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Test injections not doing it for me
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gkitf59 posted:
Several months ago I broke the ice with my Dr and talked about having low T checked. We did bloodwork, and I was at 280 total. He Rx'd t cyp @ 300 mG every 3 weeks. This produced a terrible surge for maybe 1 day after an injection, then crashed to nothing within 24 hours. Total ED, zero, no libido at all. After 2 rounds, I began trying 1/2 dose every 10 days. Swings not as bad, but still there, and still having major ED issues. Today, 3 months into treatment, I saw him again for a review, and tried to discuss the problems with him. I wanted to quit the injections and begin using bioidentical compounded test cream as prepared by a compounding pharmacist. He told me that it doesn't work, would only allow me to continue the injections, or try a new gel on the market. I have read up, and the gels and patches have poor response and are far more $$$ than the already expensive t cyp I was using, 100% out of pocket. Benefits of a compounded cream source applied daily are similar to the body's natural T cycle from nighttime LH stimulation, which is why you should have morning erections (mine have been absent while on injections), and getting a slow, but steady stream of T, instead of blasting yourself every 3 weeks and expecting the body to handle it. It just doesn't work that way, the effects are gone within a few days after the injection. I believe I'm going to have to see an endocrinologist to get real help. My Dr obviously is not informed on how to handle these issues. I have learned more on my own from personal research than he was able to understand during our talk. He clearly is not able to do more than recite what his outdated medical references are telling him, he's only a general MD, definitely not a specialist.

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Are you having ED or performance issues with TRT? Have you used Rx compounded T cream, does it work for you?
  • Yes, I am having ED issues while on TRT
  • I am experiencing performance problems while using TRT
  • I am using a Rx compounded T cream, it works great for me
  • Compounded cream gives more stable results than injections
  • Orgasms and ejaculation are stronger as a results of being on TRT
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Anon_475 responded:
Androgel worked wonders for my husband.
 
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gymrat44 replied to Anon_475's response:
I've been taking Androgel for several years now and it works very well for me. It even provided some nice benefits such as more square inches under chest hair! Also, my gym work is more productive.
 
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gkitf59 replied to gymrat44's response:
How much do you use for a dose, what is the concentration are you using? I had heard the gels can be messy and take a large amount of skin area, long drying time. Do you have any problems with irritation? Main reasons I want to go to a compounded Rx form are cost and a cream base doesn't contain alcohol, no irritation, daily use eliminates level fluctuations.
 
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gymrat44 replied to gkitf59's response:
From a pump dispenser I take two to three pumps per shoulder per day. I rub it into my shoulders, pecs and upper ab region. It's alcohol based and I do it before shaving. After I've finished shaving (a quick practice, since actually I'm only shaving around the bottom of a full beard to tidy it up) the stuff has dried and I'm good to go.

No irritation, just lots of good benefits -- the best one being the intangible that I now feel much more comfortable and confident in my maleness.
 
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gymrat44 replied to gymrat44's response:
And the liquid is a one percent solution giving me about 7.5 mg a day. (sorry, left that off of my response immediately above).
 
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gkitf59 replied to gymrat44's response:
I'm tossing around the various options. My main issue with the injections is you can't really maintain a steady level on them. The body is supposed to replenish it's T levels by LH stimulations released during sleep, so daily applications imitate this cycle. I'm 180 lbs 5'8", 52 YO.

My Dr offered me Axiron. $25/month promo for the first year, but wonder what it'll cost after that (!!!). I decided to wait for now until I see an endocrinologist. But it might be worth it to keep me going for a year.

My initial bloodwork from Quest didn't provide anything really helpful except basic T numbers. Before starting 3 months ago, I was at 298 ng/dL total and 35.5 pg/mL free. After 3 months it had improved to 500 total and I forget what free was. I was injecting 150 mg every 10 days (initial Rx was 300 mg/3 weeks). Modest improvement, but I think rising estradiol may have been getting in the way. Never got results for that or any of the other important values, so a real, complete set of tests need to be done so I can fully understand exactly what "the boys" need to be happy. I have been taking horny goat weed from my health food store, hope this may help a little for now.


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