T Nation

Help with Possible Absorption Issue


#1

Hello,
Haven’t been on here in a very long time. So a quick backstory then my questions.
I have been on trt for many years. I used fortesta for the last 6. About a year ago I had to stop due to a job change an insurance change. So I had a gap in treatment for about 8 months. So I began taking a generic fortesta about 4 months ago. same dose as I was on previously. When I had my labs done pre starting again I was 135 now after 4 months of using it everyday I am at 105. Could it be I no longer absorb or possibly the generic form is just no good? Any help or advice would be greatly appreciated


#2

Transdermal T is ~10% absorbed at best.
Thyroid problems can take that very low.
Not all T gels are equivalent. The non active ingredients affect absorption.

Apply some on inner arms. But that increases risk of contact transfer to wife/GF and children. T creams which can be applied in smaller amounts to inner arms may be more effective.

Injected T is least cost and 100% absorbed.

Lab results should be in list form with lab ranges.
Please post all labs. - thyroid?

You can eval overall thyroid function via oral body temperatures - see below.


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.