Lifestyle Training

My Low T Journey: One Year on TRT

trt testosterone replacement therapy after one year

Note – This is the third of a four-part series.  Click here for Part 1  for a primer,  here for Part 2 regarding my symptoms, and here for Part 4 on finding treatment.

After being diagnosed with low testosterone in Spring 2014, I finally understood the laundry list of problems that had baffled me for most of my adult life.

But more importantly, I was armed with the information I needed to seek out a solution.

For me, that solution was Testosterone Replacement Therapy (TRT) and it's changed my life for the better.

After celebrating my first anniversary of TRT in August 2015, I feel like I finally have the proper perspective to share with others.

I've been waiting to talk about this until now because I wanted to be able to tell you about the journey I've taken, not the journey I was beginning.

So here it is – the good, the bad, the awesome, and the timeline in which it all took place!

Effects of TRT – The Bad

I think it's best to get the bad news out of the way first. And there have only been three very minor negatives to this whole experience.

Body acne

trt testosterone replacement therapy skin before after

I’ve always had very clear, even skin, even as a teenager.

But now it's become a little oily and acne prone on my upper back, shoulders, and upper arms.

This is easily managed with a little extra scrubbing using a loofa and the occasional use of acne control body wash.

I still have occasional zits and more spots from the ones that are healing, but it's been a fairly minor annoyance.

Increased body hair

I’ve also become a bit more fuzzy on my upper body.

I used to have almost no visible hair on my upper arms, shoulders, and upper back.

It’s now become slightly darker and longer, though I'm still not what you would call a “hairy guy”.

It isn’t even enough for most people to notice, but I'm aware of it because I’ve spent the last 30 years in my body and I'm in tune to minor changes.

Testicular shrinkage

To put it in medical terms, I’ve experienced testicular atrophy of approximately 10%.

Essentially, my balls are a little bit smaller.

I’m talking a really insignificant amount and it doesn't bother me in the slightest.

But in case you're concerned with this side effect for yourself, my wife has noted (via girl talk) that women truly don’t care much about our balls as long as they aren’t “peanuts or grapefruits.”

Really, a 10% decrease is likely to go unnoticed.

In my case, they actually shrank by about 25% initially (this worried me, of course), but have returned to just below their original size.

However, I did experience quite a bit of aching in the early days after beginning TRT. Nothing sharp or unbearable, just a dull ache.

Fortunately, the aching and shrinkage were just the initial shutdown and lasted only a few weeks.

And that's it for the bad…really!

Effects of TRT – The Good

Now, for the positives!

Let me assure you that the benefits of TRT have far outweighed the very minor negatives of this whole experience.

Sex Drive 

A couple weeks after my first injection, I had an experience that indicated a significant improvement in this very important aspect of a man's life.

My wife and I were on our weekly grocery shopping trip at Trader Joe’s and I couldn’t help noticing that I seemed to be surrounded by supermodels.

I looked at my wife (we have a healthy relationship) and asked her “What is this, hottie day at Trader Joe’s?”

She looked at me like I was crazy and replied that this was the normal amount of attractive women for this particular store. It was like I was seeing the world through the eyes of a high school senior.

I felt like I could, and needed to, take on every woman in the entire grocery store.

This is a big shift coming from a guy who spent the last decade preferring sleep over sex.

In the last year, I went from thinking sex once a month would be more than enough to feeling like having sex multiple times per week.

Emotional Effects

Even Mood 

Since starting testosterone, my mood has stabilized substantially.

Before testosterone, my mood was usually a little below average. But I would also have sudden dark, depressive spells lasting a few days to weeks when I didn’t feel like fighting against the world anymore.

These spells were really my biggest problem and a main reason I looked into treatment.

Little things would cause me to get extremely upset, and my mind would be flooded with every bad experience and negative thought I’d ever had.

There were days when I would wake up and I’d be in the kitchen slamming shit around for no apparent reason.

I just hated life.

Now, I feel good to great on a daily basis.

I still have the occasional day where I don’t feel so hot. But for the most part, a bad day for me is more in the middle or neutral.

I don't find myself “spiraling” without any control and I don't feel like I'm hitting rock bottom during a “down day” any more.

Now, when I feel like replying to an Instagram comment seems like an insurmountable task, I just watch a couple episodes of Arrested Development (seasons 1-3, of course), and all is well within a few hours.

No more wallowing in a dark hole of self-pity for weeks at a time.

Positive Self-perception

I still have moments where I feel “less than” or not good enough.

But it's only to a degree that I assume other people experience rather than the intense feeling of self-hatred and inadequacy that used to dominate my thoughts and feelings.

In general, I can see myself the way other people do.

I'm able to embrace and congratulate myself on the things I do well, acknowledge my successes, and accept my shortcomings (or at least not rake myself over the coals for them).

While testosterone may not affect how every person views themselves, given my lifestyle goals and chosen career, being able to make the gains for which I was working so hard was a game changer for me.

By allowing me to be successful in my chosen field and the things I'm passion about, I have a totally different outlook on life.

Dealing with Anger and Adversity

Things that used to send me into a rage are now easily handled. It’s an amazing feeling!

For the first time, I have the emotional control to use the techniques I’ve been studying for years in self-improvement books.

One day, some months after starting TRT, I went to my parking spot only to find that someone left a grapefruit-sized scrape on the front bumper of my pristine car, all the way through the paint.

Instead of being flooded with anger, I just thought to myself “It doesn’t look that bad. And if I ever want to sell it for top dollar, I'll have the bumper replaced. Problem solved.”

I was completely shocked that I had just thought my way through a stressful situation rather than simply reacting (with rage).

My wife stared at me in disbelief. She'd expected me to start yelling or kick a garbage can.

But I just reasoned that, “worse things have happened.”

This is the kind of rational reaction I’ve always wanted to have to life's little problems, but was always somehow unable to make it happen in practice.

My mind truly doesn’t spiral out of control anymore.

Little things happen constantly that are out of our control and it was debilitating to not be able to shrug them off.

I’m also better able to handle the bigger challenges in life.

I had my first child in February 2015. And while she’s a smart, spirited little girl full of smiles, she’s also the most temperamental, high maintenance baby my family and friends have ever witnessed or heard tale of.

My mother-in-law recently noted that my daughter alone is more difficult to care for than a newborn, an 18-month old, and a 3-year old all at the same time.

My daughter screamed at the top of her lungs to the point of choking, going hoarse, and becoming feverish for the first 4 months of her life. She also required being held nearly 24 hours a day, even overnight.

She screamed bloody murder in the car, the stroller, her bassinet, her crib. Still does a lot of the time.

I really don’t know how I would’ve gotten through that, how my marriage would’ve survived, if not for the emotional stability I’ve gained from correcting my testosterone deficiency.

Mental Effects

Now that I’m on TRT, my mind is much quicker.

The mental math ability that was all but gone throughout my 20s has returned and I don’t stare blankly at my computer screen nearly as often.

The fog that I lived in for so many years has lifted.

I used to have to work in 20 minute blocks of time in college when researching or writing because I was completely unable to form cohesive thoughts after that point.

Now, if I get an idea for an article, I can write and edit for hours at a time. I may take a break to eat or make coffee every once in a while, but other than that, it’s laser-like focus.

I can see multiple solutions to daily problems that would’ve previously paralyzed my actions.

Self-motivation is much easier now or, I should say, it finally works.

Getting in the mood to work used to take a celestial event. Now I just make the decision to act and good things happen.

Physical Effects

Sleep

Another major change I’ve noticed on TRT is that I need less sleep.

My entire life, I’ve been a zombie on anything less than 10 hours of solid sleep.

Remember when you were a teenager and could sleep for 12 to 14 hours a night? I never grew out of that.

I’ve basically been unconscious for half of my life, and merely existing for the other half.

On testosterone, I’m absolutely fine on 7 hours. I go to sleep at 10 pm with an alarm set for 5 am, 7 days per week.

Many mornings, I’m lying in bed waiting for my alarm to go off and thinking about how I’m going to dominate the day ahead.

Muscle and Strength Gains

trt testosterone replacement therapy before after muscle

The photo on the left was taken in May 2014 and the one on the right in June 2015.

I’ve made more progress with my physique in the past year than I made in the previous 6 years combined!

I haven't transformed into Mr. Olympia (and I've never expected to), just a much better version of myself.

To get from the first photo to the second, I gained 25 lbs over the winter and then cut about 15 lbs to get to a leaner state than I was at before I started.

The previous 6 years of training resulted in what most guys with healthy hormones can accomplish in 6 months. I lost a bunch of fat and gained a minuscule amount of muscle.

On the bright side, having low T forced me to learn everything I could about bodybuilding just to make very minor progress.

Now, I’m like a newbie in that I’m primed for my initial gains.  Only I have more than a decade of experience and wisdom to actually put my body’s readiness to grow to good use!

Imagine what an ancient boxing coach from the movies could accomplish if he was suddenly transferred into a young, able body.

As I said before, when bulking pre-testosterone, I would gain much more fat than muscle. My strength on core lifts would often increase at a slower rate than my body weight.

One bulk in particular, I gained an honest 30 lbs of body weight, but my bench press only went up 20 lbs. That’s some scary math for a guy with eyes toward big core lifts.

At that rate, I would've had to weigh over 500 lbs just to squat, deadlift, and bench a respectable amount.

On TRT, I’m able to add significant strength and muscle mass while gaining a proportionally smaller amount of fat.

Bulking and Cutting

I just finished my first bulk on testosterone (probably the 10th bulk in my lifetime).

I went from 175 lbs to 200 lbs and still had visible abs! I wasn’t ripped in any way, but the abs were there in the right overhead lighting.

Gains like that aren't going continue and have already started to tapered off.

That was just me finally being able to make the newbie gains I never experienced when I was a newbie.

My first cut on testosterone has also been nothing short of amazing!

I’m used to losing absolutely every measly ounce of muscle mass I’d gained while bulking in order to lose that stubborn body fat, and ending up in the exact same place as I started before the bulk.

With testosterone, I’m able to maintain most of my muscle mass, while dropping into vascular ab territory.

I even continued to increase my strength for a while, despite running at a caloric deficit and losing 15 lbs of body weight.

Finally, everything is working like it’s supposed to!

Nothing is coming easy and I’m not superman by any means. It isn't like I've gained 40 lbs of muscle while simultaneously loosing body fat in a single year.

Right now, I’m monitoring everything I eat down to the gram, hitting the gym with ferocity almost daily, and using every strategy I've learned over the past 15 years to make the best of my body.

I still have to eat a caloric surplus and train hard to gain muscle. I still have to nail my target macros everyday to lose body fat.

I’m just so fucking pumped that I’m able to make progress that I actually went to the gym for 90 days in a row recently!

It’s like I’ve been running with a parachute strapped to my back for my entire life and now the rope has been cut.

I feel like the fastest man alive!

My Friends Weigh In

After seeing some results in the gym, I was talking about my treatment with one of my closest friends and I asked him what his thoughts were about my previous inability to gain muscle.

He replied that all of my friends just thought that I was scared to eat enough to gain weight.

He was referring to the same group of friends who’d seen me pack on 30 lbs of bodyweight multiple times over the years.

Before going out to the bars, they would be drinking beer while I was shoveling down turkey sandwiches and cottage cheese (and beer).

These are the guys who start lifting, add a protein shake to their normal diets, and make consistent progress.

I wasn’t building muscle, therefore I wasn’t eating enough – it was the only conclusion they could make.

I think a lot of young men struggling with low testosterone will encounter opinions like this.

People are incapable of recognizing effort and methodology in the absence of results.

Young men with low T are likely to be dismissed or heavily critiqued no matter what others see them doing or how hard they're working because they aren't getting results.

Treatment Timeline

Everyone wants to know when things happen and at what dose (I know I did), so I’ve laid my treatment in blocks of time corresponding with my dosage and blood work results at the beginning of the time period.

The effects on hormone levels can be seen at the beginning of the following time period.

NOTE: The reference range for total testosterone for all tables below is 348 – 1,197 nano grams per deciliter (ng/dL) and the free testosterone reference range is 9.3 – 26.5 picograms per milliliter (pg/mL).

hCG Mono-therapy (April – July 2014)

TreatmentTotal T (ng/dL)Free T (pg/mL)
hCG Mono-therapy289Unknown

Originally, I was put on hCG only (hCG mono-therapy) by my previous doctor, a urologist, in the hope that my body would make its own testosterone.

My doctor was really encouraging in noting that this treatment was frequently very effective. I even came across quite a few accounts of guys who'd experienced great results from hCG mono-therapy.

So I was really hopeful…

but I noticed absolutely nothing.

After six weeks on hCG, my total testosterone increased from 290 ng/dL to 451 ng/dL. Not bad!

But I'd requested that my doctor also check my free testosterone at that time as I didn’t have a value before hCG.

Unfortunately, after 6 weeks on hCG, my free testosterone was at 7.2 with a reference range of 9.3 – 26.5 pg/mL.

That explained a lot of problems!

My total testosterone had gone up 160 ng/dL but my free T was still basically nonexistent.

I continued with hCG mono-therapy for a while because my doctor wasn't well-educated on current TRT and I didn't have any other readily available options at the time.

And so I started searching for another provider.

Weeks 0-6 of TRT

Testosterone DoseTotal T (ng/dL)Free T (pg/mL)
100 mg per week4977.2

After finding my current provider, I began a weekly dose of 100 mg of testosterone cypionate.

I didn’t notice anything dramatic during the first week.

Well, I thought I could feel a warm sensation throughout my whole body as I was lying in bed after my first injection, but that could very well have been a placebo effect.

The morning of my second injection, I went to the gym for a chest workout.

My normal bench press routine was 45×5, 95×5, 135×5, and then I would lift a pathetic 155×5 for my “heavy” sets.

This was at a bodyweight of about 175 lbs with 6 years of consistent lifting under my belt.

When I got to my set with 135, it felt so damn light I had to jump up and read the numbers on the plate. I honestly thought I still had the Olympic-sized 25’s on the bar.

I couldn't believe it!

Now, testosterone obviously didn’t allow me to build muscle in a single week.

But its mere presence in my bloodstream made me the strongest I’d ever been, at a dose of only 100 mg per week.

For reference, sports performance and bodybuilding cycles of testosterone usually start at 400 to 500 mg per week and go up from there.

I maxed out that day at 195×1. I probably could’ve done a little more, but considering that was a 10 lb jump over my previous max, I decided to savor the victory and save some for next time.

I continued to add 5 lbs to my max, almost weekly, until getting up to 225×1.

Any under-muscled guy starting out in the iron game has ambitions of working up to benching “two plates.” When I first started lifting in high school, I reckoned I’d be there before Senior year.

But as it turned out, I wouldn't even come close. Unlike all my buddies, I never made much progress during that time.

After that initial defeat, I remember thinking how far away 2 plates was for me.

So to finally hit that number at age 29 was the single best lifting day of my life!

What seemed like an insurmountable task before, was now achieved because of a tiny little injection (and a shit load of hard work, but I was already doing that part).

However, as far as mental and emotional well being goes, I didn’t really notice much in the first 6 weeks.

For me, testosterone wasn’t like a “punch to the face” or “like turning on a light switch” as some guys report.

I started feeling better gradually.

When the doctor asked how I was feeling, I told him “if someone was dosing me in my sleep, I wouldn’t be able to tell I was on TRT, mentally at least.”

I kept waiting for a sudden rush of “I’m feeling great!” but it just wasn’t that abrupt for me.

Weeks 6-12 of TRT

Testosterone DoseTotal T (ng/dL)Free T (pg/mL)
160 mg per week6519.6

I went in for my follow-up blood work after 6 weeks at 100 mg per week and the results showed my total testosterone at 651 ng/dL which isn't too bad, but my free T had only just crept into the very bottom of the range.

At this point, my dose was increased to 160 mg per week.

Everything continued in more or less the same fashion though my mood was a little better overall.

I would take a stressful situation in stride and be genuinely impressed with how well I handled it.

