General TRT advice wanted

[guyfawkes1010]

I know this has probably been talked about a million times and I could just search all past conversations and probably will at some point but since this is a forum if anyone wants to talk about my personal stuff here we go ...

Mid late 30s
Morbidly obese
Past trt exp for about 2 years
Past ugl exp limited

Prolactin 11.0 ng/ml
Luteinizing hormone 4.6 mIU/ml
TT 264 ng/dl
Free test direct 16 pg/ml

No results back yet for e2 but I know it will be high from last trt venture.

My goal: lose weight and get to a healthy normal place. Then get to a point where I'm a well defined but not heavy jacked physique.

My protocol:

Being seen by urologist. They put me on 100mg injected once a week. However knowing my fat levels and previous high e2 conversation I am doing e3.5d injections of 50mg.

My previous attempt at trt was 200mg every two weeks. So I assume a lot of my e2 problems were probably due to such a large dose at once.

Any issues or comments so far?

 

[Fattyone]

Assuming those lbs were drawn while on e3.5d injections it looks like you need to up your dose a little bit.

 

[guyfawkes1010]

Sorry no that was pre trt. I just started a week ago. Should have clarified that. First post starting labs will be in a few months.

 

[Avarice911]

Sorry no that was pre trt. I just started a week ago. Should have clarified that. First post starting labs will be in a few months.

Any particular questions you can think of? I’ll start by saying that 100mg is likely on the low end if not TOO low for legit replacement. Dividing up your dose more evenly throughout the week could help mitigate estrogen if sides with a higher dose as it reduces the peaks and valleys

 

[guyfawkes1010]

Any particular questions you can think of? I’ll start by saying that 100mg is likely on the low end if not TOO low for legit replacement. Dividing up your dose more evenly throughout the week could help mitigate estrogen if sides with a higher dose as it reduces the peaks and valleys

Yeah last time I was on trt on the 200mg every other week I went from about 189 to 800ng/ml TT. Although I don't remember what day in relation to last I injection labs were taken.

I guess my questions are does 50mg twice a week seem good? I deff want to avoid taking an AI if possible by doing this protocol. And do you think my labs will show anything fucky compared to doing their prescribed 100mg/week? Should I go to 100mg two weeks before labs to be sure? Although then I guess I won't know how my own protocol works for me or not.

To be fair my NP seems good cause the actual urologist says to do 200mg every other week but I brought it up with her I want to do 100mg a week and she agreed.

 

[Elistheman]

Your E2 is high because of excess fat tissue, dial in diet, worry later about test…

 

[Avarice911]

Yeah last time I was on trt on the 200mg every other week I went from about 189 to 800ng/ml TT. Although I don't remember what day in relation to last I injection labs were taken.

I guess my questions are does 50mg twice a week seem good? I deff want to avoid taking an AI if possible by doing this protocol. And do you think my labs will show anything fucky compared to doing their prescribed 100mg/week? Should I go to 100mg two weeks before labs to be sure? Although then I guess I won't know how my own protocol works for me or not.

To be fair my NP seems good cause the actual urologist says to do 200mg every other week but I brought it up with her I want to do 100mg a week and she agreed.

100mg/week vs 50mg/twice weekly won’t make much if any difference on bloodwork if you’re drawing blood the day of injection before actual injection. It would prob be best for you to start with a low dose aromatase inhibitor and work on dropping fat. Then you can reassess if there is still a need for an ai.

 

[guyfawkes1010]

100mg/week vs 50mg/twice weekly won’t make much if any difference on bloodwork if you’re drawing blood the day of injection before actual injection. It would prob be best for you to start with a low dose aromatase inhibitor and work on dropping fat. Then you can reassess if there is still a need for an ai.

Yeah I'm working on dropping the fat and figured that's why I convert so much test into e2. Good to know the diff dosing won't effect results so I'll just continue on.

I already told my NP I had to take an AI before so I reckon once they test again it will show higher e2.

 

[guyfawkes1010]

Also question ...

If I subscribe to say a mens clinic and also get test from there will I run into any issues? Is there a central reporting thing or will either the clinic and urologist not know about one another?

Reason being is I've had issues even just filling my script as apparently there is a shortage. And want backup bottles on hand. Plus if I ever decide to increase my dosage I can if urologist wants to be difficult.

 

[Avarice911]

Also question ...

If I subscribe to say a mens clinic and also get test from there will I run into any issues? Is there a central reporting thing or will either the clinic and urologist not know about one another?

