Burly's TRT journey

[Jelisej]

TRT clinics will often prescribe testosterone to you you even if your numbers are in the 500s, which I can't say I think is a good idea, since the body is still producing it's own testosterone quite well already at that point. The only thing I could see doing at those levels would be cycling clomid on/off to boost your own body's production. I'm not convinced that even that is needed while in the 500s, but am open to changing my mind on that for those who have been there and done that if they tell me differently.

Depending from symptoms, 500 should be treated somehow (IMO), usualy natural ways can increase test enough, if not then its HCG time. Clomid as TRT is not an option (IMO) as usualy people get numbers but nothing else, and estrogen on clomid is all over the place. I mean what does it mean if I have a piece of paper on which says TT 900 ng/dl if I feel like I have 300 ng/dl?
Also (IMO) bioavailable and free test are more interesting than TT, and most of endos accept this- Dr Romeo Marianco is one of the exceptions, but his patients have TT in pretty high numbers, so I guess they still have some decent free test.

[burlyman30]

Depending from symptoms, 500 should be treated somehow (IMO), usualy natural ways can increase test enough, if not then its HCG time. Clomid as TRT is not an option (IMO) as usualy people get numbers but nothing else, and estrogen on clomid is all over the place. I mean what does it mean if I have a piece of paper on which says TT 900 ng/dl if I feel like I have 300 ng/dl?
Also (IMO) bioavailable and free test are more interesting than TT, and most of endos accept this- Dr Romeo Marianco is one of the exceptions, but his patients have TT in pretty high numbers, so I guess they still have some decent free test.

Good feedback on the clomid. I remember you've said this before. Are you aware of prescribed TRT protocol that included only HCG? I'm thinking it would require an AI at a minimum.

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[Jelisej]

Good feedback on the clomid. I remember you've said this before. Are you aware of prescribed TRT protocol that included only HCG? I'm thinking it would require an AI at a minimum.

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Yes, there is so called HCG momotherapy- sometimes is used as a "restart protocol", but often is used as TRT for secondary guys; most of the top endos nowdays are pushing HCG first, but for some reasons ordinary docs are often very sceptical of HCG.
People do get nice numbers with HCG only, even top of the range- but it can be very difficult to find right dosage, and again it same thing can happen again- you may get numbers but not the "feel".
Best option (IMO) is to start with HCG and then take it from there, there will be lot of "tweaking" till you get into right place.
As for AI, it really depends from person to person- both HCG and "straight" testosterone shots aromatise, testosterone gel on other hand converts a lot to DHT, but people say its inconvinient and it seems that is more difficult to maintain stable levels.

[AresTS]

I told my buddy to ask his endo about hcg because clomid is making him feel like death and she said "that's a really good idea, I'll have to look into that..." Its crazy to me how far behind some are. This is your specialty lady, lets get it going!!!

- Valdez

[dirkwright]

Yes, there is so called HCG momotherapy- sometimes is used as a "restart protocol", but often is used as TRT for secondary guys; most of the top endos nowdays are pushing HCG first, but for some reasons ordinary docs are often very sceptical of HCG.
People do get nice numbers with HCG only, even top of the range- but it can be very difficult to find right dosage, and again it same thing can happen again- you may get numbers but not the "feel".
Best option (IMO) is to start with HCG and then take it from there, there will be lot of "tweaking" till you get into right place.
As for AI, it really depends from person to person- both HCG and "straight" testosterone shots aromatise, testosterone gel on other hand converts a lot to DHT, but people say its inconvinient and it seems that is more difficult to maintain stable levels.

I made the mistake of combining HCG and iodine supplements. I wound up with a very irritated thyroid gland. So, forewarned is fore armed. HCG stimulates the thyroid apparently.

My suggestion would be to make sure that an aromatase inhibitor is used when ever we try to boost test, but you probably know that already.

[h2s]

I made the mistake of combining HCG and iodine supplements. I wound up with a very irritated thyroid gland. So, forewarned is fore armed. HCG stimulates the thyroid apparently.

My suggestion would be to make sure that an aromatase inhibitor is used when ever we try to boost test, but you probably know that already.

Human chorionic gonadotropin stimula... [J Clin Endocrinol Metab. 1994] - PubMed - NCBI

[dirkwright]

Human chorionic gonadotropin stimula... [J Clin Endocrinol Metab. 1994] - PubMed - NCBI

Thanks. I don't understand all of the article, but my endo doc said it was my fault for combining Hcg and Iodoral. I had to take beta blockers for about 4 months and it took me a total of about 6 months to recover. I'm still leery of taking Iodoral now.

Anyway, I just wanted to share my experience.

[Jelisej]

Thanks. I don't understand all of the article, but my endo doc said it was my fault for combining Hcg and Iodoral. I had to take beta blockers for about 4 months and it took me a total of about 6 months to recover. I'm still leery of taking Iodoral now.

Anyway, I just wanted to share my experience.

Thanks for sharing info, bro'. More we share- more we learn.

[burlyman30]

Thanks for sharing info, bro'. More we share- more we learn.

x2

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[burlyman30]

Quick, but un-eventful update.

Just got referred to a pulmonologist for this blasted cough I have had since August. It's about time. This brings the count up to 3 specialists now.

However, I'm pretty sure the Hematologist will be done with me after next week, barring any surprises on the tests he ran. I am supposed to hear from him on Monday. Overall, (prior to tests being ran) he was not concerned with my RBC level, as the elevation was very slight and everything else looked good (WBC, platelets, etc).

Tuesday is my next appointment with the Endo. Provided we have good news from the Hematologist, I expect the Endo to discuss and maybe even begin a treatment protocol with me.

I'll update more on Tuesday.