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Testosterone treatments - educate me. (1 Viewer)

44 years old and been on trt for 10 months now. Best shape of my life and have never felt better. Weight in mid 190s at 14% bodyfat. Was in mid 170s and 21% this time last year. People barely recognize me that I haven't seen in a while. It feels like the fountain of youth.
 
I asked my physician who is very open to letting me take what I like if there is a need and my bloodwork shows a deficiency. I cannot convince him to prescribe me testosterone I am almost considering going to one of those Health Centers where if you pay they will write you a script. Going to be 51 in a few months asked doctor about some Testosterone Replacement Therapy doctor sent me for blood work my Testosterone came back at 745 and I was low in B12 so now I am injecting myself weekly with B12 but he would not give me a prescription for testosterone.
 
I asked my physician who is very open to letting me take what I like if there is a need and my bloodwork shows a deficiency. I cannot convince him to prescribe me testosterone I am almost considering going to one of those Health Centers where if you pay they will write you a script. Going to be 51 in a few months asked doctor about some Testosterone Replacement Therapy doctor sent me for blood work my Testosterone came back at 745 and I was low in B12 so now I am injecting myself weekly with B12 but he would not give me a prescription for testosterone.
A TRT clinic would give you some no matter what your levels were at, but I can understand why a regular doc wouldn't with your levels in the 700s. That's on the higher end of normal, so I'm sure they see it as unnecessary.
 
I asked my physician who is very open to letting me take what I like if there is a need and my bloodwork shows a deficiency. I cannot convince him to prescribe me testosterone I am almost considering going to one of those Health Centers where if you pay they will write you a script. Going to be 51 in a few months asked doctor about some Testosterone Replacement Therapy doctor sent me for blood work my Testosterone came back at 745 and I was low in B12 so now I am injecting myself weekly with B12 but he would not give me a prescription for testosterone.
745 is not a deficiency at all. The goal is 800....but 745 is not a need to add. I've been on TRT for 10 months and I'm at 775. You're good.
 
44 years old and been on trt for 10 months now. Best shape of my life and have never felt better. Weight in mid 190s at 14% bodyfat. Was in mid 170s and 21% this time last year. People barely recognize me that I haven't seen in a while. It feels like the fountain of youth.
I assume this takes a doctor's prescription?
 
44 years old and been on trt for 10 months now. Best shape of my life and have never felt better. Weight in mid 190s at 14% bodyfat. Was in mid 170s and 21% this time last year. People barely recognize me that I haven't seen in a while. It feels like the fountain of youth.
I assume this takes a doctor's prescription?

Regular doctors think anything over 300 is "normal", so don't bother. You want to be around 800.

Just go to a specialty clinic where they do all the medi-spa stuff (botox, facials, etc)

Link to my place below to give you an idea of what to look for....


 
44 years old and been on trt for 10 months now. Best shape of my life and have never felt better. Weight in mid 190s at 14% bodyfat. Was in mid 170s and 21% this time last year. People barely recognize me that I haven't seen in a while. It feels like the fountain of youth.
I assume this takes a doctor's prescription?

Regular doctors think anything over 300 is "normal", so don't bother. You want to be around 800.

Just go to a specialty clinic where they do all the medi-spa stuff (botox, facials, etc)

Link to my place below to give you an idea of what to look for....


Thanks. I may look into this.

I went to my GP a couple of years ago (during peak covid) because my libido was noticeable down. I don't recall my testosterone number but it wasn't super low and he just told me to get in better shape.
 
44 years old and been on trt for 10 months now. Best shape of my life and have never felt better. Weight in mid 190s at 14% bodyfat. Was in mid 170s and 21% this time last year. People barely recognize me that I haven't seen in a while. It feels like the fountain of youth.
I assume this takes a doctor's prescription?

Regular doctors think anything over 300 is "normal", so don't bother. You want to be around 800.

Just go to a specialty clinic where they do all the medi-spa stuff (botox, facials, etc)

Link to my place below to give you an idea of what to look for....


Thanks. I may look into this.

I went to my GP a couple of years ago (during peak covid) because my libido was noticeable down. I don't recall my testosterone number but it wasn't super low and he just told me to get in better shape.

Yeah, like I said...your GP may just say "all good" if it's over 300 and make you feel like nothing else needed. But, reality is you want to be near 800.
 
So, going to be 56. Bloodwork came back 277 for testosterone. Blood was taken in late afternoon which I hear it’s a little lower at that time. Vitamin D was at 22 which is also pretty low.

my PC doc got back to me and said to supplement with 2000 vitamin D and if I was interested I can begin an injection every 2 weeks as TRT.

I haven’t set anything up as I wanted to do my research with FBG‘s being some of that of course. It sounds like a shot every 2 weeks could actually be a hindrance than a help.

if I were to get back to him, would inquiring about 100 cc of cypinate weekly instead be a starting point?
 
So, going to be 56. Bloodwork came back 277 for testosterone. Blood was taken in late afternoon which I hear it’s a little lower at that time. Vitamin D was at 22 which is also pretty low.

my PC doc got back to me and said to supplement with 2000 vitamin D and if I was interested I can begin an injection every 2 weeks as TRT.

I haven’t set anything up as I wanted to do my research with FBG‘s being some of that of course. It sounds like a shot every 2 weeks could actually be a hindrance than a help.

if I were to get back to him, would inquiring about 100 cc of cypinate weekly instead be a starting point?
See an endocrinologist, the medical specialists who know the most about hypogonadism. A good urologist may be a suitable alternative. I've linked guidelines upthread.

Don't go to a "men's health" clinic, or accept arbitrary numbers for testosterone goals derived from internet crowdsourcing.
 
So, going to be 56. Bloodwork came back 277 for testosterone. Blood was taken in late afternoon which I hear it’s a little lower at that time. Vitamin D was at 22 which is also pretty low.

my PC doc got back to me and said to supplement with 2000 vitamin D and if I was interested I can begin an injection every 2 weeks as TRT.