Gains in the gym were steady. I wasn’t setting PRs everyday, but every few workouts, I would break a record on one lift or another.

My body composition was starting to change a little. I wasn’t morphing into a completely different person, but I could tell I was gaining a little muscle.

My muscles had always been extremely soft and flat, even more so than guys who don’t lift.

But at this point, they were starting to have a little more firmness and look more full.

Weeks 12-26 of TRT

Testosterone DoseTotal T (ng/dL)Free T (pg/mL)
200 mg per week64311.5

With my free T levels still less than optimal, my dose was increased to 200 mg per week (highest commonly prescribed dose) and I was told to come back in for blood work in at the 6 month mark.

I started feeling even better on a daily basis.

I truly felt strong, confident, and stable and my mood was “up” most days of the week.

In the gym, I was still continually making progress and had started carrying around a noticeably greater amount of muscle mass (and a little more fat).

I grew out of the majority of my wardrobe.

It wasn’t the testosterone alone. I was lifting like a beast and also systematically increasing my calories by just a few hundred per day every time the scale didn’t budge for a week or so.

It’s funny – people who’ve know me for years and years and are aware that bodybuilding is my life, began asking me questions like “have you been lifting weights?” or “what have you been eating?”

It was gratifying to finally have people acknowledge that they could tell I had dedicated my life to building my body.

Weeks 26-52 of TRT

Testosterone DoseTotal T (ng/dL)Free T (pg/mL)
200 mg per week109023

After 3 months at 200 mg per week, my total testosterone came in at 1,090 ng/dL and my free testosterone was at 23 pg/mL.

Both of these numbers have me at the top of the physiological range and I feel great right here!

Mentally and emotionally things aren't really on the upswing anymore.

But then again, I'm a right where I want to be in that department so a plateau is just fine with me.

It's hard to tell if I would've been able to keep adding size and strength as I've been on a caloric deficit for several months. But I think this fall/winter will be very productive when I decide to bump my calories up again.

I'm also happy to report that I haven't had an injury since starting TRT.

I'm finally able to recover from my workouts so I'm not digging deeper and deeper into overtraining.

after trt testosterone replacement therapy progress

Is testosterone really a miracle drug?

Yes and no.

I'm not for a second naive enough to believe that testosterone directly targets all of these individual problems.

But it can absolutely help some of the major ones, resulting in a synergistic effect that can be life changing.

The most important thing to know about TRT is that it can help guys in need who are willing to help themselves.

Note – If you're having symptoms and want get your levels checked, call the company I use, Primebody.com and get a free consultation, $25 off your monthly fee, and an additional 10% off your first month and when you use the code Lewis27.

It’ll most likely be useless if you expect such a small dose to move mountains for you while you put in no effort toward a healthier body and mind.

Though I have experienced so many benefits of TRT, in my opinion, here's what TRT is not:

  • It's not a magic bullet
  • It's not the “easy out”
  • It's not a passive treatment
  • It's not a short-term solution

For me, testosterone was simply the catalyst I needed to overcome certain shortcomings. It helped me break the vicious cycle of being stagnant, feeling depressed, and failing to improve my physical, mental, and financial situation.

And I likely wouldn’t have seen nearly the same intensity of benefits if I didn't put in obsessive amounts of effort to bettering my life.

But I do know that Iron & Tweed likely wouldn’t exist if not for testosterone. Untreated, I didn’t have the grit to overcome the struggles of starting a business from scratch.

Yes, there have been a lot of sleepless nights in the first year.

But with my new, much more resilient mental state, I was able to rationalize and remind myself that success will come.

I’m not sure the old me would’ve had the balls to do that.

So for that and so many other reasons, I find myself grateful to TRT and eager to see what the future holds for me because of TRT.

For the final installment of the low T series, I will be discussing the details of finding adequate treatment.

More to come!

Nate

Note – This is the third of a four-part series.  Click here for Part 1  for a primer,  here for Part 2 regarding my symptoms, and here for Part 4 on finding treatment.

You Might Also Like

248 Comments

  • Reply
    Johnny Lionseed
    August 28, 2015 at 12:13 pm

    This was a great read to go with the morning coffee. That’s a really inspiring journey, man.

    One thing you sort of hit on that you didn’t really cover though: I notice in every single before picture, you have a clean shave, but now you have this super beardy beard. Did facial hair come easier after TRT, or were you always able to grow a beard and only recently though to do so?

    I have a feeling, though, that I know the answer.

    • Reply
      Nate
      August 28, 2015 at 4:54 pm

      I’ve been an every-other-day shave kind of guy since my freshman year of high school. My scruff has been quite dense ever since about the age of 16 or 17. You can see what I looked like without shaving for a few days in the skin comparison photo in this article and the one with me in the yellow polo shirt in the previous. Both are from the same vacation in 2009 and I had the makings of a good beard then, just never let it go longer than a week.

      I quit my full time job to start Iron & Tweed and began TRT right around the same time so the beard was sort of a celebration of being liberated from the rules of the human resources department. Since I never grew it out before, though, I can’t say for certain that it isn’t a few percent thicker/darker now.

      Glad you’re enjoying the series!

      • Reply
        Joseph
        January 20, 2016 at 5:20 am

        My doctor has me at 200mg once every 2 weeks. I started at 180 ng/dl now I’m at 630 I don’t feel it to much. He seems happy where I’m at lame huh.

        • Reply
          Nate
          January 20, 2016 at 10:02 am

          That is an outdated dosing schedule. When was the blood test done? As in, how many days since your previous injection? Also, how long were you on testosterone before the follow up blood work was done?

    • Reply
      Artemio Otero
      January 18, 2017 at 10:25 pm

      My testosterone is at 603 , I’m 37 and I was wondering about trt and the great benefits but my doctor say my testosterone is fine

    • Reply
      Mike
      April 25, 2017 at 1:03 pm

      Nate you didn’t even mention if you took an anti-estrogen???

      • Reply
        Nate
        April 26, 2017 at 4:51 pm

        I do take a small dose of Anastrozole. I’m prescribed 0.25 mg twice per week but take less because my E2 gets too low.

  • Reply
    Gordon
    August 28, 2015 at 3:24 pm

    Loving this series so far!

  • Reply
    Carlos
    August 28, 2015 at 6:19 pm

    Impressive transformation in a year. You deserve it. It was a long journey and you didn’t give up. Well done!

  • Reply
    Josh
    August 28, 2015 at 7:03 pm

    Nate,

    Fellow Chicagoan (Old Town/LP border) – long time/first time… if you don’t mind me asking (feel free to reply to my email address privately if you’d prefer), what provider are you currently going to? Some of the folks in this city are hesitant to really make efforts on your behalf regarding TRT, but sounds like yours is more willing to prescribe what’s necessary. Love the blog, great reading, keep ’em coming.

    • Reply
      Nate
      August 29, 2015 at 11:34 am

      Great to hear from a fellow Chicagoan. You’re not very far from me at all.

      One of the most difficult steps in treating low T is finding a doctor who’s willing to work with you. You’re going to enjoy the next article in the series. I’m going to talk about what to look for in a doctor as well as review the program I use for treatment.

  • Reply
    Loic
    August 28, 2015 at 9:00 pm

    You didn’t find the real cause of your problems. Low T was just a symptom. Now you’ve borrowed some time I suggest you start looking for a real solution.

    Your articles are well written and inspiring. I admire the progress you’ve made in the past couple of months. It’s a powerful example for others as it shows that life can be different if one really wants it.

    • Reply
      Nate
      August 29, 2015 at 11:40 am

      You’re spot on, Loic. Low T is a symptom of something.

      I’ve exhausted my current lifestyle factors as well as gone over a complete hormonal profile that would point at tumors or problems with different glands. I used to work with a lot of chemicals and was a smoker throughout puberty so either of those could be a cause, but there’s nothing I can do now.

      At the time of starting TRT I didn’t have health insurance so going through a complete diagnostic process would’ve been financially crippling. It’s definitely something I’m going to look into in the future, though. Thanks for your concern!

  • Reply
    John
    August 28, 2015 at 11:06 pm

    Hey, Nate. I liked your blog before, but this series has really resonated with me. I had some blood work done about two years ago when I decided to seek treatment for depression for the first time in my life (I was 23 at the time), and I had similar testosterone levels (slightly lower). I was put on pregnenolone in an attempt to increase my testosterone, but that didn’t do a whole lot. There was an increase, but it wasn’t much and I eventually stopped taking it. I was unaware of how much of a causal role my testosterone levels may have had on my subjective wellbeing, figuring I would try more organic lifestyle changes and see where I got with that. In lieu of treatment, I made lifestyle changes including developing my style, strength training, and eating better. Your blog is a nice intersection for me :). Those helped a bit with the depression, though I still have some weeks where my neuroses come out to play.

    I’ve had the same experience with my strength training. I’ve lost fat and have a little more muscle to show for my efforts, but my maximums are stalled at about the same place you were at (135-155 bench) and I thought I wasn’t eating enough. I had the same put on fat, cut it, and be in about the same place as I started. I’m still not convinced I couldn’t make more progress as I’m still learning a lot and don’t have the same knowledge you have from the years of training, but this series reminded me of my previous blood work and I got pricked again to see where I’m at after the lifestyle changes.

    Thank you so much for being vulnerable enough to write this series. Like I said, I already like your content, but this is incredible.

    • Reply
      Nate
      August 29, 2015 at 12:28 pm

      You’re on the right track with the lifestyle improvements, John. It truly is a miserable feeling to put everything you have into improving your body and mind only to have your efforts fall drastically short. Keep at it and you’ll find your solution.

      I’m glad you’re enjoying the series and let me know how the blood work improves after making those changes. Let’s hope for good news.

  • Reply
    Andrew
    August 29, 2015 at 9:09 am

    Nate,

    Loving the series. Can’t help but admit it makes me question everything as I have little spells of things you mention in the low T days. Hardly noticeable, and I assumed most would go through small things like these.

    Conversely to your old days, I do actually get people telling me I look good, or bigger. But I look like a slightly bigger version of your (low T) side by side musculature picture. Have you got anything of the old you pumped? The two pictures are a world of difference, but there’s a lot of discrepancy between the two!

    I also greatly struggle with bench. Quite a killer for me!

    Thanks.

    • Reply
      Nate
      August 31, 2015 at 5:01 pm

      Glad you’re enjoying the articles, Andrew! I don’t think I have any pumped up pics from before TRT. That was back in the slider phone days and I didn’t even bother taking that thing to the gym.

      There is a bit of infomercial action happening in the before and after, haha. But I assure you, it’s not intentional. The before photo is in my living room which actually has outstanding overhead lighting makes me look 10 times better than in natural light. At that same point in time during normal everyday situations people were shocked to find out that I worked out at all. Even in the gym when I was pumped up people would say “oh, you lift? You look like a runner to me.”

  • Reply
    David
    August 29, 2015 at 8:54 pm

    Awesome to hear TRT really helped you man. Did you experience any hair loss on your head (seems like you didn’t have that problem), and did you take HCG to deal w/ the testicular shrinkage (is it even possible to have no shrinkage as long as HCG is used early)?

    • Reply
      Nate
      August 30, 2015 at 10:35 am

      I haven’t experienced any hair loss at all. That side effect usually only effects those prone to hair loss in the first place and it really isn’t a problem in my family.

      I take hCG to help with testicular shrinkage and for “peace-of-mind.” I fully intend to be on TRT for the rest of my life, but you never know when complications may arise so I feel better knowing that my testes are still working. It should make coming off easier If I ever needed to. I used hCG right from the beginning and didn’t expect any shrinkage but it still happened. They’re basically normal now so it isn’t an issue for me.

      • Reply
        Imran
        June 3, 2016 at 11:44 am

        All great info Nate..would you mind sharing your detail HCG protocol along with taking t from smaller amount all the way to the higher dose? I meant exactly after how many days of pinning T you would take hcg? what amount? intramuscular or subcutaneous or in mixed form? What amount you worked best for you with what T dosages? Unless you wrote them somewhere, I think this would make e a separate post itself..Thanks again for sharing these

        • Reply
          Nate
          June 7, 2016 at 9:21 am

          For hCG I do 250 iu on Monday morning and another 250 iu on Thursday evening, both taken just seconds after my test shot. I’ve always done subQ with an insulin syringe. With injecting T twice per week, my levels are fairly constant throughout the week so the day doesn’t matter as much as if I were injecting once per week (in which case, I would do test on Monday followed by hCG on Thursday and Friday). If I remember the dose correctly, I was on 500 iu twice per week when I was initially on hCG alone and didn’t notice a thing. So for me, hCG is purely about maintaining some natural production and testicle size so I’m perfectly fine with a minimal dose of 250 iu twice per week.

  • Reply
    Junior
    August 30, 2015 at 4:27 pm

    Hi Nate, great article! Do you have any tips for training and diet for guys with low testosterone? I think I may have low t, I have the symptoms. The before version of you pretty much describes how I am right now. Problem is I am not financially secure at the moment, so even if I have low t I don’t want to start trt at the moment. I’m eating 200 calories above right now and seem to be gaining more fat than muscle. I used to go on a 45 minute run 2x a week, do HIIT 2-3 times a week, train in mma 3-4 times a week, and lift weights and still gained more fat than muscle on a 300 calories above maintenance bulk.

    • Reply
      Nate
      August 31, 2015 at 5:10 pm

      I feel you, Junior. In the fourth part of the series I explain how financially demanding seeking treatment can be without insurance.

      From my experience, you’re going to have to try and separate what other guys “get away with” and what you should be doing. When you have low T it’s easy to feel under muscled and then go out and gorge on fast food because you feel like you need to eat to grow. On the other side of the coin, it’s common to feel fat and soft and get obsessed with burning calories and dieting. Just keep in mind that your body won’t react in the same way as guys with normal hormones.

      Until you can correct your problem, I would put most of your effort into lifting and eating clean. Keep calories close to maintenance as more than a couple hundred in either direction is going to result in undesirable body composition changes. Keep cardio to a minimum. Probably keep MMA in your routine as it’s probably the most fun and actually useful.

      Good luck and keep me posted if anything changes.

  • Reply
    Jonathan
    August 31, 2015 at 2:14 am

    Hi Nate. It’s great to see this post today. I am going for my first appointment tomorrow to consult with a specialist and get my T checked. All the symptoms you describe are exactly what I am experiencing. I’ve been fighting with myself over whether I should get on TRT, and I finally decided last week. My biggest worry has been side effects, and that has kept me from getting checked for a while. Seeing your story and how great it has been helps put my mind at ease. Thanks for a great post!

    • Reply
      Nate
      August 31, 2015 at 5:16 pm

      That’s great to hear, Jonathan! On a low dose treatment you’ll receive from a doctor, side effects likely won’t be an issue. Even if you do experience some sides, they’ll likely be mild (as in my case) and can easily be corrected by adjusting your dose or adding another medication. And worst case, if you experience any adverse reactions, you can always just stop. No worries.

      Keep me posted on your progress!

      • Reply
        Jonathan
        September 1, 2015 at 12:37 am

        Just had the appointment a few hours ago. Very encouraging. He seems to be a fan of high doses, even though he prefers to measure Total T instead of Free T. He talked about targeting 750-1000 Total T, which as I understand is the top end of the spectrum. I have research to do though, he said that he prefers subcutaneous tabs over the shots, though he will do the shots if I prefer them. Supposedly the tabs absorb at an even rate over time, but I’ve never heard of them, so I want to see some reviews first.

        Even if it doesn’t work out with him, you were kind enough to give an alternative in your final post in the series.

        • Reply
          Nate
          September 2, 2015 at 12:58 am

          Glad you’re on the right track, Jonathan! It’s ok that your doctor’s using the total test measurement. It only becomes a problem when someone has normal to high total T and low free T.

          It’s good that he wants to see you at the top of the range. Many doctors will do the bare minimum and bring you into the lower half of the range and call it a day. Kind of defeats the purpose of seeking treatment and going through the trouble of manipulating hormones, in my opinion. I don’t have any experience with subcutaneous tabs so I can’t advise you there, but I do subcutaneous injections and like them very much.

