Guest guest Posted October 2, 2009 Report Share Posted October 2, 2009 Hi and welcome you need to do your own shots every week your Free's are low do to high levels of Estradiol test this using a Quest labs test #4021 if high your SHBG well be high and this binds up your testosterone and your Free's will be low. If your Estradiol levels come back high post back and we will help you to get them down. Here is a link to the AACE Guidelines on page 11 it states to do shots every 7 to 10 days show this to your Dr. and start doing your own shots at home. Most of us do and if your Estradiol levels are high have your Dr. give you some arimidex to get them down post you levels and we will tell you how to take it. http://www.aace.com/pub/pdf/guidelines/hypogonadism.pdf You need to do shots every week going a big shot every 2 weeks puts you on a roller coaster ride up after the shot only to fall to low by the next one. And this big shot drives up Estradiol level and kills your sex life. You need your Total T levels up into the upper 1/3 of your labs range and you need to keep your Estradiol levels down to about 20 pg/ml doing this will give you back your night time and morning wood and if you have ED this will stop. http://spotinjections.com/index3.htm I use Depo T for my shots 200mgs/ml it comes in a 10 ml vile start with .5mls or 100 mgs and do this every week. Retest in 8 weeks if your not up onto the upper 1/3 of your labs range go up on the dose to 125mgs. Read this link if your Estraddiol levels are high your SHBG levels will be high and SHBG binds up Testosterone so getting your Estradiol down frees up your testosterone and your frees will go up. http://www.griffinmedical.com/male_hormone_modulation_therapy.html Show your Dr. this link about how Arimidex gets Testosterone levels up in men. http://www.medibolics.com/ArimidexBoostsTestosterone.htm http://www.lef.org/magazine/mag2008/nov2008_Dangers-of-Excess-Estrogen-in-the-Ag\ ing-Male_01.htm Also add HCG to your testosterone shots this will help keep your testis working and keep all the LH and FSH cells on your body and brain working. Going on TRT your brain stops sending the LH messages to your testis and body and they stop working and get small do add 250 IU's of HCG the 2 days each just before your next T shot. This will help keep you leveled and up your libido. Here is a cut and paste of a post sent to me by Dr. to help get my Dr. to give me HCG. ========================================================================== He probably feels that since you suffer primary hypogonadism (I am guessing) there is no use in adding HCG to your protocol. There are several reasons why this is not so. First, you have not lost all Leydig cells, so any HCG you take will stimulate those who still function to produce endogenous testosterone. This will support testicular size. We should not ignore this aesthetic consideration. Next, if he reads my work, he will learn that HPTA-suppressed (as all TRT patients are to some extent) also suffer decreased pregenenolone levels, which is the first step after CHOL in all three hormonal pathways which begin with CHOL. HCG increases pregnenolone production, and therefore restores a more natural balance of our hormones. Next, nearly all TRT patients who add in HCG to their regimens report an increased sense of well-being and also libido. These are genuine quality of life issues. Finally, I just instinctively do not want all those LH receptors (including those we have yet to discover and appreciate) unstimulated. =========================================================================== I do my shots both T and HCG using a small 27g 1ml x 1/2 " lg. needle shooting into my thigh been doing this for yes no pain. The oil of the T comes out slow so I just pull the plunger all the way down and just hold it until I get my dose takes about a min. or two. Also to to www.allthingsmale.com and read TRT : A Recipe for Success and the HCG update Dr. puts this out there free for you and your Dr. Co-Moderator Phil > From: BiStnder1 <bistnder1@...