This form of testosterone is relatively new with the first testosterone gel introduced in 2000. Testosterone replacement therapy (TRT) replaces normal endogenous tesosterone levels with exogenous sources. Total testosterone levels decline nearly 30% between the ages of 25 and 75. Gels will likely be the first recommendation by any physician. It tends to form a small nodule which is easily absorbed. TRT has really only recently gone mainstream. There is no absolute consensus among different medical organizations for the exact cutoff for low testosterone. First and foremost the goal of /r/steroids is to provide harm reduction knowledge and guidance without alienating those who need help. READ & UNDERSTAND what all entails "No Source Talk". Gains are good. Anti-Aging/Longevity Clinics – These clinics typically also prescribe HGH as well as other hormones. While Testosterone Cypionate is considered the gold standard for TRT in the United States, Sustanon 250 is more commonly used in many other countries, including Europe and Australia. If estradiol levels are found to be too high, the most common treatment is Anastrozole (Arimidex) or Aromasin. Read the rules to learn how to become an approved submitter. Alteration of Lipid Levels - Testosterone therapy may adversely affect cholesterol levels, slightly lowering HDL cholesterol and slightly raising LDL cholesterol. No Unlawful Discussions. If you have sexual dysfunction issues, they can help with both issues. Word of caution to the naturally low-T crowd. While you can’t get a TRT prescription from them, you can arm yourself with the results by figuring out whether or not your levels are low. max before I have issues in clinic they dont take my bloodwork anymore after 1 year, so I think its ok I considered 50-60mgs per day High red blood cell levels cause the blood to thicken and clot, which can potentially lead to a stroke. Let members decide what content is desirable (within the confines of Reddit’s & /r/steroids TOS/rules). Products: Natesto ((branded product by Endo Pharmaceuticals, Inc.), Dosage: One spray in each nostril three times per day (5.5 mg per spray; 33 mg per day). However, properly administered TRT can help men lead a healthy lifestyle as they age, while anabolic steroid use for bodybuilding and competitive fitness poses more risks than benefits. More Info. According to the American Association of Clinical Endocrinologists Clinical Guidelines HCG should be the initial therapy of choice for increasing sperm production for at least six to twelve months. I just started trt a few days ago and was wondering if I could add other steroids to it I was thinking either winstrol or tren most likely. Facilitate high quality information sharing related to steroids and hormones. The only things posted here that are authoritative are those things with directly reference-able, peer-reviewed scientific studies. Use Caution; Disclose Guesses; Cite Info, 4. Supplementing TRT with HCG (or, in a sense LHRT - leutinizing hormone replacement therapy) will mean that your testes will still receive a mimic of the LH signal that would otherwise be disrupted with TRT. Reddit no longer allows users to post Involuntary Pornography. Posting another person's personal information will result in a ban and a report to the reddit admins. Testosterone: The male sex hormone. I want to do a blast, but I don’t want to fuck with my trt dosage so I want to stack... Steroid Profiles; Steroid Articles; Steroid Forum; Steroid Lab Testing; MESO-Rx. Doctor visits: Most docs will have you come in every couple of weeks for the first 2-3 months and then once every year. As such, most gels are sold under a brand name only and are typically more expensive than generic injectable testosterone cypionate and enanthate. Testosterone Enanthate is an anabolic steroid that is perfect for all levels of use. This is probably the most common, and most incorrect, presumption people have towards testosterone replacement.An adult male taking doctor-prescribed hormone replacement therapy to address a diagnosed medical condition and improve his quality of life is no more \"cheating\" than an adult male taking doctor-prescribed asthma medication to address a diagnosed medical condition and improve his quality of life.The TRT patient's … Cycling is only suitable for users of anabolic steroids whose main goal is to add more muscle mass or enhance performance. Exogenous testosterone shuts down the body’s natural production of testosterone by the testes. If you have problems telling other people you're on TRT that you'd like to open up to: remember that this isn't much different than having poor eyesight and getting glasses or lasik. 