Hi guys. I’ve been reading this site and trying to educate myself as much as possible on testosterone replacement therapy but I decided it’s time I post to get advice from some of the experts on this site.
I am a 37 year old male who was diagnosed with a pituitary microadenoma last August. I had actually just started T cypionate shots when the tumor was found via an MRI (long story). It is a non secreting tumor. Anyway, I consulted with an endocrinologist who didn’t want me to start testosterone replacement therapy even though my T level at the time was about 185 total so I stopped taking the shots last August.
Fast forward about a year and I have been trucking along. But I noticed recently (and my wife has pointed out numberous times) that I had been getting more and more irritable and short fused so I decided to see the endo again and have my T levels checked. Total T came back at 189 this time around and the endo succumbed to the fact that I needed to start supplementation. He wanted to start me on Andro gel even after I told him I had a 4 year old and 10 year old daughters who love to climb on me all the time.
My best friend is a family practice doctor and has recently started doing Sotto Pelle T replacement therapy. I know that type of supplementation isn’t supported on this site much but, as I saw it, my choices were between T cypionate shots and the pellets. I was not going to rub gel on my shoulders every day with my young girls.
Anyway, I did some research and decided to go with the pellets since my buddy said he would do it at his cost (about $300). I had the pellets inserted about 2.5 weeks ago and I feel fine, not spectacular or anything. My mood seems to fluctuate between feeling great and feeling irritable/angry, sometimes moment to moment it seems.
I guess I am adjusting to the suddenly high level of T running through my system.
After talking to my buddy (the MD who inserted the pellets) he indicated that I need to have my T levels tested at 1 month (about 1.5 weeks from now) to see where I’m at. He said there is a spike in T levels at the 1 month mark. Pellet insertion isn’t an exact science, let me tell you. Everyone reacts differently to the pellets so they have to experiment with the number of pellets needed to get you to where they think you need to be. I asked him what levels he is typically seeing at the 1 month point and he says between 1,000 and 1,100. That level seems high to me and maybe that’s why I’m experiencing mood shifts as rapidly as I am.
Anyway, sorry for the long winded post but I just want to know what level of T I should be shooting for over the long term. These pellets allegedly need to be reinserted every 3-5 months so I will definitely have the number of pellets adjusted downward or upward based on suggestions I get here as far as optimal T levels are concerned. There is a lot of marketing to these pellets and I’m sure my buddy loves the fact that people come back every 3-5 months for reinsertion so he can collect money again.
Since I’m getting this at his cost, I will give it a fair chance.