> > Subject: Declining in % Free Testosterone > > Date: Friday, October 2, 2009, 2:51 AM > > Hi guys, > > > > New here. Thought I would pitch a question given info > I received from > labs this morning. I've been getting > testosterone injections for about > 18 months. The first 6 months, the injections were > monthly. After > those 6 months, because the effect seemed to wear off > quickly, I spoke > with my PCP and he suggested moving to biweekly > injections. So, for > slightly over a year, they've been > biweekly. However, in getting labs > today, I learned that my %free testosterone is 1.24. > This is actually > lower than the below range 1.33 that I was at when the > treatment was > initiated 18 months ago, and only .02 (from 1.22) higher > than 2 months > after I started. Total testosterone is 268, also > lower than when I > started. Is this " normal? " Libido > and erections are virtually > non-existent, whereas shortly after starting the treatments > I saw marked > improvement. I realize testosterone levels decline > over time, but at my > age (39), and given the biweekly injections, should I be > expecting my > levels to be the same or worse than when I started the > injections? > > Should note that right after I originally got the go ahead > for > testosterone treatment from PCP, he put me on patches, then > gel. > However, both caused rashes/burns (which took weeks to > heal). After a > month of those, total test. and total free jumped > considerably, but % > free remained in the low 1.3 range. That's when he > put me on injections > -- with seemingly no improvement. > > I obtain treatment from my PCP (Internal Med). Should > I be seeking the > opinion of a specialist? If so, what specialist would > I look to? Uro? > Endo? > > Any feedback is appreciated. > > > > > ------------------------------------ > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 2, 2009 Report Share Posted October 2, 2009 If you were tested at the end of a cycle before your next shot, this is not a surprise. When you say biweekly I assume you mean every other week. Two weeks is too long to go between injections. You usually get a large dose say 200 mg for this. Then you get a spike in three days and it falls away so at the end you are too low again. Weekly shots deliver lower peaks and smaller troughs. A more even ride. What form of T are they using? Cypionate or enanthate? Or one of the supposed longer lasting? Most of us start at around 100mg a week and fine tune from there if necessary. You should get your E2 tested also. T converts to E2. And when you have large spikes of T - like you will with monthly of semi-weekly shots you will get LOTS of conversion. E2 out competes many of the T receptor sites and robs you of most of the beneficial effect of T. Get an E2 test ASAP. High E2 causes erectile dysfunction, breast tissue growth and robs you of mental clarity focus and ambition. DO you find your weepy at movies and such? Another sign. ANyway if you do these two things you'll be on a good start. On Fri, 02 Oct 2009 06:51:15 -0000, you wrote: > >Hi guys, > > > >New here. Thought I would pitch a question given info I received from >labs this morning. I've been getting testosterone injections for about >18 months. The first 6 months, the injections were monthly. After >those 6 months, because the effect seemed to wear off quickly, I spoke >with my PCP and he suggested moving to biweekly injections. So, for >slightly over a year, they've been biweekly. However, in getting labs >today, I learned that my %free testosterone is 1.24. This is actually >lower than the below range 1.33 that I was at when the treatment was >initiated 18 months ago, and only .02 (from 1.22) higher than 2 months >after I started. Total testosterone is 268, also lower than when I >started. Is this " normal? " Libido and erections are virtually >non-existent, whereas shortly after starting the treatments I saw marked >improvement. I realize testosterone levels decline over time, but at my >age (39), and given the biweekly injections, should I be expecting my >levels to be the same or worse than when I started the injections? > >Should note that right after I originally got the go ahead for >testosterone treatment from PCP, he put me on patches, then gel. >However, both caused rashes/burns (which took weeks to heal). After a >month of those, total test. and total free jumped considerably, but % >free remained in the low 1.3 range. That's when he put me on injections >-- with seemingly no improvement. > >I obtain treatment from my PCP (Internal Med). Should I be seeking the >opinion of a specialist? If so, what specialist would I look to? Uro? >Endo? > >Any feedback is appreciated. > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 4, 2009 Report Share Posted October 4, 2009 Simple reducing your shots to 50 mgs every m,th you will reduce the amount of esterogen because when you take a shot of 200 mgs of cyp with in 2 days you will be at 1800 then by end of 14 