Some of you on here may know me as a long time poster… I think I’ve kept my health situation quiet here but basically I’ve dealt with low test levels for at least the past few years. Twenty two years old currently and first got levels tested at age twenty, fighting tooth and nail to even let me do that with my doc at the time.
Results came back at 271(off memory) with a ref range of 262-1593. Was given no second thought and begged for an endo referral. Saw someone a few months later and retested at 293 or so, still no help. Two years go by and I have varying degrees of the usual symptoms all of you are familiar with, I was doing TRT research along the way.
I was going to embark on some prohormone use and had acquired the necessary PCT drugs ahead of time but it sort of dawned on me … “If my natural levels suck what am I recovering too?” so I decided to get my blood drawn again. That visit is a story for another day but it wasn’t pleasant and I will not be treated by that PA again that’s for sure. Results come back
Total test(the only thing they tested even though I INSISTED free/bio/shbg/e2/etc be in there)
104 ng/dl with the same 262-1593 ref range. Follow up two days later and I get a script for 200 mg of test cyp every other week. The doctor suggested I come back to the lab that day and they’d administer my first dosage, 200 every other week I knew was a setup for failure so I opted for at home treatment.
Secured my prescription(insurance wouldn’t cover it), a bunch of 25 gauge syringes, alcohol swabs etc and dialed up 1/2 ml and used my left quad for the inject. We have tentatively scheduled a follow up for blood work 4 weeks from now.
So here I am now, very new to this and optimistic for once about receiving proper treatment. Given my age and future desire to have a kid(s) I don’t believe that hCG will be too much of a hassle to acquire upon my follow up and I’d likely dose this at 250 ius 2x weekly. I don’t know what to expect in terms of testicular atrophy but if there is any at my TRT dosage I’ll be getting it, through her or otherwise if I have to.
AI to be determined on whether or not I need it based on the blood work. I have research chemical AI and SERMS but would obviously rather use prescription strength Aromasin over Adex someone likely made in their bath tub. I am refraining from the PH use till all things are stabilized at a normal/high normal level with the test that’s for sure.
So some questions for guys with experience here now that you’ve got decent background on where I’m coming from.
For those that get their TRT covered by insurance who were initially denied, what steps did you have to take to get that covered?
EDIT Got this taken care of, $10 copay instead of 118 dollars for a 10ml vial is quite a bit nicer.
To get my blood work to properly reflect what I want long term, how should I time it in relation to my dosing schedule? IE I injected Tuesday evening and will likely just stay with that, do I want to get my blood drawn Tuesday morning or later in the week?
Also follow up to that is do I tell her that I am doing 100 mg weekly vs the prescribed 200 every other? I expressed concern on this when the script was written but she noted that on her end her hands were tied and she was unable to write the script that way since it was “off label”.
She commended me on my knowledge and I told her I would be dosing it at home, I have a sneaking suspicion she already knows I’m going to do it how I want.
The goal here is to get my levels up as high as they will go without negative impact on estrogen or RBCs/blood pressure/lipids. Optimization I suppose in terms of lifestyle and of course physique benefits.
My baseline blood work reflected good HCT, HMG, blood pressure was under control. I will be doing cardio 4x weekly, weight train very intensely 3x weekly and follow a carb cycle diet put together by Shelby Starnes. Health supplements like a multi vita/mineral, fish oils, vitamin D3, additional fiber on top of several cups of veggies and a greens powder etc. Nothing on THAT front should be overlooked so if there is any negative sides it will easily attributed to the TRT.
Does anyone here keep a log in terms of their progress from the start of TRT onwards? It would be comforting to see some daily/semi regularly updated posts by someone in terms of how long it took for things to kick in, different methods that are being used to get the best results(ie IM vs SQ injections in the real world).
Guys that have been on for months and years will obviously have great insight into this, but I think I will be able to learn a good deal from those who have just recently walked the same path I’m about to.
I have a future concern in that once everything is normalized in terms of my TRT I will have a desire to pursue more “anabolic” supplementation… I’m talking legal PHs here and OTC products only. I have a feeling this is best asked in the other forum but if anyone has experience of doing so in addition to normal healthy TRT dosages I’d be interested on their appraoch.
Mainly in terms of if any of the SERMS are even necessary or offer benefit vs just going from a hypothetical 100 mg test cyp weekly with hCG/AI, 4-6 weeks on an oral PH(in addition to cyp and others), and just straight back to normal cyp/hCG/AI.
I would like to see what I can do for awhile with a full functioning hormonal system for at least a few months but the desire to push it further is there, just want to do things appropriately.
Any help from guys here is very much appreciated and I’d be glad to offer up any more information that is needed.