          Best of luck and I’d be curious to know how the tabs work if you decide to go that route.

          • Jonathan
            October 2, 2015 at 3:20 am

            The blood test didn’t lie: 225ng/dl total Testosterone. I took my first injection on Monday, and was feeling a difference inside of a day. Initial results from just one injection: mildly increased energy; mildly increased focus; and much increased libido.

            I can’t wait to see what the next couple of months bring. Thanks for posting your story Nate, it was the last push I needed to get started myself.

          • Nate
            October 3, 2015 at 7:27 pm

            That’s fantastic! I’m glad my story helped you. When I was on the fence about seeking treatment, I read the experience of other guys and it really helped me so I decided I’d keep the ball rolling and try to help others. If you’re feeling this good after one shot, I can’t wait to hear about how you feel in a couple months!

          • Jonathan
            January 9, 2016 at 3:14 pm

            The turnaround has been huge. We’re still increasing the dosage slowly, but here’s where I’m at now after three months (using letter grades):
            Libido went from F to A++
            Energy and Focus, F to B-
            Mood stability, D to A
            Restful sleep, F to A
            Muscle gains, D- to B
            Fat loss, F- to B+

            And this is on .9cc every 10 days with no estrogen blocker. Looking forward to what happens at my next increase!
            (Sorry this reply is out of order, you have the blog programmed to only go 4 replies deep, so I couldn’t put it in the right spot).

          • Nate
            January 9, 2016 at 6:20 pm

            This is fantastic news! With TRT being so effective, it’s hard to believe that the mainstream medical community would rather treat each symptom individually with a total of about 4 or 5 medications.

  • Reply
    Trouble
    August 31, 2015 at 6:57 pm

    Not sure if I need TRT since I want to fuck every woman walking around, even the occasional fatty, but I do feel lethargic and not wanting to do anything. I definitely need to tighten up the diet. Maybe that will help.

  • Reply
    krish
    September 1, 2015 at 6:02 am

    Hi Nate,

    I have been on TRT for the last year or so (on and off).My major issue right now is the pain at the injection sites and irration.I am taking 100 mg TEST Prop EOD with no HCG..

    I want to shift to TEST cypionate but my concern is the estrogen levels on it..How are you dealing with it??

    Specifically what is your AI routine..

    • Reply
      Nate
      September 1, 2015 at 10:32 am

      I’ve heard that test prop stings like a bitch. I do subcutaneous injections twice per week for both pain and estrogen level control. It doesn’t hurt much at all and my estrogen levels are spot on with only 0.25 mg of Anastrozol twice per week. I could probably come of the AI completely if I brought down my dose of test a little, but I’m not going to mess with something that’s working so well right now.

      If you can make the switch I think you’ll find it much less of a “pain in the ass.”

  • Reply
    Krish
    September 2, 2015 at 1:51 am

    Some days I can’t do squats because of pain in thighs…

    One more thing,when do you take the AI before or after the shot..if after how many hrs later..I started bjj recently and it will be a “pain in the ass” rolling with the pain

    • Reply
      Nate
      September 2, 2015 at 10:44 am

      I know what you mean. I injected in my thigh a few times to try it out and it went just fine, until leg day. I experienced virtually zero soreness for about two days, then the day after I did squats I felt like my leg was made entirely out of bruises.

      Since I do subcutaneous injections twice per week, my levels should be relatively even from one day to the next. If anything, my peak would be right around the time of my next injection. I take all three medications at the same time on Monday morning and Thursday evening. That’s my protocol, not the doctor’s. Since I don’t have any problems with side effects, I just go for a simple routine so I don’t have to worry about dosing myself six different times throughout the week.

  • Reply
    Safy
    September 2, 2015 at 9:09 am

    So true. On Test 300 mg I want every woman.

  • Reply
    Matias Page
    September 4, 2015 at 10:26 pm

    This series of articles are extremely in-detail. That’s outstanding and uncommon! I sincerely appreciate that someone took the time to write this.

    I’m 37 and on my last checkup my total testosterone was 530 ng/dL. Yet, I still have many of the symptoms you detail. And I felt very close to your pain when you refer to the days when you feel like utter shit. That “spiraling” out of control is exactly how I would describe it. I also have been finding these gorilla mindset exercises harder and harder to practice consistently. Motivating myself seems to get harder everyday!

    I’m in Argentina and so far it’s been impossible to get into TRT. But your article has shone a bright light on my mind. I will try until I can get it.

    By the way, your website is looking better than ever. I found you thanks to good ol’ Vic.
    Thank you very much.
    Matias

    • Reply
      Nate
      September 5, 2015 at 11:18 am

      Most men report low T symptoms when their levels are somewhere between 300-500 ng/dL so it’s entirely possible that this could be causing your issues. The spiraling was the absolute worst part and my best guess is that it was leading to the majority of the others. I knew that it was something medical and not just a personality flaw because I had an immense desire to not feel that way. A lot of the time I was able to control it, but other times it was like I was a completely different person who had no authority over my mind.

      Keep searching for treatment, maybe there are some alternatives.

      • Reply
        Matias Page
        September 6, 2015 at 3:11 am

        Thanks Nate for the reply.

        “I had an immense desire to not feel that way” Exactly how I would describe my situation! In fact, what maddens me the most is that I regularly manage to create great feelings and raise my energy levels, only to fall into an abyss two days later. After reading your post I searched all over and I found a place that seems to have bio-identical testosterone. Have a great day, man!

        • Reply
          Matias Page
          September 6, 2015 at 3:27 am

          I see no way to edit my post. So I’ll add that by ‘abyss’ I mean much much harder to motivate myself to workout, create my work and such. I’m not depressed.

    • Reply
      John
      January 31, 2016 at 4:22 pm

      Mine was 487 when mine was checked with exactly the same symptoms. Got one injection and it changed my life. If you’re used to having high T when you were younger, 500 could be a real punch in the gut. Do what ever you have to to get it. Is got my wife to convince dr. He would never done it without her.

      • Reply
        Nate
        January 31, 2016 at 5:46 pm

        That’s a great illustration, John. What’s normal for one guy could be agony for another. That’s why I like when doctors treat symptoms and don’t just rely on generic range. I’m glad you’re feeling better!

        • Reply
          John
          January 31, 2016 at 6:14 pm

          Some men won’t want to do it but my wife went with me. i tried without her talking about weightlifting/weightloss and my old dr laughed me out of the place. Went with her to my current DR, who was visibly against giving a guy with 487 T shots, and she did what women do to get hormone therapy. I get 100 a week split into 2x a week shots. Wife does them IM. I end up paying about $70 out of pocket at Samsclub without using my prescription insurance. That lasts me about 4.5 months. So it is possible to get a RX from your primary with just symptoms. Go to as many dr. as you have to. It’s that important.

  • Reply
    The Best of August - Bold and Determined
    September 7, 2015 at 3:13 pm

    […] My Low T Journey: One Year on TRT […]

  • Reply
    Steven
    September 16, 2015 at 8:30 pm

    Nate, really well written piece on TRT. I did TRT two years ago and noticed nice changes but in the end I bitched about the monthly cost (Los Angeles prices).
    I’m actually set to go in tomorrow and test my levels again and decide if I want to have another 6 month go at it.

    BTW, nice site. Looking forward to more articles.

    • Reply
      Nate
      September 16, 2015 at 8:42 pm

      I’m glad you enjoyed the article, but it’s a shame that you had to cease treatment due to cost. In case you haven’t read the next article in this series, LowTestosterone.com only charges $199 per month for complete treatment. They have a location is Los Angeles and another in Anaheim. I’d recommend giving them a call if that’s less than you can get if for through your doc. Good luck either way and keep me posted!

  • Reply
    Jackson
    September 17, 2015 at 9:10 pm

    Wow…I’m exactly the same symptoms except about 8 years older. Experiencing all this for about 2 years though. I’ve read 4-5 other blogs regarding TRT but this is the one that relates most to me. It describes exactly what I go through. Negative self image even though I dominate in my job, pretty low sex drive even though I can get it up ok. I just don’t initiate much…, low energy especially at the end of the day, dread working out, fall asleep on the couch at a moments notice, depression, anger issues…It’s too much lol.

    Dr. Won’t even think about starting me on anything. Total test levels were 400 when last checked. Don’t remember free levels though. Doc says “your fine” and ends the conversation.

    Side note though. Thyroid has lumps and gets biopsied once per year for cancer. It’s clean. And doc says thyroid levels are also perfectly fine. So IDK WTF is up. Looking to maybe go a “different route” but having a hard time pulling the trigger. I def would want HCG for testicular atrophy. I think that would bug me.

    How are your estrogen side effects mate? Never been a problem? Does the doctor keep you on some sort of AI?

    • Reply
      Nate
      September 18, 2015 at 4:15 pm

      You’ve summed it up pretty well. You just sort of feel “incomplete” with low T. I haven’t had any estrogenic side effects at all. As soon as my levels got slightly high, my doc put me on a very low dose AI and my levels have been spot on ever since. If your doctor won’t play ball, but you feel that you need treatment, read the next article in this series and you’ll see how LowTestosterone.com was a life saver for me. And I’m 99% sure that you’d qualify for treatment with your current levels. Good luck!

  • Reply
    John Blith
    October 13, 2015 at 4:20 am

    Hey Bud, very succinct blog. Level of detail and effort is great. Just a couple questions in relation to you exhausting possibilities for low-T causes. I saw in the over segment you never grew out of the ‘teenage’ sleeping phase. There is this Navy Seal Dr who worked with navy seals who were appearing with testosterone levels of 80 year old men – ie burnt out from over-training, lack of sleep. Here’s a link to it, if you’re interested. http://daily.barbellshrugged.com/1-quick-way-naturually-increase-testosterone-sleep-w-dr-kirk-parsley-episode-113/. I’m in no way affiliated to any of this, it just part of my questions. Did you rule out sleep distubance, and/or metabolic syndrome as a cause. because I had a friend whos low-T was caused by metabolic syndrome etc. Also modern sleep and lack therefore can reek havoc on test levels. Look forward to hearing from you, i’m not expecting a long answer or anything. Cheers!

    • Reply
      Nate
      October 13, 2015 at 7:04 pm

      Hey John, that’s a really interesting video on the effects of sleep on testosterone levels. I know that can really mess with hormone levels. The same thing happens during extreme dieting and many competitive bodybuilders have the T levels of 90 year old men pre-contest. I’ve always been diligent about getting enough sleep and a bad night for me was 7 or 8 hours. I’ve also never gone much under 2,500 calories per day. As far as overtraining, I had periods where I would get so burnt out I would take a week off and then reset my program and work back up to my previous weights over the course of a month or so. Even during these easy periods the symptoms were all there. Before going on TRT my blood pressure, lipids, and body fat levels were all really good so I don’t think metabolic syndrome was at work. Thanks for the resource!

  • Reply
    Greg
    October 13, 2015 at 6:34 am

    Great Read! I am 50 and have been on trt for about 2 years now, I am prescribed 200mg per week but currently I am doing 60mg e4d. I can’t seem to get it right and feel weird most of the time. My hemocrit was a little high so I give blood every 3 months to keep it in line but still feel weird on it. My last labs had me at 452 total and that was doing 50mg of test c e4d and .25 of Adex e4d, my estrogen had gone down to .5 on this protocol so I raised it to .60 e4d and still feel strange on it. I am objecting im into the thigh most of the time. Any Suggestions? Thanks!

    • Reply
      Nate
      October 13, 2015 at 2:49 pm

      That’s a very conservative dose you’re on and the injection protocol should have your levels extremely even. Can you describe the weird feelings? Did they start immediately after starting TRT? There isn’t anything that jumps out at me based on the numbers you’ve given.

  • Reply
    Greg
    October 14, 2015 at 5:51 am

    Strength is great, body weight is great although I have slacked on my cardio lately. The weird feeling is sometimes flu like, feel great one day and flu like the next, get hot flashes at different times. If I increase my dose I get bumps on the back of my neck and hairline area that I think are folliclites, I try to keep them at bay with 2 showers a day ect but they still come. I also get red dots on my stomach area if I increase dose. When I started armidex the red dots subsided some what but I still get the occasional few. My urologist will do the testotorone and the armidex but will not do the hcg so I have had some nad shrinkage but not to bad and at 50 with 3 children I am not worried about the fertility issue. I have been researching and I wonder if I may be allergic to the cottonseed oil In the cyphinate, I talked urologist into trying ethanate so I am gonna give that a try. Do You think hcg would help me to feel better on trt and any other suggestions would be appreciated! I am also wondering if I need to up my dose age more in line with yours as my numbers were about the same as yours at the beginning. Willing to try anything to get stable! Thanks!!

    • Reply
      Nate
      October 14, 2015 at 2:17 pm

      I would think that the hot flashes may be do to estrogen levels. You previously mentioned your levels being at 0.5. What is the reference range for that? For the allergic reaction, I’m with you thinking that it could be the oil. I would try a testosterone cypionate with a sesame oil base. You could also try switching to a testosterone gel to rule out the oil allergy. It’s rare for men to be allergic to the actual testosterone since it’s identical to the naturally occurring hormone. I’ve never used test without hCG, so I can’t comment from experience, but most guys report a greater sense of wellbeing on hCG. I would wait until you figure out why you’re having these reactions before you up the dose. Good luck and let me know how the enanthate goes.

  • Reply
    Greg
    October 14, 2015 at 5:28 pm

    Reference range on the estradiol is 7.6-42.6, I was at 49 on estradiol test last time and I started the .25 armidex twice a week. Was also wondering about trying SQ injections,what is your protocol on that! Thanks!

    • Reply
      Nate
      October 14, 2015 at 7:06 pm

      Ok, you should be well within range since starting the Arimidex (my estrodiol came down about 20 points on the same dose). I’ve really never heard of feeling that way on TRT. I think you’ll just have to work on ruling out causes with your doctor. For Sub-Q injections, I use 27 gauge needles and inject into the fat around my bellybutton. I do that on Monday morning and Thursday evening to get an even 2 doses per week.

  • Reply
    Doug S.
    November 20, 2015 at 2:49 pm

    Nate, just got my results back from LabCorp and they came back 289 ng/dL, the reference levels for a male my age (47) is listed as 348 -1197. The Urologist’s office called and stated that my numbers are in line and are fine. The thing is I do not feel fine. I go to bed tried and wake up tired. I go to the gym no less than 5 to 6 times per week, doing lifting and cardio, with no gains. I am some what over-weight and my weight fluctuates 20 to 25 pounds at a time. I am a big guy, so when I have my clothes on you can not tell I and carrying the extra weight, just looking for any suggestions you may have

    • Reply
      Nate
      November 20, 2015 at 4:52 pm

      It’s almost comical that a urologist would consider that in line when it’s below the bottom of the range! I could see that number being fine if you didn’t have any symptoms, but you do. I would recommend seeing a different doctor. My levels were exactly the same as yours and I can tell you that I feel much better at the top of the range. My previous recommendation was LowTestosterone.com but they are closing so unless you’re located near Chicago I can’t recommend a specific doctor. Good luck, Doug.

  • Reply
    Ron
    November 25, 2015 at 3:38 am

    First off, amazing results. And in a year, no less! You should be stoked. You’re in the top 2% of physiques, no doubt.

    You touched upon something that I’ve been wondering, but it’s hard to get an answer to: the importance of Free T vs Total T. Looking at your numbers, your Total T finally jumped up, but that was at the same time that your Free T also shot up. Which do you attribute your results to?
    The reason I ask is I’ve recently started a journey to take better care of myself. The first step: blood work, and numbers. For a 30 year old dude, I’m psyched on my Total T being in the high 800s. My doc called that good, and didn’t go deeper. But I noticed my Estrogen was also fairly high, and my Free T was lacking considering what my Total T was (the exact numbers escape me. I’m not at home to check). I thought perhaps the lower Free T could explain my less than stellar results in the gym. I work HARD for the gains I get, and while I’m in great shape, I’ve always felt I should be in better shape given my dedication. Any thoughts/opinions are much appreciated. Keep up the good work!

