question from a user
How many mg a week do you start patients at?
AlphaMD's Answer
In general, men who have hypogonadal symptoms with low total T values & have not been on TRT before, are good to be started between 140mg-175mg per week. Anything below 200mg is considered safe practice by the DEA & when it comes to Testosterone it's often best to find the value that provides benefit without going over it.
It's an exponential curve of side effects vs benefits as you increase in dosage past a certain point. This means it's better to start at reasonable levels and work your way up to find that magic number than starting higher and not knowing if it's more than you need.
There are plenty of exceptions to this for men once they're on TRT & need to adjust up, or if someone has a "higher" testosterone level but still suffering hypogonadal symptoms, meaning that "higher" value is low for them. In cases like that they need to be started on a higher dose since it's going to suppress their natural production, and if you give them too little they'll end up with less total T than more.
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