Trt protocolOn 24.10.2020 by Vuzil
Many guys ask for these details. Here is enough info to get started. This is really a small part of what most guys need to know. Injecting testosterone once a week induces spikes in testosterone levels followed by lows. This can make many feel bad or worse at the end of the week than their pre-TRT state. As time goes on the dead zone gets wider and they feel no relief with injections. These feel much better injecting twice a week or even EOD [every other day].
Injecting every 2, 3 or 4 weeks is horrible. You need to self inject and inject frequently. With frequent injections the volumes are very small and one can inject in the quads [vastus lateralis] with 29 0. EDIT: July 1, Tried other brands that no not flow well, internal needle diameter too small.
These are slow to load but injection times are reasonable as the small plunger diameters create very high pressures.
Do not use 1. This same size syringe can be used for hCG injections, which are also SC. Small needles will reduce muscle damage. Canadian clinical research has demonstrated that TRT by SC [under the skin injections into body fat] produce steadier testosterone levels and improves sense of well-being.
Feel free to find out what is more comfortable for you. Transdermal T creams [and patches] are expensive. Transdermal delivered dose is a crap shoot. Guys who have low thyroid levels are typically non-absorbers.
Some absorb transdermals at the start, but skin changes can shut off absorption after a while. With injections, there are no unknowns about drug delivery. Without hCG, the LH receptors in the testes are no longer getting activated.
The results are:. The testes shrink.Some of these symptoms and indications are internal and require lab tests to identify, but many can be noticed by simply looking in the mirror. The list below show common symptoms and indications of hypogonadism:  . The catalyst for testosterone replacement therapy began over years ago when a man named John Hunter successfully transplanted testes on to a castrated domestic rooster.
It was not until when a man named Arnold Adolph Berthold, now considered the father of endocrinology, hypothesized that testicular transplantation impacted normal growth and development. When he re-implanted testes back on to these roosters, they reverted back to their original behavior of fighting, crowing, and mating as well as experienced crest re-growth. Ina year old French physician and physiologist named Charles-Edouard Brown-Sequard self-injected the testicular extract from guinea pigs and dogs.
It was not until the 20th century that TRT was examined on humans. In the 's, Sergio Voronoff performed an extremely controversial procedure when he removed the testes from monkeys and transplanted them on to male humans. The next big breakthrough occurred in when Fred Koch isolated testosterone from mashed-up bull testes whilst at the University of Chicago.
Researchers quickly determined oral testosterone supplements were an inefficient form of TRT since most of it was lost by liver processing. As a result, the first form of testosterone was compressed in to pellets and injected beneath the skin. The next major development of TRT occurred when researchers found a way to inject testosterone using an oily solution. The first injectable TRT, in the form of testosterone enanthate in castor oil, was introduced in Each of with positive and negative associations.
Tiger Fitness Inc. This product is not intended to diagnose, treat, cure, or prevent any disease. View cart. Abraham Morgentaler, M. Evolution of Testosterone Replacement Therapy The catalyst for testosterone replacement therapy began over years ago when a man named John Hunter successfully transplanted testes on to a castrated domestic rooster. Not everyone responds well to the hormonal peaks and valleys that come with injections. Implanted pellets underneath the skin require surgery can provide a steady supply of testosterone for 5 to 7 months, but carry a 1 in 20 to 1 in 10 chance of infection and many users report skin irritation at the injection site.
Testosterone Skin Patches Skin patches are applied x per day and worn on the upper body. On the upside, skin patches are easy to apply and they mimic the normal daily raise and fall of T levels. There is not much research on mouth patches but preliminary evidence indicates this treatment does not negatively affect the liver, nor does it require frequent doctors visits.
A Man’s Guide to TRT: Everything You Need to Know
Testosterone Pills Pills are the least prescribed option in the United States. These pills are processed by the liver before entering the bloodstream; as result some users experience liver toxicity, increased low-density lipoprotein LDLand decreased high-density lipoprotein HDL.
However, some studies indicate TRT may negatively affect the prostate. Increasing T levels below clinically deficient levels may also decrease risk of cardiovascular disease and increase cognitive function. As a result, patients undergoing TRT may see significant decreases in both waist circumference and waist to hip ratio. From the fitness perspective TRT appears to positively impact fat loss, lean body mass gain, and muscle strength increase most noticeably after 12 to 16 weeks of treatment.
