HRT typical dosages and components

[ausmuscleguy]

What are typical TRT dosages and components? I know test is a component but I don't believe that all doctors will prescribe as Spectrum's doctors do with Deca, GH etc.

[RAAM]

Usually cyp (in the usa) 100mg per week. GH usually 2-3 iu. Spectrumdoes deca (I think) and maybe var .. not sure though.

[ausmuscleguy]

Originally Posted by RAAM

Usually cyp (in the usa) 100mg per week. GH usually 2-3 iu. Spectrumdoes deca (I think) and maybe var .. not sure though.

What about HCG?

[RAAM]

Well if you on hrt for life some docs wont give you any hcg. I do hrt "like" cycles for 6 months and follow swales protocol ... works great !

[bantamweight_B]

Im HRT on 200mg test Cyp.Though Im changing to Test E when I refill.Yes to HCG also
Im w/Spectrum

[ausmuscleguy]

Originally Posted by bantamweight_B

Im HRT on 200mg test Cyp.Though Im changing to Test E when I refill.Yes to HCG also
Im w/Spectrum

I'm looking at the possibility of running HRT but since Australia has very conservative therapies the only way I can do it is through other sources. Still weighing the risks etc so trying to find out as much as I can. From what I've read HCG is hard to find here and docs won't prescribe it, so I wanted to know if it was essential if I didn't intend to have any more kids.

[bantamweight_B]

Its nice to have on hand,for the possibility of testicular atrophy,during cycle.MY personal situation.Had I a clue & done blood work,I probably would have started HRT 12yrs ago.But I wasnt quite so in tune to what was happening ,as i have been in the last few years.
But for you,Id like to hear other opinions,as well.Im 50 ,no kids,not having any.But periodically use HCG.
I respect RAAM's opinion on it as well

[Alchemy]

In Australia to obtain HRT you must be 40 years or over and provide two blood test that clearly show that your testosterone levels is 8nmol or lower.

In some case Hcg may be prescribed if your LH levels are high.If this doesn't work testosterone gels can be prescribed.

In most cases 125mg of depot testosterone will be prescribed between 14 - 21 days

Alc

[ausmuscleguy]

Originally Posted by Alchemy

In Australia to obtain HRT you must be 40 years or over and provide two blood test that clearly show that your testosterone levels is 8nmol or lower.

In some case Hcg may be prescribed if your LH levels are high.If this doesn't work testosterone gels can be prescribed.

In most cases 125mg of depot testosterone will be prescribed between 14 - 21 days

Alc

Pretty conservative by any measure. Would it be different if I went and paid for it and not have it done under PBS?

[Alchemy]

I'm afraid that the Australian medical community will only prescribe you enough testosterone so that your levels sit between 9 - 24nmols.
Regardless of a private or PBS guide lines many gp are running scarred due to the witch hunt that is occurring at the moments with the prescription of androgens.
Doctor will prescribe you any form of anti depression , sleeping medication much quicker than TRT.

Alc

[RAAM]

Originally Posted by bantamweight_B

Im HRT on 200mg test Cyp.Though Im changing to Test E when I refill.Yes to HCG also
Im w/Spectrum

I must say, Spectrum is very generous !!!

[bantamweight_B]

[IronHammer]

Typically you will max out at 200mg/week..in Canada here they use test enth.

[dysfunctional]

Originally Posted by Alchemy

In Australia to obtain HRT you must be 40 years or over and provide two blood test that clearly show that your testosterone levels is 8nmol or lower.

In some case Hcg may be prescribed if your LH levels are high.If this doesn't work testosterone gels can be prescribed.

In most cases 125mg of depot testosterone will be prescribed between 14 - 21 days

Alc

You don't need to be over 40. If you have less than 8nmol on 3 different occasions, you will qualify for PBS. At that point it is defined as hypogonadism and age is not a factor. However, it is true that things are very conservative in Aus. Most endocrinologists don't have any special interest in it since they bulk of their practices are diabetes and thyroid.

In QLD, you could shear off your pituitary gland with some sort of head trauma and they would never replace GH despite the fact that you would not be producing any at all. Cortisol, thyroid etc would all be looked at first before test and GH. There simply is not the understanding of how much lacking these substances affects quality of life.

