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Originally Posted by
BenM
No but I'd argue that that's something that needs to be discussed with the patient first, as well as the potential other options, so that they can make an informed decision.
Have I suggested that it not be discussed???
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Yes it's a serious question - you can't just keep dosing him with 400mg of test every 3 days. And once he goes back to a 'normal' TRT dose, he might feel like shit again.
The 400mg is the "loading dose." It is not the regular therapy.
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As far as the HPT axis goes, there are cases where it won't recover (especially in older guys) and while it is recovering, the guy will suffer from all the low test symptoms and more. This is why enhanced bodybuilders do PCT afterwards.
This is why you keep taking your TRT. Like your insulin.
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What I want is for people to get healthy in the most sustainable way, and for medicine to properly diagnose and treat issues rather than taking the 'throw darts at the board and see what sticks' approach, which is what you seem to be advocating.
If TRT fixes the problem, what was the problem? Maybe low T?
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Hang on, you just accused me of wanting him to get off test and feel terrible again. But now you're saying that's what he should do. This is somewhat confusing.
Hey, you're the one that wants the old lady PG. If he's shooting blanks, he'll need to come off. Or maybe he can hire you.
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Spend some time on TRT forums like Excel Male and have a look. You should have lots of great knowledge to contribute, you are on it as well aren't you? I am. I went right down the rabbit hole before I started.
So you're not going to share?
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Having suffered from depression in the past (and taken SSRIs for it) I can assure you I am not. Testosterone did help me. But I had to do lots of other things in conjunction with it and I still suffer from bouts of the blues - it is dangerous to suggest that it's a magic hormone that will magically rid someone of the black dog for good.
I have not said it was the magic hormone for all depression. If it were not for straw men, you'd have no men at all. And I'm beginning to recognize your style of argumentation.
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Sure. About as stupid as an aging strength coach in his own private fiefdom postulating opinions about the way the medical system should operate, just so he can enjoy berating and insulting anyone who may (even slightly) disagree with him.
My private fiefdom seems to be free, and your attendance here is at your own discretion. How about changing that decision?
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It probably went straight over your rhynophymic head, but I am not actually disagreeing with you that testosterone can be very helpful in treating depression for those who have low T. I'm just arguing that it needs to be prescribed with some caution, as part of a holistic approach, and not as a first line treatment.
I know what you're saying. We've heard it before, and it's tiresome. You don't know what either you or I am talking about.