These changes stabilize around the 6 to 12 month mark but many patients report marginal improvements over the subsequent years of treatment. A second study treated older hypogonadal men with 6mg testosterone patches once per day for 36 months; these patients experienced no significant strength increases.
In hypogonadal men, TRT also appears to improve exercise and pain tolerance as well as improve vasodilation, which decreases blood pressure and improves blood flow.
These two benefits are also not dose dependent; patients experienced these improvements with low dose and high dose supplementation over both short and long-term TRT protocols.
When used on the appropriate populations TRT offers a number life-changing benefits.Men ask for complete details and for that, below is a brief discussion on what you need to know about TRT when getting started.
Testosterone injection done once a week causes spikes in the level of testosterone followed by lows. This can make you feel worse by the end of the end compared to your pre-TRT stare. Later on, the dead zone gets broader, feeling no relief with testosterone injection. This makes injecting twice a week or every other day EOD much better.
When you have frequent injections, the volumes are too small, using 29 0. You can inject in the muscle at the side of your thighs vastus lateralis. The injection loads very slowly, however, the tiny plunger causes very high pressures. Never use 1. The same size of syringe can be used for HCG injections. Small needles cause less muscle damage. Some use 25 needle but this may not be faster compared to 50IU insulin needles.
A clinical research has found that testosterone injection through subcutaneous tissue, which is under the skin into the body fat, provide a steadier levels of testosterone and enhances sense of well-being. For men who exercise, sweat or shower a lot, transdermal testosterone gels and creams are not advised. Transdermal creams and patches are quite hefty and about 10 percent only of its testosterone content is absorbed.
Some people absorbs transdermal creams at the beginning, however, changes in the skin can prevent absorption after some time. With testosterone injections. There are no uncertainties or limitations when it comes to delivery of the drug. A lack of hCG can result to deactivation of LH receptors present in the testes. This results in:. When you inject hCG, you administer it into the fat beneath the skin the same as diabetics administer insulin.
You can look for diabetes patient education material on how to administer insulin injection to be used for testosterone injection or hCG. Many men who began with TRT experienced favourable results that later on faded as estrogen levels increase. My advice is to begin Anastrozole at 1. Then follow up estrogen lab tests for any necessary Anastrozole dose adjustments. It is not a good idea to wait and check if your estrogen levels increase before taking action.
Take Anastrozole EOD if possible.
Top 8 TRT Mistakes
Testosterone injection with a dose of mg should result in to total testosterone TT range. While this is a good result, monitor your free testosterone FT or the bio-available testosterone. Lab ranges presented on lab reports are age-adjusted. Further, you have to know about prostate-specific antigen PSAproblems in the prostate and digital rectal exam. Estrogen is a major factor of enlarged prostate or BPH Benign prostatic hyperplasia. You also have to monitor your haematocrit levels as part of routine lab work.
Being a leading provider of low testosterone therapy solutions, we are always looking for newer ways to improve blood testosterone levels for our patients.We also want convenience, we want to travel the path of least resistance. Optimised testosterone levels should mean that YOU can consume life! With that in mind, there is no one size fits all TRT model because despite our similarities, we are all unique.
Your personalised TRT protocol is specifically tailored to your individual needs and requirements, based on your current physiological state and genetics. You also need to recognise that some of those variables will necessitate a change to you TRT protocol in the future. A phrase banded around by a group of non-clinicians who believe that more is better and being alpha means being more like Neanderthal man than an evolved Homo Sapien. So, your perfect TRT protocol, what should it look like?
It should replicate your natural physiological levels from when you were at your most healthy. There are so many variables involved in attaining health. If we were to track our bloods throughout the day, we would notice there is diurnal variation of your testosterone levels. In addition to that, there is diurnal variation of your sex-hormone binding globulin level SHBG. Testosterone is an anabolic hormone, it works predominantly at rest when you grow and repair.
It helps your body respond to stress or danger, it increases the metabolism of glucose for brain and muscle function, it helps control your blood pressure and it helps reduce inflammation. We have evolved over millions of years, anabolic and catabolic processes are there for a biological reason, they are a necessity. When you are asleep you are susceptible to predation, perhaps not so relevant in the modern world but have you ever wondered why you sleep better at home than away?