    • Reply
      Nate
      November 27, 2015 at 5:55 pm

      Thanks, Ron! Yeah, my total and free T increased at the same time. I attribute my results mainly to the increased free T. Your total T numbers sound great to me. Are you a stocky guy? I ask because big boned individuals tend to have high testosterone and higher than average estrogen levels. If your free T is disproportionately low, I would look at your sex hormone binding globulin levels. This is the molecule that binds to testosterone, rendering it unusable. If the levels are too high, it could explain the discrepancy.

  • Reply
    Ron
    November 29, 2015 at 2:08 am

    I’m actually tend more on the lean side. Back in high school I was 5’9″ and all of 135 lbs. I also have a smaller bone structure (wrists, etc). Thanks for the tip towards SHBG. I was thinking that, but unfortunately everything I’ve read doesn’t point towards a quick fix for that. It seems more about getting your body in balance in general, which isn’t a bad goal, just a complex one. And thanks for taking the time to respond. I’ll keep reading, if you keep writing.

  • Reply
    Mario
    November 30, 2015 at 10:32 am

    Hey, Nate! Amazing progress. You’ve become a completely different man! I want to ask you, is the awesome facial hair also a result of the increased testosterone or you were naturally a beardy guy. According to recent studies I’ve come across, hair is not believed to be linked directly to testosterone anymore. But I don’t know what to believe. I’m 24 and my facial hair is present, but really wispy. So I’m wondering if there is hope in the future that I’ll be able to get a more thick beard. Thanks!

    • Reply
      Nate
      November 30, 2015 at 3:03 pm

      Thanks, Mario! I’ve had the ability to grow a full beard for about 15 years before starting TRT. I started shaving every other day when I was in 8th grade and kept it up until recently. Even though I never grew it out, my beard pattern and density hasn’t changed.

  • Reply
    Scott
    December 2, 2015 at 7:17 pm

    Wow, I just read through this series and it is more or less EXACTLY the same thing I experienced over the last 12-18 months on TRT. My wife and I went through some difficult times (we had a baby that screamed for several months as well, and then there was my wife’s cancer diagnosis). Lately we’ve been musing on how different those situations might have been handled by a post-TRT version of me. The mood difference really is that notable, and it’s definitely not something I would willingly give up.

    Since you’re on a pretty high TRT dose, I was wondering how you’re doing with hematocrit. I’m on a lower dose (170mg weekly) and this seems to be a side that I have to manage very actively – if I don’t donate blood like clockwork, my HCT hits the mid 50’s. Given all the benefits though, it’s a relatively minor annoyance.

    Anyways, great job on the blog!

    • Reply
      Nate
      December 2, 2015 at 10:11 pm

      Sorry to hear about your wife, but I’m glad that TRT is helping you get through these tough times. I don’t remember the exact number, but my hematocrit has been in the normal range every time I’ve gone in for blood work.

  • Reply
    Rob
    December 9, 2015 at 9:57 pm

    I am so glad that I came across this site today. Tomorrow I go in for a consultation at Ageless Clinic to begin the process of TRT, I’m older than you at 46 but at 6 foot 170 I have NEVER been able to bulk up. When I finished school I was just under 6 foot and 125 pounds. Went to the service and came out at about 150. Over the next 20 years finally got to 170. I recently had T checked at 240, and then after about 6 weeks of HcG went to about 460. I felt more energy, but it was short lived, and the 10 weeks ran its course and that was it. I had never had any symptoms, always had a jack rabbit high libido, lots of energy, and felt great up until about age 42. Just had a weird cloud come over me that depressed me, and lost energy. That was the 1st time my doc had run Test and it came back at about 240. I have consistently been taking DAA (D-Aspartic Acid) along with TongkatAli in order to maintain some good energy now. And I tried Saw Palmetto, but that has very negative effects on me. Makes me go no energy, and I get depressed. So after reading this I am very hopeful. Perhaps I can get to the 180-185 range of some good muscle mass. I have to mention, I went very hard core a couple years ago and followed a very strict weight gain and workout routine in hopes of creating mass. I was drinking a 2500 calorie protein shake almost every day. I started at about 158 pounds. I was also taking a odd muscle gain pill. anyways after a very disciplined 9 months of this, I think I put on about 7 pounds. My wife said she noticed nothing, aside from a bigger gut! Imagine my disappointment. Shortly after those 9 months, I got a stomach bug that made me nauseous. and vomit, about 3-5 days later I was right back to about 157! I felt completely disheartened after all the work I put in. Please feel free to email me Nate, I’d love to share my results from time to time and maybe get some additional advice. You look great, and I hope for similar results.

  • Reply
    Toni
    December 11, 2015 at 2:22 pm

    Greetings from Finland! And thanks for the great TRT series. I have read the series through several times. It has given me a lot of hope and motivation during the last few months, and in the future too. I’m 37, my libido has been practically nothing for years, I think. I’ve been trying to lose weight several times during the last years. I’ve been going in gym on and off, with very little results. Sleep has not been refreshing, I have been tired all the time. I’ve been unable to control my eatings (lots of sweets and candy and pastries and biscuits and everything..) During the last summer I made again yet another improvement in my lifestyle: started going to gym again, better diet, you name it. I had motivation so everything was “easy”. But after a month, my mood, physique, everything suddenly dropped (not much, but still). I was expecting something totally different.

    I decided to go to see my occupational doctor, who ordered a longest list of blood tests i have ever seen. Everything was quite ok, but total testosterone was 8,1 nmol/l (231 ng/dl). Recheck after a month, the total testosterone was 6,5 nmol/l (173 ng/dl). Yesterday evening he called me and prescribed me some T gel (just for 3 months, for now. We’ll see what happens).

    Maybe I was a bit nervous about using the gel, since I slept only about 3 hours during the night. Today morning I applied the gel for the first time. When I got to work, I began to feel strange impressions. First I thought it was a placebo effect, since I wasn’t really expecting any reactions this quickly. Maybe in two weeks, but not definetely yet. My mind appeared to be a bit clearer than I expected (especially after the last night’s sleep). Strange tingling sensation began to appear in my muscles. Over the next two hours I felt like the whole world was unveiling for me. Everything became gradually shaper, clearer, easier, joyful, happier. I hadn’t been so awake in years! I guess I was one of those guys whose light switch is turned on. :D

    Well, I knew that feeling was just some kind of peak reaction, or something. (It was great, though!) Now, after some 4 hours from that peak experience, I feel normally tired, like I think I am supposed to be after the last night’s sleep. Still, my mind is clearer, my muscles are not aching. I feel better. I’m like “Is this how healthy, normal people feel?” :) I don’t know what comes in tonight, or tomorrow, or next week, but today, there was (and is) the light.

    • Reply
      Nate
      December 12, 2015 at 2:51 pm

      Toni, you’ve described the symptoms of low T perfectly. It’s a poor existence where it seems that all of your efforts are useless, no matter how fired up you are. I’m glad you found a doctor willing to help you everything is going to get better from here on out. Your experience with the gel is very accurate. T gel will indeed have you at peak levels within hours, then your levels decline until the next application. This is exactly how natural testosterone levels fluctuate over a 24 hour period. I’m so excited that you’re experiencing life the way that it was meant to be!

  • Reply
    Jimmy
    December 18, 2015 at 11:19 pm

    I’ve got to ask bro, how do you keep your skin clear? I am decently lean (usually fluctuate between 8-12% depending on cutting or bulking) and I eat healthy. Lots of lean meats, veggies, complex carbs and fruits. But my shoulders and upper back have been breaking out bad. Before trt my skin was really clear. Even growing up playing 3 sports And even into college baseball. Not sure what is going on. Also starting to break out down my arms as well

    • Reply
      Nate
      December 19, 2015 at 12:42 am

      Like you, I had really clear skin before TRT, but the acne started creeping up in the exact areas you’ve described. For daily use I have Dial acne control bar soap and use a regular body wash on a loofa about once per week.

  • Reply
    Sonoran
    January 6, 2016 at 7:23 pm

    Im 22 and I have a 9am Test level of 533 and a 4pm level of 300 ng/dL .
    My LH is supposed to be below 12 ( according to the range) but mine is at a 3.3 ( which means its VERY low.)

    Do you think I should try a HcG monotherapy to try and boost LH which would then boost Test? What about TRT itself?

    • Reply
      Nate
      January 7, 2016 at 9:30 am

      What is the unit of measurement for LH? I’m finding the generally accepted range to be 1.8-8.6 IU/L. That would put you right in the worry free zone. Since hCG mimics LH, it would most likely suppress your natural production. And Testosterone eliminates the need for LH, also resulting in suppression. If your range is different from the one I have, I would talk with your doctor about finding the cause of your low LH.

  • Reply
    Roly
    January 18, 2016 at 5:18 pm

    Were you doing sub-q shots when you got that Total T right around 1,000 number? Or were you doing Itramuscular at that time. I’m on s similar dose, similar number doing IM shots. I’d like to move to sub-Q but I’ve read mixed reports on how effective it is. I’m afraid to muck with what’s working! Lol. But yeah, sub-q is much less painful, I do my hcg that way, piece of cake.

    • Reply
      Nate
      January 18, 2016 at 5:36 pm

      Yeah, that is with doing sub-q injections. As far as I can tell, sub-q is just as effective, but won’t give you as high of a peak or as low of a valley. Just more stable all around. You could always try it for a few weeks before you go in for blood work just to confirm that you’re still in the optimal range.

      • Reply
        Roly
        January 31, 2016 at 10:15 pm

        Worrrrrrrrrrrd. Thanks man. Of course I JUST ordered 50 IM syringes. I don’t find IM shots awful, just slightly more painful than sub-q, so I’ll probably spend 6 months using those up, then switch to sub-q and get bloodwork a month in to make sure it’s comparable.

        • Reply
          Nate
          February 1, 2016 at 8:21 am

          What size are your IM syringes? You can still use them for sub-q, you just have to be careful how deep you go.

          • Roly
            March 14, 2016 at 2:03 pm

            They are 1″ 27 gauge. I actually tried out subQ the other day and it did not go well for me. It stung like crazy going in and for hours after. And left a hot, almost…. lump for like a week. ?? bizarre. Test E, not prop or anything that is known to sting. I went back to IM. I don’t find IM that painful really, so I’ll just stick with that since it’s working for me.

            Great website BTW. I was so inspired by what you’ve created, I found the theme you use, and installed it to my own wordpress blog. It kicks ass! It’s nice to look at and FAST! I shaved 4 seconds off the page load time by switching themes. Check it out:
            http://www.handsomeandflirting.com/

          • Nate
            March 14, 2016 at 6:46 pm

            Yeah, it does burn quite a bit. For me, I prefer the under skin burning to the muscle aching. Maybe I’m just not that good at IM yet but it really interfered with my training. You gotta go with what’s working for you. Your site is looking really good!

  • Reply
    bsoth
    January 28, 2016 at 10:58 pm

    Nate, I have read your series multiple times and would not change a single word in it. From the descriptions of symptoms, to the effects of treatment. I am a 19 year old so I use your journey and explanations as a reference for my parents, and some friends since they really do not understand it… I have a few questions regarding an AI. I recently switched to SubQ, and at 50mg 2x/week my levels came back at 487 test, 23 estradiol (<39). We raised the dose to 50mg EOD and my levels came back at 1037 test, 61 estradiol (<39). I just settled with my doc on a dose 50mg M,W,F and am sure that my estradiol will climb into the mid-upper 40's. My question for you is how does the AI 2x/week of .25mg affect your estrogen level? Do you know how many points it lowered? Do you know your levels with an AI, compared to without one? I really appreciate what you have done.

    • Reply
      Nate
      January 29, 2016 at 7:17 am

      I’m glad I could help, bsoth! I know it can’t be easy being so young. Even at 30 years old people give me this crooked stare when I tell them I’m on TRT. My estradiol was right around 40 without the AI and then 0.25 2X per week brought it down into the teens. You may need to add an extra dose. See what your follow up blood work shows and if it’s high, you could suggest the extra dose.

    • Reply
      Frank
      March 18, 2016 at 5:44 pm

      The first couple times I did IM it was brutal. Not the shots the muscle aching you are talking about after. For like 5 DAYS. I had to skip one of my leg workouts. But now I get ZERO pain after. And the shot is minor.

      The trick is to do the injections SLOWLY, like 30 seconds plus. Then what I do is get up, hold a cotton ball on the injection site and do 10 deep knee bends. (I only inject in the thigh) That seems to work it in enough, that I’m totally pain free after. Nothing! Not a dull ache, nothing. You could do leg day the next day if you wanted.

  • Reply
    bsoth
    January 29, 2016 at 4:04 pm

    Are you taking this on the day of your injection, or the day after? I have seen both… I try and avoid referencing it to anyone I know just because of the reactions and labels it comes with. That’s why if it does come up, which is extremely rare, I send them this link to your series instead of spending my time and emotion explaining things they will never understand. I was alarmed to see you haven’t suffered any injuries or other health complications from Low T.

    • Reply
      Nate
      January 30, 2016 at 7:27 pm

      I take my AI on the same days as my injections. It’d probably be a little better to do test on day 1, AI on day 2, and hCG on day 3, then repeat. That’s a little too involved for me right now. I do test, hCG, and AI once on Monday morning and then again on Thursday night. On the topic of injuries, I’ve always felt brittle and sickly. I used to have very injury prone joints and always seemed to have a cold. I was just thinking the other day that this is the second winter I’ve been through since starting TRT and I haven’t been sick a day since I started! Even when my wife and daughter have been ill for a week at a time. I’m not pointing at causation, but the correlation is definitely there.

  • Reply
    bsoth
    January 31, 2016 at 2:20 am

    Thanks for the info! Right now my protocol is strictly Test without HCG. I am sure that down the road it will be added in. That has to be an awesome feeling finally having your dose pinpointed and experiencing the benefits of the TRT. You resemble an iron giant… My testosterone started to crash at the end of my sophomore year of high school. I convinced myself that the different emotions I were experiencing was a part of “maturing”, when in reality I was doing the opposite. My parents convinced me it was in my head. Sports were a big part of my life, and still are but competing with low testosterone was not easy. I have undergone seven surgeries now, all correlated to my testosterone, including my left and right shoulder labrums tearing along with my ACL, lateral meniscus and medial meniscus of my left knee. Luckily after being led to a doctor at the end of my senior year, a blood test contained the lovely reason for everything.

  • Reply
    bsoth
    January 31, 2016 at 11:19 pm

    We all have. Keep doing you.

  • Reply
    The three tools you need to get shredded for under 100$. - Andreia thoughts
    February 13, 2016 at 6:45 pm

    […] of youth. If you want to learn more about TRT(Testosterone Replacement Therapy), take a look at this article from Iron & Tweed. It’s a multi-part series that covers the topic entirely. Lying to your audience is the […]

  • Reply
    Jaabecca Jones
    February 17, 2016 at 11:32 am

    First off Nate, Thank you for sharing your story. I have started and stopped several blogs and this one has inspired me to try again. I feel now I have a platform to speak from. I was diagnosed with LOw about tow weeks ago. However while looking at my chart from previous blood work. I learned that I had a Low T reading back in 2013. My last reading this year was 156ng. The results I learned of from 2013 were 230ng. So right now I am floored with confusion as to how this could have gone on for long and not been noticed. Now as I play the tape back sort to speak, I question how long this has been going. I recall have issues with being able to get it up and keep it up going back as long as 2005. However because I had so many positive experiences I never investigated. I chalked it up to excessive drinking and poor eating habits. I just bout horny goat read or got drunk before sex.

    Now I am married for going on 7 years and my libido is all but gone. My wife has been on me forever and questioning if I am cheating because we don’t do it and I am not chasing her at all. What’s crazy is that I thought she was overreacting , maybe because I battled with this for so long I thought it was normal. Now I find out she was right all along.