I haven’t set anything up as I wanted to do my research with FBG‘s being some of that of course. It sounds like a shot every 2 weeks could actually be a hindrance than a help.

if I were to get back to him, would inquiring about 100 cc of cypinate weekly instead be a starting point?
I am younger and lower.
:kicksrock:

I have an appointment for an Endocrinologist in 3 weeks.... the wait times to get an appointment is ridiculous. The first one the first appointment was in Nov (I looked to book in Feb) and the next best was August. I got this May one but still on the wait list for the other two in case they get a cancel and move me up.
 
So, going to be 56. Bloodwork came back 277 for testosterone. Blood was taken in late afternoon which I hear it’s a little lower at that time. Vitamin D was at 22 which is also pretty low.

my PC doc got back to me and said to supplement with 2000 vitamin D and if I was interested I can begin an injection every 2 weeks as TRT.

I haven’t set anything up as I wanted to do my research with FBG‘s being some of that of course. It sounds like a shot every 2 weeks could actually be a hindrance than a help.

if I were to get back to him, would inquiring about 100 cc of cypinate weekly instead be a starting point?
I am younger and lower.
:kicksrock:

I have an appointment for an Endocrinologist in 3 weeks.... the wait times to get an appointment is ridiculous. The first one the first appointment was in Nov (I looked to book in Feb) and the next best was August. I got this May one but still on the wait list for the other two in case they get a cancel and move me up.
It’ll be life changing.
 
So, going to be 56. Bloodwork came back 277 for testosterone. Blood was taken in late afternoon which I hear it’s a little lower at that time. Vitamin D was at 22 which is also pretty low.

my PC doc got back to me and said to supplement with 2000 vitamin D and if I was interested I can begin an injection every 2 weeks as TRT.

I haven’t set anything up as I wanted to do my research with FBG‘s being some of that of course. It sounds like a shot every 2 weeks could actually be a hindrance than a help.

if I were to get back to him, would inquiring about 100 cc of cypinate weekly instead be a starting point?
I am younger and lower.
:kicksrock:

I have an appointment for an Endocrinologist in 3 weeks.... the wait times to get an appointment is ridiculous. The first one the first appointment was in Nov (I looked to book in Feb) and the next best was August. I got this May one but still on the wait list for the other two in case they get a cancel and move me up.
It’ll be life changing.
Pretty much been dealing with severe problems of the list of symptoms- all except the libido/ED. That has never been an issue and considering my love life the last couple of years not needed. Improvement in the other areas will make a huge difference in my life. Absolutely no doubt about it.
 
So, going to be 56. Bloodwork came back 277 for testosterone. Blood was taken in late afternoon which I hear it’s a little lower at that time. Vitamin D was at 22 which is also pretty low.

my PC doc got back to me and said to supplement with 2000 vitamin D and if I was interested I can begin an injection every 2 weeks as TRT.

I haven’t set anything up as I wanted to do my research with FBG‘s being some of that of course. It sounds like a shot every 2 weeks could actually be a hindrance than a help.

if I were to get back to him, would inquiring about 100 cc of cypinate weekly instead be a starting point?
I am younger and lower.
:kicksrock:

I have an appointment for an Endocrinologist in 3 weeks.... the wait times to get an appointment is ridiculous. The first one the first appointment was in Nov (I looked to book in Feb) and the next best was August. I got this May one but still on the wait list for the other two in case they get a cancel and move me up.
Please advise what he/she recommends.
 
So, going to be 56. Bloodwork came back 277 for testosterone. Blood was taken in late afternoon which I hear it’s a little lower at that time. Vitamin D was at 22 which is also pretty low.

my PC doc got back to me and said to supplement with 2000 vitamin D and if I was interested I can begin an injection every 2 weeks as TRT.

I haven’t set anything up as I wanted to do my research with FBG‘s being some of that of course. It sounds like a shot every 2 weeks could actually be a hindrance than a help.

if I were to get back to him, would inquiring about 100 cc of cypinate weekly instead be a starting point?
See an endocrinologist, the medical specialists who know the most about hypogonadism. A good urologist may be a suitable alternative. I've linked guidelines upthread.

Don't go to a "men's health" clinic, or accept arbitrary numbers for testosterone goals derived from internet crowdsourcing.
Will search out a reputable one. Thanks
 
Saw the Endocrinologist or whatever he is today.

He basically said that giving testosterone shots or other treatment should be the last ditch no other choice option because once you do it then your body gets use to it and stops producing your own and you are stuck on it forever or until you don't want testosterone anymore.

He pointed to my weight as being the big issue along with the other medical things I am dealing with.... which I already knew. I lost 7 pounds in about a month after talking to nutrientist and coming up with a plan of basically calorie counting and eating more fruits and veggies, trying to eat more smaller meals and making sure I eat breakfast. Progress but slow progress.

I know the low T is makin it super hard with my drive and energy etc being low.

His plan is to help boost the weight loss. There were two options on that: Ozempic and Wegovy.... my insurance doesn't cover Wegovy so we are doing Ozempic. Ozempic is not approved for weight loss but is for diabetes. I am pre-diabetic so it works.I am going to go on another drug first.... Melforne? (I can't read his writing) and then got a sample of Ozempic today. He said the chances of the insurance approval is better this way. After the sample runs out then hopefully the insurance picks up the Ozempic.

In the meantime, I am getting Clomiphene which is suppose to help the body produce more T.

I got to say, I like this approach better than just getting T shots or whatever. It addresses the root cause. Hopefully it all works out right.
 
Saw the Endocrinologist or whatever he is today.

He basically said that giving testosterone shots or other treatment should be the last ditch no other choice option because once you do it then your body gets use to it and stops producing your own and you are stuck on it forever or until you don't want testosterone anymore.

He pointed to my weight as being the big issue along with the other medical things I am dealing with.... which I already knew. I lost 7 pounds in about a month after talking to nutrientist and coming up with a plan of basically calorie counting and eating more fruits and veggies, trying to eat more smaller meals and making sure I eat breakfast. Progress but slow progress.

I know the low T is makin it super hard with my drive and energy etc being low.

His plan is to help boost the weight loss. There were two options on that: Ozempic and Wegovy.... my insurance doesn't cover Wegovy so we are doing Ozempic. Ozempic is not approved for weight loss but is for diabetes. I am pre-diabetic so it works.I am going to go on another drug first.... Melforne? (I can't read his writing) and then got a sample of Ozempic today. He said the chances of the insurance approval is better this way. After the sample runs out then hopefully the insurance picks up the Ozempic.

