TRT dose... not sure whats up

@gondar1 I know they can do test over the phone.. I went through a truebalanace clinic for a few years.. not once did they see my face, but they woudl give me 1 year script just off blood work. Telus at least makes you do a facetime appointment, but its just their policy they can't do test on the phone I think.
 
My orginal question was bascially can a 40- 70mg increase in trt make that much of a difference considering at 150-180 I didn't feel much "extra" test, but now I feel like shit after 6 weeks of going back to trt..

Absolutely Yes. And remember that all(?) meds doses originate from a bodyweight calculation. Some end up with a standardized dose for various reasons. Injectable hormones should never be looked at from a standardized perspective. The dosing should be based on the patients feeling of well being and bloodwork. You are a big guy so using a bodyweight calc would be the appropriate place to start when trying to figure dose.
 
Absolutely Yes. And remember that all(?) meds doses originate from a bodyweight calculation. Some end up with a standardized dose for various reasons. Injectable hormones should never be looked at from a standardized perspective. The dosing should be based on the patients feeling of well being and bloodwork. You are a big guy so using a bodyweight calc would be the appropriate place to start when trying to figure dose.

My wife uses truebalance clinic too.. I always tell her how retarded it is that they are prescribing me thyroid, anti estrgoen and testosterone without knowing my body composition or even see me.. Vast difference in body composition in ppl and it would play a huge role in script levels
 
@gondar1 I know they can do test over the phone.. I went through a truebalanace clinic for a few years.. not once did they see my face, but they woudl give me 1 year script just off blood work. Telus at least makes you do a facetime appointment, but its just their policy they can't do test on the phone I think.

Exactly, but if it was me and they didn't expressly inform me of this before they took my money, and maybe they did, I would be Karening the fuck out of this and arguing that they should refund every penny I ever gave them. Afterall I made an investment in this program under the false pretense that they could take care of me.

LOLz I guess but that's me, I can be a dick (who knew). There is a life lesson I learned early on in there - 2 types of people it's dumb to fuck with unless you want to risk a lot of hassle - People who don't have to get to bed so they can get up in the morning and the sub group of retired people who have nothing to do with their time but seek what they think is justice.
 
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I'd rather not put off the testing and try to fix things myself. I'm ok to keep going feeling like junk if it means accurate blood work and adjusted meds.

THis is the blood req from telus.. just a general check up.. They are reffering me to a hormone person for the test.. so guessing that dr will make me do a more thorough blood work
CBC and differenrial
ALT
creatinine
ferritin
soidum
potassium
Hemoglobin A1c
Lipid pannel
cholesterol
tryglycerides
Total testosterone
TSH
Free testosterone
T4
T3
thanks for the info - typical physical blood panel without much for hormone testing. Just checking your total and free test which is easy to manipulate. I am not saying game the system, I am saying if smaller loads and less enjoyment is related to the lower dosage I would discuss it. Your last doctor with that blood test would not have a clue if you blasted and stopped on time or increased your TRT especially with a short ester test product. If you end up with an endocrinologist and they see a great big man in front of them that does not look like a normal person who exercises - they aren't stupid and I have been accused of being on steroids multiple times and always say no. Even then, when the report would go to my GP and I would review it with them, it would state the patient claims not to have used/abused steroids in the past.
If you can get fixed up with a doc that cares great. Some TRT prescribed dosages are over 200 mg per week because the person requires it to 'feel normal'. Their bloods indicate they are a little higher than normal parameters but no one is alike and I believe you are a large guy so common sense says if a 160 lb guy needs 100 mg, if you are 260 - you will need more but some docs have a playbook that fits all and they use it.
My old doc did and I wanted more so like I said I just took my shot two weeks earlier than supposed to and then got bloods (T enanthate). He doubled my script when he called me. He was old school and never monitored my hormones, just my liver, kidneys, lipids, your typical physical blood tests.
Best of luck
 
thanks for the info - typical physical blood panel without much for hormone testing. Just checking your total and free test which is easy to manipulate. I am not saying game the system, I am saying if smaller loads and less enjoyment is related to the lower dosage I would discuss it. Your last doctor with that blood test would not have a clue if you blasted and stopped on time or increased your TRT especially with a short ester test product. If you end up with an endocrinologist and they see a great big man in front of them that does not look like a normal person who exercises - they aren't stupid and I have been accused of being on steroids multiple times and always say no. Even then, when the report would go to my GP and I would review it with them, it would state the patient claims not to have used/abused steroids in the past.
If you can get fixed up with a doc that cares great. Some TRT prescribed dosages are over 200 mg per week because the person requires it to 'feel normal'. Their bloods indicate they are a little higher than normal parameters but no one is alike and I believe you are a large guy so common sense says if a 160 lb guy needs 100 mg, if you are 260 - you will need more but some docs have a playbook that fits all and they use it.
My old doc did and I wanted more so like I said I just took my shot two weeks earlier than supposed to and then got bloods (T enanthate). He doubled my script when he called me. He was old school and never monitored my hormones, just my liver, kidneys, lipids, your typical physical blood tests.
Best of luck
This is where being a short guy comes in handy. Unless you are muscular to the extreme, no one thinks you run gear.
 
This is interesting. Worth checking out. In a very short form he talks about proviron upregulating receptors and 5AR that lasts forever.

 
Script was 100mg a week for a few years.. I told the private clinic I feel better when I'm on a bit more.. They agreed to bump it to 110mg lol... I knew I was soon going to be bumping myself up for the summer and I knew that I wasn't going to stay with that clinic much longer anyways, so I just went with it.

All summer I was on about 150-200mg a week..

