OK, to make a long story short after many years of extreme steroid usage i am cutting back dramatically. Most of you know my story. Anyway my doc has me on a measly 100mg of cypionat per week for now. The cool thing about him is he is totally cool with keeping me at the very high end of normal. Upon intital review of my labs he found absolutely no problems with my blood work…this is after 15 years of high level steroid usage. My liver ast was just slightly high he said that is probably the Cymbalta that i take for my depression and it was nothing to worry about. My comment to him was “well that speaks volumes to me about the overblown dangers of steroids…to which he reluctantly agreed.” The more interesting part is the discussion we had about the relationship between secondary hypogonadism and LH/FSH levels. He stated the following.
Contrary to popular belief the LH and FSH levels in someone who is taking true replacement level dosages will be normal…that is how they titrate it.
After getting the blood level stabilized at high normal then tests are done on the pituitary hormones to me sure primary hypogonadism is not the problem.
Therefore this thouroughly supports the test taper theory…as you taper into normal blood level dosages even though it is from an outside source your body will begin to produce LH and FSH again and sitmulate the testes.
I talked to him about this theory and he said yes there should not be any reason for a SERM unless some primary hypogonadism exists…the key is to reduce dosage slowly over a period of time, he suggested a step down to replacement level right away (100-200mg weekly) then a 10-15% reduction weekly thereafter until off.
My other little side experiment is as follows, alot of people want to know if they are taking a replacement dose of test as directed and add a healthy dose of nandrolone will it skew the tests? OK exactly one week ago i took my little 100mg of cyp and 600mg of deca…going to have blood drawn today to test my testosterone level…i will let you know how that works out.