I am 18 years old and after having several blood tests conducted this summer my family doctor prescribed me Testosterone Cypionate at 100mcg administrated every 2 weeks. Today I received my first shot and was given 200mcg as a "loading dose. I am to go back in 2 week for a blood test before they give me another shot. They say the blood work is to determine if this is a good amount or too much.
The highest results I got back this summer for total testosterone was 232ng/DL. The highest free testosterone level was at 7.3. The FSH level was 3.26 in the last lab. Up until about a year ago I can only assume my levels were at least at a more normal range (this is when the symptoms started)Since last summer I have gained about 60lbs and lost all motivation and drive as well as my ability to concentrate at school/work, I also have problems performing well sexually.I just wanted your thoughts and advice on this situation.
Every 2 week injection simply won’t workout well, you need at the least 1-2 injections per week. You testosterone levels will fluctuate too much E2W, it’s going to be miserable for you the second half of the second week. Testosterone cypionate has an 8 day half life, 50 percent of medicine is all used up by that time.
Thats what I gathered when I was searching through forums and articles, getting a shot every week. I also thought that a dosing of 100mcg every two weeks was a very low dose. Is that accurate?
Your doctor sucks. Every two weeks is simply wrong. The half life of testosterone c is only 8 days. Your Testosterone levels going up and down that much is not good at all. In other words once a week is not great. Every two weeks and your life will suck. Your trt will go from higher than you have ever been to lower than a 10 year old boy.
And what is your doctor doing to keep you from becoming permanently sterile? HCG?
I was afraid that this plan of his was not a good one. He admitted that he doesn’t have much experience with this as he is just a family doctor in the small town I live in. He has not put me on anything else yet. Just the shot that i received today. He scheduled for me to get blood work done in a couple weeks to see what the results were. His nurse even mentioned possibly dropped the dosage or the duration to once a month if my levels came back good… I really don’t think they know anything about this. I know very little from the past bit of researching but I gathered that this treatment plan was not a good one. Any advice? Should I try traveling to a larger city with a specialist? And if so what type of doctor do I need to see?
It doesn’t matter how large dosage they give you, you T-levels will be quite low if they switched you to once a month injection. I was on biweekly injections and while my levels weren’t below 300 ng/dL I was swimming in estrogen. Testosterone rises and falls faster compared to estrogen, estrogen falls much slower. You’re testosterone to estrogen ratio is out of balance you feel like hell. You doctor is ill equipped to deal with any potential side effects you may have, therefore he couldn’t property manage your hormone levels anyway. When it’s your quality of life at stake, seek a worthwhile endocrinologist, ask him how he/she manages a guys hormones. If he doesn’t respond with an intelligent answer it’s time to find a different doctor.
I am reading through the posts on thelink verne sent me, and so an endocrinologist is the specialist I need to seek? If so I will began searching for one tomorrow morning. I am now worried my current doctor has no idea what he is doing in this regard…
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.