Not sure how I missed this post, welcome to the forum
@kaylo.
I am a little confused as you mention being out on TRT (I believe) - I skimmed the posts. If that is the case, it is not normal to be put on 250 mg a week, but that does not make
@Redz a huge outlier. Some people need more for whatever reason, same with all medications. 100 mg a week puts me at the top of the range or a bit over.
You are covering off a lot of topics.
1. No, do not increase your dosage until you have side effects. Side effects are usually not a pleasant experience other than the mood enhancement, erection quality, sex drive, confidence, testosterone can give - etc. 250 mg is not a large 'cycle' but it is what I do and it completely shuts me down and I would have walnuts for testicles if it was not for HCG. 250 mg of testosterone would put me at twice the normal range which will help a lot with building muscle.
2. Do not add in an AI for estrogen if you have side effects as you won't know what is going on until you get blood work done. Get a full hormone profile done - estrogen, test (total and free), SHBG, and LH at a minimum. As for most blood work - most docs go by blood work regarding health and each province is different. At minimum I want PSA, CBC, liver and kidney (Creatinine / eGFR / GGT / ALY / ALP / AST), lipid profile, and inflammation markers. Often you will get a basic CRP and if the doctor is educated a ferritin. If they will order a high sensitive CRP even better.
Inflammation on a chronic basis is your enemy and why so many of us take anti-inflammatory supplements/herbs.
3. Always have Arimidex or Aromasin on hand, doubt you will need it but if you do it is like a condom. Better to have and not need.
4. Get your testosterone measured (blood work) on 250 mg a week so you know what it does - depending what ester you are on will depend when you take the test, but if on E or C - after a few weeks of twice a week injections, you should have reasonably stable levels.
5. You mentioned it and glad you did, 'listen to your body'. If you listen it will tell you when you need to take a week off weights to prevent injuries, if something doesn't feel right, etc. If something feels off - blood work and even a home urinalysis can give you valuable info. Urinalysis strips are cheap, you can do these once a week and are not near as good as blood work but will help tell you if you headed towards a liver/kidney issue or a more serious issue. There are excellent books online on how to read the changes in colour. As with blood work, you can ask the forum and there are lots of guys who can help.
6. Even if you take HCG - (I prefer 500 mcg's two to three times a week on TRT), my testes are not as large as they were once. I have never had estrogen issues from HCG / some people have a small spike in estrogen. HCG helps keep your testicle size, but over time if they are no longer producting testosterone which they won't if you have exogenous testosterone - expect some shrinkage.
7. If this is your first cycle, you need to learn the basics before jumping into HGH. Learn as much as you can about diet for building muscle / staying lean as food is the most important part of any weight lifting program. Hire
@Funnyman or read and you find good threads.
I don't care if you take 250 mg and your testosterone / hormones are no longer within the normal range or 2 grams and you are off the charts - you should consider specific health supplements to give yourself the best chance of remaining healthy. There are great threads here, but it can be discussed again. You don't need to spend a fortune on supplements and take 20, but there are many that will help protect your organs, keep your BP and lipids in check, and fight inflammation.
Seems like a reasonable starting point - if fertility is in the future, learn to workout/train off all steroids and expect a dip in test levels while you do a PCT. There are great drugs to help kick start the testicles but it isn't a 3-4 week progress. You can start producting sperm again, but the odds the morphology and numbers of sperm will be acceptable in a month is low. I am speaking of the average person, men have babies on large cycles, all it takes is one, but the chances go down significantly.
If you want children, trying to stay on TRT and taking other drugs to counteract the TRT is not an easy proposition. Most people who want kids, come off completely - take HMG, HCG, Clomid, Gonadorelin, etc. There are a lot of choices to help get the boys working again, but time is not on your side if you are headed towards 40.