T Nation

Anyone from Poland? Need to Find Doctor Who Knows About Long-Term TRT


Hello to everyone - I’ve started TRT but my doc perscribed me with 100mg enth. e3weeks…
Next doc told me to give up on injections and switch to Proviron.
They both seem to have no clue :slight_smile:



Most doctors do not understand these things and many do not care.

Proviron is HPTA repressive for some men and might shutdown your own remaining T production. You then only have proviron a DHT type synthetic hormone. There might be harm. And with low T, E2 might be too low from low FT–>E2. Many report good libido effects from proviron from the DHT action. Proviron is probably better as something used with TRT and labs should follow TT, FT and E2.

Proviron can accelerate male pattern baldness hair loss for those so affected.

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.

KSman is simply a regular member on this site. Nothing more other than highly active.

I can be a bit abrupt in my replies and recommendations. I have a lot of ground to cover as this forum has become much more active in the last two years. I can’t follow threads that go deep over time. You need to respond to all of my points and requests as soon as possible before you fall off of my radar. The worse problems are guys who ignore issues re thyroid, body temperatures, history of iodized salt. Please do not piss people off saying that lab results are normal, we need lab number and ranges.

The value that you get out of this process and forum depends on your effort and performance. The bulk of your learning is reading/studying the suggested stickies.


The reason why your doctor wanted you to give up on injections is because your doctor has zero knowledge in the field of TRT, he sticking to what little he knows. I’m on at total 100 mg T-cyp per week, you need to inject 50 mg twice weekly. 100 mg E3W is going to leave you lower than when you started TRT for the second and third week.


Thanks KSman - I really appreciate Your involvement into this subforum :slight_smile: I’ve read most of things that are sticked (read<>understood :))

As I’ve said, I’ve started TRT about 8 weeks ago. My 1st doc gave me every 3 weeks 100 mg of tst enanthte. Which lead me to feel awful so after 4 weeks and reading HUGE pile of articles and researches I’ve switched to 100mg e7d.
Then, as I don’t want to cure myself, I found another doc, who told me to auit pinning ang go for Proviron (I told him that me and me wife will try to get another kid so maybe that lead him to this).
I’ve read a lot about DHT and this may be not that bad if (as You’ve said) it is combined with TST and I think it could be ok as my libido is low as it never been before.
Another thing is that my trt is not that long (~8 weeks)
Have planned another apointment with the 1st doc and want to force him to change protocol to 100mg per week (every 3,5 days) and maybe some small dose of HCG for my fertility. This proviron thing seem to be not very risky too :slight_smile:

If You have time and will, below my results and again - thank You for content on this forum :slight_smile:

40 years old, ~100kg weight, gym 3-5 times a week.

(please note, that I’ve started with HCG only - from june to october)


Hi syslord :slight_smile:
I’ve replied above :slight_smile: I did almost exact same thing with my injections (next pin will be 50 and I switch to e3,5d).

May I keep tst in syringe in fridge? I’ve read that shouldn’t be much problem



Testosterone is a natural hormone, Proviron is a synthetic hormone which is never a good thing. Our body doesn’t not like synthetic substances, it’s the reason for the long list of side effects as it’s not natural to the body. Do to your low SHBG it could take many months to get dialed into your protocol, it can take a little more than a year for a low SHBG to feel like his old self again. I know a guy on another forum who took synthetic hormones and hasn’t had a full erection in over 20 years even though his hormones are fine, there will always be unintended consequences when you stick unnatural substances in the body.


100mg T cyp/eth per week yields about 70mg T after the ester groups are removed. Young virile males make around 10mg T per week. So it balances out nicely.

Prolactin=341 was high. Prolactin released by orgasm, and cuddling {babies | kittens | puppies}. So avoid prior to lab work.

TSH too high.
You need to provide request oral body temperatures!
Problem can easily be from not using iodized salt.
Are you using sea salt? :{
There is some iodine in milk and cheese there.


Yes, I am aware of problems you mentioned.
Prolactin: I know now that orgasm, cuddling etc may increase it so I’ve retested next day after high result occurred. Still high so I need to address it.
TSH , doc said that its "post inflammation ". I eat ionized salt :slight_smile: