question from a user
I (26) got my Testosterone tested twice. The first result was 169 the second days later at 222. My PCP says that’s low, my endocrinologist says “it’s not that low” So he started me on a 50mg Test cyp. Weekly. However he prescribes me (4) 200mg single dose vials a month so that I draw 50mg per vial and toss the rest away due to “waste.” I’ll be on week 4 of TRT this week with absolutely no change in energy level, I’m just thirstier around the clock. Water intake is at 1+ gallon daily. From my understanding my T levels are LOW and my TRT dose is stupid low. He wants to check my bloodwork in 3 months which I think is too long of a timeframe. So my questions are: If I inject more T than prescribed from the prescription will he be able to tell by the blood work? All I’d have to do is buy more syringe’s and I’m good. He says every body reacts differently to how much they inject so, how can a doctor really tell if I’m taking more than prescribed? Do I need to be concerned about liver health? My PCP said my liver function is high, my endocrinologist says my liver function isn’t high. So no need….not sure who to trust but I’d say my PCP. LOL -Do I need to be concerned about fertility? I plan on having 1-2 more kids and I want to be sure I’m able to do it.
AlphaMD's Answer
I would say yes, he would be able to tell, but then again they also thought 50mg a week was a good idea, so perhaps they don't know what that dose would metabolize into anyways. However, if you add more & bump yourself up to 100mg a week, he may see that you have "too much" in his opinion & lower your dose. That is always a risk.
By basic napkin math 50mg should become 200-250 total T, but will also be enough to suppress your production. So really, it probably isn't giving you much of a benefit. If you came back at 400-500 TT, he might think you're a super responder, may think he did a great job (and thus prescribe the same thing to the next guy), or like from (1) lower your dose. Though you don't need 4 months of TRT to retest, 8 weeks total should be enough.
Not with TRT, no.
Any TRT lowers your spermatic production, though what you're on right now isn't going to raise you much over what you already had & is going to reduce your fertility.
You should probably look to get a second opinion so that if you're lowering your fertility anyways you should be getting some positives out of it.
For long term fertility, any man on TRT typically adds high dose HCG during the time they are trying to have kids. 75% stay on TRT just fine while others may temporarily cycle off. Fertility concerns because of this are typically not a reason to not use TRT.
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