In the meantime, I am getting Clomiphene which is suppose to help the body produce more T.

I got to say, I like this approach better than just getting T shots or whatever. It addresses the root cause. Hopefully it all works out right.
Thanks for the update Chad. I’m holding off as well. Trying to get my vitamin D up and work on better sleep. I don’t like the idea of having to be on cypinate the rest of my life at this point. I’m giving it at least a few more months before I revisit it.
 
Saw the Endocrinologist or whatever he is today.

He basically said that giving testosterone shots or other treatment should be the last ditch no other choice option because once you do it then your body gets use to it and stops producing your own and you are stuck on it forever or until you don't want testosterone anymore.

He pointed to my weight as being the big issue along with the other medical things I am dealing with.... which I already knew. I lost 7 pounds in about a month after talking to nutrientist and coming up with a plan of basically calorie counting and eating more fruits and veggies, trying to eat more smaller meals and making sure I eat breakfast. Progress but slow progress.

I know the low T is makin it super hard with my drive and energy etc being low.

His plan is to help boost the weight loss. There were two options on that: Ozempic and Wegovy.... my insurance doesn't cover Wegovy so we are doing Ozempic. Ozempic is not approved for weight loss but is for diabetes. I am pre-diabetic so it works.I am going to go on another drug first.... Melforne? (I can't read his writing) and then got a sample of Ozempic today. He said the chances of the insurance approval is better this way. After the sample runs out then hopefully the insurance picks up the Ozempic.

In the meantime, I am getting Clomiphene which is suppose to help the body produce more T.

I got to say, I like this approach better than just getting T shots or whatever. It addresses the root cause. Hopefully it all works out right.
Thanks for the update Chad. I’m holding off as well. Trying to get my vitamin D up and work on better sleep. I don’t like the idea of having to be on cypinate the rest of my life at this point. I’m giving it at least a few more months before I revisit it.


There’s a debate to be had between quality of life and long term health….

Would you rather feel like an absolute stallion from now until you die before 70 or be a tub of goo and ache til 90?
 
Saw the Endocrinologist or whatever he is today.

He basically said that giving testosterone shots or other treatment should be the last ditch no other choice option because once you do it then your body gets use to it and stops producing your own and you are stuck on it forever or until you don't want testosterone anymore.

He pointed to my weight as being the big issue along with the other medical things I am dealing with.... which I already knew. I lost 7 pounds in about a month after talking to nutrientist and coming up with a plan of basically calorie counting and eating more fruits and veggies, trying to eat more smaller meals and making sure I eat breakfast. Progress but slow progress.

I know the low T is makin it super hard with my drive and energy etc being low.

His plan is to help boost the weight loss. There were two options on that: Ozempic and Wegovy.... my insurance doesn't cover Wegovy so we are doing Ozempic. Ozempic is not approved for weight loss but is for diabetes. I am pre-diabetic so it works.I am going to go on another drug first.... Melforne? (I can't read his writing) and then got a sample of Ozempic today. He said the chances of the insurance approval is better this way. After the sample runs out then hopefully the insurance picks up the Ozempic.

In the meantime, I am getting Clomiphene which is suppose to help the body produce more T.

I got to say, I like this approach better than just getting T shots or whatever. It addresses the root cause. Hopefully it all works out right.
Thanks for the update Chad. I’m holding off as well. Trying to get my vitamin D up and work on better sleep. I don’t like the idea of having to be on cypinate the rest of my life at this point. I’m giving it at least a few more months before I revisit it.


There’s a debate to be had between quality of life and long term health….

Would you rather feel like an absolute stallion from now until you die before 70 or be a tub of goo and ache til 90?
If I can get my body to produce T without getting injections until I am 90... I am all for that. Worth trying.
 
Saw the Endocrinologist or whatever he is today.

He basically said that giving testosterone shots or other treatment should be the last ditch no other choice option because once you do it then your body gets use to it and stops producing your own and you are stuck on it forever or until you don't want testosterone anymore.

He pointed to my weight as being the big issue along with the other medical things I am dealing with.... which I already knew. I lost 7 pounds in about a month after talking to nutrientist and coming up with a plan of basically calorie counting and eating more fruits and veggies, trying to eat more smaller meals and making sure I eat breakfast. Progress but slow progress.

I know the low T is makin it super hard with my drive and energy etc being low.

His plan is to help boost the weight loss. There were two options on that: Ozempic and Wegovy.... my insurance doesn't cover Wegovy so we are doing Ozempic. Ozempic is not approved for weight loss but is for diabetes. I am pre-diabetic so it works.I am going to go on another drug first.... Melforne? (I can't read his writing) and then got a sample of Ozempic today. He said the chances of the insurance approval is better this way. After the sample runs out then hopefully the insurance picks up the Ozempic.

In the meantime, I am getting Clomiphene which is suppose to help the body produce more T.

I got to say, I like this approach better than just getting T shots or whatever. It addresses the root cause. Hopefully it all works out right.
Thanks for the update Chad. I’m holding off as well. Trying to get my vitamin D up and work on better sleep. I don’t like the idea of having to be on cypinate the rest of my life at this point. I’m giving it at least a few more months before I revisit it.


There’s a debate to be had between quality of life and long term health….

Would you rather feel like an absolute stallion from now until you die before 70 or be a tub of goo and ache til 90?
If I can get my body to produce T without getting injections until I am 90... I am all for that. Worth trying.
Saw the Endocrinologist or whatever he is today.

He basically said that giving testosterone shots or other treatment should be the last ditch no other choice option because once you do it then your body gets use to it and stops producing your own and you are stuck on it forever or until you don't want testosterone anymore.

He pointed to my weight as being the big issue along with the other medical things I am dealing with.... which I already knew. I lost 7 pounds in about a month after talking to nutrientist and coming up with a plan of basically calorie counting and eating more fruits and veggies, trying to eat more smaller meals and making sure I eat breakfast. Progress but slow progress.

I know the low T is makin it super hard with my drive and energy etc being low.

His plan is to help boost the weight loss. There were two options on that: Ozempic and Wegovy.... my insurance doesn't cover Wegovy so we are doing Ozempic. Ozempic is not approved for weight loss but is for diabetes. I am pre-diabetic so it works.I am going to go on another drug first.... Melforne? (I can't read his writing) and then got a sample of Ozempic today. He said the chances of the insurance approval is better this way. After the sample runs out then hopefully the insurance picks up the Ozempic.

In the meantime, I am getting Clomiphene which is suppose to help the body produce more T.

I got to say, I like this approach better than just getting T shots or whatever. It addresses the root cause. Hopefully it all works out right.
Thanks for the update Chad. I’m holding off as well. Trying to get my vitamin D up and work on better sleep. I don’t like the idea of having to be on cypinate the rest of my life at this point. I’m giving it at least a few more months before I revisit it.


There’s a debate to be had between quality of life and long term health….

Would you rather feel like an absolute stallion from now until you die before 70 or be a tub of goo and ache til 90?
If I can get my body to produce T without getting injections until I am 90... I am all for that. Worth trying.

I hear that. I’m gonna be brief cuz I gotta get to work….

-Lower leg exercises are shown to produce more test.

-Going on and then off a cycle, followed by proper post cycle therapy is possible w/o needing to take them the rest of your life. A **** TON of dudes would greatly benefit from doing a single cycle to get back into good shape and then maintaining themselves post cycle.

I’ve done several cycles, and I was on TRT for 3 years straight. I’ve been natural for 4 years and my levels are still good. I’m 46.

With all that said I hear ya. There are downsides. Weekly injections suck after awhile and obviously we’re not meant to be waking around looking like Adonis in our 60s. To every Yin there’s a Yang. You’re making a trade off.

Dammit, not I’m late. Lol
 
Saw the Endocrinologist or whatever he is today.

He basically said that giving testosterone shots or other treatment should be the last ditch no other choice option because once you do it then your body gets use to it and stops producing your own and you are stuck on it forever or until you don't want testosterone anymore.

He pointed to my weight as being the big issue along with the other medical things I am dealing with.... which I already knew. I lost 7 pounds in about a month after talking to nutrientist and coming up with a plan of basically calorie counting and eating more fruits and veggies, trying to eat more smaller meals and making sure I eat breakfast. Progress but slow progress.

I know the low T is makin it super hard with my drive and energy etc being low.

His plan is to help boost the weight loss. There were two options on that: Ozempic and Wegovy.... my insurance doesn't cover Wegovy so we are doing Ozempic. Ozempic is not approved for weight loss but is for diabetes. I am pre-diabetic so it works.I am going to go on another drug first.... Melforne? (I can't read his writing) and then got a sample of Ozempic today. He said the chances of the insurance approval is better this way. After the sample runs out then hopefully the insurance picks up the Ozempic.

In the meantime, I am getting Clomiphene which is suppose to help the body produce more T.

I got to say, I like this approach better than just getting T shots or whatever. It addresses the root cause. Hopefully it all works out right.
Are you able to exercise at all or is the low energy level making it hard to do that?
 
I've been on TRT steadily for about 9 months now. I had intermittently had prescriptions for patches and even shots at one time through my GP, but I've been doing this protocol through a clinic for the nine months.

As context, my T-level in July of last year was about 120 ng/dl. I had it checked twice about two months ago and it was about 1350ng/dl the day after my shot and 740ng/dl the day before my next shot (I do mine weekly on Monday evenings). So I went from extremely low to ranging from high to high/normal. In the time I've been or TRT consistently I have recomped my body pretty significantly. I've only lost about 15 lbs of bodyweight, but I've added 25 to 30 lbs of muscle. I've made very significant gains in strength in the gym, but it's kind of a chicken and egg situation as I've never really thrown myself into strength training like this before (but I also doubt my body could have recovered sufficiently enough to let me do 5 hard strength workouts a week without TRT).

I'd say it does improve my mood and energy levels, although maybe not super dramatically. I do recommend if you do it, to go with a doctor with a lot of experience administering the treatment. When I went through my old GP, she tried to put me on a modest dose every other week. And that was more harm than good. The swings in testosterone made me moody and fatigued as hell. The therapy also makes me horny as hell, which isn't a great benefit for me since nobody is sleeping with me. But that might work out better for those of you with spouses who don't despise you.

While I also take gonadarelin twice a week to keep up my body's natural production of testosterone,. I will probably have to do TRT for the rest of my life. But the evidence suggests that my body wasn't going to start producing sufficient test with lifestyle changes or test boosters as my urologist says I have a jacked up testicle.
 
Saw the Endocrinologist or whatever he is today.

He basically said that giving testosterone shots or other treatment should be the last ditch no other choice option because once you do it then your body gets use to it and stops producing your own and you are stuck on it forever or until you don't want testosterone anymore.

He pointed to my weight as being the big issue along with the other medical things I am dealing with.... which I already knew. I lost 7 pounds in about a month after talking to nutrientist and coming up with a plan of basically calorie counting and eating more fruits and veggies, trying to eat more smaller meals and making sure I eat breakfast. Progress but slow progress.

I know the low T is makin it super hard with my drive and energy etc being low.

His plan is to help boost the weight loss. There were two options on that: Ozempic and Wegovy.... my insurance doesn't cover Wegovy so we are doing Ozempic. Ozempic is not approved for weight loss but is for diabetes. I am pre-diabetic so it works.I am going to go on another drug first.... Melforne? (I can't read his writing) and then got a sample of Ozempic today. He said the chances of the insurance approval is better this way. After the sample runs out then hopefully the insurance picks up the Ozempic.

In the meantime, I am getting Clomiphene which is suppose to help the body produce more T.

I got to say, I like this approach better than just getting T shots or whatever. It addresses the root cause. Hopefully it all works out right.
Are you able to exercise at all or is the low energy level making it hard to do that?
Part of what I wanted it that drive is as much of an issue as energy. I can sit there and think "I should/need to get up and excercise" and I can't seem to actually do it. Any time I do anything physical whether excercise or just physical like yard work... I am drained super fast.

