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    Thread: Testosterone Replacement Therapy (TRT)

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      Testosterone Replacement Therapy (TRT)

      Testosterone Replacement Therapy (TRT)


      Testosterone Replacement therapy is a growing market in the medical field with seemingly limitless potential and possibilities not only as it serves those financially who provide it but as the service it provides the consumer; specifically the male population. For decades testosterone has been used as a means of performance enhancing but more recently this same anabolic steroid has increasingly served as a means to combat the symptoms of age and add a little boost as bonus.



      No longer is testosterone viewed simply as an illegal performance enhancer; not only is testosterone being used for the purposes described above but so are many others once considered Taboo drugs. If you watch TV you're bound to see a commercial for Low-T they seem to flood the airways; beer, cars and Low-T this is where the money is at today but what exactly is Low-T? Low-T is simply a short way of saying Low Testosterone the hormone produced by males that essentially make them men. Yes, females produce the hormone as well but only in trace amounts as compared to men. With testosterone replacement therapy or Low-T treatment we essentially increase the levels of the testosterone hormone as they tend to decline with age by means of testosterone replacement therapy.


      Many individuals are somewhat surprised when they go to the doctor to fix their Low-T problem when they discover their testosterone replacement therapy (TRT) is nothing more than a prescription of anabolic steroids. This is why Low-T commercials avoid the use of the words testosterone replacement therapy because the word Testosterone still leaves a dirty taste in the mouths of many; after all, you've been told all your life steroids will kill you, now you're told they can help you; funny how life works. If nothing else this should raise some serious questions in your own mind.



      Testosterone replacement therapy (TRT) continues to climb rapidly in spite of claims made by the U.S. congress inferring testosterone injections will instantly destroy you. Testosterone and anabolic steroids as a whole, this raises a very interesting question; if you use these hormones as means of performance enhancement it will make your head fall off but if you receive a piece of paper that legally allows you to receive testosterone replacement therapy using the same testosterone athletes commonly use it will improve your quality of life; have we honestly become so diminished in our thinking that we cant see the fallacy in this argument?


      The bottom line is simple; millions of men the world over are increasingly receiving testosterone replacement therapy (TRT) and its rare to find one who's not glad he did. Even so, many of the doctors who provide testosterone replacement therapy have come under investigation. Many of these physicians are regularly charged with prescribing testosterone to individuals who dont really need it but, and if this is good or bad is up to you to decide; the fine-line determining who truly needs it is hard to conclude; after all, no one truly needs it if we are to allow the natural causes of life prevail but you could make the same argument for any medication, making this argument mute. Regardless, year after year, many men see their lives greatly improved thanks to testosterone replacement therapy; improved, not diminished and it is because of this fact TRT is going nowhere.


      The Purpose of Testosterone Replacement Therapy:

      Testosterone replacement therapy, the purpose of largely lies within the name itself; the purpose of testosterone replacement therapy is to provide the body needed testosterone by means of a synthetic replacement since adequate natural levels are no longer produced. In most cases this is brought on due to age; we age and our natural levels of the hormone decline and once a decline begins it continues to grow each and every year. There are individuals who will experience a decline due to improper functioning testicles or pituitary gland but the most common factor is simply growing older. The majority of men will notice a massive decline in their 40s and 50s however, this serious decline will occur in many men in their 30s and less commonly in their 20s but it is still a possibility.


      Low levels of testosterone can bring about a host of negative effects and not only make life uncomfortable but severely reduce the overall quality of ones life. The effects of low testosterone can bring havoc to sexual function and desires, destroy your physique or make obtaining a quality one a virtual impossibility and even cause depression and mental incompetency. As severe as these affects can be, in most cases they are not directly life threatening, however, severe low levels can indirectly lead to a host of life threatening problems, such as heart disease and mental disorders such as Alzheimer's. Through sound testosterone replacement therapy we can not only avert these nasty problems but enjoy a happier and more fulfilled life.

      Understanding Testosterone Replacement Therapy:

      As we understand, the purpose of testosterone replacement therapy is to increase the amount of testosterone in the body in order for proper function to be achieved. To achieve this end the first step is to have your natural levels checked which can be performed by a simple blood test. Once our levels are officially determined we will receive the needed testosterone we need in order to increase our levels to an optimal range and the success rate is nearly 100%. While the success rate is extraordinarily high, in order to qualify for testosterone replacement therapy a general physical will need to be performed as exogenous testosterone use can cause some unwanted side-effects. These side-effects while possible are by no means guaranteed; all medications of all types carry with them a risk of side-effects but the measure of your overall health must be obtained in order to ensure your safety. Those who already suffer from high blood pressure or high cholesterol may find they do not qualify for testosterone replacement therapy, however, only your doctor will be able to determine the most applicable outcome and weigh the risk to reward ratios.

