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TRT - Testosterone Replacement

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By (user no longer on site) OP     over a year ago

If you’re feeling

sluggish low energy

brain fog

low sex drive

body shape change

Lesser erections (softer, less frequent)

Then get your testosterone checked, it’s something vital in your body that tends to reduce with age.

There’s a normal range something like 10-30 nmol/L, in men of all ages mine was at 9!

I was put on TRT and the difference was almost immediate, and still carries on being hugely beneficial.

There’s risks after 50 and you need to be monitored regularly, with blood tests and consultation. The ideal level range over 50 in age is low to high teens, not in the 20’s+.

If you read the health benefits of normal testosterone, there are many, but let’s say I can everything better and harder than before.

.

.

I was tested and shown to be 9nmol/L, my doctor said this was within normal range, I then fractured my ankle and was seen by a specialist, I mentioned my low testosterone to him and he suspected I also had Low Bone Density.

He carried out further tests and confirmed I was Low on Testosterone and Low Bone Density was the cause of my ankle fracture.

His report was sent to my GP and I am now on TRT (Testosterone Replacement for life via NHS.

NOTE; This is a nhs treatment;

I have been on Testosterone Replacement for over 4 years now, first two years on Testogel and once dosage was fixed out things worked well, I was on two sachets a day which are rubbed into your shoulders.

I changed over to testosterone undecanoate (Nebido®) 1000mg /4ML injection every 8 weeks and this works just as well.

I average 25nmol/L although peak is slightly higher and Trough slightly lower.

My daily morning erections have returned and can achieve an erection as and when required, often when not required too.

.

So why was I placed on TRT, Testosterone Replacement

I suffered Erectile Dysfunction for 3 years, I was unable to achieve or maintain erections and I also have an effeminate shaped body

my other symptoms included;

• fatigue

• lethargy

• depression

• anxiety

• irritability

• low libido

• erectile dysfunction

• reduced exercise tolerance and strength

• excessive sweating and night sweats

• poor concentration or memory

• needing to shave less often (my legs, arms and face were smooth only needed to shave once a week or less.

My doctor and specialist eventually discovered this was due to Low Testosterone and I am now on Testosterone replacement for life.

My overall well being has increased rapidly, my fitness, strength and im even getting noticeable muscles

My Erections have also returned big time, powerful strong rock solid erections every morning and as and when performance is required, often unexpected moments too such as standing in a Tesco check out queue

Feel free to ask me anything regarding TRT and I will try and give a direct answer of my experience.

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By (user no longer on site)  over a year ago

This is an excellent post, thank you for sharing and raising awareness

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By *iss KinkWoman  over a year ago

North/Blackpool

I’m glad you feel better. If only women were allowed the same privilege without having to spend hundreds of pounds going private

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By *iscreet gent2018Man  over a year ago

Newcastle

This is a really insightful post, thank you. I have some of the symptoms you’ve mentioned and my doc has never even mentioned this treatment. I think I’ll have to get him/her to take blood and get checked. Thanks again.

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By (user no longer on site)  over a year ago

Has it affected your mood at all, being on hrt?

Well done for sharing

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By *agicM53XMan  over a year ago

Orpington


"I’m glad you feel better. If only women were allowed the same privilege without having to spend hundreds of pounds going private "

They are...most women that have any symptoms associated with menopause are "allowed" (and sometimes recommended) to have HRT by their doctors. It might be a bit more difficult to be provided with the treatment through the NHS (like most treatments) but I don't see how the NHS doesn't allow women to go on HRT...

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By (user no longer on site)  over a year ago

I think this needs to be talked about more - glad you’re feeling better

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By (user no longer on site)  over a year ago

Testosterone replacement on the NHS is impossible unless you are ‘clinically low’ which is low for your age.

Western Medicine doesn’t like hormone replacement because hormones are naturally occurring and cannot be patented. No money for big pharmaceutical industry . As a result women are given synthetic hormones which cause cancer. Google The Wiley Protocol for information on cyclical natural bio identical hormone replacement.

Low testosterone is a big part of the problem but balanced with thyroid hormone and human growth hormone and you will truly feel 25 again

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By *oodmessMan  over a year ago

yumsville


"I’m glad you feel better. If only women were allowed the same privilege without having to spend hundreds of pounds going private "

I've spent thousands and it's gotten me nowhere. My testosterone last checked was 39, which just baffles, as even hanging clothes up to dry puts me to sleep.

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By *iamondCougarWoman  over a year ago

Norfuck! / Lincolnshire

Well done for raising this and glad to hear it’s worked for you

Our hormones play a vital role and can be the root of several imbalances creating other problems. Don’t be embarrassed guys to seek help for any boggling little worry you have

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By *ang bang bangity bangCouple  over a year ago

Sunderland

I got full blood work done last year including Testosterone, free Testosterone and SHGB. Going forward I am going to get it done every year and have my own track record of my hormone profile and what is normal for me. This is an important point to note, while there is ranges of normal what is actually more important is what is normal.

On a side I have a few friends using TRT and all ended up going private as the NHS seems to have zero interest in providing TRT unless you are extremely low. I don't know the exact name for the classifications but HRT for women can be prescribed by a doctor but TRT can only be prescribed by a specialist, and we all know the battle that can be needed to see an NHS specialist

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By *ang bang bangity bangCouple  over a year ago

Sunderland

*SHBG

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By *ang bang bangity bangCouple  over a year ago

Sunderland


"I’m glad you feel better. If only women were allowed the same privilege without having to spend hundreds of pounds going private

I've spent thousands and it's gotten me nowhere. My testosterone last checked was 39, which just baffles, as even hanging clothes up to dry puts me to sleep. "

I'm not expert but have you had your free test and SHBG checked? My total test was very high but so was my SHGB was high so as a result my free test was pretty medicare.

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By *ingfisher740Man  over a year ago

birmingham

Don't body builder use testosterone injections?

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By (user no longer on site)  over a year ago


"I’m glad you feel better. If only women were allowed the same privilege without having to spend hundreds of pounds going private

I've spent thousands and it's gotten me nowhere. My testosterone last checked was 39, which just baffles, as even hanging clothes up to dry puts me to sleep. "

Get bloods checked for: B12, iron, thyroid and vitD

You'll have to specifically request some of those and give a reaaon (extreme exhaustion)

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By (user no longer on site)  over a year ago

For men testosterone is not just about erections and muscles. Low testosterone and your personality is gone. No excitement, no vitality, no drive and no ambition.

As bad as it is for men, women entering menopause have it worse

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By *ang bang bangity bangCouple  over a year ago

Sunderland


"Don't body builder use testosterone injections? "

Yes they do but what has that got to do with it? Many body builders also use insulin, HGH and a thousand other things. They're a big difference between using a hormone to get back to normal function and using it to increase muscle size and strength

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By (user no longer on site)  over a year ago


"Don't body builder use testosterone injections? "

Body builders will often use testosterone in levels way beyond normal. They also use a wide range of synthetic steroids which have serious health issues

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By (user no longer on site)  over a year ago


"For men testosterone is not just about erections and muscles. Low testosterone and your personality is gone. No excitement, no vitality, no drive and no ambition.

As bad as it is for men, women entering menopause have it worse "

It isn't a competition

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By (user no longer on site)  over a year ago

Listen to:

Sex Lies and Menopause on audible.co.uk

Anti-aging Cures also on audible

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By *oodmessMan  over a year ago

yumsville


"I’m glad you feel better. If only women were allowed the same privilege without having to spend hundreds of pounds going private

I've spent thousands and it's gotten me nowhere. My testosterone last checked was 39, which just baffles, as even hanging clothes up to dry puts me to sleep.

I'm not expert but have you had your free test and SHBG checked? My total test was very high but so was my SHGB was high so as a result my free test was pretty medicare. "

I've just googled what that is, no not had that checked, my testosterone was done for no apparent reason by my Dr. Any private healthcare has been scans, some bloods, some off the wall tests I or they thought may point to something.

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By (user no longer on site)  over a year ago

I have been on a full program of hormone replacement therapy for three years. Before I was depressed and very low energy.

Now, I sleep like a baby. Have all the energy I need. Exercise with no pain or aches. Have not been sick a day in 3 years

Very few doctors in the U.K. understand this program or even believe that anti-aging is a ‘thing’

Full bloods every three months

Consultation with Dr every 3-6 months

Very expensive National hormone replacement program

Anyone who wants to learn more I’m happy to chat.

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By *inister_SpinsterWoman  over a year ago

North West


"If you’re feeling

sluggish low energy

brain fog

low sex drive

body shape change

Lesser erections (softer, less frequent)

Then get your testosterone checked, it’s something vital in your body that tends to reduce with age.

There’s a normal range something like 10-30 nmol/L, in men of all ages mine was at 9!

I was put on TRT and the difference was almost immediate, and still carries on being hugely beneficial.

There’s risks after 50 and you need to be monitored regularly, with blood tests and consultation. The ideal level range over 50 in age is low to high teens, not in the 20’s+.

If you read the health benefits of normal testosterone, there are many, but let’s say I can everything better and harder than before.

.

.

I was tested and shown to be 9nmol/L, my doctor said this was within normal range, I then fractured my ankle and was seen by a specialist, I mentioned my low testosterone to him and he suspected I also had Low Bone Density.

He carried out further tests and confirmed I was Low on Testosterone and Low Bone Density was the cause of my ankle fracture.

His report was sent to my GP and I am now on TRT (Testosterone Replacement for life via NHS.

NOTE; This is a nhs treatment;

I have been on Testosterone Replacement for over 4 years now, first two years on Testogel and once dosage was fixed out things worked well, I was on two sachets a day which are rubbed into your shoulders.

I changed over to testosterone undecanoate (Nebido®) 1000mg /4ML injection every 8 weeks and this works just as well.

I average 25nmol/L although peak is slightly higher and Trough slightly lower.

My daily morning erections have returned and can achieve an erection as and when required, often when not required too.

.

So why was I placed on TRT, Testosterone Replacement

I suffered Erectile Dysfunction for 3 years, I was unable to achieve or maintain erections and I also have an effeminate shaped body

my other symptoms included;

• fatigue

• lethargy

• depression

• anxiety

• irritability

• low libido

• erectile dysfunction

• reduced exercise tolerance and strength

• excessive sweating and night sweats

• poor concentration or memory

• needing to shave less often (my legs, arms and face were smooth only needed to shave once a week or less.

My doctor and specialist eventually discovered this was due to Low Testosterone and I am now on Testosterone replacement for life.

My overall well being has increased rapidly, my fitness, strength and im even getting noticeable muscles

My Erections have also returned big time, powerful strong rock solid erections every morning and as and when performance is required, often unexpected moments too such as standing in a Tesco check out queue

Feel free to ask me anything regarding TRT and I will try and give a direct answer of my experience."

Thank you sharing this OP.

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By *ang bang bangity bangCouple  over a year ago

Sunderland

Something worth mentioning as well is the huge change in people's hormones in recent decades. Certainly a lot of it is down to more obesity, sedentary lifestyles etc but the amount of artifical hormones and hormone influences is off the charts. From BPAs in plastic, plastic in the water supply, chemicals we use on a daily basis, the list is endless.

There is virtually nothing you can do about these unless you plan to love as a hermit in northern Norway. But there still is a huge stigma around using hormone replacement

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By (user no longer on site)  over a year ago


"I got full blood work done last year including Testosterone, free Testosterone and SHGB. Going forward I am going to get it done every year and have my own track record of my hormone profile and what is normal for me. This is an important point to note, while there is ranges of normal what is actually more important is what is normal.

On a side I have a few friends using TRT and all ended up going private as the NHS seems to have zero interest in providing TRT unless you are extremely low. I don't know the exact name for the classifications but HRT for women can be prescribed by a doctor but TRT can only be prescribed by a specialist, and we all know the battle that can be needed to see an NHS specialist "

You can get testosterone prescribed by a gp, but it depends on your area.

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By *iscreet gent2018Man  over a year ago

Newcastle


"I got full blood work done last year including Testosterone, free Testosterone and SHGB. Going forward I am going to get it done every year and have my own track record of my hormone profile and what is normal for me. This is an important point to note, while there is ranges of normal what is actually more important is what is normal.

On a side I have a few friends using TRT and all ended up going private as the NHS seems to have zero interest in providing TRT unless you are extremely low. I don't know the exact name for the classifications but HRT for women can be prescribed by a doctor but TRT can only be prescribed by a specialist, and we all know the battle that can be needed to see an NHS specialist

You can get testosterone prescribed by a gp, but it depends on your area. "

Sadly the postcode system is all too great in our NHS these days.

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By *ang bang bangity bangCouple  over a year ago

Sunderland


"I got full blood work done last year including Testosterone, free Testosterone and SHGB. Going forward I am going to get it done every year and have my own track record of my hormone profile and what is normal for me. This is an important point to note, while there is ranges of normal what is actually more important is what is normal.

On a side I have a few friends using TRT and all ended up going private as the NHS seems to have zero interest in providing TRT unless you are extremely low. I don't know the exact name for the classifications but HRT for women can be prescribed by a doctor but TRT can only be prescribed by a specialist, and we all know the battle that can be needed to see an NHS specialist

You can get testosterone prescribed by a gp, but it depends on your area. "

Are you sure? I just looked at the NHS website and it said your GP will refer you to an endocrinologist if treatment is required

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By (user no longer on site)  over a year ago


"I got full blood work done last year including Testosterone, free Testosterone and SHGB. Going forward I am going to get it done every year and have my own track record of my hormone profile and what is normal for me. This is an important point to note, while there is ranges of normal what is actually more important is what is normal.

On a side I have a few friends using TRT and all ended up going private as the NHS seems to have zero interest in providing TRT unless you are extremely low. I don't know the exact name for the classifications but HRT for women can be prescribed by a doctor but TRT can only be prescribed by a specialist, and we all know the battle that can be needed to see an NHS specialist

You can get testosterone prescribed by a gp, but it depends on your area.

Are you sure? I just looked at the NHS website and it said your GP will refer you to an endocrinologist if treatment is required"

Yes. I’m on a menopause FB page, and women get to prescribed by gps. Mine is being tested soon by my gp too.

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By *ang bang bangity bangCouple  over a year ago

Sunderland


"I got full blood work done last year including Testosterone, free Testosterone and SHGB. Going forward I am going to get it done every year and have my own track record of my hormone profile and what is normal for me. This is an important point to note, while there is ranges of normal what is actually more important is what is normal.

On a side I have a few friends using TRT and all ended up going private as the NHS seems to have zero interest in providing TRT unless you are extremely low. I don't know the exact name for the classifications but HRT for women can be prescribed by a doctor but TRT can only be prescribed by a specialist, and we all know the battle that can be needed to see an NHS specialist

You can get testosterone prescribed by a gp, but it depends on your area.

Are you sure? I just looked at the NHS website and it said your GP will refer you to an endocrinologist if treatment is required

Yes. I’m on a menopause FB page, and women get to prescribed by gps. Mine is being tested soon by my gp too. "

Thats what I meant, female HRT can be prescribed by GPs and seems to be widely accepted, where as Testosterone replacement can't be prescribed by GPs. They can only refer on to specialists

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By (user no longer on site)  over a year ago

Getting TRT through the NHS is almost impossible, if you managed it OP well done.

I tried for years, I was well below the lower threshold but they tried to blame my diet, lack of sleep and a number of other things.

I jumped through so many hoops intbey end I just gave up and paid privately.

Life changing and allowed me to come off SSRI meds.

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By *iss KinkWoman  over a year ago

North/Blackpool


"I’m glad you feel better. If only women were allowed the same privilege without having to spend hundreds of pounds going private

They are...most women that have any symptoms associated with menopause are "allowed" (and sometimes recommended) to have HRT by their doctors. It might be a bit more difficult to be provided with the treatment through the NHS (like most treatments) but I don't see how the NHS doesn't allow women to go on HRT... "

I’m talking about testosterone

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By (user no longer on site)  over a year ago

This is a really interesting post OP, thank you for raising awareness of TRT. Hope it continues to help you and gives some readers information to consider for themselves

NBVN x

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By (user no longer on site)  over a year ago


"I got full blood work done last year including Testosterone, free Testosterone and SHGB. Going forward I am going to get it done every year and have my own track record of my hormone profile and what is normal for me. This is an important point to note, while there is ranges of normal what is actually more important is what is normal.

On a side I have a few friends using TRT and all ended up going private as the NHS seems to have zero interest in providing TRT unless you are extremely low. I don't know the exact name for the classifications but HRT for women can be prescribed by a doctor but TRT can only be prescribed by a specialist, and we all know the battle that can be needed to see an NHS specialist

You can get testosterone prescribed by a gp, but it depends on your area.

Are you sure? I just looked at the NHS website and it said your GP will refer you to an endocrinologist if treatment is required

Yes. I’m on a menopause FB page, and women get to prescribed by gps. Mine is being tested soon by my gp too.

Thats what I meant, female HRT can be prescribed by GPs and seems to be widely accepted, where as Testosterone replacement can't be prescribed by GPs. They can only refer on to specialists "

Oh, that’s a bit shit

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By (user no longer on site)  over a year ago

U have been self medicating for a month now,ive gone from a dead 50 year old to a man with energy fun and got my money shot back .nhs said i was fine for a man of my age.Low end of normal.I now feel wonderful .

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By (user no longer on site)  over a year ago

Really important issue and one which is not easy to navigate but persist - it’s clearly a game changer!

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By *annaBeStrongMan  over a year ago

w

No questions I just really want that test U

Super long ester sounds so much easier that enan or cyp. Credit to your doc on picking that

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By *annaBeStrongMan  over a year ago

w


"I got full blood work done last year including Testosterone, free Testosterone and SHGB. Going forward I am going to get it done every year and have my own track record of my hormone profile and what is normal for me. This is an important point to note, while there is ranges of normal what is actually more important is what is normal.

On a side I have a few friends using TRT and all ended up going private as the NHS seems to have zero interest in providing TRT unless you are extremely low. I don't know the exact name for the classifications but HRT for women can be prescribed by a doctor but TRT can only be prescribed by a specialist, and we all know the battle that can be needed to see an NHS specialist

You can get testosterone prescribed by a gp, but it depends on your area.

Are you sure? I just looked at the NHS website and it said your GP will refer you to an endocrinologist if treatment is required

Yes. I’m on a menopause FB page, and women get to prescribed by gps. Mine is being tested soon by my gp too.

Thats what I meant, female HRT can be prescribed by GPs and seems to be widely accepted, where as Testosterone replacement can't be prescribed by GPs. They can only refer on to specialists "

It’s a big issue with the NHS and it’s not spoken about enough. Many men are on the low side of T where TRT could change their lives, yet it’s withheld so often.

More men should be seeing their GP and insisting, demanding, that this treatment isn’t withheld. Nothing will change without that.

“Power concedes nothing without demand”

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By (user no longer on site)  over a year ago

It's not something I talk about much here but due to a medical condition I am on TRT for life

I don't notice all the benefits sone mentioned on here but that could be for other reasons

I definitely notice a dip between injections and when I am due one

When I first went to GPS about it over here no one had heard of my condition and had to research it

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By *inky_couple2020Couple  over a year ago

North West


"Testosterone replacement on the NHS is impossible unless you are ‘clinically low’ which is low for your age.

Western Medicine doesn’t like hormone replacement because hormones are naturally occurring and cannot be patented. No money for big pharmaceutical industry . As a result women are given synthetic hormones which cause cancer. Google The Wiley Protocol for information on cyclical natural bio identical hormone replacement.

Low testosterone is a big part of the problem but balanced with thyroid hormone and human growth hormone and you will truly feel 25 again "

The Wiley Protocol includes an option for transdermal thyroid hormones. Brilliant, except studies have shown almost no T4 will cross human skin.

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By *rooperRedMan  over a year ago

Littlehampton

What would be the point? Walk around with a boner for no one to look at?

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By *inky_couple2020Couple  over a year ago

North West


"What would be the point? Walk around with a boner for no one to look at?"

Maybe have a read up on the biological effect of testosterone, then come back. Achieving erection is only one tiny aspect. Women require small amounts of testosterone too, but it's got feck all to do with "boners".

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By (user no longer on site)  over a year ago


"What would be the point? Walk around with a boner for no one to look at?

Maybe have a read up on the biological effect of testosterone, then come back. Achieving erection is only one tiny aspect. Women require small amounts of testosterone too, but it's got feck all to do with "boners". "

Well said

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By *ang bang bangity bangCouple  over a year ago

Sunderland


"What would be the point? Walk around with a boner for no one to look at?"

Honestly you're just showing a massive ignorance on the effects of hormones on the body

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By *rooperRedMan  over a year ago

Littlehampton

Meow.

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By (user no longer on site)  over a year ago

Thank you for this most of those symptoms are ones that I have

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By *wisted999Man  over a year ago

North Bucks

On TRT. Doc put me on it no drama as she has a professional interest in it. Shows how unfair mens hormonal support is.

It lifted me up no end. For me it was about energy and now I’m back to my best.

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By (user no longer on site)  over a year ago


"What would be the point? Walk around with a boner for no one to look at?"

Ignorance at its best

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By *orny PTMan  over a year ago

Peterborough

Has anyone mentioned an lack of heat and touch sensitivity in the tip of the penis?

Especially, when it comes to having a shower and not knowing if the water is hot or not down there.

The skin on the shaft and scrotum are working fine in this regard.

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By *inky_couple2020Couple  over a year ago

North West


"Has anyone mentioned an lack of heat and touch sensitivity in the tip of the penis?

Especially, when it comes to having a shower and not knowing if the water is hot or not down there.

The skin on the shaft and scrotum are working fine in this regard. "

Have you been told this is testosterone related? Do you have problems with your back/sciatica etc?

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By *iscean_dreamMan  over a year ago

Port talbot

I'm starting to wonder if I need it and the reason why I lack energy, had bloods done for everything lots of times and always fine

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By *rHotNottsMan  over a year ago

Dubai & Nottingham

I get full bloods done every 3 months now , I don’t bother with NHS they are absolutely rubbish unless your dying , then they’re ok…..it costs me about 325, the analysis is amazing and very actionable with diet choices etc my T levels are currently fine , my consultant says he will give me whatever I ask for, I get those anti-inflammatory injections amd regular Q3 risk assessments

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By *inky_couple2020Couple  over a year ago

North West


" my consultant says he will give me whatever I ask for, "

Your consultant will give you anything you ask for? Anything? If that's true, their license to be registered to practice in the UK should be revoked.

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By *oodmessMan  over a year ago

yumsville

I've given up finding consultants that know everything there is to know.

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By *inky_couple2020Couple  over a year ago

North West


"I've given up finding consultants that know everything there is to know. "

None of them do. They know about their little bit of medicine and are only properly up to date if they keep themselves so. You won't find any consultant who knows everything about everything medical.

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By *iscean_dreamMan  over a year ago

Port talbot


" my consultant says he will give me whatever I ask for,

Your consultant will give you anything you ask for? Anything? If that's true, their license to be registered to practice in the UK should be revoked."

See I was thinking more I want them to be my consultant

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By *inky_couple2020Couple  over a year ago

North West


" my consultant says he will give me whatever I ask for,

Your consultant will give you anything you ask for? Anything? If that's true, their license to be registered to practice in the UK should be revoked.

See I was thinking more I want them to be my consultant "

I'd love solutions to my problems, for someone to wave a magic wand etc. But it's unrealistic, no?!

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By *oodmessMan  over a year ago

yumsville


"I've given up finding consultants that know everything there is to know.

None of them do. They know about their little bit of medicine and are only properly up to date if they keep themselves so. You won't find any consultant who knows everything about everything medical. "

That is what I've found

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By *orny PTMan  over a year ago

Peterborough


"Has anyone mentioned an lack of heat and touch sensitivity in the tip of the penis?

Especially, when it comes to having a shower and not knowing if the water is hot or not down there.

The skin on the shaft and scrotum are working fine in this regard.

Have you been told this is testosterone related? Do you have problems with your back/sciatica etc?"

I had my bloods done last year and my levels are 11mnol. This is not good. I did have c5-c7 neck problems, but the foam roller fixed that a few years ago.

I've had normal back ache, but not sciatica, nerve damage surgery or anything obvious like that.

Andropause seems to be worth asking about.

Anti depressants have a lot to answer for. as my last two meds gave me side effects. I've been off them for a couple of years now, but I'm still waiting for normal service to resume....

I'm booked into to see a urologist shortly. (Getting that one wasn't easy.) There will be a lot of questions, when I go.

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By *orny PTMan  over a year ago

Peterborough


"I'm starting to wonder if I need it and the reason why I lack energy, had bloods done for everything lots of times and always fine "

Look at the symptoms, not the numbers.

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By (user no longer on site)  over a year ago


"Has anyone mentioned an lack of heat and touch sensitivity in the tip of the penis?

Especially, when it comes to having a shower and not knowing if the water is hot or not down there.

The skin on the shaft and scrotum are working fine in this regard.

Have you been told this is testosterone related? Do you have problems with your back/sciatica etc?

