Could be other reasons like sleep apnea but doubtful. That’s because I’m super sensitive to fluctuating hormones levels and therefore TRT becomes less effective. Instead of boosting fertility, TRT can cause azoospermia (no viable sperm produced) by up to 40%) All of these risks could make testosterone replacement therapy a less-than-effective infertility treatment for men. High Estradiol Symptoms: Soft erections, inability to maintain an erection; water retention (less frequent urination), leading to excessive sweating, blood pressure spikes or high blood pressure (from the water retention) insomnia; hot flushing (flushing around the ears or on the face) While I obviously cannot use my name, AAS were not against any rules when I started and actual drug testing did not start until I was on the downside of my competitive career. For me the sign that a dose (in terms of therapeutic effect) is “too high” is simply that the level of benefit I perceive levels off and exacerbated autonomic dysfunction becomes irritating… not to say I experience any detrimental side effect aside from the sympathetic nervous system dominance… but libido increase levels off (doesn’t decrease though), energy ceases to continually increase etc. 100mg weekly is more common starting. When you switch there will be a period of time that your body needs to get used to the change (Just like any protocol change on TRT). In the mean time, your doctor may be trying to get your T up high and planning to reduce it after your blood work. Did you start using anabolic immediately after starting or only when seriously competitive? Too little estrogen, though, and you get funky arteries, brittle bones, achy joints, and run a risk of heart problems. In CKD, kidneys don't make enough of a hormone called erythropoietin (EPO), which your body needs to make red blood cells. normal test, low e2, total estrogen 20x too high. Emcon456. Make sure you are reading the Rx right. Is my TRT Dose Too High?. Many athletes and bodybuilders have been known to go to extremes and take doses as high as 800 mg a week for muscle development and strength. On a 50mg twice weekly protocol, even though my Free T levels were 29, it felt like Free T was low. However, this can have terrible long-term side effects. Started at 220mg/week with anastrozole. 1 Like. I only need 7mg daily (49mg weekly) to achieve levels 400> and estrogen at 33, or 20mg EOD (80mg weekly) to achieve the same levels (±25 ng/dL) except estrogen is now 53 pg/mL. How Long for TRT to Work? it could be an indication of the start of gynecomastia (formation of breast tissue, sometimes shortened to gyno in testosterone discussions). and for me, testosterone was usually at 400mg a week but sometimes I went to 600-800mg, though briefly. 1. However, some men need less and some men need more, possibly up to 200 mg. a week. I bought UGL Testosterone to go up to 200mg and been doing that since August. Didn’t feel amazing. It's referred to as front-loading. Using AAS years ago, our drug cycles were pretty much dictated by what we could get our hands on, and what we could afford. Besides total testosterone and free testosterone, what tests/values are useful if you think you have low testosterone: LH (luteinizing hormone), FSH (follicle stimulating hormone), prolactin, and a full thyroid panel. We had no aromatase inhibitors or SERMs and we did just fine, though there were a few that had side effects that could be related to estrogen. I’ve read 200 mg is a really high amount and I’m not on any estrogen blockers. I’ll often talk about estrogen more than testosterone when discussing TRT as it’s the single hardest hormone to control in men. It’s hit or miss... I’m on 500mg of test enanthate and I haven’t needed an ai whatsoever, If you split the dose in half and did 100mg twice a week i think you'd feel better. 27. This is why labs are useful, if you were daily dosing this point is moot. I think just being on the forums increases the probability of having issues, I think that is correct. Also, we were using supraphysiological doses, stacks, etc. The site may not work properly if you don't, If you do not update your browser, we suggest you visit, Press J to jump to the feed. Every 2-3 months I went up 20mg and found I actually feel best at 200mg and that the AI was causing most of my issues. Too high a dose will provoke a landslide of other side effects like too high E, and it makes the TRT more complicated. Press question mark to learn the rest of the keyboard shortcuts. This subreddit is for questions and discussion related to testosterone replacement therapy and testosterone levels. – Using trans-dermal patches is popular with some men, although it has been known to cause skin irritation with many patients. It doesn’t matter. Break it into 2 100mg shots. How high up did you get in the sport? Yeah, do that long enough and you will get sick. That is a pretty high amount. I didn’t experience excess androgens once weekly dosing, but more shot frequency did make a huge difference. I probably would have been fine after a while had I not read about the cancer that is “high E2”. The Endocrine Society, a group of experts in this field, recommend against TRT in these men (Bhasin, 2018): People with a history of prostate