The other part of that is my physical problems with my back and knee. Also bone spur but oddly enough, since I been on meds to control uric acid (gout) my bone spur has not been bothering me as much. It was bad to the point I was set on getting surgery but that got put on the back burner with my wife going through her cancer fight.

All my issues are either caused by or exacerbated by my weight. BP, Gout, Kidney Stones, back pain, knee issues, sleep apnea, low T, and all the various things that have been tested where levels are either lower or higher than standard ranges. My back, knee and sleep apnea improved greatly when I lost the 70 pounds before.... I started getting the gout and kidney stones then but that was diet driven. Kindey stones haven't been a problem (THANK GOD) since going away from the low carb diet. Gout still was an issue which is why I relented and went to meds to help control but uric acid levels do get better with weight loss. I didn't do a sleep study when I had lost the weight but I could feel the difference.

I think as I lose the weight, all should improve. Hopefully the Clomiphene increases T production and helps. The Ozempic is definitely going to help with weight loss. I just made a salad for lunch. I portion that before trying to lose weight would have not been enough but a larger portion since I have been. I ate not even a 4th of it and put it to the side.

I am going to try hard to get some activity in. Though I did have a set back with yesterday coaching my youngest development basketball team. I took a couple of steps backwards and my heel struck the floor just enough for me to lose my balance.... and I went down. Nothing big. But with my back, it ends up causing pain. I am better today though. We shall see.
 
Biggest thing it's done for me is the quicker recovery time and workout results, which encourage you to continue. I've lifted since I was a teen but when your test is now 200 you're going to see minimal results. Same routine, I've put on 30 pounds in six months. I'm honestly jacked.
 
Biggest thing it's done for me is the quicker recovery time and workout results, which encourage you to continue. I've lifted since I was a teen but when your test is now 200 you're going to see minimal results. Same routine, I've put on 30 pounds in six months. I'm honestly jacked.

Yeah, you still have to put in the work but it’s a whole lot easier. I have always been in good shape but when I’m on T it’s pretty insane.
 
Saw the Endocrinologist or whatever he is today.

He basically said that giving testosterone shots or other treatment should be the last ditch no other choice option because once you do it then your body gets use to it and stops producing your own and you are stuck on it forever or until you don't want testosterone anymore.

He pointed to my weight as being the big issue along with the other medical things I am dealing with.... which I already knew. I lost 7 pounds in about a month after talking to nutrientist and coming up with a plan of basically calorie counting and eating more fruits and veggies, trying to eat more smaller meals and making sure I eat breakfast. Progress but slow progress.

I know the low T is makin it super hard with my drive and energy etc being low.

His plan is to help boost the weight loss. There were two options on that: Ozempic and Wegovy.... my insurance doesn't cover Wegovy so we are doing Ozempic. Ozempic is not approved for weight loss but is for diabetes. I am pre-diabetic so it works.I am going to go on another drug first.... Melforne? (I can't read his writing) and then got a sample of Ozempic today. He said the chances of the insurance approval is better this way. After the sample runs out then hopefully the insurance picks up the Ozempic.

In the meantime, I am getting Clomiphene which is suppose to help the body produce more T.

I got to say, I like this approach better than just getting T shots or whatever. It addresses the root cause. Hopefully it all works out right.
Are you able to exercise at all or is the low energy level making it hard to do that?
Part of what I wanted it that drive is as much of an issue as energy. I can sit there and think "I should/need to get up and excercise" and I can't seem to actually do it. Any time I do anything physical whether excercise or just physical like yard work... I am drained super fast.

The other part of that is my physical problems with my back and knee. Also bone spur but oddly enough, since I been on meds to control uric acid (gout) my bone spur has not been bothering me as much. It was bad to the point I was set on getting surgery but that got put on the back burner with my wife going through her cancer fight.

All my issues are either caused by or exacerbated by my weight. BP, Gout, Kidney Stones, back pain, knee issues, sleep apnea, low T, and all the various things that have been tested where levels are either lower or higher than standard ranges. My back, knee and sleep apnea improved greatly when I lost the 70 pounds before.... I started getting the gout and kidney stones then but that was diet driven. Kindey stones haven't been a problem (THANK GOD) since going away from the low carb diet. Gout still was an issue which is why I relented and went to meds to help control but uric acid levels do get better with weight loss. I didn't do a sleep study when I had lost the weight but I could feel the difference.

I think as I lose the weight, all should improve. Hopefully the Clomiphene increases T production and helps. The Ozempic is definitely going to help with weight loss. I just made a salad for lunch. I portion that before trying to lose weight would have not been enough but a larger portion since I have been. I ate not even a 4th of it and put it to the side.

I am going to try hard to get some activity in. Though I did have a set back with yesterday coaching my youngest development basketball team. I took a couple of steps backwards and my heel struck the floor just enough for me to lose my balance.... and I went down. Nothing big. But with my back, it ends up causing pain. I am better today though. We shall see.

Do you smoke weed?
 
Saw the Endocrinologist or whatever he is today.

He basically said that giving testosterone shots or other treatment should be the last ditch no other choice option because once you do it then your body gets use to it and stops producing your own and you are stuck on it forever or until you don't want testosterone anymore.

He pointed to my weight as being the big issue along with the other medical things I am dealing with.... which I already knew. I lost 7 pounds in about a month after talking to nutrientist and coming up with a plan of basically calorie counting and eating more fruits and veggies, trying to eat more smaller meals and making sure I eat breakfast. Progress but slow progress.

I know the low T is makin it super hard with my drive and energy etc being low.

His plan is to help boost the weight loss. There were two options on that: Ozempic and Wegovy.... my insurance doesn't cover Wegovy so we are doing Ozempic. Ozempic is not approved for weight loss but is for diabetes. I am pre-diabetic so it works.I am going to go on another drug first.... Melforne? (I can't read his writing) and then got a sample of Ozempic today. He said the chances of the insurance approval is better this way. After the sample runs out then hopefully the insurance picks up the Ozempic.

In the meantime, I am getting Clomiphene which is suppose to help the body produce more T.