I had my bloods done last year and my levels are 11mnol. This is not good. I did have c5-c7 neck problems, but the foam roller fixed that a few years ago.

I've had normal back ache, but not sciatica, nerve damage surgery or anything obvious like that.

Andropause seems to be worth asking about.

Anti depressants have a lot to answer for. as my last two meds gave me side effects. I've been off them for a couple of years now, but I'm still waiting for normal service to resume....

I'm booked into to see a urologist shortly. (Getting that one wasn't easy.) There will be a lot of questions, when I go."

11nnmol/L puts you at the lower end of the normal range.

One of the issues is different NHS trusts set different normal ranges, there is no one fixed range.

I tested 9 times over 3 years in my fight with the NHS, highest was 8.1,lowest was 6.7. Everyone below the normal lower range value my local trust set but they still refused.

Wrote to the local MP, my local trust, the minister in charge of the NHS, everyone I could and they still fobbed me off.

Bunch of cunts, the lot of them.

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By (user no longer on site)  over a year ago

You can get trt privately , leger clinic are very good. They prescribe sustanon or test cyp if needed for trt

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By (user no longer on site) OP     over a year ago


"I’m glad you feel better. If only women were allowed the same privilege without having to spend hundreds of pounds going private

I've spent thousands and it's gotten me nowhere. My testosterone last checked was 39, which just baffles, as even hanging clothes up to dry puts me to sleep.

I'm not expert but have you had your free test and SHBG checked? My total test was very high but so was my SHGB was high so as a result my free test was pretty medicare. "

I wanted to read all comments before coming back to comment but I have to step in right here;

if You go to your GP and get your testosterone checked, 99% of the time your doctor will say it is within guideline limits this is because these guidelines are 9nmol/L to 28nmol/L

BUT; 9nmol/L is what would be expected in a 75 year old man!!!

if you are mid 40's and have a reading of 9, 10, 11 nmol/L they you are seriously low, yet your GP doctor will say your testosterone is okay.

.

Now the above comment.......

if you have need tested and say your testosterone is 18nmol/L (acceptable)

but your SHGB is HIGH, this DRASTICALLY Lowers your free Testosterone and it is your free testosterone which goes into your bones to build them.

This along with low testosterone is often the cause of Osteoporosis in both men and women and is a time bomb which will not come to light for 10 years or more.

The NHS does not test "SHGB", it does not test free "testosterone" and many other essential bloods simply due to cost. Even although someone who develops Osteoporosis will cost the nhs 100 times the cost of a blood test in future years.

I have a good NHS GP doctor but he is also clueless on TRT, I had to go private and get my TRT levels tested by a specialist, the specialist then reports back to your doctor (even when a private consultation) and it was my specialists recommendation that persuaded my NHS doctor to place me on TRT "for life"

You do not try TRT for a year or two to see if it helps, this is a one direction treatment, if you go on it, you go on it for life.

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By (user no longer on site) OP     over a year ago


"I got full blood work done last year including Testosterone, free Testosterone and SHGB. Going forward I am going to get it done every year and have my own track record of my hormone profile and what is normal for me. This is an important point to note, while there is ranges of normal what is actually more important is what is normal.

On a side I have a few friends using TRT and all ended up going private as the NHS seems to have zero interest in providing TRT unless you are extremely low. I don't know the exact name for the classifications but HRT for women can be prescribed by a doctor but TRT can only be prescribed by a specialist, and we all know the battle that can be needed to see an NHS specialist

You can get testosterone prescribed by a gp, but it depends on your area.

Are you sure? I just looked at the NHS website and it said your GP will refer you to an endocrinologist if treatment is required"

on NHS you will wait a year or more for a endocrinologist consultation and FBC will be taken at this time (Full blood count).

Often the NHS will be reluctant to prescribe TRT simply for Low testosterone alone, unless you also are slowing the effects of Low testosterone such as Osteoporosis (Low Bone Density)

again you really need to research testosterone replacement yourself and become highly educated before approaching a doctor.

But the benefits for myself are life changing.

I needed TRT, I did not go on this because I thought hey it might do me good, I was tested over a few years and showed all symptoms

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By (user no longer on site) OP     over a year ago


"Has anyone mentioned an lack of heat and touch sensitivity in the tip of the penis?

Especially, when it comes to having a shower and not knowing if the water is hot or not down there.

