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Well That Explains It!

Posted: Mon Feb 05, 2018 2:46 pm
by workerbee
DH's Testosterone was 350 in November 2016.
This past November (2017) it was 353.
We were moderately happy because it didn't DROP, so we started zinc, boron, vit D and fish oil.

I kept reading TMB, and decided "yes, it's technically in normal ranges, and yes, he is 60. But it is too low".
We discussed it, and he spoke with his Dr to see what treatment he'd be willing to give him (knowing insurance would fight payment, but we are willing to pay outta pocket.)

So Doc ordered labs last week.

Saw Doc for follow up today.

Testosterone is now 289.
Free Testosterone 29.5

I CANNOT believe it dropped THAT much in less than 3 months!

Rx picked up today for Testosterone Cypionate 100mg every 2 weeks with follow up in May.

I know that's a pretty low dose, but I also know we'll be upping it when his body quits making the small amount it currently does.

I am also EXTREMELY proud of my DH for continuing to Up His Game in the Marriage Bed DESPITE having NO hormonal drive.
Sheer WILL ALONE (and my begging, lol) has propelled this man to meet (and many times far exceed!) my needs and desires.
My prayer is now he will FEEL desire instead of taking action from a willing, generous heart.
It hurts me to know this has been so much "work" for him, but it makes me appreciate him all the more.

Props to so many of you for your education to me, it helped us make this journey.

This can be such a tremendous struggle, The Marriage Bed, from whichever side you're on, man/woman, LD/HD.
But this place frames biblical principles along with practical advice.
I thank God for all of you and this wonderful place!

Re: Well That Explains It!

Posted: Mon Feb 05, 2018 3:38 pm
by SeekingChange
It's always nice to get answers!

Re: Well That Explains It!

Posted: Mon Feb 05, 2018 4:26 pm
by Hoosier52
Ask Doc to put him on twice weekly injections or just do it yourself. Once every 2 weeks is an outdated protocol. It creates peaks and valleys instead of level T levels. Did they check his estradiol? It will go up once he starts TRT. Should use sensitive estradiol test for men. Good luck!

Re: Well That Explains It!

Posted: Mon Feb 05, 2018 4:41 pm
by tentsofpurple
Yes I believe testosterone has a half life of 7 days. My dh started on once weekly injections and by day 7 was feeling really low so his doctor switched him to 2x a week (same dose just cut in half) I can't imagine every other week.

Re: Well That Explains It!

Posted: Mon Feb 05, 2018 5:09 pm
by SquarePants
I second everything that Hoosier just said.

Re: Well That Explains It!

Posted: Mon Feb 05, 2018 5:38 pm
by workerbee
I've read enough here to know once a week is better than every other week.

That is our general plan.

With this very 1st dose I am considering making it the larger loading dose (so to speak) and then next week starting half doses every week.

Later on may break it into twice weekly, but does my initial plan seem sound?

Re: Well That Explains It!

Posted: Mon Feb 05, 2018 7:10 pm
by Hoosier52
Large doses can drive estradiol and hematocrit up. Another reason to go twice a week. Some do 3 and some do every day. Your best resource would be ExcelMale website. Top notch info. You can ask your questions there and get sound answers. Dr. Saya from Defy Medical may also chime in.

Re: Well That Explains It!

Posted: Mon Feb 05, 2018 7:37 pm
by workerbee
Thanks Hoosier52.
We went ahead with the "bolus" tonight and next week we will begin weekly dosing [halving the 2 week dose].

The doc is checking his Hct/Hgb, testosterone, and PSA in May.

I feel better about weekly dosing than every other week.
After a month or so, I bet we move to twice/week.

I've been an RN over 25 years and given countless shots.
I was sooooo nervous giving my DH this first shot tonight!
I read about IM injections and watched a video.
I do this stuff for a living, lol but was nervous as could be!
Kinda funny.

Re: Well That Explains It!

Posted: Mon Feb 05, 2018 9:54 pm
by Hoosier52
Don't forget to check the estrogen. I do SubQ shots with 5/16" - 29 gauge needles. Many have gone to SubQ vs IM. Works just as well and less pain. Did you talk to the Doc about HCG? Your husband's testicles will stop producing T because of the TRT and they will shrink and may even become painful. Sperm production will also stop. This may not matter to you or him. I do HCG and I think it also helps with libido and orgasm quality - at least it does for me.

Best wishes.

Re: Well That Explains It!

Posted: Thu Feb 22, 2018 9:05 pm
by be64
I’m not suggesting anyone should use my protocol but just to give an idea of what a hormone replacement regimen can look like I inject .08 ml testosterone cypionate sub cuteneously every morning. I also inject 125IU HCG every morning SQ. I use a 5/16” 31g .5ml insulin syringe. I take a varying dose of anastrozole but it is generally .25mg once per week.

This results in a stable testosterone level in the upper fourth of the range, an optimal estradiol level and the best sex of my life. I give blood one to two times per year to lower my hematocrit level.