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. Do not ask or direct others where to go to find any of this type information. The only exceptions to this rule is how to purchase needles/syringes or how to obtain blood work in areas where there are laws regulating these. Anabolic Steroids Submenu. Maintain user safety as a primary concern in all discussions. If you have diabetes and/or are obese, they can help with both issues. The risk appears to be higher with IM preparations and may be due to the supraphysiologic levels that are seen with infrequent injections. Testosterone replacement therapy (TRT) or anabolic steroid (AAS) use impairs sperm production (spermatogenesis) by promoting negative feedback on both the hypothalamus and pituitary gland. The most commonly recommended dosing regimen for TRT is 100 mg to 200 mg every one to two weeks. Arimidex inhibits the aromatase enzyme, and thus it inhibits the conversion of testosterone to estrogen. It is important to address any issues with gynecomastia quickly. I’m on doc prescribed trt, and it’s a pretty low dose: 100mg weekly. But, they still may effect testosterone production. Consequently, taking testosterone via TRT may increase estradiol levels. It increases muscle mass (via increased muscle synthesis) and decreases fat mass (via increased fat lipolysis), especially abdominal fat mass. If you're not sure if something falls under this rule or not, please message the moderators for clarification. Most cases of adverse affects to cholesterol deal with supraphysiological doses of testosterone, not replacement doses. Home. This is the first report, which demonstrated the efficacy of delivering weekly testosterone using this cheap, safe, and less painful subcutaneous route. The truth of the matter is that aging gradually wears down all the systems of the body. TRT is an acronym for testosterone replacement therapy, sometimes called androgen replacement therapy. Read the rules to learn how to become an approved submitter. It’s primarily used to treat low testosterone (T) … See the Wiki for TRT-specific PCT recommendations. Anywho, may favorite dose has been 200mg/wk combined with TRT doses of Test-C. Am I the only one? The normal range for free testosterone in men is 5 ng/dL to 21 ng/dL. More Info. Inconclusive Benefits: Testosterone replacement therapy may also improve sexual function (improve erectile function), improve mood, reduce depression. It absorbs more slowly and causes more irritation. No Personal Information / Doxxing / No Involuntary Pornography. This community is for harm reduction and educational purposes only. 2010 guidelines suggest 300 ng/dL as a common threshold for symptoms in many men, but state that “the threshold testosterone level below which symptoms of androgen deficiency and adverse health outcomes occur and testosterone administration improves outcomes in the general population is not known”. One system that gets particularly worn down is the messaging system for the production of testosterone. My current trt regimen is 50mgs e3d and labs came back at total test of 571 and e2<20. After 90 days of participation (comments) in the community, you will be automatically approved to create new topics. For example, research shows that testosterone potently inhibits amino Without addressing such underlying conditions, testosterone alone will likely not improve erectile dysfunction or mood/depression. Up to date there hasn't been a single drug that has produced better results in a clinical trial. To avoid a flood of basic questions, new readers cannot create new topics. Most docs have a "standard" dosage for each medication that they start you at (that will vary slightly from doc to doc). With that being said, some physicians and some low testosterone centers/clinics do prescribe HCG along with TRT, especially for maintaining fertility. If your doctor won’t perform a blood test, either get a different doctor or get some blood work done yourself. Recently, generic versions, such as Bio-T-Gel have become available. At around 10% one may need to stop using the belly sites and stick to obliques. Keep It Friendly & On-Topic. To be clear: this is not the subreddit to share your manifesto or espouse your favorite divisive political, social, religious or philosophical doctrine. Political discussion is not permitted. Due to their long half-lives, both TE and TC provide a sustained release of testosterone into the bloodstream. First, T injections can cause fluctuations in T levels following administration. Testosterone injections involve the injection of oil-based testosterone into the muscle (usually the thighs, glutes, or deltoids). Steroids 1991 Feb;56(2):66-71; Boada LD, et al. I'm much happier with 29G. This is one of if not the most commonly used testosterones in Testosterone Replacement Therapy (TRT). In some men, this reduction may be enough to cause fertility issues. A second sample is often needed to confirm a result that is lower than expected. But TRT is not steroids. Before we get into testosterone replacement therapy for treating low T, let’s look at the categories of male hypogonadism (low T). Steroid Safety View all. No Source Talk / No Monetization. Technically isn’t anything other than a TRT dose of Test no longer TRT but somewhere between a blast and TRT? Bad, inaccurate and uninformed advice can lead people to self-injury. The only safe oral form for long-term use is