In the first week or two of sept, I dropped it down to the 110mg for upcoming blood work and it wasn't summer anymore.


wow... I don't feel as bad as I did before I was diagnosed with low T (lowest test was 4.2), but I am feeling like 110 is not going to cut it anymore.
-tired
-sore muscles/joints
-hard to fall asleep
-I can not blow my load while banging the wife anymore.
-muscle cramps
-quick musle fatige
-I do not sweat in the gym anymore like I used to and expect to based on what I do
-weak
-cant get a pump.
-sex drive WAY down.

I felt great on 150-200 all summer.. I didn't feel like I was on a cycle at all. Just felt a little more than the 110script.


I have blood work to do when I get a day I can do it.. And I am waiting for a referal to a doctor to take over my trt.

44 years old... Been on script for around 11 or 12 years now.. started at 75mg a week and that got my test levels to 19ish.. After a couple years it was moved to 100mg to be around 19ish..

Anyone need more than 100mg to be around 19/20?? I have yet to have a dr that will allow my script to get me over 20.
120/wk has me at 19, I’m 42.

19 doesn’t make me feel great….better than low but I’d like to be closer to 30 if I had it my way.
 
120/wk has me at 19, I’m 42.

19 doesn’t make me feel great….better than low but I’d like to be closer to 30 if I had it my way.

my script is 110 and that gets me around 19ish... I feel much better around 150 and I don't feel like I'm on a cycle either at that dose
 
Just spitballing but your symptoms sound like low or high estrogen.

E follows T. It takes 4-6 weeks to reach homeostasis when you change test dose. And estrogen will take longer. Could your e2 levels be off?

You mentioned ancillaries, when was the last time you took them?
 
Just spitballing but your symptoms sound like low or high estrogen.

E follows T. It takes 4-6 weeks to reach homeostasis when you change test dose. And estrogen will take longer. Could your e2 levels be off?

You mentioned ancillaries, when was the last time you took them?

I have script aridmedex, but I haven't taken it since last spring.. It makes my estorgen drop to like 40?

I could half the pill and try it.. I know estorgen symstoms miminc T symptoms.
 
I have script aridmedex, but I haven't taken it since last spring.. It makes my estorgen drop to like 40?

I could half the pill and try it.. I know estorgen symstoms miminc T symptoms.
Do you check your free test and shbg? Just wondering because you've posted your total test numbers but that could have nothing to do with how your feeling. I think free test is a way better indicator but not 100% on that.
 
I have script aridmedex, but I haven't taken it since last spring.. It makes my estorgen drop to like 40?

I could half the pill and try it.. I know estorgen symstoms miminc T symstoms miminc T symptoms.

How long has it been since you returned to 110 mg? If it’s less than eight weeks, you might want to just ride it out and see if it’s just your body getting back to its natural.T/E ratio at that dosage

I get the same high response from adex. On 110 mg if you’re going to try the adex I would break it into a quarter.
 
Do you check your free test and shbg? Just wondering because you've posted your total test numbers but that could have nothing to do with how your feeling. I think free test is a way better indicator but not 100% on that.
I have no recent blood work to go from.. Last blood work was almost a year ago.
 
How long has it been since you returned to 110 mg? If it’s less than eight weeks, you might want to just ride it out and see if it’s just your body getting back to its natural.T/E ratio at that dosage

I get the same high response from adex. On 110 mg if you’re going to try the adex I would break it into a quarter.

It's been about since first week of Sept. So coming up on 7/8 weeks.

The arimedex presricption is 0.5 mg a week as is.. if I take 0.5 a week on 110mg, it tanks my estorgen.. I was going to 1/4 th tab if I am going to try it.

I'm still waiting for a doctor to look at my TRT... It's been a month since I connected with telus health... they send your refferal out to the closest doctor who can supposedely take you.. They reffered me the city at the university hospilatl, but about 2 weeks after I was reffered, they rejected me.. so they reffered me to another hormone specilaist a week and a half ago and I'm waiting to see if they will take me.. fuck sakes our medical system is just trash now..
 
Trying 0.25 of arimdex... There is no appoitnment to see a hormone dr in site for me... So I will be able to take it long enough that my blood results will be accurate for when I do go in. If it helps, it should show decent estrogen levels in the blood work,,, if it doesn't help, I'll have to stick with taking it and just see what the blood work shows.
 
Been about 2 weeks taking 0.25 adex.. I actually feel better, still not what I usually feel, but much better than I was. All symptoms seem to be not as bad as they were.

I got a doctor appointment in town Wednesday.. Never seen this dr before, Telus medical serivce has been a flop with trying to get me a sepcialist for hormones, so local dr it is and cross fingers. Shitty thing is that if this dr I see on Wednesday is good, he's resigned from his position as of march.. .So at that point I'll be starting the process all over again. Fuck our medical system, something needs to give.
 
This is why some docs don't bother looking at total test and prefer free test. I also did hcg and clomid, that probably plays a role in resensitizing you to the trt after.
Only test they should be looking at is bioavailable test
 
Went to new dr today.. He admitted he really isn't a hormone expert. He agreed to write me my prescriptions for 110mg test a week, synthroid and adex.. He admitted he didn't really know what adex was used for..

He wrote me up my blood req and told me to check the results on my alberta health app and if anything seemed off to me to make a follow up appointment with him.

Nice dr and breathe of fresh air to have one admit he isn't God nor does he know everything. But I really wish I got that refferal to the specialist through Telus health.

Telus health seems to have abandon me lol.. It's been around 3 weeks waiting to see if their 2nd referral to a speciliast was accepted.. I'm guessing I was not accepted and Telus has not followed up on it.
 
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