[Alchemy]

Originally Posted by dysfunctional

You don't need to be over 40. If you have less than 8nmol on 3 different occasions, you will qualify for PBS. At that point it is defined as hypogonadism and age is not a factor. However, it is true that things are very conservative in Aus. Most endocrinologists don't have any special interest in it since they bulk of their practices are diabetes and thyroid.

In QLD, you could shear off your pituitary gland with some sort of head trauma and they would never replace GH despite the fact that you would not be producing any at all. Cortisol, thyroid etc would all be looked at first before test and GH. There simply is not the understanding of how much lacking these substances affects quality of life.

Really ????
I currently have 3 test reading that came in at 5.25nmol and I'm under the age of 40.
I have gone to 4 different GP and they will not prescribe TRT/HRT.This is due to current PBS guideline .

Below is the PBS guideline to the prescription of testosterone :

"
Androgen deficiency in males with established pituitary or testicular disorders;
Androgen deficiency in males 40 years and older who do not have established pituitary or testicular disorders other than aging, confirmed by at least 2 morning blood samples taken on different mornings. Androgen deficiency is confirmed by testosterone less than 8 nmol per L, or 8-15 nmol per L with high LH (greater than 1.5 times the upper limit of the eugonadal reference range for young men);
Micropenis, pubertal induction, or constitutional delay of growth or puberty, in males under 18 years of age."


Alc

[dysfunctional]

They must not understand the definition. You would have a form of hypogonadism. If you have elevated LH and very low test, then you essentially have a testicular disorder since they are not responding to LH. Perhaps you just need a referral to an endocrinologist to get an established diagnosis or find a gp with an interest in the field. Most of them don't know much about it and are afraid to prescribe it based on the cover your ass mentality. It also depends on what you look like. How you are asking for it etc. If you go in asking for any specific drug it automatically gets most docs suspicious. If you go in wearing gym clothing, looking muscular etc. that also goes against you. If you go in and discuss the symptoms you are having and the frustrations they are causing you may find things go differently.

This is all assuming you aren't just post cycle and didn't use proper post recovery. If that was the case I would avoid HRT since there may be a chance you will recover back to normal levels and HRT is a lifelong thing best avoided by those that have the potential to recover their normal HTPA function.

[Alchemy]

Originally Posted by dysfunctional

They must not understand the definition.

I agree totally.I honestly believe that the guide lines are open for interpretation

Originally Posted by dysfunctional

You would have a form of hypogonadism. If you have elevated LH and very low test, then you essentially have a testicular disorder since they are not responding to LH.

I agree.

Originally Posted by dysfunctional

Perhaps you just need a referral to an endocrinologist to get an established diagnosis or find a gp with an interest in the field.

I know many gp's that have an interest in this field.However all of them are " shit scared " to prescribe any form of androgen.Due to the current political climate we are in

Originally Posted by dysfunctional

Most of them don't know much about it and are afraid to prescribe it based on the cover your ass mentality. It also depends on what you look like. How you are asking for it etc. If you go in asking for any specific drug it automatically gets most docs suspicious. If you go in wearing gym clothing, looking muscular etc. that also goes against you. If you go in and discuss the symptoms you are having and the frustrations they are causing you may find things go differently.

I have tried all those approaches ...... no good.

If only you knew the full extent of my current health issue

Alc

[Titan]

Originally Posted by bantamweight_B

Im HRT on 200mg test Cyp.Though Im changing to Test E when I refill.Yes to HCG also
Im w/Spectrum

Why are you switching to Test E vs C? Just curious with all the neg press against Test E these days.

[dysfunctional]

What is the negative press on test e these days?

Alchemy, I think you are being jerked around. I just had my GP refer me to an endocrinologist since he was also hesitant. I think that if you list off several symptoms of low test, have previous biochem results demonstrating the problem it is hard to deny a script. Those guidelines are really only for reimbursement on the PBS. They were written in response the the likely high demand for older men with decreasing levels of test to want scripts. (This has happened in the US). In your case you are a young man with low test. You arent looking for a combo script of viagara and test to make you feel young again.

I would go the route of a referral to an endocrinologist or a specific men's health clinic. I suppose it depends in what area of Aus you live in too since some things just aren't available in certain areas. Usually the way it works is that if you have a letter from your endocrinologist, your gp will continue to give a script for TRT since it has been worked up by a "specialist" in the area. Once a decision has been made by the endo, the gp will likely be much more accomodating since he or she is simply following the treatment protocol laid out by a peer.