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As someone in TRT who has gone through a bit of hell to get dosed properly, and recently got backstabbed by “ethical” doctors yet again (trying to keep my T levels at 300-400 ng/ml even though I have an assortment of low T symptoms, just because the American Assotiation of Urology tells them to treat all patients as the majority (in the 60-70 age range), so I have to self-medicate to not lose my job or ability to drive). If you need or think you need TRT, it’s best to see a doctor first. Why?
If you have sleep apnea before going on TRT, you will very likely have it worse after starting TRT. Besides crappy sleep your kidneys will signal to produce more red blood cells, in addition to what the testosterone is doing. Urologists who have no clue about blood will think your dose is either too high or you have cancer of the marrow (because your hematocrit will be really high). When cancer is ruled out, they will want to drop your dose “for your safety”, and “just in case”. Having proof of sleep apnea may help a lot in this case. Or simply treating it so it isn’t a problem when you go on TRT.
Low T can cause insulin resistance. Your glucose and lipid levels might be elevated. The same for high T. Self dosing may be as bad for your health as not dosing at all if you aren’t getting checked.
If you dose too high, your LH shuts off, missing out on many other hormones. You can use HCG, but it’s difficult to use continually because it shuts off the number of LH receptors over time and increases the number of estrogen receptors. It’s better in cycles.
If you look muscular, are under 40, and on TRT, doctors in my experience treat you like you just want more steroids and will often delay or refuse to treat you. Previous paperwork be damned. But some will treat you as long as you have paperwork showing the diagnosis. If you don’t have paperwork, you effectively become the guinea pig as they test different doses starting from the lowest.
If you have sleep apnea before going on TRT, you will very likely have it worse after starting TRT. Besides crappy sleep your kidneys will signal to produce more red blood cells, in addition to what the testosterone is doing. Urologists who have no clue about blood will think your dose is either too high or you have cancer of the marrow (because your hematocrit will be really high). When cancer is ruled out, they will want to drop your dose “for your safety”, and “just in case”. Having proof of sleep apnea may help a lot in this case. Or simply treating it so it isn’t a problem when you go on TRT.
Low T can cause insulin resistance. Your glucose and lipid levels might be elevated. The same for high T. Self dosing may be as bad for your health as not dosing at all if you aren’t getting checked.
If you dose too high, your LH shuts off, missing out on many other hormones. You can use HCG, but it’s difficult to use continually because it shuts off the number of LH receptors over time and increases the number of estrogen receptors. It’s better in cycles.
If you look muscular, are under 40, and on TRT, doctors in my experience treat you like you just want more steroids and will often delay or refuse to treat you. Previous paperwork be damned. But some will treat you as long as you have paperwork showing the diagnosis. If you don’t have paperwork, you effectively become the guinea pig as they test different doses starting from the lowest.
