At the time of my last labs I was injecting 50mg of test cyp every third day. Because I didn't calculate the dosage correctly, that put me at 450mg every 28 days instead of 400mg that I had meant to take.
My labs came back with total test at 1086, range 302-903ng/dL. Free test was 286, range of 47-244pg/mL. I have been fighting with high HCT levels and this didn't help even though I have been donating blood on a regular basis. HCT was at 55, range of 40-53%. I have since reduced my dosage to 40mg E3D which equates to 360mg every 28 days. A 20% reduction from my initial dose. I was going to stay at this dosage for a month and retest.
I had to call and get my prescription refilled by my endocrinologist as I was on my last vial and he says that he wants me to drop my dose to 50mg per week and retest in four weeks. That is essentially a 56% reduction from the dosage I was taking at the time of the last labs. I was talking to his assistant and she said that they never have prescribed more than that for anyone that they treat for TRT. I told her I didn't know where the doctor was getting those numbers and that a typical protocol was 100mg/week which is what I was originally prescribed. I then explained that I had dropped my dosage myself and still the doctor does not want to prescribe more than 50mg/week. I finally got frustrated with her and told her to have the doctor contact me directly as we were on our fourth back and forth phone call and I didn't want to deal with a middle man any longer.
Is it just me or is a 56% reduction within a month irresponsible of this endo?
I can already feel the negative effects of reducing my dose by 20% but want to get my HCT under control. Is it reasonable of me to stay at this dose and retest in a month instead of the drastic reduction the endo wants and risking a rebound affect in my other hormone levels?
I believe it's time to find yet another doctor.