I got to say, I like this approach better than just getting T shots or whatever. It addresses the root cause. Hopefully it all works out right.
Are you able to exercise at all or is the low energy level making it hard to do that?
Part of what I wanted it that drive is as much of an issue as energy. I can sit there and think "I should/need to get up and excercise" and I can't seem to actually do it. Any time I do anything physical whether excercise or just physical like yard work... I am drained super fast.

The other part of that is my physical problems with my back and knee. Also bone spur but oddly enough, since I been on meds to control uric acid (gout) my bone spur has not been bothering me as much. It was bad to the point I was set on getting surgery but that got put on the back burner with my wife going through her cancer fight.

All my issues are either caused by or exacerbated by my weight. BP, Gout, Kidney Stones, back pain, knee issues, sleep apnea, low T, and all the various things that have been tested where levels are either lower or higher than standard ranges. My back, knee and sleep apnea improved greatly when I lost the 70 pounds before.... I started getting the gout and kidney stones then but that was diet driven. Kindey stones haven't been a problem (THANK GOD) since going away from the low carb diet. Gout still was an issue which is why I relented and went to meds to help control but uric acid levels do get better with weight loss. I didn't do a sleep study when I had lost the weight but I could feel the difference.

I think as I lose the weight, all should improve. Hopefully the Clomiphene increases T production and helps. The Ozempic is definitely going to help with weight loss. I just made a salad for lunch. I portion that before trying to lose weight would have not been enough but a larger portion since I have been. I ate not even a 4th of it and put it to the side.

I am going to try hard to get some activity in. Though I did have a set back with yesterday coaching my youngest development basketball team. I took a couple of steps backwards and my heel struck the floor just enough for me to lose my balance.... and I went down. Nothing big. But with my back, it ends up causing pain. I am better today though. We shall see.

Do you smoke weed?
No.
 
@Terminalxylem

The traverse 5 year study is supposed to evaluate trt risks for mace events. It was supposed to be concluded earlier this year but I cannot find the results.

Is this because they are not yet published?

Not sure. Only decent study I know of in the last few years was this, which showed an increased clotting risk in men taking testosterone supplementation.
 
Saw the Endocrinologist or whatever he is today.

He basically said that giving testosterone shots or other treatment should be the last ditch no other choice option because once you do it then your body gets use to it and stops producing your own and you are stuck on it forever or until you don't want testosterone anymore.

He pointed to my weight as being the big issue along with the other medical things I am dealing with.... which I already knew. I lost 7 pounds in about a month after talking to nutrientist and coming up with a plan of basically calorie counting and eating more fruits and veggies, trying to eat more smaller meals and making sure I eat breakfast. Progress but slow progress.

I know the low T is makin it super hard with my drive and energy etc being low.

His plan is to help boost the weight loss. There were two options on that: Ozempic and Wegovy.... my insurance doesn't cover Wegovy so we are doing Ozempic. Ozempic is not approved for weight loss but is for diabetes. I am pre-diabetic so it works.I am going to go on another drug first.... Melforne? (I can't read his writing) and then got a sample of Ozempic today. He said the chances of the insurance approval is better this way. After the sample runs out then hopefully the insurance picks up the Ozempic.

In the meantime, I am getting Clomiphene which is suppose to help the body produce more T.

I got to say, I like this approach better than just getting T shots or whatever. It addresses the root cause. Hopefully it all works out right.
Thanks for the update Chad. I’m holding off as well. Trying to get my vitamin D up and work on better sleep. I don’t like the idea of having to be on cypinate the rest of my life at this point. I’m giving it at least a few more months before I revisit it.


There’s a debate to be had between quality of life and long term health….

Would you rather feel like an absolute stallion from now until you die before 70 or be a tub of goo and ache til 90?
If it were only that simple…but I’d definitely not want to shorten my life 20 years for anything short of a miraculous improvement in the quality.
 
For father’s day I am being inundated on social media by Novex Biotech for the Shaq endorsement HGH stimulator, GF-9 and the ads are kind of working on me. And one take that?
 
I have been taking Clomid (generic name: clomiphene or clomiphene citrate) for roughly a month now. I didn't get the information on the my blood test but I am starting to feel some improvement in my low T symptoms. It is supposed to be pretty expensive but with my wife going through the cancer fight I think we hit the family cap deductible and so no cost to fill. Plan on keep going and hopefully continued improvement. I basically have half a year for it to do it's job and then if it does cost money decide on whether it is worth it or not. Would like to see my test levels soon though.
 
I don't know how common it is, but under my protocol I give blood every three months because of the fear that the TRT can make your blood thicker. I don't really see much evidence of it from blood pressure readings(my systolic is maybe a little higher and my diastolic is much lower now, which seems to suggest just stronger heart function), but I do it.
 
I have been taking Clomid (generic name: clomiphene or clomiphene citrate) for roughly a month now. I didn't get the information on the my blood test but I am starting to feel some improvement in my low T symptoms. It is supposed to be pretty expensive but with my wife going through the cancer fight I think we hit the family cap deductible and so no cost to fill. Plan on keep going and hopefully continued improvement. I basically have half a year for it to do it's job and then if it does cost money decide on whether it is worth it or not. Would like to see my test levels soon though.
Thanks Chad. Anything further with this? Did you get bloodwork? Feeling a lot better?

I have an appointment next month and going to push for clomid first I think.

although I went to my chiropractor last week and hadn’t seen him for a while. I had planned to talk to him about it just to see if he was familiar with it as he is a fit guy. I walked in and he is jacked. We started talking about it and he said he started trt a while back and said it’s incredible. feels great. T is around 800. Gets bloodwork every 6 months. Said he feels like he 25 again. It’s tough to not want to go right to it man.
 
I have been taking Clomid (generic name: clomiphene or clomiphene citrate) for roughly a month now. I didn't get the information on the my blood test but I am starting to feel some improvement in my low T symptoms. It is supposed to be pretty expensive but with my wife going through the cancer fight I think we hit the family cap deductible and so no cost to fill. Plan on keep going and hopefully continued improvement. I basically have half a year for it to do it's job and then if it does cost money decide on whether it is worth it or not. Would like to see my test levels soon though.
Thanks Chad. Anything further with this? Did you get bloodwork? Feeling a lot better?