Is this possible? In theory, yes. Recent advances in the management of diabetic patients means that they now have user-friendly machines that deliver a continuous infusion of insulin which self-regulates according to your blood sugar levels. Is this practical for TRT?
Hell no!Here are the most common mistakes doctors or patients make when starting testosterone replacement therapy TRT :. Does that fit in with your schedule? Or perhaps your doc prescribes gels or creams instead of injectable T. Do you have enough time every day to apply the gel after showering and let it dry? The thing is, the use of testosterone is extremely patient-variable.
Furthermore, a total T reading of might be perfect for one guy, allowing him to reap all the benefits of TRT, but that same level might not be right for you.
What You Need to Know about Testosterone Injection Protocol
Dosage and frequency of dosage have to be tweaked and perfected so you get the most you can out of TRT. In other words, they stop manufacturing testosterone. Libido takes the first train out.
Depression and weight gain move in. In short, all the good things achieved with TRT reverse or revert. True, your hypogonadal axis usually normalizes in a few weeks to a few months, but it may never normalize if you go cold turkey.
Who needs that kind of grief? If you decide to stop taking testosterone for some reason, you need to work with your doctor to do it safely and effectively. Almost all of the potential side effects of TRT therapy are easily manageable, whether they include acne, hair loss, moodiness, or increases in PSA prostate specific antigen or hematocrit. Knowing how to manage these side effects — if they occur — is crucial to the long-term success of your TRT. After all, no one really wants to trade in one set of problems low libido, low energy, etc.
Only the most competent doctors know how to treat these potential problems without overreacting. Testosterone replacement therapy can change your life.
It can make you feel like you did 20 or 30 years ago. Things like smoking, drinking in excess, being overweight, shortchanging yourself on sleep, not giving a hoot about your blood sugar, and avoiding exercise are not part of a testosterone lifestyle. TRT is a commitment. Forgetting to give yourself an injection or rub gel on yourself after a morning shower is obviously going to give you less than stellar results. Furthermore, forgetting your TRT has its own inherent problems.Greg Doucette TRT Protocols and Options - Greg Doucette HRT
If your T levels are high one week and low the next because you forgot to give yourself your injectionyou could potentially have enormous swings in energy and functionality. It would make him feel pale, tired, and cranky — same as you if you miss your dose of T.
There are plenty of ways to keep you from forgetting your injection or application schedule. You can fill your calendar ahead of time, use Post-It note, place notes on the fridge, or utilize smart phone apps. Find one that works for you and use it. A good number of dentists now offer Botox injections. This is what makes TRT both a science and an art.
Lastly, you ideally want someone who practices what he preaches, or in this case, what he prescribes. You should also know a little about the potential costs before choosing a physician.
Do a little homework and find the right doctor for you.Here's what you need to know Testosterone replacement therapy is as much an art as it is a science. Sadly, many doctors are crappy artists. A "normal" testosterone reading means almost nothing. You need to have total testosterone, free testosterone, and bioavailable testosterone measured to get a reasonably accurate hormonal picture.
Testosterone replacement therapy TRT should be given based on symptoms instead of blood values. If you have no energy, gain fat easily, have trouble putting on muscle, have a low libido, and suffer from depression, you may need TRT.
You have the choice of injections, gels, creams, pellets, or supplements in treating low T. However, testosterone injections give you the most bang for your buck. TRT causes very few negative side effects. TRT however, is contraindicated in men with existing prostate cancer.
It can also cause an easily treatable condition where your blood thickens. Some benefits of TRT happen quickly, while others take years. Libido can improve within weeks, as can depression, but loss of body fat and an increase in muscle takes months to plateau while continuing on at a lesser pace for years.
So you breathe a sigh of relief and mentally give your balls a slap on their backs for a job well done in kicking out a reading of But what does that number really mean? Testing for testosterone is rife with inconsistencies.
Blood values of testosterone vary by the minute and the day. The only way to get a reasonably accurate reading would be to collect urine over a hour period and have the lab use it to measure testosterone and its metabolites. Alternately, you could donate at least three blood samples from different times during the day.