or breast cancer. IF you’re going to follow that. Now I have ED again... Is there a chance estrogen is too high and causing ED? Ask your doctor why that is the dose he picked. I have had two different Doctors during my time on TRT, one prescribed 200mg every 6 days and the other prescribed 240mg every 7 days, seems kind of high to a lot of folks but my free test is pretty low compared to my total and it makes a difference in my quality of life to be a bit higher than most, just my opinion based on my situation It’s just smooth. The point is you are using less testosterone on a daily protocol. esides, my sport was “Olympic style” weightlifting, so strength was only part of it, not all of it. Trt High BP and hematocrit : Male Anti-Aging Medicine: 1: Nov 30, 2019: TRT, since doc increased dosage.. starting to have physical symptoms of high estrogen: Anabolics: 6: Aug 12, 2018: trt. Male Anti-Aging Medicine: 5: Sep 5, 2013 What do you mean by fucked up? Beyond that amount and you're pretty much on a mild bodybuilding steroid cycle instead of testosterone replacement. He seems conservative on it and idk how to bring up in words to him why I don’t feel my best at 100mg. What is your dosing schedule? Not All Testosterone Replacement Therapy (TRT) Is Created Equal. With bro-science bodybuilder TRT of 250 – 300 mg per week, yeah, I probably could have achieved this physique on just “TRT”. But I doubt he’ll up it to 200mg that’s a big jump but in the end I want to stop buying UGL Test and Anas it’ll be one less thing to worry about. Excess body hair growth – also known as hirsutism, this can be an undesirable side effect of TRT. This is a very good, and interesting question, one which I do not think there is a one size fits all answer. second in my personal opinion your test levels are too high for an actual TRT protocol. I been doing a bit of research and it appears the standard testosterone replacement therapy (TRT) dosage is about 100 mg of Test cyp a week. I did literally the exact same thing as you. If haematological parameters increase rapidly, not even blood letting can control it… lipids are fucked etc the dose is probably too high (barring present genetic abnormalities regarding lipid management). You’ll be fucked up in no time. Just as Paracelsus indicates, whether testosterone replacement creates a poisonous or beneficial environment is largely dependent upon how the medication is … If so, why would you admit to AAS use + show a pic of yourself, theoretically wouldn’t any medals you’ve won be stripped? You can reduce aromatization/side effects by splitting that dose into twice a week or EOD injections. If you have a good doctor listen to him and next time you see them ask about splitting your dose to 2x per week. What I hate about isolating the way I feel is that…I also take adhd medicine daily that has similar side effects(mild) to what could be too high test, too high estrogen, too low estrogen. If that’s what your doc prescribed run it until the next test. Dear Nelson, I am a 67 year old hiv positive man who has been on TRT for years. With a weekly bolus dose, you could be using far too high of a dosage and not even realize it, or too low of a dosage conversely if you are getting your blood test too close to your last bolus dose administration. I asked a similar question but want other people’s experiences so I know that I should lower my dose as I know somethings off. How to monitor TRT dose Today, 01:00 PM Thomas B. Repas, DO, FACP, FACE, CDE, is an endocrinologist, lipidologist and physician nutrition specialist in clinical practice at the Regional Medical Clinic Endocrinology and Diabetes Education Center in Rapid City, SD. When you switch to smaller shots you don’t have those issues. The latter protocol is using 31mg more and you can clearly see I’m aromatizing more and it’s as if that extra 31mg goes towards estrogen. If too high it can cause unwanted side effects. While some men start TRT and never run into issues with their estroven levels (Consider yourself lucky) others aren’t so fortunate. Follow docs protocol till you get bloodwork. How Do I Know if My TRT Dose is Too High/Impacting Me Negatively? How much approx test do you take daily 30mg? That’s the top end of what is typically prescribed and you’re quite young but it’s best to move forward and just check as directed. How much varies again, but I'd say 10 mg EOD would be more than enough - about 35 mg/wk. 200mg/week without an ai…even at daily injections that seems like it would aromatize…. It’s possibly worse or the same compared to when I was at 160mg/week it’s hard to tell really. Other men will want this effect to an extent. 