I've been on TRT since 4/29/14 and it's been a bumpy road for me. I started by doing weekly subQ injections and I bloated terribly. One thing I discovered is that SubQ injections are absorbed more quickly by the body. Using a strength of 200 mg per mL, injecting 0.5 cc/mL (100 mg) all in one subQ shot once per week caused my testosterone and estrogen to skyrocket (which I believed caused the bloat). I began to suspect that I hyper-metabolize testosterone.
So, I went to 0.1 cc/mL (20 mg) every other day. More frequent, smaller doses of testosterone eliminated all bloating for me. However, not fulling realizing the implications of being a possible hypermetabolizer, I went in for my 6/17/14 blood test (see signature) on my off-injection day. In hindsight, this was a mistake. Due to hyper-metabolization of testosterone, my levels likely swung high on injection days and swung much lower on off days. My doctor said my levels could be higher and suggested I double my dose.
I increased my dose and began injecting 0.1 cc/mL (20 mg) daily, instead of EOD (due to my hypermetabolizer suspicions). I did not feel well doing this, so I cut back. About three weeks before my 9/10/14 test, I forced myself to resume the 0.1 mg/mL (20 mg) daily dose, so I could measure my levels at that dose. I felt terrible, but pushed through and, as you can see from my signature, my 9/10/14 results were off the charts. My doc told me to reduce my dose significantly.
I settled in on 0.07 cc/mL (14 mg) daily of 200 mg/mL SubQ T-Enanthate. As you can see from my 10/22/14 results, this dose works pretty well for me. Again, I get zero bloat injecting daily (or even EOD). Although somewhat of a hassle, injecting daily works best for me because my testosterone levels are much more stable.
I've tried all different quantities of anastrozole and have settled on 0.08 mg (compounded) per capsule. I take one capsule per day (at the time of injection). Compounding improves accuracy (splitting pills is very inaccurate). My blood pressure is very sensitive to anastrozole, and the amount I currently take hits the sweet spot, by allowing my testosterone to stay in the 800s, while keeping my Estradiol around the coveted 23. Also, my erections are best at this dose. Unfortunately, they're still not nearly as good as when I was a teenager. However, that may be due to my elevated blood pressure (145/70 untreated). Which may be related to a mild case of Peripheral Vascular Disease (http://goo.gl/Bk8MKI
). PVD commonly causes erectile disfunction.
Tips I've found useful:
- Do sub-Q injections daily (or at least EOD) with divided doses
- Before switching from the drawing needle to the injecting needle, pull the plunger back just enough to draw the testosterone out of the drawing needle. Otherwise your dose will not be accurate, and will be less than what you originally drew from the vial.
- ModoMed sells inexpensive needles and syringes (shipping and delivery times are reasonable). I use 20 gauge for drawing and 25 gauge (1") for injecting (sub-Q). I use 1 cc/mL syringes, but I wish I could find 0.5 cc/mL syringes.
- I use T Enanthate instead of Cypionate because Enanthate is sesame oil based and Cypionate is cotton seed oil based. Unlike sesame plants, cotton plants are not considered a food crop. As a result, they are often treated with much more toxic pesticides and herbicides. Most of us are injecting this stuff for life, so minimizing toxins makes sense to me.
- Use compounded anastrozole instead of splitting pills. Although it is significantly more expensive, it is also significantly more accurate. Until I found the right dose, I was miserable on anastrozole. Sometimes less is better. Fortunatly I have an excellent doctor who has been willing to give me a new script weekly until I got the correct dose right. With respect to anastrozole dosing, use your morning erection as a guide (can be as accurate as a blood test, but a lot less expensive). Too much or too little will kill your morning erection. Once you have it dialed in that way, confirm with a blood test (I use the ultrasensitive "Fractionated Estrogens" test - http://goo.gl/6PXtLp)
Thanks for listening. You're feedback and questions are welcome.