    I am a 37 year old black male and I want to ensure that the TRT treatments will be effective and not damaging to my body. There is so many videos and articles that claim this can be done naturally, but I don’t know if I have the time it could take. I want to save my marriage, I want to feel confident again. I want to feel clear minded and decisive again, and I want to start and finish a blog like this one to help me going through the same issues. Right now I am on 200mg every two weeks. After the first injection it two about a day and I started feeling GREAT. I made love to my wife a few times and just felt better about life. then a week later I felt worst hen when I started. I just got my second injection and yesterday and I feel just as bad as I did before. Zero libido, no morning woody, nothing. What can expect over the next 6 months and what can I do to aid during this process?

    • Reply
      Nate
      February 17, 2016 at 2:37 pm

      I’m really glad that you’ve gotten to the root of your problem. It’s amazing how many areas of your life can be effect by low T. Your current plan is spaced too far out and possible under dosed, which explains why you went from feeling amazing to worse than when you started. Ask your doctor about doing injections once or twice per week. If he isn’t on board with that, contact PrimeBody.com. They’re experts and will get you the dose and injection frequency you need to feel great everyday. Here’s a link to my experience with them and don’t forget to use the code Lewis27 to get a free consultation and a great discount. Best of luck to you, Jabbecca!

  • Reply
    David Bristow
    February 23, 2016 at 7:56 pm

    Hi Nate awesome blog really gives me hope I am just starting my quest with low T. I got my results back a couple days ago and total T was 41 yes just 41 what is your thoughts on a number that low and am scheduled with a doctor in a week. Which route would be the best for me to go. Also I am a 50 year old man with all symptons that you described I j don’t know much about all of this thank you so much in advance for any help or words of encouragement you can give

    • Reply
      Nate
      February 24, 2016 at 9:24 am

      Wow, david. That is really low. How is your diet and exercise routine? Also, how long after you woke up was blood drawn? You’re doing the right thing by talking with a doctor about all of this. All I can do is share my experience, he’s going to be the one providing your treatment. Good luck and let me know what he says.

  • Reply
    David Bristow
    February 24, 2016 at 10:46 am

    I Sure will Nate and thank you very much for your quick reply. Well as far as my exercise routine I do all compound lifts and as heavy as I can because I w told that would help raise it but very little gains at all. I Keep my diet pretty clean plenty of protein so I I Am hoping this will help oh and it was drawn at 9:30 in the morning does time make a difference. I Just don’t know very much about this it’s all new to me. I’ll get back to you after doc appointment. Thanks again brother oh and one more thing have you ever heard of anyone with T this low I’ll be honest its a real bummer knowing it’s that low

    • Reply
      Nate
      February 24, 2016 at 2:12 pm

      David, 41 is the lowest I’ve ever heard of. That’s why I was wondering about your lifestyle factors, but you seem to have those in good shape. And yes, time of day does matter. Your testosterone levels are highest when you wake up and decline throughout the day. I’ve seen the decline measured at around 30%. When you go in for your appointment, make sure your doctor is looking for the cause. It can’t always be found, but considering how low your levels are, the doctor should be checking other blood markers or ordering additional tests.

  • Reply
    Dave
    March 12, 2016 at 1:08 pm

    Wow 29 years age doing TRT is about youngest person in normal health I have heard of requiring or just doing TRT.

    All the benefits you speak are true but unfortunately only there as long as you continue doing TRT which seems unwise given your young age.

    The real issue doing the doses you are doing are not short term side effects but the long term reduction in natural T levels (will go even lower than your pre TRT levels) and more importantly the psychological effects when and if you get off TRT…the most notable one being depression and low libido.

    I wish you luck going forward but think you may be on a slippery slope

    • Reply
      Nate
      March 14, 2016 at 7:05 pm

      Thanks for your concern, Dave. My life was truly miserable before TRT and I have no intention of going back to that. I knew the risk and was committed for life from day one. I’m also not concerned with having any more children so fertility isn’t an issue.

  • Reply
    SolidHouse
    March 19, 2016 at 11:00 am

    Hi Nate,

    I really like your blog and the detailes on the results you have obtained.

    I have a question regarding the blood test that were taken after started treatment. What time frame was the blood test taken after the injections? I understand the values could vary, for instance if the blood was drawn 48 hours after the testosterone injection versus 6 days after the injection. Do your recall how long after the 200mg injection that your blood was drawn into order for you to be in the higher end of normal range (just over 1000pg/dl)?

    Thanks!

    • Reply
      Nate
      March 19, 2016 at 7:11 pm

      You’re right, levels do vary quite a bit with weekly injections. Testosterone levels slowly climb, peaking around day three then taper off for the next four days. But I do twice per week injections so my levels should be roughly the same every day of the week. But just to be consistent, I always have blood drawn the morning before an injection. That means the previous dose should be peaking so I’m basically looking at the highest it could possibly be.

  • Reply
    David Bristow
    March 19, 2016 at 2:01 pm

    Hi Nate I finally seen the doctor yesterday and my second set of blood work came in and my total was 120 and my free was 14 I d know what the scale was but anyway he prescribed me 200mg of test cypionate every two weeks. What do you think of this protocol and what would you do split the dose and do every week or just leave it alone. Thanks in advance for any help that you can give me as I really don’t understand this to much at all. Your awesome brother thanks again Dave One more thing is there anything that I should be on the look out for and when should I sta to feel better

    • Reply
      Nate
      March 19, 2016 at 7:21 pm

      You’ve accomplished the most important step in finding a doctor to work with you. I think 100mg every week or 50mg twice per week would be ideal. But try 200mg every two weeks and see how you feel. If you think your levels are tanking during week two, bring it up to him and see if you can do 100mg every week. I say to try it his way because doctors can (justifiably) get pissed when patients start telling how to do their jobs. As for a time frame for feeling better, most guys report symptoms clearing up within 3 months or so.

  • Reply
    David Bristow
    March 20, 2016 at 8:46 am

    Nate your awesome brother I can’t thank you enough for your quick response and your right I wi do it like he says and see how that goes. I Hate to keep bugging you with questions but I have been doing a lot of reading and I he about AI and hcg now I am 50 years old so I am not worried about having kids so I I Don’t know how these would apply to me. Thanks in advance Nate for any help you can give me on this. Dave

    • Reply
      Nate
      March 20, 2016 at 10:29 am

      I’m glad to help, David! For the AI, it’s on an as needed basis. Your follow up blood work will determine whether or not you need it. On my last blood draw, my estrogen was too low so my doc cut that prescription all together. For hCG, it can be very helpful, but not everyone uses it. It can help with keeping the size of your testes (might not even be an issue at your current dose), protecting fertility, and maintaining natural production should you ever decide to come off or TRT. With TRT being a lifelong commitment and you not being concerned with fertility, I don’t think it’s absolutely essential. Of the two, I think hCG would be most beneficial to you so feel free to bring that up to your doctor.

  • Reply
    Mike
    March 21, 2016 at 8:36 am

    Thank you. Just….thank you! I feel like I just read my diary or something. I experienced everything you did leading up to initiation of your treatment; from the fatigue to the frustration of making minuscule progress despite utilizing every training and diet strategy out there. I finally had it checked and sure enough I have low T; starting treatment in a week . I really didn’t know what to expect from the treatment, so this was extremely helpful. Again, thank you!

    • Reply
      Nate
      March 21, 2016 at 9:59 am

      I couldn’t be happier for you, Mike! Your life is about to get a hell of a lot better. Keep me posted on your progress!

  • Reply
    David bristow
    March 21, 2016 at 10:39 am

    Nate you are an awesome person I re mean that thank you so much for your help in this I will definately do as you advise please keep up the great work your doing and I wi give you updates when I do my follow ups appointment again thanks and God Bless Dave

  • Reply
    David
    March 29, 2016 at 10:40 am

    Yo Nate,
    I’m considering the prime body route, but feel like my previous tests (privatemd) showing 435-490 via LCMS method (bottom end fsh & lh levels) don’t make me a good candidate. Do they offer a HCG only protocol? I am not interested nor do I feel I would be a good full TRT candidate.

    Never taken anything before, suffering from low T symptoms for while now, but have an appreciable amount of muscle 5’9″ 175lbs @~12%

    • Reply
      Nate
      March 29, 2016 at 4:10 pm

      Primebody’s main service is all-inclusive treatment, but I think you should give them a call to discuss an hCG only protocol. Also, contact your health insurance provider and see if they would cover the medication. You might be better off going that rout.

  • Reply
    Shane
    March 29, 2016 at 7:41 pm

    Nate,

    Awesome blog about the evil nemesis of the male gender. I have felt like death for the past two years. I am a 2-year old diagnosed diabetic, so I just attributed all my bad feelings to that diagnosis. Over the past few month, things just progressively worsened. I have always been a SUPER busy person, always staying busy doing something, never resting…….. but that’s has drastically changed. I tried diabetic medicine changes, etc, but nothing helped. I complained to my wife one morning about just how horrible, with no energy I felt. She told me, “I think you’re testosterone is too low.” I’ve had about every symptom of Low T there could be, but I just tried to hide and mask them all. My ED was horrible and it’s hard to lie about that (no pun intended), My brain-fog was horrible, which made doing my job, some days, extremely difficult. So, I broke over one day and went to an urgent care and had my blood drawn, my TT was 211. As soon as I received those results I made an appointment with my primary care, and he wanted to redo my level, which showed it to be 234. My PCP wouldn’t do the TRT because of the insurance paperwork involved, so he referred me to yet another doctor, a specialist, an Urologist that specializes in Low T. I made good on that appointment and met with him; he was a total prick! He said that my T level was in normal range, but would consider TRT if my free level was under 6. I had my T levels redrawn then and the results came back that my TT was 248 with a FT of 7.6. He wouldn’t do anything to help. The only thing he really said or offered during the visit was that I would probably benefit more from losing 15 pounds and talking to a psychiatrist (my father recently passed away and he said I was just depressed). I walked out of the appointment, out of the room and out of the office because I knew if I stayed in there with him, I was going to punch him square in the face. Fast-forwarding to now, I’ve been put in contact with a holistic/anti-aging doctor who reviewed my test results and reordered another T level. I am now on Test Cypionate 100-mg per week. I’ve only had one dose, but I have noticed some increased energy level and less brain fog. I’m hoping that a lot of the other issues will resolve as I take more and get it more into my system. On average, how long, in your opinion, before I see marked reults?

    Many thanks for your honest and help in your writings!

    • Reply
      Nate
      March 30, 2016 at 5:26 am

      I’m super happy you’re getting help, Shane! It’s a shame that you had to go to three doctors to get it, but you’re on the right path now. I would say that within about 3 months most of the effects will have set in.

  • Reply
    Gaurav Kumar
    April 2, 2016 at 10:37 am

    Hey, Nate
    Iam Gaurav, 25 years old from India. Actually, I never had any sign/symptom of low testosterone till Jan 2014, when I stupidly bought some supplements claiming to increase your height. I don’t know but I overdosed in them for a full week like 10capsules per day (when it was written on the box that for adults not more than 2capsules) . Tight after that I suffered from extreme sexual problems. No libido, no sexual attractions, no concentration, poor memory whereas earlier I was very good infact in these departments. I used to be math topper of my class during my graduation but I cannot even multiply numbers properly now. Brain fog is extreme.
    Then from that on, for nearly two years I thought it will come back to normal. But it didn’t and recently when I saw an Endocrinologist , he asked me for some tests and my testosterone levels were 44ng/dl, 163ng/dl and 106ng/dl (three time readings for confirmation). Now my doctor has put me on HCG 2000IU two times a week. And asked me to come after three months. It has been 4 injections till now but no improvement sofar!
    I miss being horny. And all that stuff! What should I do if I don’t respond well to HCG?
    Can I have TRT at such a young age? I mean if I take it now suppose, will the gains be always with me throughtout my TRT treatment?

    • Reply
      Nate
      April 3, 2016 at 8:21 pm

      You can go on TRT at any age, but it shouldn’t be viewed as a short term fix so I wouldn’t advise you to start unless you’re willing to be on it for life. It seems like you’re doctor is trying to bring back your natural production with high doses of hCG. I would just say to be patient and judge the follow up blood work and see how you feel after 3 months. If you and your doctor do decide to go the TRT route, the gains will stay with you.

  • Reply
    Karim
    April 5, 2016 at 6:22 pm

    This article is amazing!!! Probably the most important information on ant subject that truly matters! I just decided a few days ago to schedule a physical and labs, so I can begin TRT. My only regret, is that I waited so long with so many symptoms. The clinic I’m going through usually prescribes 200mg weekly, plus HCG and AI. Thanks again for sharing all of this great info! (btw I,m 49, 6’5″, 250lbs)

  • Reply
    Ross
    April 7, 2016 at 10:19 am

    Hi Nate,

    Is your Free T reading on this page at 7.2 pg/ml the correct unit measurement? The reason I ask is I feel I have low T at the moment with total T at 11.8nmol/l and free T coming in at 6ng/dl, however, when I convert your pg/ml number to ng/dl it comes out as 0.72ng/dl which makes my number look like I am superman in comparison…

    I could be converting it wrong but thought asking might shed some light too.

    Thanks

    • Reply
      Nate
      April 8, 2016 at 2:26 pm

      Yep, it’s 7.2 pg/mL which makes sense with the reference range of 9.3 – 26.5. I got the same 0.72 ng/dl when I plugged my number into a calculator. Did you calculate your number or is that how it was reported on your labs?

      • Reply
        Ross
        April 10, 2016 at 10:40 am

        I calculated it myself and upon querying it with my endo (who told me last year I was perfectly fine) he confirmed he reached the same number. Not sure why he thought it was normal for me at 26 to have the levels of an 85 year old but he seems to be taking it more seriously now atleast.

        Thanks for the reply and for the awesomely detailed information you are sharing on the site.

        Cheers

  • Reply
    Gaurav Kumar
    April 13, 2016 at 12:22 pm

    Hey, Nate
    Thanks for the advise but I have started (after much discussion with my doctor ofcourse) to start TRT.
    The protocol is: Testosterone Enanthate 100mg each on Monday and Thursday (total 200mg/week)
    HCG 250 IU each on Monday and Thursday
    Now my main query is I happened to check my estradiol from a good Diagonostic Centre in my vicinity and it came at 103pg/ml High
    And this reading was before my second injection. I think it was the baseline reading because I had never checked it before.
    So, how much of Arimidex do you think would bring my estradiol level to say around 22pg/ml?

    • Reply
      Nate
      April 14, 2016 at 9:36 am

      That sounds like a solid protocol. You may need a lower dose of test since your estradiol is so high. As far as dosage is concerned, the Arimidex is going to be completely up to your doctor. Everyone responds differently. For example, I’m an over responder and my doctor had to cut it all together because on my last labs my estrogen was almost nonexistent on only 0.5 mg per week. I’m glad you’re getting treatment!

  • Reply
    Drew
    May 17, 2016 at 11:46 am

    Nate,

    Thanks for the great article and providing much needed insight into TRT. I don’t think I’ve read a more comprehensive account of TRT’s effects on younger men anywhere else. I’m in a weird dilemma and perhaps you can help me out with your advice.

    I’m a 34 year old man, and I’ve got some of the signs of low T: poor libido, insomnia, inability to sustain erections, clinical depression (I’m on Wellbutrin), lack of motivation and competitive desire, and poor focus. I recently got my hormone levels checked: Total Testosterone was 525 (350 – 850 lab normal range), LH was 2.1 (2.0 – 7.5 normal), and FSH was 1.2 (2.0 – 6.5 normal). As you can see my Total-T was “normal” according to the the lab’s ludicrously large range, but my FSH and LH levels were low. I was also at the low normal range for Vitamin D3 and Vitamin B12. Other hormones like T3, Estradiol, Prolactin and general stuff like Cholesterol, Liver enzymes, Iron, Haemoglobin, blood cell count, etc were *perfect*. Body composition wise I’m not that bad — although I can’t recover from workouts as quickly as I could in my early 20s, I still don’t have too much trouble gaining muscle mass. Keeping fat levels low has been increasingly difficult however.