I have an appointment next month and going to push for clomid first I think.

although I went to my chiropractor last week and hadn’t seen him for a while. I had planned to talk to him about it just to see if he was familiar with it as he is a fit guy. I walked in and he is jacked. We started talking about it and he said he started trt a while back and said it’s incredible. feels great. T is around 800. Gets bloodwork every 6 months. Said he feels like he 25 again. It’s tough to not want to go right to it man.
I did get bloodwork done at my last appointment with the Endocrinologist but I did not get the results sent to me. I do feel like there has been improvement but can't say for sure. The improvement also hasn't been feeling like I am 25 again but from my understanding this route takes time.

If my Endocrinologist is right (I have heard varied opinions on this from Doctors) and that taking TRT shots shuts down your own ability to make it and thus you are then reliant on shots the rest of your life but get the immediate results versus helping your body produce more on it's own which seems to me to be a healthier long term route then I am going to take the long term route. Doing this doesn't take TRT off the table later.

My BP spiked last week so I am trying to get my appointment for my primary doctor moved up which I would do a full panel blood work for him and get that all sent to my online chart. So, if that happens... this or next week hopefully, then I will be able to report back how Clomid has or has not helped with t levels.
 
I have been taking Clomid (generic name: clomiphene or clomiphene citrate) for roughly a month now. I didn't get the information on the my blood test but I am starting to feel some improvement in my low T symptoms. It is supposed to be pretty expensive but with my wife going through the cancer fight I think we hit the family cap deductible and so no cost to fill. Plan on keep going and hopefully continued improvement. I basically have half a year for it to do it's job and then if it does cost money decide on whether it is worth it or not. Would like to see my test levels soon though.
Thanks Chad. Anything further with this? Did you get bloodwork? Feeling a lot better?

I have an appointment next month and going to push for clomid first I think.

although I went to my chiropractor last week and hadn’t seen him for a while. I had planned to talk to him about it just to see if he was familiar with it as he is a fit guy. I walked in and he is jacked. We started talking about it and he said he started trt a while back and said it’s incredible. feels great. T is around 800. Gets bloodwork every 6 months. Said he feels like he 25 again. It’s tough to not want to go right to it man.
I did get bloodwork done at my last appointment with the Endocrinologist but I did not get the results sent to me. I do feel like there has been improvement but can't say for sure. The improvement also hasn't been feeling like I am 25 again but from my understanding this route takes time.

If my Endocrinologist is right (I have heard varied opinions on this from Doctors) and that taking TRT shots shuts down your own ability to make it and thus you are then reliant on shots the rest of your life but get the immediate results versus helping your body produce more on it's own which seems to me to be a healthier long term route then I am going to take the long term route. Doing this doesn't take TRT off the table later.

My BP spiked last week so I am trying to get my appointment for my primary doctor moved up which I would do a full panel blood work for him and get that all sent to my online chart. So, if that happens... this or next week hopefully, then I will be able to report back how Clomid has or has not helped with t levels.
Thanks Chad. Sorry to hear your BP spiked. Hope you get that under control.

I kind of feel like you do to an extent but wondering how it plays out in the next few months for me. Clomid is going to tell my brain to tell my body to make more testosterone, but reports I read saying that in some cases it can increase your T by 98%. Well with me sitting around 270 that’s still got me only around the 550 mark. I’m wondering if that is going to be enough where the people I’ve been speaking to say that the 750 to 800 is the sweet spot. Also, not sure if you stay on this pill for life? If so then I may lean to testosterone is testosterone whether it’s coming from me or an outside source.

Look forward to your updated bloodwork.
 
I have been taking Clomid (generic name: clomiphene or clomiphene citrate) for roughly a month now. I didn't get the information on the my blood test but I am starting to feel some improvement in my low T symptoms. It is supposed to be pretty expensive but with my wife going through the cancer fight I think we hit the family cap deductible and so no cost to fill. Plan on keep going and hopefully continued improvement. I basically have half a year for it to do it's job and then if it does cost money decide on whether it is worth it or not. Would like to see my test levels soon though.
Thanks Chad. Anything further with this? Did you get bloodwork? Feeling a lot better?

I have an appointment next month and going to push for clomid first I think.

although I went to my chiropractor last week and hadn’t seen him for a while. I had planned to talk to him about it just to see if he was familiar with it as he is a fit guy. I walked in and he is jacked. We started talking about it and he said he started trt a while back and said it’s incredible. feels great. T is around 800. Gets bloodwork every 6 months. Said he feels like he 25 again. It’s tough to not want to go right to it man.
I did get bloodwork done at my last appointment with the Endocrinologist but I did not get the results sent to me. I do feel like there has been improvement but can't say for sure. The improvement also hasn't been feeling like I am 25 again but from my understanding this route takes time.

If my Endocrinologist is right (I have heard varied opinions on this from Doctors) and that taking TRT shots shuts down your own ability to make it and thus you are then reliant on shots the rest of your life but get the immediate results versus helping your body produce more on it's own which seems to me to be a healthier long term route then I am going to take the long term route. Doing this doesn't take TRT off the table later.

My BP spiked last week so I am trying to get my appointment for my primary doctor moved up which I would do a full panel blood work for him and get that all sent to my online chart. So, if that happens... this or next week hopefully, then I will be able to report back how Clomid has or has not helped with t levels.
Wondering how its going Chad?

i saw my guy a couple days ago and going back Tuesday for a second confirmation of low testosterone blood panel. What took me really by surprise and kind of bummed me out a bit was when I brought up clomid. he said absolutely not. He’s black and white with that and will not prescribe it. All the research I did it looked like a thing that’s been around a while with not too great of side effects. So unless I plan to go to someone else it’s off the table.

he said if this second test confirms that I would be a suitable candidate for trt and we would discuss the options and plan at that time.

so I guess it’s trt or nothing for me :frown:
 
I have been taking Clomid (generic name: clomiphene or clomiphene citrate) for roughly a month now. I didn't get the information on the my blood test but I am starting to feel some improvement in my low T symptoms. It is supposed to be pretty expensive but with my wife going through the cancer fight I think we hit the family cap deductible and so no cost to fill. Plan on keep going and hopefully continued improvement. I basically have half a year for it to do it's job and then if it does cost money decide on whether it is worth it or not. Would like to see my test levels soon though.
Thanks Chad. Anything further with this? Did you get bloodwork? Feeling a lot better?