The lab would then pool the samples together and test that sample. But nobody does it that way. It's more expensive, more time consuming, and more inconvenient. Besides, the doctor would think you were nuts for even suggesting it because, really, who are you to question him, you hapless mortal, and why are you worried so much about your T levels?
You should be content with vague blood readings, average testosterone levels, and at least quasi-functional balls like the rest of the sheep on the planet. And even if you did pool multiple blood samples, it still wouldn't tell you much. For one thing, even though the results might indicate that you have a normal level of testosterone, it might not be normal for YOU.
Maybe you would've measured a high octane when you were in your twenties, but now you're sputtering along at a comparatively low octane and spend your days Facebooking, or it's offline equivalent, scrap booking. The only way you'd know what was normal for you is if you'd established a testosterone baseline reading before you turned But again, nobody does that.
Then there's the issue of steroid hormone binding globulin, or SHBG. The more SHBG you have, the more of your testosterone is bound up, leaving less of it free to do all the good stuff. So while your testosterone level may bea good portion of it is locked up. It can be maddening. It's like having a genie in a bottle that you can't uncork.
That's why, at the very least, when trying to determine your T levels, doctors should ask the lab for your total testosterone levels, your "free" testosterone levels, and your "bioavailable" testosterone levels so you can get a little bit better of an idea of what your situation is.
But, you guessed it, nobody does that, at least very few conventionally trained doctors. And we can't forget about estrogen, or more specifically, estradiol levels in men.Testosterone levels naturally decrease as men age, so maintaining healthy testosterone levels is imperative for ensuring longevity and wellness.
There are many reasons testosterone is so intensively researched, with findings demonstrating that this key steroid hormone has a multitude of anabolic properties in the human body. For example, research shows that testosterone potently inhibits amino acid oxidation and increases skeletal muscle protein synthesis. If you're not seeing results in the gym despite a proper diet plan and exercise regimen, you might have low T.
Testosterone is quite literally what makes a man masculine. As such, testosterone is characterized as an anabolic androgenic steroid AAS. Similar to human growth hormone HGHa myriad of factors affect your endogenous production of testosterone - positively or negatively. These factors typically include:. The next section will cover some of the most common symptoms of low T.
The list below details the most common signs and symptoms of having low T:. Depending on the form of testosterone used, many men notice a reduction of low T symptoms within as little as one month on TRT. For some, it may take longer before improvements in health and well-being become apparent.
Research suggests that the short-term benefits of TRT may include a heightened sense of vitality, increased libido, enhanced energy levels, more restful sleep, and other positive changes. During the initial appointment, you will be asked to detail your symptoms and learn more about what TRT does. We require blood work from all prospective patients. This allows us to assess the quantitative values of your testosterone and possibly other associated assays. It's essential to have blood work done before and during TRT to ensure your red blood cell counts, blood lipids, prostate-specific antigen, and other relevant biomarkers are in a healthy range.
If your blood work suggests you have suboptimal testosterone levels, you will likely be considered a viable candidate for TRT. Should you move forward with beginning TRT through GameDay Men's Health, you will be given a shot of testosterone and taught how to inject yourself for future doses. Afraid of needles? We're not trying to sugarcoat this process, because injections are certainly a hurdle for many beginners on TRT.
Even those who have been on TRT for years still have a little apprehension when it comes time to inject themselves. In reality, though, the gauge of the needle is very small when injecting testosterone; once you get past the initial puncturing of the skin, the needle will glide smoothly into your muscle tissue without much sensation at all.
The best advice is to take deep breaths and be steady when inserting the needle. Use a firm grip on the barrel of the syringe, breath, and firmly penetrate your skin. The needle will smoothly glide into your muscle, at which point you will apply pressure to the plunger and dispense the testosterone.
The entire injection process generally takes no more than 15 seconds. Always be sure to maintain a sterile environment. Wipe the injection spot with an alcohol wipe beforehand to disinfect the skin and do not reuse needles or syringes as this greatly increases the risk of infections. As a side effect of this, you might experience injection site soreness for a few days after the fact.
Massaging the muscle and applying a warm gel pack for minutes can also help alleviate any soreness or stiffness at the injection site. This is the most common option for many newcomers to TRT since you can just close your eyes and let us do the injection for you.
You may also ask a friend or family member to help with the first few injections if you prefer to do them at home.
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