    So, you can say that the psychological symptoms of low-T are a complete match with my profile more than the physical ones. I work in the tech sector in Silicon Valley and I have to put in lots of hours, travel time, etc. I manage stress as much as I can, but I’ve been having these issues in spite of my best efforts. It’s sort of like catch-22: I can function well if I get good sleep, but my sleep is disturbed greatly, which leads to poor productivity the next day, leading to anxiety and even worse sleep. This kills my motivation to do anything else. These are alarming, and new signs which have started happening only in the last 1.5 years.

    Given that my LH and FSH are so low but my total Testosterone is normal, and that I’m having all these psychological issues, do you think it is worth getting a TRT consultation? In my mind there’s no doubt that having a high normal T level like yours around 1000 which is essentially double of my current level will definitely improve my zest for life. That said, given that diagnosis for Hypogonadism is largely done by checking total T levels and I fall in the “normal” range, I just wonder if a TRT doc will consider me a candidate for treatment.

    Any advice is much appreciated.

    Thanks,
    Drew

    • Reply
      Nate
      May 20, 2016 at 10:44 am

      Your total T isn’t bad but if you’re having symptoms I’d hate to see you not get treatment because labs use a faulty range. Talk to someone at Primebody (see this article for details). The doctors in their network actually understand TRT and tend to treat patients based on symptoms rather than blindly following ranges. Good luck, Drew!

  • Reply
    Equalo212
    June 8, 2016 at 11:27 am

    Hey, i realise that this an old post but looking for advice nonetheless and hope you can reply. I have had all the symptoms you described since high school, i am 25 now and recently got tests done. I had low-normal TT but low FT at 6-9 pg/ml and my libido is non existent and typical problems with mood. My LH/FSH are high-normal indicating i am primary/mixed hypogonadal. While i have educated myself in the past 4-5 months since being diagnosed, reading a lot of books and forums and i am very well versed in all issues relating to T and other hormonal issues, i wanted to look for personal experiences from people that started treatment at a similar age and experienced symptoms for similar time before treatment as to how long it takes to get symptomatic response. I am into the 4th week now and my doctor ordered blood work at 2 weeks in and my values for TT/FT and E2 looked in good range but i have yet to experience any symptomatic response. Getting TRT at 25 year old was a BIG decision for me and i am bit anxious reading that most get at least SOME response after 3 weeks in.

    Would like your views on this and as to when can i expect to have some benefits in terms of mood, libido more than anything else. I have had some return of morning wood since starting but not psychological changes for which primarily i sought treatment for.

    Thanks man, your 180 degree turn in life is very inspiring and i hope i can achieve half of your success with treatment if not at all.

    • Reply
      Nate
      June 8, 2016 at 1:38 pm

      Hey Equalo, I know how big of a decision committing to TRT at an early age can be. I wouldn’t worry about how long it takes, the improvements will come. I remember waiting for that “light switch” moment when I would start feeling awesome but it never happened. What did happen was that I began to feel better gradually. I started noticing my thought process changing and I would react to stressful situations better. As a generalization, I began feeling better after the first month and the benefits tapered off after about 6 months. They didn’t go away or reverse, things just stopped improving at a noticeable rate. Hang in there, you’re on the right track!

      • Reply
        Equalo212
        June 8, 2016 at 1:53 pm

        Thanks a lot Nate, Your blog is very well written, i’ll be sure to follow it. The similarity between your case and mine is so mind bogglingly similar. I used to be obese , cut down the weight and started feeling well with the new found confidence of having a well, non-obese body. I started dating my current girlfriend of 5 years, life was good, then everything went down hill and i lost my energy, libido, had some level of ED, confidence was gone, i was anxious, borderline scared of something i have no idea of, became self loathing, nothing i did right seemed to matter anymore, only negatives would enter my thinking mechanism, became depressed, basically lost myself. Everything suffered, just when i was about to flunk out of college and came close to losing everything at that time, i somehow found motivation to fight this, i am mentally strong in personality so i knew this was not me but did not connect the dots as you may be able to understand being 21-22, you do not think there could be anything wrong medically with you especially something like Testosterone. I reclaimed some parts of my life, concentrated again in my studies, became obsessed with weights and improved my fitness but i never got results as i should have, i used to track macros, used to work so hard for results despite being tired all the time, this got me better marginally, regained some sort of confidence, but i retained mild depression, negative self image, felt i was worthless and undeserving of everything life has given me, a great relationship, great parents, financial security and i didn’t know where it was coming from. Finally one day i talked to my doctor, i never had a doc before as i am healthy otherwise, and my doc was good and made me comfortable so i asked him and saw that FT was so low. It was a mixture of relief/hope and sadness. I hope i find what you found with TRT and actually become functional in what i want to do with life. I am so fun loving in my head but something stops me from being it. Listlessness is the word to describe it.

        Thanks again for your reply. Will give you a follow on Insta soon. :)

        • Reply
          Nate
          June 9, 2016 at 8:57 am

          “Mind bogglingly similar” may even be an understatement, haha. Our situations sound nearly identical! With that in mind, I can only hope that our response to TRT will be similar as well. Don’t get your hopes up waiting for that magic moment, just keep an eye out for how you respond to/view certain situations. Keep me posted!

          • Equalo212
            June 9, 2016 at 9:33 am

            Will do! Hopefully with some positive news soon. I don’t have any superman type expectations, i have zero interest in physical benefits of TRT as well, i would be happy with the functionality of a normal 25 year old person, i.e, not get mentally and physically tired of everything and have some relief from negative self perception and thoughts and ofcourse a normal libido.

          • Equalo212
            June 12, 2016 at 8:51 am

            did you have your LH/FSH tested? Most likely yes, but were you secondary or primary?

  • Reply
    Ben
    June 16, 2016 at 4:30 pm

    Hey Nate, what HCG dose are you on (500 twice week)? Also, are you taking an AI? If so, what is your protocol?

    • Reply
      Ben
      June 16, 2016 at 4:32 pm

      AH…nvm sorry I see its listed up farther. I just went through primebody and they prescribed me 200 mg test a week split injections, 500 UI HCG twice a week, and an AI. You see any issues with going that high on HCG? I was mainly curious about if you need an AI for your dose?

      • Reply
        Nate
        June 17, 2016 at 9:28 am

        That sounds great. The hCG shouldn’t be an issue. That was actually my protocol when I was on hCG only and it was very mild.

    • Reply
      Nate
      June 17, 2016 at 9:26 am

      For hCG I do 250 iu twice per week. I was on an AI at a very low dose 0.25 twice per week but I must be an over responder because my E2 went to almost nothing. The doctor cut the AI from my protocol after my last blood test.

  • Reply
    Equalo212
    June 27, 2016 at 11:26 am

    Hi Nate,

    I am back. Unfortunately not much to report though i’m almost 6 weeks in. I am wondering if you started your protocol with IM injections or subQ? I am thinking that the subQ may be a factor in me not feeling better at a reasonable time frame. Labs look good though, E2 at 22.9, FT was 21(9-30) and TT was 1000 or so. Have had some change in erections but not mood,libido etc. Worried to be honest.

    • Reply
      Nate
      June 29, 2016 at 9:04 am

      I started with subQ and only experimented with IM for a few weeks to see if I noticed a difference and I didn’t at all. Your labs look great so the subQ injections are obviously having the desired effect. Just give your body time and any symptoms caused by low T should clear up within 6 months or so. Hang in there!

      • Reply
        Equalo212
        July 1, 2016 at 10:10 am

        Thanks for the encouragement, appreciate it. Most people experience a quick improvement which may fade but i didn’t have that so i got worried. There are also people who, especially with my normal TT and low FT disagreed with the need for treatment. So,it does not help with being patient to see something. Though, i was on vacation recently and i had a period of two days finding 90% of the girls hot in a way i haven’t sensed in some time, i usually think of pretty girls as pretty instead of something sexual. This came back down though, i have 6 week point labs in a couple of days, to look for potential reasons.

  • Reply
    Pat C
    July 13, 2016 at 9:26 am

    Did you notice any weight gain at the beginning of your TRT? I just started TRT and I put on 8 lbs within the first month. I have what I would describe as an endomorphic body. I put on muscle easy but I carry a little extra fat. I was hoping that the TRT would help shed some of the fat and gain lean muscle. I do cardio and lift weights 5 days a week. Thanks for the great blog!
    Pat

    • Reply
      Nate
      July 14, 2016 at 6:26 pm

      I put on about 20 lbs over the first year. I did it really slowly and intentionally by eating at about a 200-300 calorie surplus per day over the first year. If you want to shed the fat, you have to monitor your caloric intake on a daily basis.

  • Reply
    James
    July 16, 2016 at 6:01 pm

    Hey bud, what is your current protocol, when do you take your AI and which AI are you using? Thanks!

    • Reply
      Nate
      July 18, 2016 at 8:34 am

      Currently I’m injecting 175mg of testosterone and 500iu of of hCG per week with no AI. I break up each medication into two doses spaced 3.5 days apart. So that’s 87.5mg of test and 250iu of hCG on Monday morning and the same thing Thursday night.

  • Reply
    James
    July 18, 2016 at 10:41 am

    Why no AI though?

    • Reply
      Nate
      July 19, 2016 at 7:06 am

      I was on a very low dose of Anastrazol (0.25mg twice per week) and it knocked my E2 almost to zero. I’m either an over-responder to the medication or y body fat and dose of testosterone are low enough to not have estrogen problems in the first place. I’ll find out what my numbers are without the AI after my next set of labs.

  • Reply
    James
    July 19, 2016 at 1:48 pm

    Cool deal keep us posted

  • Reply
    shawn
    July 19, 2016 at 4:44 pm

    does 2 shots a week seem to keep you on a steady level, the problem I have been having is on day 6 I feel like I have low T again. I started with 100mg per week and I was feeling the low on day 5-6 I upped it to 140 mg per week and still feeling low on day 5-6.

    • Reply
      Nate
      July 20, 2016 at 5:29 am

      Definitely talk to your doctor about injecting twice per week. My levels are so stable, it doesn’t even matter which day of the week I have blood drawn because as one dose is declining the other is just about to peak.

  • Reply
    Steve
    July 25, 2016 at 8:03 pm

    Thanks! I needed this article. I’m 39 and you’re comment about rather sleeping than having sex rang home to me. I work out hard at the gym and I’m lean and healthy, but I certainly struggle to gain muscle. I have only just been diagnosed with low T, so the ball has started to roll for getting me into the health system and getting treated. It explains so much! I am motivated to hit the gym and stay fit and healthy, but most other areas of my life (wife / kids / business / social life) lack motivation and I haven’t understood my low moods and or mood swings, it all now makes sense now. I really valued hearing your experiences and I look forward to some positive changes in my own life.

  • Reply
    shawn
    August 3, 2016 at 12:24 pm

    What are your numbers with this protocol and are you doing the hcg just to keep some natural production.

    “Currently I’m injecting 175mg of testosterone and 500iu of of hCG per week with no AI. I break up each medication into two doses spaced 3.5 days apart. So that’s 87.5mg of test and 250iu of hCG on Monday morning and the same thing Thursday night.”

    • Reply
      Nate
      August 3, 2016 at 1:43 pm

      At this dose my total testosterone is at 893 ng/dL and my free T is at 20 pg/mL. So essentially, that puts me towards the high end of the middle of the range. And yes, hCG is just to keep everything functioning as normally as possible.

      • Reply
        shawn
        August 12, 2016 at 12:57 pm

        just had some blood done, this is after 160mg once a week for 2 weeks and it came back at 900 on day 7. the nurse called and asked how many days before the blood test did I do the shot and when I told him 7 days he said 900 is to high. then asked me if I have been moody because of the high test LOL. What’s your opinion on the 900 7 days later, they want me to lower my dose.

        • Reply
          Nate
          August 15, 2016 at 2:21 pm

          If you’re at 900 7 days after your injection then I’d say that you’re definitely pushing and probably surpassing the top of the range of 1,100 – 1,200. If you don’t want to cut your dose you could always request to have blood drawn again but do it 2-3 days after injecting. This will give you the best idea of your peak and lowest levels throughout the week. Another idea is to ask if you can split the dose into two. You’ll have much less of a peak only injecting 80mg at a time.

          • shawn
            August 15, 2016 at 2:37 pm

            I’m definitely going to drop the dose I actually was surprised it was that high, from your experience in lowering the dose is it 20mg at a time or can I drop it 40mg down to 120mg.

          • Nate
            August 15, 2016 at 6:01 pm

            For me, my levels were at 890 on 175mg per week and 1090 at 200mg per week. I’m not sure if that’s the same for everyone, but you can see that is quite a difference with only a small change in dosage. If you’re going to have blood drawn again soon, I’d ask the doctor to come down slowly.

          • Shawn
            September 19, 2016 at 7:02 pm

            how is your hematocrit level at 175mg per week. just curious I’m having mine tested this friday.

  • Reply
    DG
    August 3, 2016 at 7:28 pm

    Thanks for your site. I started TRT today. My levels of test were 260 as a healthy 29 year old male who exercises 5x a week- and the symptoms of low T were ruining my relationship and life. I hope that this can turn things around for me.

  • Reply
    Hancel
    August 7, 2016 at 1:12 am

    Found your site through B&D and when Victor makes a suggestion, it’s always a solid one!

    Thanks for writing out in such detail what could be expected from before and after TRT. If I found your site a few days ago on ‘accident’ then I believe this was meant for me to experiment with. My sex drive went down drastically at age 24 when I was going through one of the most devastating break ups known to mankind. I’m 26 now and it’s still low. I’ve also been battling with Candida Albicans which is a yeast infection inside your stomach and although I’m getting better, according to this challenge, it causes low libido since food isn’t being digested properly.

    I’m about to undergo an all natural colon cleanse which I’m excited about and have learned so much about diet and NOW about T. I seriously can’t wait to get on it, man. I’m excited because I’m a salesman and selling is my drug. It’s my biggest love in life so I can just imagine how much my production will go up by having higher T. I really appreciate you, Nate. Greetings from LA!

    • Reply
      Nate
      August 8, 2016 at 12:07 pm

      It’s great to have you here, Hancel! I think correcting your low T will have a tremendous impact on your abilities as a salesman. Keep on fighting!

  • Reply
    HCG 101: Real Talk on Hypogonadism & Human Chorionic Gonadotropin - John Doe Bodybuilding
    August 11, 2016 at 10:01 am

    […] There are two ways to use HCG while cycling and 2 ways to use it while on long-term testosterone replacement therapy. […]

  • Reply
    FVH
    August 12, 2016 at 5:04 pm

    Great read. I have been researching low t for several years now, I guess not so much low t itself but my symptoms that lead me back to low t. I finally shallowed my pride/ego seen a doctor in my area that specializes in replacement therapy. Well, I was diagnosed as being low t and the doc ordered for my first prescription today. At this point I am pretty excited to get the replacement therapy.

    • Reply
      Nate
      August 15, 2016 at 2:21 pm

      You’re life is about to get a lot better, FVH! Let me know how everything works out.

      • Reply
        FVH
        August 19, 2016 at 6:46 pm

        Got my first shot yesterday. The doc recommended Nand Deca/Test Cyponate/ Test Enanthate 60/70.

      • Reply
        FVH
        December 4, 2016 at 12:27 pm

        Well I have been on Testosterone treatments for nearly 4 months now and it seems to be working fairly well. The Doc started the dosages pretty low and I did communicate to him on a follow up that I think I would benefit from a raise in the current dosage. He has had me at .5 ml of 60Mg Nandrolane Deca 70 Mg Test cypionate 70 mg test enanthate. He boosted my dosage to .6ml for the next 4 weeks, then to .7ml and re-evaluate at the next follow up. I will say that since starting I have noticed an increase in my mood. I am not nearly as moody and seem not to react to things as quickly as I use too. I have also noticed that my stamina in the gym has dramatically increased. I have added reps, sets, and weight to all of my work outs. I also in the past would periodically strain a lower back muscle that would normally derail my workout for a week to ten days. I always attributed this to getting old, I am 45. Well it has not happened since starting the therapy, so its all good. During my 12 week follow up my weight was up 8 pounds and my BMI was down from the initial visit by almost 10%. Now I believe that I will make some adjustments to my diet to see if I can cut some additional fat. My diet is pretty good currently. I don’t eat processed or fast foods and never have but imagine that cutting out carbs and sugar be the things I delete from my diet to make my adjustment.