Reason being is I've had issues even just filling my script as apparently there is a shortage. And want backup bottles on hand. Plus if I ever decide to increase my dosage I can if urologist wants to be difficult.

Sounds like you should just supplement any additional (above prescription level) with ugl test in that case.

 

[psauce]

In the US, controlled substances are tracked by a network of state-level databases in something called PDMPs (prescription drugs monitoring programs). Your urologist or the TRT clinic would have to go consult the database on his or her own initiative, though; the system isn't automated to flag patients who are doubling up meds.

TRT clinics are way more expensive than UGL test. From my perspective, your choice here is whether you want to pay to ignore one doctor's advice, or pay to ignore two.

Just to be explicit, testosterone is not going to be a major factor in the task you have ahead of you. I would strongly suggest that you spend a little more time reading and thinking about the safe and effective weight loss compounds out there, namely tirzepatide and semaglutide. Consider asking your uro about metformin, as well.

Good luck amigo... it's hard work, but it's worth it.

 

[guyfawkes1010]

In the US, controlled substances are tracked by a network of state-level databases in something called PDMPs (prescription drugs monitoring programs). Your urologist or the TRT clinic would have to go consult the database on his or her own initiative, though; the system isn't automated to flag patients who are doubling up meds.

TRT clinics are way more expensive than UGL test. From my perspective, your choice here is whether you want to pay to ignore one doctor's advice, or pay to ignore two.

Just to be explicit, testosterone is not going to be a major factor in the task you have ahead of you. I would strongly suggest that you spend a little more time reading and thinking about the safe and effective weight loss compounds out there, namely tirzepatide and semaglutide. Consider asking your uro about metformin, as well.

Good luck amigo... it's hard work, but it's worth it.

Thanks. I am not opposed to going UGL and have been considering it but obviously if I can get a supply of pharma that's more ideal. I guess it's interesting to say having to ignore one dr over the other. I guess I don't see it that way so much as using the system as it's setup. But I would deff choose my local urologist over a clinic unless they go the route of way too conservative.

I know metformin has a lot of good longevity benefits too so not the first time hearing about it. But I have zero problems with fasting glucose or A1C.

The other one I know are all the rage now but hesitant on it. Would rather wait and see how that plays out. In the mean time will do it the old fashioned way.

I decided to get back into trt to help with my metabolism and weight loss primarily. I realize my low t is likely not hypogonadism as my other hormes appear normal but because of my body fat. Yet the end result is the same in my current state.

 

[narta]

testosterone is not going to be a major factor in the task you have ahead of you.

Oh but it is major factor. Low testosterone in males comes with alot of negatives: low energy, high insulin resistance, lower training capacity and impaired recovery just to name a few. It's a lot easier for an obese male to expedite his results in achieving a healthy body with trt.

 

[Big_paul]

Oh but it is major factor. Low testosterone in males comes with alot of negatives: low energy, high insulin resistance, lower training capacity and impaired recovery just to name a few. It's a lot easier for an obese male to expedite his results in achieving a healthy body with trt.

What he is trying to say is it sucks.

 

[guyfawkes1010]

What he is trying to say is it sucks.

What sucks losing this weight? If so yeah. I've managed to drop up to 40lbs before out of sheer fucking willpower but yeah might need something more.

 

[SenorSuperdrol]

Like most of the guys said 100mg a week is probably in the lower end. Hopefully you start feeling better so you can keep on a solid routine and learn about macros (arguably the most important part).

You may not want to go UGL but many of us can vouch there are several ugl’s here that basically have Pharma quality gear. If you are getting push back from your NP on upping that dose then you may want to go UGL. a single minimum order for some of the sources here will last you 2 years on trt. As you’re communicating with your provider make sure they are treating symptoms with dose and not prescribing you off the number on a paper. If still don’t have symptoms relief you need more. If they refuse well that when you can become a degenerate like us and order steroids online.