testosterone undecanoate, which again is not available in the US. This sub will not put up with you. TRT however, is contraindicated in men with existing prostate cancer. Pros: Easy to use; need to administer very infrequently; no risk of transfer. Libido effects may be slightly less than in the first 1-3 months, but still a big improvement. Maintain user safety as a primary concern in all discussions. I have done my own TRT for the past year. Dr. Crisler recommends a 5/8" 25G needle. Recently, testosterone gel usage has surpassed injectable testosterone usage for TRT. The only downside is that drawing can take a while, but since it's such a low volume it doesn't really add up to much time. However, many on this sub also feel that an AI isn't needed until/unless you notice symptoms of high estrogen. Posts and comments that could be construed as highly controversial or provocative are not permitted. Standard male TRT Sustanon 250 doses will normally be 250mg every 3-4 weeks with one injection every three weeks being the most common. 2002 guidelines suggest men with symptomatic hypogonadism and a total testosterone level of less than 200 ng/dL may be potential candidates for therapy. And if it would effect my bloods at the checkup with my endo? Gynecomastia Wiki - Gynecomastia Subreddit. As a result, testosterone levels gradually decline with age. Since both forms have been around for so long, generic versions of these medications are available. The next 8-14, you'll still probably feel slightly better than before you started. Higher doses of HCG (greater than 1000iu per week) can possibly cause HCG-insensitivity, rendering it mostly ineffective after prolonged use. Anything related to blood work, post it in here. If you can get injections, do it. Post and promote (up vote) high quality content. They also help manage diabetes and obesity. Like HCG, it helps TRT-users maintain fertility. They are often cheaper than anti-aging clinics, but may not work with insurance, so check. You may also get some acne breakouts. Therefore, it is prohibited for users of this subreddit to post any nude or sexual image of any person other than themselves or professional models. After 90 days of participation (comments) in the community, you will be automatically approved to create new topics. These forms can be broken down into four categories: 1) injectable oil-based testosterone, 2) testosterone gels/creams, 3) testosterone lozenges, and 4) implantable testosterone pellets. Reddit Involuntary Porn. 2008 guidelines suggest that total testosterone be ignored and diagnoses be made purely from free testosterone. Here are the different doctors that you can see that most often treat men with low testosterone (ordered by ease of access and knowledge of TRT). |--- Testosterone Replacement Therapy (TRT). Welcome to r/steroids' wiki on testosterone replacement therapy (TRT). To minimize this issue, just shorten the interval between T injections and lower the dose proportionally to minimize this cyclical nature of highs and lows. Basically, the messaging system is broken. More and more TRT docs are starting their patients out at 200 or more milligrams of testosterone a week and automatically starting them on something like the drug Arimidex to regulate estrogen. There is no consensus, however, on using HCG for this purpose. It is a recognised principal in treatment of low testosterone that the physiological state should be mimicked as close as possible. Failure to comply with this provision will result in a ban. More Info. This subreddit is for questions and discussion related to testosterone replacement therapy and testosterone levels. Reddit Personal Info. High-dose TRT was able to reduce death by 400% compared to no TRT and by 200% compared to medium-dose TRT over a 3 year time period in people with heart disease. Lower dosages injected more frequently lower the fluctuations in testosterone levels between injections. Testosterone levels naturally decrease as men age, so maintaining healthy testosterone levels is imperative for ensuring longevity and wellness. Keeping Kids off Steroids Aug 5, 2014 . TRT is amazing Keep members informed about plans and changes to the community. I’ve discussed in other places why tren might be a bad idea right now. Subcutaenous Test Injection Sites - Self Experiment (For Science). There are a few different forms of testosterone for TRT. Read the rules to learn how to become an approved submitter. Testosterone may also come in transdermal patches or troches, but both forms are not used often. Following an injection of testosterone enanthate or testosterone cypionate, T levels exceed normal physiological levels for the first 2 to 3 days. Menu. To avoid a flood of basic questions, new readers cannot create new topics. They then steadily decline to levels below physiological levels just prior to the next injection. (Companies with the most locations are. The lozenges release testosterone, which is then absorbed through the mucous membranes of the mouth. A pilot study report. Following is a breakdown