      Types of Testosterone Replacement Therapy:

      Most men will be given one of three types of common therapy but each type, although unique in application form will carry with it the same hormone, testosterone. The most common types of testosterone replacement therapy include either injectable or transdermal application. Injectable testosterone will prove to be the most potent, effective and efficient of all, while transdermal application will work it will not do so at the same level. There are two common forms of transdermal applications, gels known as AndroGel and patches known as AndroDerm. All three forms of testosterone replacement therapy will increase testosterone levels but some men will find only the injectable forms to be powerful enough to bring their levels to where they truly need to be. In the end it is impossible to predict, transdermal application may be all you ever need but you will find there is often a phase of trial and error to determine what is best for you.

      Benefits of Testosterone Replacement Therapy:

      As the symptoms of low testosterone are brutal the benefits of therapy can largely and in most cases completely eradicate them and even increase the aspects associated with them in a positive manner. Men who undergo testosterone replacement therapy commonly report the following positive effects:

      • Increased Sex Drive
      • Increased Muscle Mass
      • Increased Strength
      • Decreased Body-Fat
      • Increased Energy
      • Decreased Levels of Stress
      • A Greater Sense of Well-Being

      As you can easily see the benefits of testosterone replacement therapy are nothing to scoff at and there is not a man alive who would not welcome every single one. Unfortunately many men ignore the signs of low testosterone and never do anything about it. This is a crying shame, as therapy is not only effective but a simple, very simple process to undertake.
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      Timely article. Good article.

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      Good read for any one concidering trt.

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      Great read, I have a question, in trt what does doctors use? Which type of text?

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      I really enjoy reading these brief, informative articles. Thanks Pain.

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      Very well written article on TRT. I realize it's a few years old, but still relevant. You forgot to mention another form of TRT....pellets. A nurse/doctor puts these testosterone pellets beneath your skin (not sure where exactly as I was offered this option but instead chose self-administered T cyp injections)...

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      Also forgot to mention...some urologist use Clomiphene Citrate (better known branded as Clomid) in place of prescribing other TRT options...at the patient's choice of course. I can tell you this about it though - Clomid will raise your T levels by making your brain/testes produce more "naturally"...but it's not the same and not as effective. My younger brother is currently on it because he's a wuss and afraid of needles (gels were not effective enough either). His total T level prior to Clomid was 272. After a year of Clomid@50mg/day his total T levels hover between 700-800. HOWEVER - He has gained a significant amount of body fat and has almost no sexual interest. I myself am on T cyp injections .75cc weekly, my total T levels sit between 800-900 (slightly higher than his), and I have a decrease in body fat, increase in muscle mass, huge increase in sexual appetite, and I feel great. So I don't believe using Clomid in place of TRT is very effective...but it is good for PCT for those not on TRT.

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      I have heard that 250 mg is the commonly prescribed amount of test for TRT.

      Does that mean that 250mg is an amount that is generally considered safe to cruise on forever? I get worried if I start it and somehow sources dry up I'll be left w/ big PCT problems (if I had been on for 5 years for example) because nothing might bring the natural T back?

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      Quote Originally Posted by swolecat View Post
      I have heard that 250 mg is the commonly prescribed amount of test for TRT.

      Does that mean that 250mg is an amount that is generally considered safe to cruise on forever? I get worried if I start it and somehow sources dry up I'll be left w/ big PCT problems (if I had been on for 5 years for example) because nothing might bring the natural T back?
      In the US, the testosterone that is prescribed for TRT is test Cyp and its 200mg/mL. The dose will vary from person to person. On TRT you want your total test level to be around 900 (the scale is like 300-1000 or 400-1100 depending on your doctor). So for myself, I know I only need .75cc (175mg) of test Cyp a week to get my levels to be around 900. Some guys need 200mg per week. If I were you, start at 250mg per week, get bloodwork done after a month, if it's higher than 1100 total T, I'd drop 250mg/week down to 200mg/week. There's a lot of trial and error that TRT patients(like myself) have to go through in order to hone in on that perfect dose.

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      Quote Originally Posted by JohnDoe View Post
      In the US, the testosterone that is prescribed for TRT is test Cyp and its 200mg/mL. The dose will vary from person to person. On TRT you want your total test level to be around 900 (the scale is like 300-1000 or 400-1100 depending on your doctor). So for myself, I know I only need .75cc (175mg) of test Cyp a week to get my levels to be around 900. Some guys need 200mg per week. If I were you, start at 250mg per week, get bloodwork done after a month, if it's higher than 1100 total T, I'd drop 250mg/week down to 200mg/week. There's a lot of trial and error that TRT patients(like myself) have to go through in order to hone in on that perfect dose.
      This^^^^

      On our trial determining where my dose should be the doc and I also started high and are slowly going down. At 200mg test Enanthate (scripted) my test came out to 1388 ng/dl with a reference range of 348-1197. The doc was pretty happy with it and said we could leave it there if we wanted, haha! The rest of my numbers looked good so he said he would rather have it on the high end. I'm not complaining!!! He did say if we were to try to get it within the reference range we would probably take it to 170mg/week and call it there.

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