 

[dafqu1]

you should keep the test low if you're so fat its all aromatizing and take high dose anavar help u lose weight and train and it wont convert to estrogen

 

[Dude from Nevada]

I have read this thread, and I do not see your Dr. prescribing an AI. The easiest way to get Arimidex ( anastrozole ) is to go to a research chemicals website. The AI will be liquid and you can dose in easy increments you need to. As your our T to E2 ratio starts to go in a favorable direction, you will start to feel better, think more clearly, and upgrade your general mood.
I have used Blue Sky Peptide many times and am sure their dosing is correct, even if the AI is slightly underdosed, it will not be a problem.
If not now, when your T to E2 gets happy you may start having morning erections. Do not get greedy! If you start to feel better do not change your dosing protocol.
For example, start at 1 drop per day for two months, if you don't notice a big change, go to 1 drop one day, and 2 drops the next day, so 1 then 2 then 1 then 2 ad infinitum. If at that point you still don't notice what you are wanting then 2 drops every day. If after 2 months of 2-2-2-2-2 up your dosage slightly. You need to remember this: Arimidex is like fertilizer...a little is good; too much will kill your plant.
"Overdose of Anastrozle" you will feel like sk!t, and if you can get an erection you won't be able to finish. Initially your GF, spouse, etc. may dig it but it gets really old really quick.

 

[guyfawkes1010]

Like most of the guys said 100mg a week is probably in the lower end. Hopefully you start feeling better so you can keep on a solid routine and learn about macros (arguably the most important part).

You may not want to go UGL but many of us can vouch there are several ugl’s here that basically have Pharma quality gear. If you are getting push back from your NP on upping that dose then you may want to go UGL. a single minimum order for some of the sources here will last you 2 years on trt. As you’re communicating with your provider make sure they are treating symptoms with dose and not prescribing you off the number on a paper. If still don’t have symptoms relief you need more. If they refuse well that when you can become a degenerate like us and order steroids online.

Yeah luckily my NP did specifically say she is going to treat symptoms not numbers. But I assume that to mean not over 1200ng/dl lol. And yeah I'm pretty impressed with the UGL here ive kinda lurked. Actually posting labs that match user submitted labs.

Back in 2015 I did order a bit of UGL gear and it was much shadier and just had to trust. Seems times have changed. Then again maybe it's just this community and forum not sure.

you should keep the test low if you're so fat its all aromatizing and take high dose anavar help u lose weight and train and it wont convert to estrogen

Yeah I've also thought about starting at 80mg/week to keep it lower even, Ive read succuss stories at that dosage. I will say last time I was on trt, I checked my labs from back then. My total estrogen was like 250. I don't recall having a lot of side effects from that except slightly sensitive nipples and acne. And as I recall after taking extemestain my erections were much better. Even though it only dropped total estrogen to about 200.

I would like to be at least above what my natty test was at about 290 at highest.

I have read this thread, and I do not see your Dr. prescribing an AI. The easiest way to get Arimidex ( anastrozole ) is to go to a research chemicals website. The AI will be liquid and you can dose in easy increments you need to. As your our T to E2 ratio starts to go in a favorable direction, you will start to feel better, think more clearly, and upgrade your general mood.
I have used Blue Sky Peptide many times and am sure their dosing is correct, even if the AI is slightly underdosed, it will not be a problem.
If not now, when your T to E2 gets happy you may start having morning erections. Do not get greedy! If you start to feel better do not change your dosing protocol.
For example, start at 1 drop per day for two months, if you don't notice a big change, go to 1 drop one day, and 2 drops the next day, so 1 then 2 then 1 then 2 ad infinitum. If at that point you still don't notice what you are wanting then 2 drops every day. If after 2 months of 2-2-2-2-2 up your dosage slightly. You need to remember this: Arimidex is like fertilizer...a little is good; too much will kill your plant.
"Overdose of Anastrozle" you will feel like sk!t, and if you can get an erection you won't be able to finish. Initially your GF, spouse, etc. may dig it but it gets really old really quick.

Yeah I haven't had morning wood in years sadly. Almost zero libido too. Also I mentioned possibly needing the arimidex and she didn't seem phased by the comment and noted it. So I don't think it will be an issue but maybe will see.

And yeah I am aware of research sites. I have bought from them in the past. I'm just not a huge fan of liquid form as it makes reliable accurate dosing hard. Makes me nervous, not to mention the possible contamination of who knows what. But it's an option I have for sure. But will get the arimidex from the online clinic if I go that route. Or from my urologist.

Oh and as far as sides and dosage I will be sure to get actual labs to ensure it's evidence based. I mean I'm also big into listening to my body but I want to get to a 'normal' baseline to see what that's like for a bit.

 

[narta]

you should keep the test low if you're so fat its all aromatizing and take high dose anavar help u lose weight and train and it wont convert to estrogen

That's terrible advice. It's far better to use test and manage e2 through bloodwork and an AI than go to an oral.that will shut him down and do not provide him a healthy testosterone replacement. Anabolics can not be a trt standalone.

Better get test and pin 2x week or even 3x week in order to minimize e2 conversion