So I had my follow up appointment yesterday, six weeks after beginning TRT. Last week, I went for blood work 72 hours after my weekly injection. My doc initially put me on .5 ml of test cypionate, administered once weekly. At my appointment, we reviewed my labs. My total test had gone up from 380 to 698ng/dL, my hematocrit was 49%, and my estradiol had gone up to 53pg/mL. These seemed to be the three measurements my doctor was most interested in. In error, my free testosterone was not included in the report. It will be for my next set of labs in three months.
He then asked the important question: "How are you feeling?" I told him I felt exactly the same. While I don't feel terrible, I'm still in the same funk that's been hanging over me for a couple of years. I have had no positive changes in affect, no improvement in sleep or vigor, and training is stagnant. I'm still tired much of the time, have little motivation, and well up with tears over silly shit. He was surprised, since my total test had gone up quite a bit. He then stated that everyone's response to treatment is different, and that it will take a while for all of the positive effects occur. BUT, I should be feeling dramatically different by now. So, he upped my weekly dose to .8ml, split in two .4 ml injections. He also said that since my estradiol had gone up so much, he would like to put me on a blocker, but that it was my choice. I declined. I was told that I might get some breast sensitivity since I was not taking anything to keep my estrogen down. He also stated that I will likely need to start donating blood after our next visit because of the increase in my hematocrit levels. This morning I injected another .4ml sub Q and am hopeful that I will see/feel some positive effects soon. Thanks.
Will