days you will be down to 300. One can only imagine what your estrogen is doing during that time. > > > > >Hi guys, > > > > > > > >New here. Thought I would pitch a question given info I received from > >labs this morning. I've been getting testosterone injections for about > >18 months. The first 6 months, the injections were monthly. After > >those 6 months, because the effect seemed to wear off quickly, I spoke > >with my PCP and he suggested moving to biweekly injections. So, for > >slightly over a year, they've been biweekly. However, in getting labs > >today, I learned that my %free testosterone is 1.24. This is actually > >lower than the below range 1.33 that I was at when the treatment was > >initiated 18 months ago, and only .02 (from 1.22) higher than 2 months > >after I started. Total testosterone is 268, also lower than when I > >started. Is this " normal? " Libido and erections are virtually > >non-existent, whereas shortly after starting the treatments I saw marked > >improvement. I realize testosterone levels decline over time, but at my > >age (39), and given the biweekly injections, should I be expecting my > >levels to be the same or worse than when I started the injections? > > > >Should note that right after I originally got the go ahead for > >testosterone treatment from PCP, he put me on patches, then gel. > >However, both caused rashes/burns (which took weeks to heal). After a > >month of those, total test. and total free jumped considerably, but % > >free remained in the low 1.3 range. That's when he put me on injections > >-- with seemingly no improvement. > > > >I obtain treatment from my PCP (Internal Med). Should I be seeking the > >opinion of a specialist? If so, what specialist would I look to? Uro? > >Endo? > > > >Any feedback is appreciated. > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 17, 2009 Report Share Posted October 17, 2009 Ok, I had the e2 test and it comes back as at 29. Seems to be in the middle of the reference range they show, which is for males 16 and older. Is there a more specific range available for someone my age (39)? > > > > > > > >Hi guys, > > > > > > > > > > > >New here. Thought I would pitch a question given info I received from > > >labs this morning. I've been getting testosterone injections for about > > >18 months. The first 6 months, the injections were monthly. After > > >those 6 months, because the effect seemed to wear off quickly, I spoke > > >with my PCP and he suggested moving to biweekly injections. So, for > > >slightly over a year, they've been biweekly. However, in getting labs > > >today, I learned that my %free testosterone is 1.24. This is actually > > >lower than the below range 1.33 that I was at when the treatment was > > >initiated 18 months ago, and only .02 (from 1.22) higher than 2 months > > >after I started. Total testosterone is 268, also lower than when I > > >started. Is this " normal? " Libido and erections are virtually > > >non-existent, whereas shortly after starting the treatments I saw marked > > >improvement. I realize testosterone levels decline over time, but at my > > >age (39), and given the biweekly injections, should I be expecting my > > >levels to be the same or worse than when I started the injections? > > > > > >Should note that right after I originally got the go ahead for > > >testosterone treatment from PCP, he put me on patches, then gel. > > >However, both caused rashes/burns (which took weeks to heal). After a > > >month of those, total test. and total free jumped considerably, but % > > >free remained in the low 1.3 range. That's when he put me on injections > > >-- with seemingly no improvement. > > > > > >I obtain treatment from my PCP (Internal Med). Should I be seeking the > > >opinion of a specialist? If so, what specialist would I look to? Uro? > > >Endo? > > > > > >Any feedback is appreciated. > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 17, 2009 Report Share Posted October 17, 2009 OK SHBG has a lot to do with Estradiol levels mine is at a lower level 22 so I need to keep my Estradiol levels down at about 15 so for me 29 is to dam high other men with higher levels of SHBG do fine at about 30. Co-Moderator Phil > From: BiStnder1 <bistnder1@...