25. More productive? I just got on test cyp at 200 mg per week via injection, I’m 23 and my test levels were at 339. If you knew what my estrogen was you’d shit a brick. Sleep better? So I decreased to TRT dose again for a couple weeks and took nolva ( left AI off as I didn't want ED). I reached a point where at the end of the cycle I always felt I was ready to get off and take a break. I think just being on the forums increases the probability of having issues. Powered by Discourse, best viewed with JavaScript enabled. High estrogen conversion? Fatigue may be caused by too low testosterone, too high or too low estrogen, too low vitamin D, nicotine, bad eating habits, a combination of the above, or a … It also focuses on lifestyle activities like exercise and nutrition for raising testosterone levels naturally or anything else related to testosterone the substance. I feel great and I’m happy. New comments cannot be posted and votes cannot be cast, More posts from the Testosterone community. I’m asking because at 200mg/ week.I don’t believe I’m at my optimal sweet spot. What about thyroid labs, TSH, free thyroid hormones? Yet most men lose testosterone with age. In any event, you should be doing injections twice a week, whatever the dose ends up being. Average Trt Dose Testosterone enanthate, also known as testosterone heptanoate, is an anabolic and androgenic steroid (AAS) drug used to treat low testosterone levels. For instance, we start up TRT believing that fatigue must be caused by low T and discover down the road that isn’t necessarily the case. Do I have to Cycle Off Testosterone Replacement Therapy? He has me dosing once per week at 200 mg per week right now. Reduced anxiety? 200mg/week without an ai…even at daily injections that seems like it would aromatize…what did you notice that was better personally after switching to this protocol? It’s better than 100mg. highpull. TRT differs from anabolic steroid usage, in which supraphysiological dosages are taken to raise levels above normal. I would have saved a lot of time had I just dropped the anastrozole and went to more frequent dosing but stayed at the same dose. This is probably a result of being on too much Test for too long. My dick works as good as it gets, no oily skin or any other issues. You can thank me later or come back and tell me how you wished you had taken my advice. 200mg makes my face very oily…my face looks shiny a lot…thankfully I don’t get acne. The fact you’re asking what’s the signs of a therapeutic dose is too high tells me you haven’t experienced it yet. Testosterone: The male sex hormone. I also think there is a mindset where if you look for something hard enough, you’ll find it, so try not to overthink it. TRT Dose Too High? Symptoms of high estrogen can start as early as 2-3 months into treatment. My doctor has prescribed 3mg of Arimidex per week (1mg 3x week) and everything I have read so far seems to suggest that might be too high of a dose. Testosterone pellets can … Of course, after a couple of months with my strength dropping, my work capacity diminishing, I was ready to crank it up again. TRT, apparently, made an instant difference to his energy levels, giving him a “new lease of life”. 24. Testosterone is an important hormone. Besides, my sport was “Olympic style” weightlifting, so strength was only part of it, not all of it. How To Stop TRT Therapy? As with any medical intervention, the benefits of Low T therapy must be weighed against the potential risk of adverse reactions or “side effects”. Your can manage E2 with an increased dose of anastrozole, or more frequent injections so you don't spike as high. I want to take lowest dose possible that I am happy with. - Do I have to Cycle TRT? Bein jacked to the nines and generally awesome as F. 2 Likes. Thank you. The thing is, the use of testosterone is extremely patient-variable. 200mg is a high starting dose. My oldest TRT regimen at the very beginning was 200 mg Testosterone Enanthate per week, which was way too … I never did labs on 200mg/week at his office I just know a general ball park range of numbers because I remember them very well on 160mg…for example on 160mg I was taking .125mg anas 3x week so what I did now for 200mg is .25mg 2x week. And the risks may outweigh the benefits. Having too high of hematocrit levels for too long could possibly cause an issue. TRT clinic. I out lifted stronger guys because I was more skilled, and I was beaten by guys not as strong as me who were simply better athletes, faster, etc., more skilled. 2) LH does not have just the one function of sending the message to create more testosterone. Just split your current dose to twice weekly and give yourself at least a month to get used to the new protocol. Looks like you're using new Reddit on an old browser. At 200mg a week, you’re at the most commonly used dose. My simple timeline of protocol since May: 100mg test cyp/week 12 weeks 1500 iu/week HCG Mono 160mg test cyp/week last 4 weeks. Did you start using anabolic immediately after starting or only when seriously competitive? I have also used AS, mostly deca. I experienced night sweats and less than ideal sleeping (waking up throughout the night), feeling flat energy-wise. Bein jacked to the nines and generally awesome as F. If I’m not mistaken Danny is on “daily” dosing, you are on 100-160 weekly. The fact that TRT affects these two hormones means that testosterone replacement therapy may have the OPPOSITE of the desired effect! Gil T answers this common question about Testosterone Replacement Therapy: Is my TRT Dose Too High? Eventually dropped to 100mg/week and dropped the anastrozole. 200mg/week daily IM in the delts using a 28g 1/2 inch needle 1CC insulin syringes. How many times are you injecting? Damn that’s crazy high for TRT yeah I’m going to ask him. 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