T Nation

Incoming Noob! New to TRT and So is My Doctor


Making a long story short.
I’m 29 fairly active yet obese and had a t level of 253, fair sex drive, one child, low energy, mood swings, fatigue, brain fog, trouble sleeping, etc.

Dr diagnosis me low t and says he will give me 1 400mg does every 28 days… this quickly changed to me self administering 100mg every week and at 90 days in my t is at 767 energry up fatigue down l, leveling mood, better memory, sex drive and strength of erections low. Also ive been more emotional than normal and have concerns about fertility as my wife and I are wanting a baby. I ask my doc about hcg and it preserving fertility and he wasn’t aware I would no longer be fertile. Also asked him about anti estrogen and he said it was not nesseccary. I just got approved to actually get into an endo clinic and am hoping they are going to have some answers.
Jist looking for advice and how to approach hug and anti estrogen with the endocrinologist and if anyone else has experienced weakness in erections after being on trt.

thanks in advance!


The most insane starting protocol I’ve heard yet, can’t imagine what your estrogen was in the beginning. Be prepared and know that most endocrinologists don’t know how to properly administer TRT, my endo had no clue what HCG was used for. My erections are still on the weak side and I’ve been on TRT for almost 6 months, however venous leakage takes time to repair and most expect immediate results and that’s just not how TRT works. My erections and penis sensitivity are improving at a slower pace and I would have thought, I spent a year-and-a-half at levels just below 100 ng/dL and 6 months ago I had very low muscle mass that likely affected my PC muscles. You should be injecting twice weekly, one shot a week your Test levels are fluctuating too much, where’s your labs for SHBG? This will indicate how often you need injections, you’re missing a lot of labs. Please post all labs including ranges.


Post available lab results WITH RANGES.

self inject 50mg T twice a week, subq, not IM, using #29 1/2" 0.5ml insulin syringes

0.5mg anastrozole at time of injections

250iu hCG subq EOD

Often endo’s are the worst.

Any thyroid labs?
Do you feel cold easily?
Are outer eyebrows sparse?
Have not been using iodized salt and/or vitamins that list iodine?
Low oral body temps — see below.

Iodine is very important for children and during pregnancy.
Women need more iodine than men.
Women have more thyroid problems than men.

Have you been tested for diabetes: fasting glucose and A1C?

Doctors are the problem.

Where are you located?

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.