iodine to dairy or bread.


#8

Thanks for detail response.

  1. Yes GERD. No hernia.

  2. I dont understand question re idozied salt - i.e. its high? I think that is a 1 off from food prior nite? we had several highly salted meats with friends who wanted to learn about TX BBQ.

  3. Where you have <<< do you require this information or do I need to just track it?

  • I’m requesting that data also from a prior test I had done a month ago that was a full blood work up.

My temps are steady 98.6. No dry skin, no hair loss, strong nails. But point noted on Iodine…dang W/ho knew?

OTHER. I re read the sticky about hormones. In particular hCG.
so the protocol is:
TRT: Protocol for Injections:

100mg test cypionate or ethanate injected per week with two or more injections per week.
250iu hCG SC EOD [every other day]
1.0mg Arimidex/anastrozole per week in divided doses.

Is there a way to inject all this together twice a week or are we headed to a Dr. 3 times a week?
Or do we do this ourselves?

Is there a point in time where you can elect to reduce dosages or go off TRT all together or do you do this for life?


#9

So you see a Dr each week twice a week or self administer? What about hCG?


#10

Self-inject T subq with #29 1/2" 0.5ml insulin syringe.
Same with hCG which can be #31 5/16" 0.5ml

hCG is a peptide hormone and when you get it home, you add BA water, 0.9% benzyl alcohol and must refrigerate. A 10,000iu multi-dose vial lasts 80 days and expiry is not an issue. Does not like heat or shaking.

Iodized salt is not used in prepared foods/snack or in restaurant meals. It is all up to you.

98.6 when? Are temperatures low when you wake up?

Your TSH is nice, but often there is more to the story. Most guys who come here have some degree of thyroid function issues. So I need to ask and nag…


#11

So I’ll have to man up and inject my self…eww :). ok. I’m guessing I cant mix two items together and inject at same time?


#12

I do not like hCG and T mixed together. Oil will inject slow, hCG will jet. hCG sequestered in oil may degrade before getting absorbed. But I have seen a couple of guys doing this.

Are you missing points?


#13

Ok. My post was attempting to clarify if you can blend all this stuff or not. trying to minimize # of needles a week.
Not sure what you mean by points missed?

I’m just a big sissy when it comes to needles. Had lots of bad experiences as 12 yr old with experimental asthma treatments and several shots a week. Giving my self a shot is not something I have ever done. I’ll do some research on injector pens. surely diabetics have this aspect down cold.


#14

I did not like injections either. But decided there really was no reason that I could not when others do. At least you can avoid injecting with #23 1.5" needles!

Injector pens still have needles. Cannot inject T with those.