herdpm's picture
herdpm
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Help a Brother!

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OK, here's my TRT saga. Family doc tested me a year ago, came in low on T, started me on AXIRON 30mg ED. That was OK, even though I didn't feel that much better. AXIRON became too expensive, so he put me on 1ml Testoster Cypionate per month. This felt ok for about four days, then began to feel like crap, and continued until next months shot. Family doc wouldn't change dose at all. Went to local VA and didn't score low enough for them to prescribe T. Went to HRT clinic and here is the protocol they have me on:

200mg Test Cypionate once a week
350mg HCG twice a week
1mg Anastrozole twice a week.

Just started my second week and feel better, but this is abour four times what I had been getting, and just wanting your opinions. Too aggressive? They want me on this for 2 months, then get labs. Thanks for any help.

Pre TRT labs from VA Medical Center: 1/09/2014

(CRC) Testosterone, Total: 280 ng/dl Range: 225-972
Urine Nitirite: Negative
Appearance: Clear
Urine Color: yellow
Specific Gravity:1.011 Range: 1.005-1.035
Urine PH: 7.5 Range: 5.0-9.0
HGBA1C (HPLC): 5.5 Range: 4.2-5.8
Protein Total: 7.5- Range: 6.5-8.0
Albumin: 4.3 Range: 3.6-5.0
Tot. Bilirubin: 0.5 Range: 0.1-1.0
Dir. Bilirubin: 0.2 Range: 0.0-0.4
Alkaline Phosphatase: 51 Range: 40-120
AST: 32 Range:15-46
ALT: 60 Range: 13-69
PSA: 2.36 Range: 0.00-4.00
TSH: 0.77 Range: 0.35-5.50
UREA Nitrogen: 15 Range: 8-22
SODIUM: 140 Range: 135-145
Postassium: 4.1 Range:3.5-5.0
Chlooride: 100 Range: 98-110
CO2: 27 Range:23.0-32.0
Creatinine: 1.0 Range:0.5-1.3
Glucose: 1.0 Range: 0.5-1.3
Anion Gap: 87 Range: 70-110
Calcium: 9.6 Range: 8.4-10.7
L-Cholesterol: 183 Range: -200
Triglyceride 335 Range: 30-170 H
HDL: 43 Range: 30-70
VLDL: 67 Range: 6-34 H
LDL-CHOL Calculation: 73 Range: 50-100
CHOl/HDL Ratio: 4.3
Hepatitis C Antibody: Negative
HIV: Non-Reactive

LABS FROM PREVIOUS FAMILY DOCTOR: 8/01/2013

Total Testosterone: 448 Range: 241-827 NG/DL......... WHILE TAKING AXIRON 30MG ED
Testosterne, Free: 10.1 Range: 6.8-21.5 pq/ml.............WHILE TAKING AXIRON 30MG ED

T-Rex's picture

150mg -250mg isnt aggressive for low t treatment, even for a rookie. The big key is that you have to be a healthy male. If you have a host of other medical issues it maybe a problem. Keep in mind athletes in training will take 400-1000 weekly!!! Theres also certain exercises you can do to trigger test production as well as certain diets......you tube has a ton of quality vids on both. Good Luck

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bill123's picture

Thanks and I will keep updating as things move forward.

herdpm's picture

Yeah, I've also read that 100 mg is the normal starting point. I mean I'm not trying to be the hulk. What are the sypmptoms of low estrogen? This is my second week and my erections have not changed much. Not horrible, but nothing to write home about. Thanks.

WhyNot's picture

100 milligrams is not a bad place to start. Typically we start at around 125 or 150 (depends on body size) and adjust eight weeks later as needed. AI at 1 mg twice a week is probably too high. I would start with .5 milligrams twice a week. If you can I would split your injections to biweekly.

herdpm's picture

I'll definitely cut the AI in half to .5. Do you think I should halve the HCG as well? Just kind of feel like I'm starting out a little on the high side. Don't know if it's my imagination but my erections do seem a little more squishy. Not like they've been the rock of Gibraltar in the past though.

WhyNot's picture

hCG will help you in a lot of different ways. Remember you have LH receptors throughout the body so when you are on TRT those receptors do not get stimulated. HCG will do that for you. It will lend an overall sense of well-being to your protocol. You may also want to incorporate DHEA as well as Pregnenolone to backfill the pathways which are disrupted by testosterone. As those disrupted pathways will have an impact on other hormones.

herdpm's picture

Thanks a lot for the help. Any tips on DHEA or Pregnenolone dosage?

WhyNot's picture

You are welcome. Start with 25 mg of DHEA a day and 30 mg of Pregnenolone. when ordering them try to get the micronized versions.