I have an appointment next month and going to push for clomid first I think.

although I went to my chiropractor last week and hadn’t seen him for a while. I had planned to talk to him about it just to see if he was familiar with it as he is a fit guy. I walked in and he is jacked. We started talking about it and he said he started trt a while back and said it’s incredible. feels great. T is around 800. Gets bloodwork every 6 months. Said he feels like he 25 again. It’s tough to not want to go right to it man.
I did get bloodwork done at my last appointment with the Endocrinologist but I did not get the results sent to me. I do feel like there has been improvement but can't say for sure. The improvement also hasn't been feeling like I am 25 again but from my understanding this route takes time.

If my Endocrinologist is right (I have heard varied opinions on this from Doctors) and that taking TRT shots shuts down your own ability to make it and thus you are then reliant on shots the rest of your life but get the immediate results versus helping your body produce more on it's own which seems to me to be a healthier long term route then I am going to take the long term route. Doing this doesn't take TRT off the table later.

My BP spiked last week so I am trying to get my appointment for my primary doctor moved up which I would do a full panel blood work for him and get that all sent to my online chart. So, if that happens... this or next week hopefully, then I will be able to report back how Clomid has or has not helped with t levels.
Wondering how its going Chad?

i saw my guy a couple days ago and going back Tuesday for a second confirmation of low testosterone blood panel. What took me really by surprise and kind of bummed me out a bit was when I brought up clomid. he said absolutely not. He’s black and white with that and will not prescribe it. All the research I did it looked like a thing that’s been around a while with not too great of side effects. So unless I plan to go to someone else it’s off the table.

he said if this second test confirms that I would be a suitable candidate for trt and we would discuss the options and plan at that time.

so I guess it’s trt or nothing for me :frown:
My prescription ran out. I put in a request to refill and the pharm reached out to the doctor but then nothing has happened. I haven't followed up on it. I have another visit with a different endocrinologist in two weeks. This was the original one I was supposed to go to that is connected with my primary doctor etc but just didn't have any openings until now. I didn't want to wait so I looked for the guy I went to who prescribed the comid. I will need to do another blood panel right before. I feel better so I think it has worked some.... how much? I have no idea.

Why was that doctor against the comid?

I am suspicious of doctors these days. I just had a conversation with a friend who went to a doctor to look at possible arthritis. He spent like 5 minutes with her and was basically signing her up for surgery. We were talking about it at football practice and a doctor, pharmacist and physical therapist were there and were talking about how that guy had a horrible reputation for doing crap like that.... just pushing people into surgery so he could make more money.

I am not a huge fan of the guy that prescribed me comid but I respect the fact that he was like 'TRT?' I can do that but let's try this first and that takes money out of his pocket as I am not going to him for TRT shots all the time.
 
Well, I’m glad to hear you are feeling better and getting a chance to see the doc you wanted to.

my guy implied that clomid and all the like were bad drugs responsible for testicular cancer and he’s totally against them.

I did tell him about my primary care doc telling me right off the bat to start with an injection every other week and he said right off that that would not be good as you need an more steady dose to not create these spikes. I think he’s going to recommend androgel but if I do this I’d think I’d much prefer a weekly injection I can do myself.

im kind of torn as he understands the biweekly dosage is not a good idea, but he’s totally against clomid which again is from me researching online is supposed to be a relatively safe drug.
 
Well, I’m glad to hear you are feeling better and getting a chance to see the doc you wanted to.

my guy implied that clomid and all the like were bad drugs responsible for testicular cancer and he’s totally against them.

I did tell him about my primary care doc telling me right off the bat to start with an injection every other week and he said right off that that would not be good as you need an more steady dose to not create these spikes. I think he’s going to recommend androgel but if I do this I’d think I’d much prefer a weekly injection I can do myself.

im kind of torn as he understands the biweekly dosage is not a good idea, but he’s totally against clomid which again is from me researching online is supposed to be a relatively safe drug.
Clomiphene can be used off-label to treat hypogonadism, but there is limited long term safety data. One study I found showed it was OK up to three years. There are case reports of testicular cancers in those using it, with unclear causality.
 
Well, I’m glad to hear you are feeling better and getting a chance to see the doc you wanted to.

my guy implied that clomid and all the like were bad drugs responsible for testicular cancer and he’s totally against them.

I did tell him about my primary care doc telling me right off the bat to start with an injection every other week and he said right off that that would not be good as you need an more steady dose to not create these spikes. I think he’s going to recommend androgel but if I do this I’d think I’d much prefer a weekly injection I can do myself.

im kind of torn as he understands the biweekly dosage is not a good idea, but he’s totally against clomid which again is from me researching online is supposed to be a relatively safe drug.
Clomiphene can be used off-label to treat hypogonadism, but there is limited long term safety data. One study I found showed it was OK up to three years. There are case reports of testicular cancers in those using it, with unclear causality.
unclear causality is what exactly terminalxylem?
 
Well, I’m glad to hear you are feeling better and getting a chance to see the doc you wanted to.

my guy implied that clomid and all the like were bad drugs responsible for testicular cancer and he’s totally against them.

I did tell him about my primary care doc telling me right off the bat to start with an injection every other week and he said right off that that would not be good as you need an more steady dose to not create these spikes. I think he’s going to recommend androgel but if I do this I’d think I’d much prefer a weekly injection I can do myself.

im kind of torn as he understands the biweekly dosage is not a good idea, but he’s totally against clomid which again is from me researching online is supposed to be a relatively safe drug.
Clomiphene can be used off-label to treat hypogonadism, but there is limited long term safety data. One study I found showed it was OK up to three years. There are case reports of testicular cancers in those using it, with unclear causality.
unclear causality is what exactly terminalxylem?
Meaning they don’t know if clomiphene caused it. May have been random chance that a dude with testicular cancer happened to be using Clomid. Not enough cases to establish whether there’s a true link, or not.
 

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