T Nation

TRT Help. Completely Clueless


#1

Ok here goes, first off. I eat clean… I am in the gym about 5-6 days a week atleast one day for cardio… i started feeling low libido, not hard errictions, loss of motivation, and a little depression about last year… I chalked it up to over doing it at the gym… tried some supplements a little pre work out, Rad 140… I felt like the rad gave me a little push saw a little results but then started back sliding again…

3 weeks ago with some blood work… I convinced a DR to give me shots of test Cyp… he told me he would give me 350mg monthly. (I know this guy doesn’t know what he’s doing at all)… first shot I don’t know if I saw or felt any difference… I went back to his office the following week 6/5 and again with some back and forth got him to give me another shot 100mg… but he told me then he would only see me once every 2 weeks and give me 100-200mgs…
I knew this wasn’t going to work at all… 1 I know he knows nothing about TRT. 2. I can’t go into the office every 2 weeks and wait hour or 2 to see him. 3. He knows nothing about PCT stuff. 4. He never even ran my test levels
So,what I did do was find a TRT place that I scheduled a appointment with for 6/15. On the phone they told me I’m 31 so I’m of age and first thing they will do is run my labs and hopefully if all checks out start me on a regiment. I’m now worried tho because my last pin was 3/5 are my test levels going to be extremely high and give a false read and then they won’t write me any scripts? Or is this 10-14 days enough time?.. please help


#2

Also worried because just the initial appointment is $295… I don’t want to waste time or money… also do I tell them that the 2nd week test Cyp the clueless doc gave me had my mood and libido gym workouts feeling great? And that I want 250 weekly…
I know for a fact that I feel great on it… is it wise to just be honest and be like give me this please?


#3

Knowledge is power - start reading the stickies.

Where are you located? Affects diagnostic and treatment options.

Please post all lab work with ranges. Not just hormones.
List format please.

Many who come here have some degree of low thyroid function, see last paragraph in this post to self-evaluate. Often the cause is an iodine deficiency which is prevented by using iodized salt.

Over training can lead to adrenal fatigue and low sex hormones. Training with low-T and/or low thyroid function often involves more adrenaline to overcome fatigue. That is very hard on the adrenals. And then fT3 can increase, blocking fT3 at T3 receptors. It can get messy.

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.


#4

Surfer, I am a total beginner almost pretty clueless… I am from NJ and saw your post. I have a appointment with Global next week. Is there any possible way you could PM me or email me privately… looking for a bit of advice… thanks

Surfer78
22h
Hey Mike. I can certainly help you out. Global is good, but they over do it with the test dose, and they make you do pct every 4 months. Pct consists of coming off the test, and going on high dose clomid and hcg for 3-6 weeks. It kind of sucks. I take less than half the test dose they prescribe and keep my test levels around 800. You can ask them to take hcg with your test instead of doing pct ( this is what I do), but they prefer not to do it that way. You just have to ask. Global will get the job done, but be cautious about the one-size-fits-all protocol. Also, the guidance from KSman on T-nation is great. Read up on and start with his protocol. It is more conservative than Global’s, and probably healthier.

Surfer78
22h
One more thing, some people have a great response to hcg. I fall into this category, so my test dose is actually quite low now, about 60 mg/ week. Without the hcg, I need 120 mg/wk. Also keep in mind that if your test goes too high, you’ll feel good for a couple of weeks, and then you’ll start to feel shitty, from my experience. Also, reducing your dose sucks, so start low and go slow.

mike123456
16h
Surfer your a life saver thank you so much… I just wanted to stay on 150mg weekly… do they go mostly off symptoms or are they really looking at labs? What I mean is are they going to give me a hard time about getting the Cyp? And also the guy told me I spoke with on the phone he will be sending in the mail my scripts (overnight). Are they sending me pharmaceutical grade? Any other tips. Please let me know. I am seriously clueless

Surfer78
7h
Everything is pharmaceutical grade, from a compounding pharmacy. The
pharmacy can vary, but they are all legit. They will go off your labs and
your symptoms to see if you qualify for TRT. My labs showed clinical
hypogonadism. I had multiple lab work showing total test and free test
well below range. My total test was something like 170 ng/dL (range
330-1100). They had no problems prescribing me the drugs. The doc even
said, “I don’t know how you even function.” Lol. I’m not sure what they
would do if you were in range, but low for your age and had symptoms. My
guess is that they’d still prescribe. Insurance won’t pay since they
consider their treatment to be elective. Since it’s elective, I would bet
you don’t need to have clinical hypogonadism. However, if you have test in
the 600+ range, I’m pretty sure they won’t prescribe you the drugs, but who
knows!