of the benefits and risks of TRT compared with the many risks of anabolic steroid use for bodybuilding. New Negative Side Effects: It's possible that you might experience high estrogen at this point, so watch out for. Not Friendly / No Politics / No Red Pill or Similar / No Shit Stirring or Publicizing Bans, 5. Discussing sources will get you banned. There is no clinically “normal” testosterone level based on age that men can look to as a reference. Also is there any need for an AI when using masteron or does it take care of e2 itself? When people think of steroids, they often think of cycles. If you have a comment made in /r/steroids that is at least 90 days old and you weren't automatically approved, message the moderators linking to the comment. I'm not a doctor, much less an endocrinologist. Community Members Have The Following Responsibilities: Happily discussing all things related to the safe usage of AAS, TRT or hormone replacement with the exception of sourcing information. Products: Striant (branded product by Auxilium Pharmaceuticals, Inc.). The only exceptions to this rule is how to purchase needles/syringes or how to obtain blood work in areas where there are laws regulating these. Such steroids should always be a female’s first choice. Circlejerk-ish or off-topic posts may be removed. If you present yourself as such, your post will be subject to removal and a potential ban may follow. They are low dead space needles, meaning there is less wasted gear. If you're not sure if something is source talk or not, message the moderators for clarification. The blood work will at a minimum measure your total testosterone level. Building a great community takes effort from everyone involved. Approved Posters Only. But you can always test downstream, and when you’re over (again, very generous) 1200ng/dL, you’re not on TRT anymore. With good gear (eg: pharma) there is no PIP. Make sure you READ & UNDERSTAND what all entails "No Source Talk". Additionally, your physician may perform a phlebotomy (a withdrawal of blood to lower red blood cell levels). Press question mark to learn the rest of the keyboard shortcuts. Compare your lab results directly to the lab provided range to assess where you stand. READ & UNDERSTAND what all entails "No Source Talk". No Personal Information / No Doxxing / No Involuntary Porn, 3. Anadrol; Anavar; Deca Durabolin; Dianabol; Equipoise; Masteron; Oral Turinabol; Primobolan Depot; … The subcutaneous that I refer to here is not the same as an IM injection "leaking" and doesn't have the associated pain. If your doctor tells you to inject every other week, half the dose and inject every week. Anabolic Steroids. If unrefrigerated, unmixed HCG typically only lasts 60 days, whereas mixed HCG typically only lasts 48 hours. 166 comments. Normal estrogen range is about 7-42 pg/mL. The test requires a blood sample to be taken from a vein. I see this mistake occur in several newbies' steroid cycles. Most will be somewhere in the middle. Testosterone replacement therapy (TRT) is the administration of testosterone to men to treat low T. It is a prescription treatment overseen by a physician. Second, testosterone levels naturally decline. Two important points should be noted regarding the normal range for testosterone. More Info. In men, steroids cause a short-term increase in sexual desire, in which there is a decrease in the amount of testosterone produced. Up to date there hasn't been a single drug that has produced better results in a clinical trial. Then, your doctor can address any issues preemptively. After six months, if sperm are not present or are present in very low numbers (<100,000/mL), the human menopausal gonadotropin (or FSH) dosage can be increased to 150 IU intramuscularly three times a week for another six months. Press question mark to learn the rest of the keyboard shortcuts, American Organization of Clinical Endocrinologists, American Association of Clinical Endocrinologists Clinical Guidelines, SUBCUTANEOUS TESTOSTERONE INJECTIONS - THE CUTTING EDGE WITH DR. JOHN CRISLER. That's why I recommend E7D injections or more frequent--it evens it out so you feel great consistently. report. In order to use, HCG must be reconstituted/remixed with bacteriostatic water. I don't take an AI. Keep the environment free from any monetary influences. That being said, some people may still view it as steroids and you won't be able to say anything to sway them. This community is for harm reduction and educational purposes only. This type of low T is caused by a problem with you pituitary or hypothalamus, two glands in the brain that tell the testicles to produce testosterone. This type on low T is caused by a problem with your testicles. Vascularity is good. If you suspect you have low testosterone because you have some symptoms of low T, start by talking about these symptoms with your doctor. Some benefits of TRT happen quickly, while others take years. Practically speaking, HCG is prescribed primarily to men looking to maintain fertility during TRT. Plus, it can help