> > Subject: Re: Declining in % Free Testosterone > > Date: Saturday, October 17, 2009, 2:50 PM > Ok, I had the e2 test and it comes > back as at 29. Seems to be in the middle of > the reference range they show, which is for males 16 and > older. Is there a more specific range available for > someone my age (39)? > > > > > > > > > > > > >Hi guys, > > > > > > > > > > > > > > > >New here. Thought I would pitch a > question given info I received from > > > >labs this morning. I've been > getting testosterone injections for about > > > >18 months. The first 6 months, the > injections were monthly. After > > > >those 6 months, because the effect seemed to > wear off quickly, I spoke > > > >with my PCP and he suggested moving to > biweekly injections. So, for > > > >slightly over a year, they've been > biweekly. However, in getting labs > > > >today, I learned that my %free testosterone > is 1.24. This is actually > > > >lower than the below range 1.33 that I was at > when the treatment was > > > >initiated 18 months ago, and only .02 (from > 1.22) higher than 2 months > > > >after I started. Total testosterone is > 268, also lower than when I > > > >started. Is this > " normal? " Libido and erections are virtually > > > >non-existent, whereas shortly after starting > the treatments I saw marked > > > >improvement. I realize testosterone > levels decline over time, but at my > > > >age (39), and given the biweekly injections, > should I be expecting my > > > >levels to be the same or worse than when I > started the injections? > > > > > > > >Should note that right after I originally got > the go ahead for > > > >testosterone treatment from PCP, he put me on > patches, then gel. > > > >However, both caused rashes/burns (which took > weeks to heal). After a > > > >month of those, total test. and total free > jumped considerably, but % > > > >free remained in the low 1.3 range. > That's when he put me on injections > > > >-- with seemingly no improvement. > > > > > > > >I obtain treatment from my PCP (Internal > Med). Should I be seeking the > > > >opinion of a specialist? If so, what > specialist would I look to? Uro? > > > >Endo? > > > > > > > >Any feedback is appreciated. > > > > > > > > > > > > > > ------------------------------------ > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 17, 2009 Report Share Posted October 17, 2009 Lower the SHBG lower the e2 has to be in relationship to it. Higher shbg one can have higher e2 with out having side effects. People that are sensitive to e2 fluctuation usually have some other hormonal imbalance that may be going on or not uncovered yet. > > > > > > > > > > > > > >Hi guys, > > > > > > > > > > > > > > > > > > > >New here. Thought I would pitch a > > question given info I received from > > > > >labs this morning. I've been > > getting testosterone injections for about > > > > >18 months. The first 6 months, the > > injections were monthly. After > > > > >those 6 months, because the effect seemed to > > wear off quickly, I spoke > > > > >with my PCP and he suggested moving to > > biweekly injections. So, for > > > > >slightly over a year, they've been > > biweekly. However, in getting labs > > > > >today, I learned that my %free testosterone > > is 1.24. This is actually > > > > >lower than the below range 1.33 that I was at > > when the treatment was > > > > >initiated 18 months ago, and only .02 (from > > 1.22) higher than 2 months > > > > >after I started. Total testosterone is > > 268, also lower than when I > > > > >started. Is this > > " normal? " Libido and erections are virtually > > > > >non-existent, whereas shortly after starting > > the treatments I saw marked > > > > >improvement. I realize testosterone > > levels decline over time, but at my > > > > >age (39), and given the biweekly injections, > > should I be expecting my > > > > >levels to be the same or worse than when I > > started the injections? > > > > > > > > > >Should note that right after I originally got > > the go ahead for > > > > >testosterone treatment from PCP, he put me on > > patches, then gel. > > > > >However, both caused rashes/burns (which took > > weeks to heal). After a > > > > >month of those, total test. and total free > > jumped considerably, but % > > > > >free remained in the low 1.3 range. > > That's when he put me on injections > > > > >-- with seemingly no improvement. > > > > > > > > > >I obtain treatment from my PCP (Internal > > Med). Should I be seeking the > > > > >opinion of a specialist? If so, what > > specialist would I look to? Uro? > > > > >Endo? > > > > > > > > > >Any feedback is appreciated. > > > > > > > > > > > > > > > > > > > > > > ------------------------------------ > > > > Quote Link to comment Share on other sites More sharing options...
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