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Question Probably Being Prescribed Sustanon-250 Once/3weeks. Options?

Discussion in 'Male Health & HRT' started by Aki, Jan 15, 2019.

  1. Aki

    Aki Member

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    Hi all,

    I'm 39 and I've had secondary hypogonadism for a long time, although MRI indicates pituitary is normal. (The last MRI was done just a couple of weeks ago.)

    I used clomid for a long time and while it works on paper, raising my total T to mid-range normal levels, but subjectively (like a lot of other guys) I don't feel that much benefit from it [1], due to the estrogenic side effects or whatever.

    Anyway, after spending years trying to make clomid work - as evidenced by my old posts on the forums - I've decided to bite the bullet and give conventional HRT another[2] chance.

    I've been off clomid for several months now and my last total T measured around 180 ng/dL.

    My goal is to feel reasonably good and healthy, have reasonable amounts of energy and motivation for work and play, and not think of life as being burdensome and tiring most of the time.

    I've spoken to multiple endocrinologists at my present location (I'm currently in a small middle eastern country) and I've found without exception they all want to prescribe the "Sustanon-250 mg every three weeks protocol" with possible increase of frequency based on the response. I am already aware of the deficiencies of this protocol. And "find another doctor" isn't a feasible suggestion.

    The endo I've decided to settle on (and have met once with) seems good in the sense he took me seriously when I demonstrated I wasn't totally ignorant of the science behind my issues. I will meet him tomorrow the second time with the results of MRI. But I'm pretty sure based (on my first consultation) that he's going to go for sustanon-250 shots.

    Anyway, my questions:

    - What useful alternatives/modification to this protocol is a reasonably open-minded endo likely to consider (apart from an eventual increase in frequency of injections)? I do not know whether any other options are actually available here at all, besides HCG (which they normally use if fertility is an issue), but I don't think he was interested in concurrently prescribing it.

    - Is sustanon-250 suitable to be divided into small doses and self-administered subcutaneously? (Assuming I could obtain the vial rather than be administered the shot at his clinic.)

    - Are there people who do all right with this kind of protocol even if it a somewhat higher frequency?

    - What reason could there be for someone not feeling any better from these shots altogether, even for a few days after shot day? [2]

    Thank you!

    ----

    [1] The only time I felt remarkably good with clomid was when I added a bit of danazol on top... felt great for about a month and a half but then experienced a sudden and total crash. (I think I now know why that may happen, but I'll skip presenting my theory here.)

    [2] The very first endo who took my low-T complaint seriously several years ago put me on the one Sustanon-250 shot per 3 week protocol. (I got a total of three shots.) Thing is, I did not experience any benefit from it at all, not even for a few days after taking the shot. This was in India, and the only explanation I can think of is the quality of the product was subpar. But it couldn't have been altogether fake, because at the end of this protocol my total T had fallen to even less than 80 ng/dL, so some kind of suppression had happened.
     
  2. letstalk

    letstalk Active Member

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    250mg of testosterone per week is not conventional TRT. That is, by no stretch, supra-physiological. Not only will your testosterone skyrocket, but your estradiol probably will too. And then when you lower the dose, you'll go through up's and down's. It's my personal opinion that this roller coaster will maximize side effects, and it's probably not some lifelong solution to wellness.
     
  3. Aki

    Aki Member

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    I never said it would start at 250 mg per week. I said 250 mg every three weeks, and then possibly increased to once every two weeks. I am acutely aware of the ups and downs, which you'd probably agree would actually be worse if it's once every three weeks. (That's basically why I posed the question.)

    If I remember correctly (from what I read a long time ago) this protocol is from decades ago but some doctors still insist on following it, presumably because they don't know better.

    Unfortunately right now for me, the choice is either: get a prescribed a bad protocol and somehow try to find ways to make the best of it (again, this is why I asked the question) or not get prescribed testosterone at all, and continue life with sub-normal (<200 ng/dL) levels.
     
    Last edited: Jan 18, 2019

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