        • Reply
          Nate
          December 6, 2016 at 4:47 pm

          That’s excellent! How frequent are your injections? I would think that for your diet, cutting out any obvious sugar would be the next logical step.

          • FVH
            February 23, 2017 at 6:09 pm

            I am getting shots once a week 1.0ML for the next 12 weeks. Last visit muscle mass was up again, body fat down.

  • Reply
    Jon
    August 19, 2016 at 2:43 pm

    Aloha, I’m 28 years old and haven’t felt right for years. I finally told my doctor about my issues and she orders blood work. 1st 2 samples were low 200’s and the 3rd sample was 98. So she sent me to an Endo for TRT. The Endo started me off with 200mg every 2 weeks which I asked to do 100mg every week, very reluctantly she agreed! I then asked about Hcg and an AI. She said she would only do Test or Hcg, not both and AI’s are only for bodybuilders who abuse Test. After a couple weeks she had my blood drawn the morning after my shot and my TT was 600. Even the nurses expected her to increase the dose but she didn’t. I asked about all the other tests you guys talk about ie, Free T, Bio T, Estrogen, she said they were not needed. I finally got one of the nurses to order me an Estrogen test behind her back and turns out my estrogen was through the roof. Brought this up with her and she said she was just going to drop my Test dose to lower the estrogen. Needless to say I’m currently searching for a new Doc.

    • Reply
      Nate
      August 22, 2016 at 9:58 am

      It’s sad to hear about this kind of uninformed treatment but I get daily comments and emails from guys just like you having the same experience. I went through the exact same thing and was unable to get proper treatment despite spending thousands of dollars and going to two different doctors. The only reason I’m getting comprehensive treatment now is because I found my doctor through Prime Body. If you haven’t read Part 4 of my TRT series, you can do it now to get all of the details. I highly recommend giving them a call. At the very least you can find out what your options are. Good luck and don’t give up!

  • Reply
    Orlando
    September 1, 2016 at 3:51 pm

    Nate first of all thank you for everything.
    I love your site and it use it as motivation when I need a little kick in the ass to get going.
    I am 48 and lately I have been feeling like crap, no energy, low libido, always sleepy, tired, depressed. I like working out, practice jiu-jitsu, but have been having joint paints and I feel like an 80 year old man and my weight is a roller coaster, I have to go on extreme caloric deficit to loose weight and then I put it back on.
    I spoke to my doctor and he did a physical but he said it was just part of getting older, everything look fine, I did not buy it, he did not check my t levels.
    So I kept looking around and finally found a place close to work and had blood work done, my levels came back at 183, second check was 232 not much difference, so I was below the min, it was an eye opener since I never had any sexual disfunction signs other than low libido so I thought my levels were normal.
    I just started TRT on Tuesday August 30, 2016, in part due to your site and everything you have been going thru.

    Thank you again.

    • Reply
      Nate
      September 6, 2016 at 7:48 pm

      That’s great Orlando! We had similar symptoms with feeling like crap physically but without the red flag of sexual disfunction. I hope everything works out great for you!

  • Reply
    Dan
    September 4, 2016 at 7:26 am

    Hey Nate!

    This was a great read and a motivational story. There’s one particular aspect you’re describing that I’m wondering about: You mention women at the grocery store looking like supermodels, and you feeling like taking on all of them. How often do you feel that now that your testosterone levels are where they should be?

    I’m asking because I get this kind of feeling maybe once a week or less. I love it when it happens – I just emit confidence – but it’s not that often. I’m asking ’cause my testosterone is low-normal (had too-low 299ng/dl half a year ago, got it up to 413ng/dl recently, and I’m feeling good about it), and I’m wondering if I’m “supposed” to be feeling like that more often.

    • Reply
      Nate
      September 6, 2016 at 7:56 pm

      Currently I’m back to thinking about sex frequently throughout the day. Not quite like being a teenager, but a lot more than pre TRT. I wouldn’t think in terms of how you’re “supposed” to feel, just focus on the improvement.

      • Reply
        Dan
        September 7, 2016 at 6:12 am

        All right, thanks! I’m just trying to figure out if the low frequency of which I get in this “mode” is a symptom of low T or another issue. My libido comes and goes throughout the week. It’s just that if TRT makes you feel that way constantly, it increases the likelihood that it’s actually a symptom for me, not just how I’m wired.

  • Reply
    Chris
    September 11, 2016 at 4:27 am

    Do you need to take this to rest of your life ? Or just to get to right levels and stop ?

  • Reply
    Eric
    September 16, 2016 at 3:22 am

    Hey Nate – your paragraph on how TRT helped you deal with a high maintenance newborn made me laugh. I started TRT the same week my daughter was born (it was scheduled, she was not). She’s 2 months old right now, and I’m having to stay up until 6AM every night holding her lest she screams herself to death. We had the bright idea to let her “scream it out”. We finally stopped her 20 minutes later due to both the deafening volume and how horrible her throat sounded.

    I honestly don’t think I could have handled this pre-TRT. Little things bothered me so much that I would fly of the handle or retreat into my bedroom to nap the day away. Now, my wife swears I’m a saint because my (relatively) super-human patience is allowing her to get a full night’s sleep and keep her sanity.

    I now consider the physical sides of TRT to be secondary – the mental effects are absolutely life-changing.

    Thanks for the great write-up.

    • Reply
      Eric
      September 16, 2016 at 3:27 am

      ALSO – my docs thought I was crazy when I told them that my bench press increased noticeably just a few weeks after my first injection (they started me at 140 E7D). For a good 1.5 years I could do a 1RM of 225 IF AND ONLY IF I ate well and had enough water the day before. Maybe three weeks in I was already repping 225 and the only reason I didn’t go up more was because of some wrist pain.

    • Reply
      Nate
      September 19, 2016 at 2:55 pm

      Eric, I have to admit that I don’t envy you at this very moment, haha! It sounds like you have a colicky baby just like me. The good news is that my daughter is an angle now and I’ve had a bunch of people tell me that difficult babies tend to be much easier as toddlers. Just hang in there and things will get much better! Also, it’s great to hear how much TRT is helping.

  • Reply
    Eric Burgess
    September 20, 2016 at 6:35 pm

    Hey, Nate. Thanks for being so transparent and open about your journey! I just got my first shot on Friday morning and wondered when I should start to feel everything kick in (it’s Tuesday evening now and I’m not sure I feel anything yet).

    Me: 198 ng/dL with basically all the symptoms.

    • Reply
      Nate
      September 25, 2016 at 6:16 am

      Some guys say that they could feel it kick in, but for me it was a gradual improvement in the way I felt over the course of a few months. If you don’t “feel” it right away, don’t worry. Just keep an eye out for subtle changes.

  • Reply
    Shawn
    September 21, 2016 at 12:26 pm

    Have you had any issues with your hematocrit going up.

    • Reply
      Nate
      September 25, 2016 at 6:11 am

      It’s increased some. At my last blood draw I was right at the top of the reference range but nothing to worry about yet.

      • Reply
        Shawn
        September 27, 2016 at 4:43 pm

        I just got my results back this is for 120-130mg per week. I go a little past the line is why I say 120-130mg. On day 7 after the shot 631 ng/dL and free test 0.776 nmol/L the range is Male (17 – 65 yrs): 0.091 – 0.579.
        Estradiol (E2) 41 pg/mL, Hematocrit 52.8 % they said the hematocrit is probably high from the 160mg dose and should be coming down with the new dose. I just started this week splitting the dose as you recommended every 3.5 days I already feel a little better without having the spike of the full dose. Thanks for the info.

  • Reply
    James
    September 26, 2016 at 11:06 am

    Hey boss, are you still injecting sub-q?

  • Reply
    James
    September 26, 2016 at 8:34 pm

    Great article man. I was just diagnosed with hypogonadism at 28 years old beacause of a varicocele that I have had since i was 15. Do you know if starting trt now would help me finish developing my male characteristics such as penis growth, beard growth, body hair growth, regression of gynecomastia etc.? I have been looking for info on this issue and have Had no luck even my Dr. Has no clue

    • Reply
      Nate
      September 27, 2016 at 7:11 pm

      I can’t say for sure but if a testosterone deficiency has held your development back then it may help. After all, testosterone injections help women who are transitioning to men develop a masculine appearance so it should help you.

  • Reply
    Jannu Jokunen
    October 6, 2016 at 11:02 am

    Lol, you turned into a hipster douche

  • Reply
    Ehrich
    October 12, 2016 at 10:12 pm

    Hi Nate, Thanks for sharing your story… I was diagnosed with Low-T a few years ago, tried every natural approach to raise it but did not get the expected results, about 6 months ago my MD prescribed 1ml of Cypionate which I’ve been getting every two weeks… it raised my Free-T from 178 to 310 pmol/L… this week my doctor stated that he now wants me to get 1ml every 4-weeks… considering a reference range of 196-636, the mean is said to be 416… I am 46, what are your thoughts on the 4 week frequency and is it advisable for me to want to be at around the mean?… I’m not sure where my levels need to be for a male my age.

    • Reply
      Nate
      October 15, 2016 at 9:52 am

      That’s great that you found a doctor to work with you but those injections are far too infrequent. Every two weeks is stretching it and I definitely wouldn’t want to go at four week intervals. Try to get him to let you have smaller injections on a weekly or twice weekly dose.

  • Reply
    Jerry Bismuth
    October 16, 2016 at 4:33 pm

    Hey Nate, just wanted to check in and see if things were still going as well as they had been? I’ll be starting trt for the second time in a week or so. The first time I tried it I was expecting things to happen entirely too quickly, and also had the feeling I hadn’t exhausted every natural option. Long story short when I got into a more healthy lifestyle around 23 I completely ruined myself over the course of a year or two with hard training, and woke up one day to realize I had turned into somebody I didn’t like anymore. My libido had always been high, now its gone, all my joints hurt, I am quite depressive at times with a complete lack of connection to people whereas before I had a ridiculous level of empathy, and need about 10 hrs of sleep to function. Free t is usually in the middle, TT ranges from (350-500), and E2 is always low(which I think causes most of my problems honestly). I can now say I have exhausted every last natural option over the past year and a half, and am gonna give TRT one more go. Just wanted to say thanks for publishing your story, it gives hope to some of us who have lost our way, and also made me realize I need to have more patience and give it time to work. Starting this at a young age is a bit scary, but I’ve come to the point where I feel like I’m wasting my youth and don’t want to look back and regret not at least trying all the options to recover.

    • Reply
      Nate
      October 24, 2016 at 8:23 pm

      Jerry, everything is still going great for me. Definitely give it some time on your second round. I would also schedule a deload period for your workouts. Just go to the gym three days per week, cut all of your heavy lifts back to around 70-80% of your working weight, and focus on eating good and letting the treatment take effect. Within a month you’ll be feeling awesome and chomping at the bit to get back to heavy workouts!

  • Reply
    Kris
    November 3, 2016 at 1:04 pm

    Great Blog. You inspired me to get off the fence and get my T tested this morning after thinking about it for years. I really don’t know what to expect-I am 37 years old and have always had some symptoms that suggest low T and some that don’t–I’ve always had hard time gaining weight and some mood/self esteem issues, but I have also always had high libido and good strength to weight ratio in the gym. We will see what happens. Thanks!

    • Reply
      Nate
      November 5, 2016 at 11:15 am

      Let me know what happens, Kris.

      • Reply
        Kris
        November 7, 2016 at 11:49 am

        Hey Nate, my test came back at 545 ng/dl, which from what I’ve read is basically average. No TRT for me at this point. I’m glad I got it done though, first because I can stop wondering and second because it just lets me know I am a naturally skinny guy with some mood/self esteem issues that probably aren’t caused by low testosterone levels. I wish I could weigh more than 155 lean but the truth is I’m only 5’8″ and have a really light bone structure. I’d love to get my test up to 600 or more but I am going to try lifestyle and diet changes instead. TRT just wouldn’t be worth it for me starting at 545.

  • Reply
    Vig
    November 3, 2016 at 8:19 pm

    Hi Nate, I feel fortunate to have come across your blog by accident. I’m 29 and my lifestyle, diet, timeline match your history almost identically, only my symptoms in the last few years have become even more acute. Grew up pudgy and overweight, started running and lifting in college and dropped about 40lbs my freshman year. Eventually stopped lifting from lack of results even though my technique and diet had become impeccable. I’ve continued the cardio and a healthy diet. Sleep 8hrs and feel like I didn’t. At least in my early and mid 20s I had some libido and erections but they’ve been almost gone. Perhaps the most scary physical symptom has been my voice changing to a pre-pubescent tone in the last year or so! If all this has been bad, the mental and emotional aspects don’t compare.. misery, life feels like it’s in quick sand. Living like this for over 10 years has been a tormented existence and I’d like to do something about it. I live in Chicago as well, could you please share who your TRT doctor is? Based on my past experience, I’ve been dreading spending years just trying to find a doc that will listen and is good at his/her job. Would be grateful to find the right one off the bat.

    Best,
    Vig

    • Reply
      Nate
      November 15, 2016 at 6:28 pm

      Sorry for the late reply, Vig. I know exactly where you’re coming from and am grateful that I took the leap of faith and started TRT. Look up Dr. Antonio Barajas.

  • Reply
    Kashif Khan
    November 11, 2016 at 11:18 am

    Nate,

    Were you aware, one of the the main downsides of taking TRT is infertility?

  • Reply
    Denis
    November 11, 2016 at 8:05 pm

    Hello Nate,
    first of all really inspirational story!
    I have question for you about fertility while on TRT. Did your wife got pregnant while you were on TRT?

  • Reply
    James
    December 2, 2016 at 3:38 am

    Hi Nate,

    Great site! It really gives me hope. I am 26 years old and have been suffering with low t for the last few years now. I believe stress, lifestyle and a head injury have caused my low t.

    I am now on HCG Monotherapy. Before treatment my levels had got to roughly around the 400ngdl mark. Free T was well below the range and my SHBG was at 48 nmol/l. I also seemed to have none existent E2.

    Since starting the HCG I noticed some improvement in mood, energy, sleep and libido. Didnt do much for erections but here was some improvement. After a week things seemed to tail off with things. Maybe high E2? I think I may have passed the sweet spot.

    Im wondering if I should just start T with the HCG? I was sceptical and firghtened by T at such a young age so thats why I opted for the HCG Mono first but the improvements have made me realise I just want to be well and I dont care how I get there. Even if I inject for the rest of my life.

    I know you mentioned HCG didnt do much for you. Im just wondering if it had any improvements at all? Should I stick with it for a little longer?

    • Reply
      Nate
      December 6, 2016 at 5:19 pm

      It’s possible that your E2 levels have risen with your test. hCG is known to cause a pretty big jump in E2. The only way to know for sure is to get blood work. Have you had any done recently?

