This is my first post and I’m looking for a bit of guidance.
In July of last year I had some labs drawn to get a baseline before starting a training program. I went through Direct Labs so I picked what I wanted tested. Much to my surprise my total testosterone was 249. I was starting training again after being sedentary for a long period of time. I was a discus thrower in college but had basically stopped training when my eligibility ran out.
I’m 36 now so it was a 13 year layoff. I figured I would start training, clean up my diet, and retest in a few months. I started 5/3/1 in August and have ran it for 6 consecutive cycles and haven’t missed more than 2 workouts. In November I was still feeling tired, lethargic, muscles hurt all the time, low libido, periodic ED even on Cialis so I figured it was time to look into TRT.
I found the nearest guy who was still over a 100 miles away. He did labs on my initial visit and my total testosterone was 287 and estradiol was 30. He started me on 250 mg weekly of testosterone cypionate as well as a whole cocktail of other things including Danazol 100 mg 3 times a week, Cytomel 5 mg daily, DHEA 25 mg daily, and Arimidex 1 mg daily. Based on my reading I thought the Arimidex was too high a dose so I only did this every other day.
When I started the testosterone I felt great initially. My drive and mood got better. I was horny all the time and either had sex or masturbated 10 days in a row with no problems. In the past frequency like that would have caused ED or inability to orgasm.
After about the first couple of weeks I didn’t feel as good and I had a lot of muscle and joint pain. I did my shots on Wednesday. There was a bit of a mixup about the dose as the doc told me 250 mg and the vial I received from the pharmacy said 200 mg (more on this later). I did 200 mg IM testosterone cypionate the first 2 weeks, and 250 mg the 3rd week. On the 4th week I had labs drawn before my weekly injection. So my repeat labs 3 weeks after the first injection were total testosterone of 282 (down from 287), estradiol of <15 (down from 30), and SHBG of 12 (down from 21).
It took forever for the doc to follow up on me with those labs and I finally talked to him today. In the mean time I’ve been injecting 250 mg each week and I cut my Arimidex down to 1 mg every 3rd day. I’m a doctor and the labs were drawn at my hospital so I’ve had the results long before I ever discussed them with the HRT doc. Since cutting back the Arimidex I have less aches and pains but still feel tired and lethargic.
I’m at a little bit of a loss to make sense of my testosterone going from 287 to 282 on 250 mg weekly. I’m not aromatizing it based on my estradiol of <15. The only thing I can figure is that my endogenous production dropped and dropped quickly. I am a very large individual and even before starting to lift again always carried a lot of muscle mass. I’m 6’ 4" and weigh about 420 right now. I had skin folds done at the first of the year and was at 26% bodyfat.
So I talked to the HRT doc today and he recognizes that I need a higher dose of testosterone but he claims he can’t write a higher dose than 200 mg per week or he runs afoul of Federal regulations. That was the reason the vial from the pharmacy only said to take 200 mg. He told me later to take 250 mg and he’d prescribe a higher quantity but the label could only say 200 mg.
Now he is pushing for me to do pellets as he claims he can do a higher dosage with those. I’m hesitant based on dosing issues I’ve read about the pellets.
At this point my main questions for the forum are:
- Why did my level drop further despite being on 250 mg per week of test cyp?
- Are those of you on TRT having troubles getting your docs to write for more than 200 mg weekly or am I just a special case for needing that much?
- I’m considering switching docs to someone who works more with guys with sports performance concerns. My guy just seems to want to sell me supplements. If it’s only a few times per year I’d be willing to go to Dr. Crisler or someone in Southern California (my wife would like the vacation). What are some big name docs I should know of if I decide to go that route?
Thanks for all your help in advance.