T Nation

New to TRT, Want to Get It Right


I have done a lot of reading here trying to get my head wrapped around all of this. I am an early 40s guy, been trying for months to get a doc as health care is very difficult to get where I live in Canada. Been on a waiting list, only options are in and out clinics. But would really like to have a blood panel done. I currently have 250mg of test cyp and arimidex. I’m a skinny fat person, and am at a point where staying lean is very difficult even though I track macros and workout regular.

My questions are these.
Can I start doing the injections without knowing blood?
If so should I start at a lower dose to see how my body reacts?
If so what would you recommend starting with? I’ve read things all over the place, but people seem very knowledgeable here.
How critical is it to have hcg, and should I have it on hand before even starting or see if I start getting testicular shrinkage and then get it? Can I recover from it if by chance?



I would not begin without blood work. I know you are probably anxious to get started but you need to know your baseline levels.

What do you mean here? One vial of 250mg/ml Test cyp? and how much adex? Don’t start something without having the proper amounts on hand.


You need baseline numbers in order to design a protocol for you, this is important and the chance may never come again.


Yes one vial and 100 tablets or arimidex. Yes I am anxious, but certainly understand the importance of knowing my blood work. Just not having a doc has been frustrating. I wish I could just go and have it done and get the reports, sadly here in Canada it has to be ordered by a doctor.


Depending on your dose, 1 vial could last 20 weeks or more or less. 100 tablets of adex could last for months, again depending on your dose. You really need to know your status and get a script from a doc and then decide how you want to proceed.

I don’t suppose there is any possibility you could travel to the US for an initial consult? Is it legal to transport Test across the border with a US script?


I think I am going to wait till the walk in clinic doc returns next month, he is a pretty good guy that has helped me out with other health issues in the past. He may not agree with what I want to do, but I am confident he will give me the proper care. I don’t have a passport to travel state side, even more so I have a record from my younger years when I smoked too many lefties. I got ran 10 years ago and refused entry because of it. :smirk:

I really agree that I should speak with a doc first. I know lots of guys probably don’t, but I don’t wanna mess myself up for life.


You really do not know T levels or if low. How low you are has a huge influence over what you doc will or can do.

You have not really provided any info that supports your idea that your T is low. Most if the symptoms of low T are the same as low thyroid function. Eval your overall thyroid function via oral body temperatures - see below.

If you have not been using iodized salt, you are deficient. Sea salt and pink/natural salts are a public health disaster.

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.

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 numbers 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.


I am definitely going to check this stuff out, I had no idea about body temperature. I don’t suspect iodine deficiency, but would never rule it out. I follow a cycled ketogenic diet as I find carbs bi-weekly keep my hormones better optomized. I also supplement zinc magnesium potassium and keep plenty of sodium in my diet as running in a ketogenic states flushes you and need to manage electrolytes. I feel my T is likely low now at this point in my life due to having very low libido, hardly any interest at all. Recovery from gym performance is substantially longer over the past year. I am also feeling very lethargic through the day.

But I’m here to be a student, and getting in to see a doctor is my priority at this point.