T Nation

My TRT Journey Starts Now

I really get this, but I think it somewhat of a double edged sword. Of course they’ll give you what you want, and within reason too, they do not wish to be sued so they’ll draw a line somewhere. They’re like everyone else, in business to make money. That’s OK. I think someone all over the internet and beyond educating themselves on TRT is not the typical patient. That’s you, so it is good for you. The average patient (like e306 was, not now) will get test, hCG, DHEA and anastrozole.

It’s like a 350lb guy going into a McDonalds, they’re going to sell him the three Big Macs.

OK, maybe not a good analogy, but to my point.

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Why would you take DHEA when taking T? What’s the reason behind that?

True, but we don’t excrete test cyp the same way we do our bodies natural production. Esters slow things down, meaning e2 may not lower as much as one would like. The half lives build, as well as e2.

In my experience, not just the large peaks increase e2, but the total amount of test floating around do as well. The bodies production of test is short lived. Not the same with esters.

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The total amount of Test does matter, but larger doses less frequent increase estrogen even more than having very steady levels at the same Test level. This has been shown to be the case time and time again by countless men.

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So no AI, no hcg, nothing but test cyp 160mg a week split 2x? That is my exact protocol. I’ve been on it for 3 weeks today. Your SHBG level is nearly identical to what mine was TRT also. Although my E2 was much lower than yours.

Sleeping REALLY good for the last week now, libido is definitely increased. I cannot wait to see some of the body comp benefits.

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Respectfully, I disagree with the reason you believe “pellets” are being suggested by doctors. First, I am a pellet user; and Second, pellet users rarely have issues and do not post on these boards. It is not always about the money - which is a regular comment on this board.

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Right, not always, I’ll give you that. Unfortunately, I have talked face to face with too many pellet doctors and heard directly from them what I stated. I’ll have to stand by it, people can believe what they wish. I seriously doubt doctors would disclose all financial details when suggesting them to patients and would spin treatment recommendations in the direction they would like to go.

I do not know enough people on pellets to comment on effectiveness, though I do know a few who switched to injections. Glad to hear you are doing well with them. I do not think there is a one size fits all approach and see where they have a place.

I found many folks and some docs who started on pellets and they switched to injections. The dose is not consistent on a pellet. Unless you go back early or start with a much larger dose and end up on a optimal dose. I can see it work that way. Maybe that is why it works for some. Who knows. For others T levels fluctuate and it doesn’t bother them. One size does not fit all.
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I do believe docs offer meds based on profit and only if they believe in it. Some offer it purely out if greed . Especially if the doc sells it direct like clinics do T.

My good friend is a doc and we’re opening up a business. He told me he has no problem up selling. Most people say yes without thinking twice when a doctor tells them they need something for their health.

It’s working fast for you. That’s awesome.

Pellet therapy is the most profitable way to do TRT, it’s not open to interpretation, it’s a fact and the doctors who are prescribing T pellet therapy are doing it for that reason. Injectable testosterone is the most effective and best way to control individual levels (T & E & DHT, pellet therapy doesn’t and never will offer than kind of control.

Pellets are great if you’re on safari or are going to spend time on a desert island somewhere in the Pacific.

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Yupp

I was curious to see how long it would take before you starting beating the “injectable” drum rather than those “money grubbing pellet doctors”.
:slight_smile:

If injectable was so perfect, there would not be thousands of posts from guys trying to balance their T and E to everything else.

I agree pellet insertions are profitable and never said differently … especially since so many injectable users don’t have scripts and buy from questionable sources. But not everyone makes their medical decisions solely on the basis of “how much will this cost”.

I have nothing against injectables per se. It is not for me, and is not treatment I chose. I support the masses who have chosen this route and I’m pleased if you are part of the very successful group. But, I would like to give an alternate opinion to those who have made statements based on hearsay and not on experience. I hope to broaden the discussion and present an alternate viewpoint. Nothing more. That is hard however, when there are zealots who have no interest in learning anything new and wish to keep rehashing the same tired arguments.

It is always good to “agree to disagree”.

Have you had labs drawn at a time between insertions? The reason I ask is because some had obtained lab work when overdue for another insertion and levels were very high. One would have thought they would be low when as much as six weeks overdue.

I’m wondering about the time release part of it. Do levels run fairly steady?

I have been documenting every part of my journey here.

For the past 12 months, I have had labs drawn monthly. I have spent more on lab work than on the pellet insertions.

Although I have had other hormone imbalances, the biggest factor in my situation was sky high SHBG. I had HIGH testosterone before going on pellets, and the doctors opine that I was in the 3 or 4000 as a young man.

Will pellets, I start high, begin a tapered decrease until it is time to reinsert. I am currently experimenting with how long I can go between inserts, now that danazol has my SHBG under control.

To answer your question with numbers, my last insertion was October. I usually register >2000 a few weeks after an insertion. I skipped blood work in November. In December, T was at 1435. In January, T was at 1473 - yes, it increased. I have not had a February draw yet.

Interesting, thanks. I’ve been told that with pellets, levels typically run high. In your experience, is that accurate?

Yeah so far so good mate! 23 days in and my sleep and libido seem to get ever so slightly better each day.

I don’t believe I’m experiencing any “side effects” from elevating estradiol, however my E was lower than 5 when I started. I have put on about 4-5 pounds of water weight. That trend seems to have stabilized as most of that came in the first 14 days.

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So I’m 3 weeks in. First days were amazing. Morning wood that I haven’t had in years, libido, and immediate change in the gym. Now at the 3 week mark and I’m super irritable, tired, and no morning wood. Some irrational anxiety, too. I’ve ready plenty to know this is par for the course, but just wanted to check in with you guys to ensure this is a common phase, and what to expect as far as how long this goes on, etc (knowing that I may need to adjust things when I retest at 8 weeks).

Thanks!

Your TRT honeymoon didn’t last long, no worries it will return in a couple of weeks if your levels are sufficiently elevated in 3 weeks. The tuning phase of TRT can take months to figure out, mostly it can take the better part of several months to a year to find out what works best.

Patience is it’s own reward.

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Thanks so much. So glad I have you guys or else I’d be panicking already. So if I’m tracking, it sounds like this is normal and I’ll start to feel better again in a few weeks BUT getting fully optimized/dialed in will take months - year?