T Nation

New to TRT. Dosage/Meds?

Backstory, 38yo male, 6’3, 220lbs (was 205 when started trt in feb. original lab results showed low test at 270, high fsh, normal lh. Began 2 pumps androgel daily for 30 days. Raises test to 362. Went to 4 pumps. After spending tons of cash (with insurance) we decided to move to injections. 200mg test every two weeks for first month. Was awful. Had nightmares after injection. Day 9 after injection, i couldnt get out of bed, headache, no motivation. Mood swings were awful, rage at the drop of a hat. Also, my testicles disappeared. New lab results of day 10 after second injection, showed test back down to 275, low fsh and lh. Doc wants to do 150mg test every week. I know i need something to help with low fsh/lh or estrogens, but not sure whats optimal. Need advice. My wife and kids are seeing the worst of me lately and it really is screwing with me. Thanks

Injecting every two weeks is totally insane, and so are you now!

With TRT, LH/FSH–>zero. Expected. See hCG below.

Doctors are the problem.

  1. Self inject 75mg T twice a week, subq not IM, with #29 1/2" 0.5ml insulin syringes. This will steady your levels.

  2. Take 0.75mg anastrozole at time of injections and this should straighten out your emotions and personality. Should get near 22pg/ml where almost all guys do well. If you suddenly feel crashed, your E2 has gone very low and you are an anastrozole over-responder. At that point, you stop anastrozole for 5-6 days and resume at 1/4th the expected dose.

  3. Inject 250iu hCG subq EOD to preserver testes and fertility.

Your family will thank me!

#It is really important that you go through all of the following. Please note last paragraph, most guys who come here have some thyroid/iodine issues.

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.