determine if you're actually experiencing effects of the medication since the change is generally pretty gradual. The size of the change in testosterone levels over a lifetime can be just as important as the actual clinical value for the development of low T symptoms. The dose I just dropped was 80 every 5 days. On the other hand, testosterone cycles for the purpose of bodybuilding use above normal, supraphysiological dosages to increase testosterone levels above normal for a period of time. This article delves into why you shouldn’t have a predetermined Aromatase Inhibitor (AI) dose. Some men start to experience the symptoms of low testosterone at merely low-normal levels; anecdotal reports include some men suffering symptoms of low testosterone at levels as high as 450 ng/dL. Reddit no longer allows users to post Involuntary Pornography. For the uninitiated, Sustanon 250 is a quad-stack of four testosterone esters , two of which are shorter acting esters, one is a medium ester and one long acting ester with a half-life of about 15-20 days. Transbuccal testosterone lozenges are placed under the tongue or against the surface of your gums. |--- Testosterone Replacement Therapy (TRT). Are you considering taking Testosterone or going on Testosterone Replacement Therapy (TRT)? Profiteering and / or source talk of any kind will result in a ban. Gynecomastia – TRT may alter the balance of testosterone and estrogen in the body in certain men. For injecting info, see r/steroids Safe Injecting Technique. 98% Upvoted. "Role of microsomal receptors in steroid hormone action." However, properly administered TRT can help men lead a healthy lifestyle as they age, while anabolic steroid use for bodybuilding and competitive fitness poses more risks than benefits. While infertility is usually reversible, it is important for men who wish to preserve their fertility to talk with their physician prior to commencing TRT. I have blasted up to 300mg for 8 weeks for fun along with anavar. If they don’t, problems with the pituitary may be referred to as secondary hypogonadism and problems with the hypothalamus may be referred to as tertiary hypogonadism.]. No Unlawful Discussions. Lastly, normal aging may cause secondary hypogonadism. This range is over a broad age range and there is no “normal” testosterone level based on age that men can look to as a reference. Keep members informed about plans and changes to the community. I have numerous labs of total test 1000+ and dht still below range. Libido Effects: Greater desire for sex. It also slows or even reverses the loss of bone mineral density due to aging. It may also measure your free testosterone and sex hormone binding globulin levels. Cons: Must be kept in the mouth all day; may aggravate gums. An injection which leaks gets between the muscle fascia and the subcutaneous fat. It’s primarily used to treat low testosterone (T) … Doctors are crucial to help mitigate the side effects of TRT. It is sometimes used in an attempt to restart HPTA, as well. Any of these scenarios are utilized in the off period between cycles. Thus, it’s important to find a physician that you feel comfortable with and that has a good understanding of and respect for TRT. Pros: Less liver toxicity than oral forms because it is absorbed through the gums not swallowed. The testosterone is then absorbed via the muscle into the blood stream over time. Facilitate high quality information sharing related to steroids and hormones. Healthy, reasoned debate, critical thinking, the socratic method and assuming the best intentions of the respondent are paramount to keeping this place civil. Endocrinologists - Can be covered by insurance; some specialize in TRT, but some are not as knowledgeable about TRT. Fluid Retention - Fluid retention may occur in the arms and legs at the beginning of therapy. This attachment slows the absorption of testosterone and increases the half-life. HCG is an FDA-approved drug, and it is recommended by the American Association of Clinical Endocrinologists as the first therapy for the treatment of low sperm production. The Endocrine Society Clinical Practical Guidelines detail the conditions in which testosterone administration is associated with a high risk of adverse outcome and in which testosterone should not be administered: Very high risk of serious adverse outcomes, Moderate to high risk of adverse outcomes, Uncontrolled or poorly controlled congestive heart failure, Word of caution to the naturally low-T crowd. A 29G 1/2" slin pin with 0.5cc syringe is a good size. A free testosterone (direct) test will yield values outside of the above range if you try to convert the values. Therapy with weekly subcutaneous testosterone produced serum levels that were within the normal range in 100% of patients for both peak and trough levels. Products: Androgel, Axiron, Bio-T-Gel, Fortesta, Testim, and Vogelxo, Dosage: 2.5-10 grams of gel spread over the application site daily. Please disclose guesses and unproven conclusions.
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