Hey guys wondering if someone could help me out. I just started TRT after getting my hormone levels checked after feeling some symptoms of low T. I am only 29 years old but have had low T symptoms for over a 4 or 5 year period. Previously I had lyme disease from the age of 22 and didn’t feel fully over it until around 26, when I was sick with the lyme disease at the age of 24 I had gotten a lot of blood work done and my testosterone levels at the time were at 250, my doctor at the time said it was below the lowest threshold but said the infection was causing my body to not focus on creating more testosterone, as most energy was used to deal with the infection.
To make long story short on that, I still had some issues the last few years with low T symptoms since I was better from the infection but didn’t think it was hormonal in nature, had some lab done two weeks ago and my test levels came back at the very bottom range again. Even though I sleep eight hours a night, exercise 5 times a week, eat a muscle building friendly diet, take herbal supplements to help with testosterone, avoid xeno estrogens, etc.
Doctors I spoke with theorized that the infection I had before did something to affect my natural testosterone production and prescribed me 180 mg of testosterone cypionate a week, 1000iu HCG, and 1mg of an AI split into 0.5 doses. Told me to take everything together on mondays and thursdays.
I read up about ai’s after and wanted to avoid taking it so I called my doctor and asked if I could stop taking it, and switch to every other day injections of the testosterone. They said it was no issue to stop but if I get high e2 symptoms to give them a call and take the AI I have to help with it, if that becomes an issue and to lower the hcg to 500 iu a week since I removed the ai and HCG can tend to raise E2 as well. I asked for these changes after reading the Testosterone Optimization Therapy Bible by Jay Campbell. As well as some of the stickies in the T replacement forum and some other people’s posts.
Since reading that book and reading through some of the stickies and posts on T-nation I switched my injection frequency to every other day Sub Q injections. And nearing the end of my second week on TRT. My question in regards of treatment now is how do people measure mg to ml for knowing how much to inject each time, or with different doses? Currently im doing 0.2 ml every other day as opposed to the 0.4 ml they told me to take twice a week. If my dose changes to lower or higher I don’t really know how to convert it from mg injected a day to the ml volume used for the syringes.
The other question I have is that I feel extremely tired and sore since started TRT and in some ways worse then before I started the injections. I don’t think I am suffering from low e2 as I only took half a mg one time of the anastrozole AI, and I am not on a huge dose of test either, as well as giving myself more frequent injections to reduce aromatization with larger doses given more infrequently. On top of that my body fat level is under 10 percent.
Is it common to have excessive fatigue or worse low testosterone symptoms when starting treatment? Before the testosterone has enough weeks to saturate in my body, while in the mean time my own natural testosterone production is halted because of the exogenous injections? That is the only guess I could figure out behind how I feel currently. Though I am sure once six weeks comes around I will feel awesome and much more stable with my hormone levels.
TLDR: How do you convert mg to ml on the syringes to know proper injection amounts each day with dosages, feel worse after starting TRT on the end of two weeks since starting, is that common? Doing every other day injections of 180 mg testosterone a week, no AI, hcg 500 IU a week, sub 10 percent body fat. Low testosterone symptoms feel worse since starting TRT. Yes I have read the stickies and posts on the T replacement forum, also read the TOT bible by Jay Campbell.