Don’t inject once a week. Get yourself some insulin syringes and inject
subcutaneously around your belly button twice per week (Mon evening, Fri
morning worked for me). This will keep your levels from fluctuating too
much. You want very steady levels or you will be in for a roller coaster
ride, and some higher than necessary E2 levels. You’re gonna feel great for
a couple weeks, and then things start to settle in. If you feel worse
after the honeymoon phase, you may need to get E2 levels under control, or
your test levels may be too high or too low. Blood work is important.
Consider doing your own labs every 6 weeks until you’re dialed in. You can
buy lab tests online and get blood work done in PA. Unfortunately NJ
doesn’t allow that yet. PrivateMDLabs is a pretty good deal. I think it’s
like $50 or $60 for the “female hormone panel.” Don’t be fooled by the
name, it’s misleading. It’s for men too. You select your gender when you
add it to your shopping cart. It provides your total test and E2, along
with some other stuff like complete blood count and metabolic panel. You
just print the lab requisition form and take it to a LabCorp or Quest
Diagnostic lab in PA. They draw your blood and email you your results a
few days later. Simple!

mike123456
6h
Surfer- Thank you for the insight. I know this is a lot. I posted it. And no one responded… I hope I’m not taking a bunch of your time up… but I just want to make sure I’m doing this right.

Ok here goes, first off. I eat clean… I am in the gym about 5-6 days a week atleast one day for cardio… i started feeling low libido, not hard errictions, loss of motivation, and a little depression about last year… I chalked it up to over doing it at the gym… tried some supplements a little pre work out, Rad 140… I felt like the rad gave me a little push saw a little results but then started back sliding again…

3 weeks ago with some blood work… I convinced a DR to give me shots of test Cyp… he told me he would give me 350mg monthly. (I know this guy doesn’t know what he’s doing at all)… first shot I don’t know if I saw or felt any difference… I went back to his office the following week 6/5 and again with some back and forth got him to give me another shot 100mg… but he told me then he would only see me once every 2 weeks and give me 100-200mgs…
I knew this wasn’t going to work at all… 1 I know he knows nothing about TRT. 2. I can’t go into the office every 2 weeks and wait hour or 2 to see him. 3. He knows nothing about PCT stuff. 4. He never even ran my test levels
So,what I did do was find a TRT place that I scheduled a appointment with for 6/15. On the phone they told me I’m 31 so I’m of age and first thing they will do is run my labs and hopefully if all checks out start me on a regiment. I’m now worried tho because my last pin was 3/5 are my test levels going to be extremely high and give a false read and then they won’t write me any scripts? Or is this 10-14 days enough time?.. please help


#5

Yes, lab work please, in list format with ranges.

Please maintain this thread for your case. If you create many threads, info will become too dispersed to use.

In NY, NJ, RI, MD or MA you cannot order labs on your own and are forced to go through a doctor.


#6

BUN-21: Are you using a large amount of naproxen or similar meds?
Your symptoms definitely fit low-T.

Please create a thread just for your case and keep to that so your particulars are not scattered about.

mike123456
21m
So next Monday I have appointment at anti aging clinic… they told me they are running A lab. I’ve only had 2 shots so far first one was 3weeks ago at 350mg… and last pin was 6/3 for 100mgs…doctor said he will not even consider seeing me again until 6/15 and I don’t know what he will even be giving me then… But my concern is that because of my last pin on 6/3 from this Doc who I know is just as clueless as I am… I will be going to a anti aging clinic on 6/15 who hopefully knows what they are doing… I know they will be doing lab as per our conversation I had with the guy on the phone… are me t levels going to be skewed because of the 6/3 pin from the clueless doc? I know this is a lot and kind of confusing please bear with me… I really appreciate the help I know no one else expect people who abuse steriods and that’s not what I’m looking to do… I would like to feel normal again… and felt finally normal for the first time in a long time with that 2nd pin the doc gave me! Finally had some hope again! Thanks K. And thanks Surfer!

mike123456
19m
No. No drugs at all… prescribed or not… over the counter anti acids that’s it.

mike123456
12m
Oh I see. Wrong thread. I will start posting to the other one I started


#10

mike123456,

Sorry I took so long to respond to your messages. How did your appt go at Global Life go? Do you have your lab results? You can ask them to email them to you if you didn’t get a copy at the office. As I said before, global life will give you all the ingredients you need for good TRT (Test Cyp, Anastrozole, and HCG if you ask). However, I’m pretty sure they do a one-size-fits-all protocol. For me, they prescribed 200 mg/wk Test Cyp and 1 mg/wk Anastrozole. This was too much test and too little anastrozole for such a high test dose. You will feel better and stay healthier if you follow the advice in the stickies here. KSMan’s protocol advice is much more conservative, and will keep your levels in a healthy range. More is not better. I can’t stress that enough.


#11

This is correct. However, if he’s close to the PA border, he can drive to PA for a lab test. That’s what I do.