  • Reply
    David
    December 8, 2016 at 1:40 am

    Hey Nate,
    Love your site bro. Really got me informed about TRT and put me to work to find a doc. I am now on my second doctor and have successfully started treatment on 1 injection of 200mg of Test E a week IM. I am 23 years old and started with testosterone levels in the range of 188 ng/dl. I am about 3 months into treatment. I am having awful side effects like facial flushing, hot flashes, and profound anxiety. I reported this to my doc who just suggested I lower my testosterone dose and stated “it is probably due to too high of testosterone dosage” (I know). It got me thinking that my E2 is probably way too high. I had to actually request my doc order me a E2 lab panel. My total T came back at 788 ng/dl and low and behold my Estradiol was 77 pg/ml. I requested my doc prescribe me an AI like Arimidex but, she didn’t seem to know anything about it. She also didn’t seem to be alarmed by my estrogen levels or how to control my estrogen honestly. She referred me to a urologist and now I’m just playing the waiting game. What do you think I should do at this point? It’s very possible the urologist will be just as naive. I see you advise splitting the doses into two injections Monday morning and Thursday evening. Truthfully I don’t want to lower my test dose to 150mg like my doctor advised. Do you think splitting the doses will lower my E2 enough to a suitable range or am I in desperate need of an AI? Any advice is much appreciated.
    Cheers,
    David

    • Reply
      Nate
      December 9, 2016 at 9:31 am

      You definitely need to get that E2 under control. You can just skip the trial and error and go with PrimeBody like I did. The family doctor they put me in contact with got my protocol sorted out right away and they’ve been great to me for over two years now. That includes all blood work and doctors visits, Test, hCG, and an AI in whatever dosage necessary to get my numbers in the best range.

  • Reply
    Chris
    December 8, 2016 at 9:50 am

    Well ,we all thank you for your help and great blog, what is best
    Levels of total T and free T you feel best every day is it when is high like 1090? Or lower how body feels mentally in this range as I am in range 421 only and I am feeling like you before TRT

    • Reply
      Nate
      December 9, 2016 at 9:28 am

      It really depends on the person. I feel good at 1090, Chris from GoodLookingLoser.com feels best around 600, and other guys prefer the feeling of being on cycle with levels off the charts. Rather than focusing on a number, I think the best approach is to start with a conservative dose of around 100mg per week and slowly increase it every couple of months until your symptoms disappear. Good luck, Chris!

  • Reply
    Chris
    December 9, 2016 at 6:11 pm

    Thanks for that,also what tests I should do with my doctor to make sure everything is OK and won’t have any bad consequences of my cycle ,I know total testosterone check free testosterone check is anything I must know estrogen test check I do not want look like women after lol

  • Reply
    James
    December 11, 2016 at 6:13 am

    Hi Nate,

    Just had my labs back. It was as I suspected E2 has risen and there isnt much of an improvement Testosterone wise. I was originally suffering low e2 so I think the brief improvement when first starting HCG Mono was a sort of ”sweet spot”,

    Here are my labs.

    Total T: 576 ngdl.
    SHBG: 45 nmol/l (15-40)
    E2: 44 pgml HIGH
    TSH: 2.1 miu/l

    I still have some improvements from HCG. Maybe in well being, libido has disappeared again as have erections and their quality. Strength is also reduced.

    Was your reaction similar to HCG? I know I could start an AI but I would prefer to try and avoid them for now as I fear crashing my E2. I think I am sensitive to E2, low levels are awful!

    Should I just switch to TRT and HCG? I want to keep on HCG to avoid testicular atrophy.

    Thanks

    James

  • Reply
    Chris
    December 13, 2016 at 7:38 pm

    Hello m8

    What syringes and needles you using for testosterone injections and what for HCG injections, also how do you dose 250iu on syringe to have exactly correct dose each time and also interesting is how you dose test 87.5 mg on syringe ? Also Anastrazole tablets are available online in 1 mg only is it a bad idea take only half a week like you 0.5 mg or it won’t be correct amount

  • Reply
    Derek
    December 17, 2016 at 1:04 pm

    Hey thanks for the great write up… I cannot believe how closely I relate to everything in this blog. I have also dedicated the past 5 years of my life to nutrition and exercise. I count calories in myfitnesspal and exercise 3-5 times a week religiously. With all that… No matter how much weight I lost, I would not ever see my 6-pack and just got skinnier without keeping my hard earned muscle. When I bulked, I just put on more body weight than muscle weight… making me feel fat. I have been to the doctor many times for the past few years of my life. I was so fatigued i couldn’t hardly make it through the day. I also saw a doctor for depression and got prescribed medication for that. Which made no difference. I wondered all the time why i had to work soo hard compared to my peers to just Maintain. When they were working half as hard and getting way better results! So frustrating! But my mood swings and depression and irritability and extreme fatigue prompted me to go into the doctor again last week. And guess what… Total T was at 240!! Free T was at 149… (not sure the units on the free T.. but they aren’t the same as the numbers you listed) the doctor immediately told me that was my problem. So i started doing research and found your blog and cannot believe what i’ve found… Everything you’ve described is exactly how I have been feeling for the past 5 years of my life! Anyways, I am starting TRT on Monday with an IM injection at 100mg weekly. Dr. also said she was gonna put me on hcG… I have not had kids yet and would like to keep my fertility. But life isn’t worth living like this so i’ll cross that bridge when i get there. after reading about your success with TRT, I am super hopeful for myself. I also have a lot of questions, Like does it completely make you fertile? and if so is it permanent or can you stop TRT just long enough to have kids?? Also I expect my progress in the gym to final take off!! So i’m really looking forward to that… Also excited about not being so irritable and not having mood swings.

    Anyways man, Great write up! I cannot wait to experience my life on the high side of testosterone!

    • Reply
      Nate
      December 19, 2016 at 9:45 am

      It’s great to hear that you’re on the right path, Derek! Testosterone doesn’t hurt your fertility enough to rely on as male birth control, but it definitely does to some extent. hCG should help preserve and/or bring back sperm production, but again nothing is certain.

      • Reply
        Derek Joyal
        January 27, 2017 at 10:43 am

        Hey man so I’ve got some more questions for you. It’s been 6 weeks now on TRT at 100mg IM injection every Monday morning. Week 1-2 I didn’t feel too much. Week 3-4 I felt amazing… My gym progress was huge and I was already lifting heavier than I had in a long time and was going almost every day for either weights or cardio. Week 5, I started to notice a bit of a decline in motivation and mood and increased anxiety. Week 6 just went straight downhill as I started feeling really anxious and depressed and unmotivated again like before starting TRT. I am going in Monday for my Blood Work and it’s going to be the morning of my injection. I’m getting blood drawn and then i’ll do my injection after that. My thought is that my Estrodial levels are either way too low or too high. I know that this process takes time but am wondering why I got off to such a good start and now am “crashing” again all of a sudden. Do you take an Aromataze Inhibitor?? I’m really hopeful for this treatment but am really frustrated for the decline the past couple of weeks.

        • Reply
          Nate
          January 27, 2017 at 11:45 am

          I’m thinking that maybe your estrogen has increased significantly with the increase in test. Let’s see what your blood work reveals. I do take a low dose of Anastrozole. If your estrogen is high, your doctor should prescribe one for you as well.

          • Derek
            January 30, 2017 at 4:16 pm

            So got my lab results back… first of all they didn’t test for free testosterone which i specifically asked them to. smh… My E2 was 5 and TT was 580. The nurse was like they’re both great… right in the normal range… to which i’m like yeah but I’m feeling like crap right now so who cares about the 200-1100 TT range that means absolutely nothing for me. also isn’t that really low for my E2??

          • Nate
            February 7, 2017 at 9:50 am

            They definitely should’ve tested your free T. Are you an ectomorph? I ask because my E2 was right around yours and ectomorphs tend to have both lower T and lower E2. You can always call Prime Body and get the proper testing done and then be sent to a doctor who will prescribe exactly what you need. They saved me from a lot of headaches.

          • Derek
            February 8, 2017 at 11:02 am

            I called and they ran the free T… That came back at 192… I went into the doctor again last week and they drew blood at the 3.5 day after injection mark. At the peak my TT was 983 and E2 was 27. Once again, they did’nt test free T. My numbers seem to be good at the peak but i’m worried that my E2 is on too much of an up and down. No i would say i’m more an endomorph. So what is your E2 running at now?? My doctors range for TT is 280-850. So My numbers are above range for them. She is now recommending that I inject my 100mg every 10 days instead of weekly to lower my TT levels. Which i’ve heard is a bad idea. The nurse claimed that fatigue and irritability are symptoms of High T. Which i couldn’t find anywhere. I’m about at the point where I think I might start looking for a different doc.

          • Nate
            February 8, 2017 at 3:34 pm

            What is the reference range they used for free T? Your E2 doesn’t seem bad. You actually need to have some E2 so you don’t get sore joints as I experienced when my AI brought them too low. I think going with a smaller dose twice per week will cause less of a spike, which would probably keep you within range. Spacing it out more isn’t going to decrease the peak after your shot, it’ll just mean that you’ll spend more days dropping off. Bounce those ideas off your doctor and if they don’t want to corporate you can always find someone else.

          • Derek
            February 9, 2017 at 9:24 am

            Their reference range is 46-224 pg/mL for free T. I was worried my E2 might be too low. I was able to talk to my doctor about my concerns and she agreed to let me lower my dosage however i choose. She said if I want to try twice a week then she doesn’t care. So i’m going to start doing 40mg twice a week and see what that does. I like having my numbers at the top end though cause I don’t want my progress in the gym to be hindered. Also when I lower my dose, my E2 is going to be even lower

  • Reply
    James
    December 20, 2016 at 9:57 pm

    Nate, I have somewhat of a loaded question. How has your mood/happiness/well being been on trt? Do you feel it fluctuates? Apathetic at all? And have you noticed any difference in mood after adding the hcg. Also do you believe the adrenals can be fatigued? Thanks boss.

  • Reply
    Mikel
    January 9, 2017 at 6:10 am

    My test in 30 years old is 16,49 standart 9,9 – 27,8. This is ok, or maybe this is good idea start talking with doctor about trt?

  • Reply
    Carl
    January 21, 2017 at 9:11 am

    Hi nate am Carl I live in uk 🇬🇧 Manchester am looking at trt going to book my blood tests next few days ! Love the information your site provides! So I was thinking off testosterone cyp 200 mg a week split into two shots a week at 100 mg Monday 100 mg Thursday to keep my spikes more normal than just takening one hit off 200 mg am 5.10 and 10 and half stone so really slim and lean use to play football , gym , not been for over a year , allways been a fan off fighting styles , not great in any just avage at all 👍 I struggle with depression and so do other family members been reading the benerfuts off testosterone and trt for over a year but scared to do it really cos off all the hype about the bad things ! Put me really off reading your story sounds a lot like me in every way and need to sort my life out as I have a lil girl who is one and thought her being born would give me the kick up the ass I needed but it hasn’t so need to do this and be the family man and man I really need to be ! Looking into meditation too for the depression so I can have more clean calm mind ! Thanks and look forward to hearing back from you 👍

    Carl

    • Reply
      Nate
      January 23, 2017 at 7:14 pm

      That’s exactly what I do with my doses for the very same reasons. Keep fighting man and hopefully TRT will the the answer you’re looking for.

  • Reply
    Chantry Adams
    January 26, 2017 at 4:32 pm

    Hey Nate, just wondering what your timing was when you were taking an AI? I’m on test cyp 56mg e3.5 days, 250iu HCG e 3.5 days. Started off at too high of a dose for me (150mg a week put my free test way too high), and e2 ended up getting out of range. I’m having a hard time getting things dialed in. I’ve hit sweet spots where I felt amazing, but always swung out again, mostly all e2 related I believe. Currently on .25 arimidex twice a week, which I take on shot day. Just wondering if you had any insight?

    • Reply
      Nate
      January 27, 2017 at 11:51 am

      I also take my AI on shot days. Since we’re doing two doses per week, test levels should be relatively stable and there shouldn’t be an isolated spike in E2. As long as you’re spacing your doses evenly you’ll be alright.

      • Reply
        Chantry Adams
        January 27, 2017 at 8:14 pm

        Sounds good. Are you back using an AI as well? I would like to get to a point where I don’t need one. I haven’t been able to find studies on safety of long term use of AIs in males. Plus I would just like to have to take one less drug if possible.

        • Reply
          Nate
          January 28, 2017 at 10:13 am

          I’m back and forth with it. When I was off it my estrogen got too high but when the doc put me back on my joints started to ache. I’ve been breaking my tabs apart to take an even lower dose and I’ll see how my next round of blood work goes.

      • Reply
        Carl
        January 30, 2017 at 10:18 pm

        So you think a ai would be good so just test Monday / Thursday and ai on shot days nothing else !?

        What you think about front
        loading nate how would that work!?and would you advise it !? Ino it’s something like if am taking 200 mg then be 400 mg test 200 mg Monday Thursday !? But what is it after that ! ?

        • Reply
          Nate
          February 7, 2017 at 9:51 am

          Only your doctor can create an exact plan for you, but yeah, taking your AI on shot days should be just fine. Front loading is only necessary when doing a short cycle to get your levels up really quickly. Since TRT is for life, you don’t need to front load.

  • Reply
    Thomas
    February 4, 2017 at 1:38 pm

    My testosterone level is 222 at age 26. Very frustrating considering the lifestyle I have led the last 2 years:
    -No alcohol in 2 years.
    -Lifting 4x a week since Oct, 2015.
    -Micros on point (D, Zinc, Mag Citrate, fish oil)
    -Macros on point (Good carbs, 1g per pound of protein, lots of Mono fat)
    -I’ve valued my sleep and never skimp on it.

    Seeing my doc again in 2 days and feeling pretty hopeful, but nervous. At the end of the day I know that, as of now, I am the healthiest I have ever been and that’s still something to be proud of.

    Thanks for the article!

    • Reply
      Nate
      February 7, 2017 at 10:04 am

      Thomas, you sound exactly like me just a few years ago. Good luck at the doctor and let me know how it goes!

      • Reply
        Thomas
        February 7, 2017 at 12:02 pm

        Thank you! He suggested OTC DHEA paired with DIM-plus until I see a specialist in 1 month. I’m mainly just looking forward to the specialist at this point.

  • Reply
    James
    March 10, 2017 at 11:15 am

    Nate, I’ve crashed my e2 with extremely low doses of AI, is there anything I can do to get it up fairly quickly? My body is aching to the extreme and especially muscles in my back. Thanks

  • Reply
    Gary
    April 5, 2017 at 1:03 pm

    Great to find your site today & great pics! I went from being the skinniest kid in my class as a kid, to the chubby teenager & young adult once I realized how fun it was to eat. I always felt I had low-T. When I was in my late 20’s I was dealing with a loved-ones sudden accident & they think I went into shock thus causing diabetes brought on by stress. It runs in my Dads family. For the next 10 years I was out of control & was on every experimental diabetic drug you can think of. None of it helped my sugar & caused all sorts of side-effects. I finally had the test & tested positive for low-T. I went on the gel but about a year later I developed a superficial blood clot in my leg due to a minor accident. This was not a deep-vein blood clot but it was still painful & scared me. My Mom suffered from many blood clotting issues. So I went off the gel cold-turkey. Then I went on some sort of under the arm liquid thing. It was ok but I did not notice much help & worried about testicular shrinkage & the shutting down of my natural hormones so went off of that too but I still wonder if I need something. My last test said I was ok (not great but ok). My sugar levels are much better now ( Thank God) & I have recently lost 60 lbs but I still have trouble building muscle & just recently started being able to grow a decent beard etc…

    • Reply
      Nate
      April 11, 2017 at 9:41 am

      Sometimes it’s a long process of trial and error. It took me years of learning how to eat, lift, and recover only to find out that I needed TRT after all. I hope you continue in a positive direction!

  • Reply
    Adi
    April 6, 2017 at 6:35 am

    Hey Nate! I’m a 25 year old guy who had t-levels similar to yours before ,and started with TRT, 200 mg/week. I do IM injections in the quads bi weekly, but I’m currently concerned about scar tissue build up . What do you do to combat that?

  • Reply
    Gabriel Garcia
    May 18, 2017 at 12:06 am

    Hey Nate, great body transformation; looking forward to start on the treatment .
    How much do you weigh and how tall are you?
    Thanks.

    • Reply
      Nate
      May 19, 2017 at 4:55 pm

      Thanks! In those photos I’m about 185 lbs at 6’2” but right now I’m around 220 lbs at a slightly higher bodyfat percentage.

  • Reply
    John Tweedly
    June 3, 2017 at 1:06 am

    Age 55

  • Leave a Reply

    About Me

    Casual Style 101

    Free style guide