The skin on the shaft and scrotum are working fine in this regard.

Have you been told this is testosterone related? Do you have problems with your back/sciatica etc?

I had my bloods done last year and my levels are 11mnol. This is not good. I did have c5-c7 neck problems, but the foam roller fixed that a few years ago.

I've had normal back ache, but not sciatica, nerve damage surgery or anything obvious like that.

Andropause seems to be worth asking about.

Anti depressants have a lot to answer for. as my last two meds gave me side effects. I've been off them for a couple of years now, but I'm still waiting for normal service to resume....

I'm booked into to see a urologist shortly. (Getting that one wasn't easy.) There will be a lot of questions, when I go."

URGENT

Get your Testosterone tested, I also fractured my C6

and also my T7 & T8

simply down do Low Bone Density due to Osteoporosis which in turn was due to Low Testosterone

I receive a Bone Density Scan every 2 years now and my Bone Density is increasing by 12% on my lower back and 16% on my Hip bones, this shows that TRT testosterone replacement plus daily D3 is increasing my Bone Density.

PM me, I had a very simillar experience with bone fractures prior to medication

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By (user no longer on site)  over a year ago

Weirdly for me the one impact of trt I hate is body and facial hair and how quickly it now grows

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By *iscean_dreamMan  over a year ago

Port talbot

Having my bloods done to check levels Thursday as I've been lacking energy and have aches constantly as the moment. Bit weird at my age but was a heavy smoker from young age till recently and that can speed the drop in levels up as can not sleeping properly regularly

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By *azziegWoman  over a year ago

Atherton

For guys that want to check theirs anonymously should try medicheck.com.. you get results in 3 to 5 days.

Use what bodybuilders use(more sensitive and covers many other markers) and you can tick a box to get doctors notes attached..

Just because you have a good total t range does not mean your body has access to it. you could show 25nl but your body only can access 8nl.

This is a massive subject!

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By *ndrew025Man  over a year ago

west lancs

Dorian Yates talks about this a lot. Since he was a steroid abuser he knows the consequences of low testosterone. It helps with all kinds of problems like arthritis, depression all the things mentioned here. The problem is GP’s don’t care enough or won’t prescribe it. Anyone who can afford to go private end up living happier lives.

Low cholesterol also contributes to low Testosterone . Eat those raw eggs

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By *orny PTMan  over a year ago

Peterborough

I'm on the urologist's waiting list, should be 8 weeks or less.

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By (user no longer on site)  over a year ago

Unfortunately, the solution is to go private. But private is an expensive option.

Most physicians don’t have much knowledge/education about hormones. Low testosterone for a man is massively debilitating emotionally and physically.

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By (user no longer on site) OP     over a year ago

I have read many messages on here - go private, go private.

Fact is, TRT testosterone replacement is fully available on the NHS and if you are in need of this, it is available.

.

You will find the majority of GP doctors have little or no knowledge of TRT, why would they as it is not a daily occurrence.

When you go to your doctor ask for a private appointment with a specialist who deals with this daily, you will be seen within a week or two, the full report will be sent back to your doctor and...... if it is proven you do need this medication you will be prescribed it by your doctor.

1; you will normally start on Testogel, 1 x 50 mg sachet which you rub into your shoulders.

2; on the morning before you start this, you should have your bloods taken "before 10am"

3; You will rub this into your shoulders each morning for 3 months, then further bloods taken

4; you will probably show that you are still low and your dosage will be increased to 1.5 sachets per day, My bloods showed I needed 2 sachets per day.

5; once your dosage is correct, you will continue on 3 monthly blood checks, then reduced to 6 monthly, and eventually yearly blood tests.

6; By now you will be living a normal life in good health and this will be a way of life for you.

7; You may decide to go down the road of 12 weekly injections, saves the mess of rubbing in gel each morning. and if so, the above process starts again, 12 week injections, blood tests, reduced to 1o week interval, blood test until exact dosage is worked out for you. I am on one injection every 8 weeks.

PRIVATE;

Testogel comes in 40 sachet packs, the cost used to be £55 per pack

If on 2 sachets per day this will cost you around £100 per month every month for the rest of your life.

Testogel also comes in a bottle pump activator, simillar cost.

on top of this you will need private blood tests as I described above until correct dosage is found for you and then 6 monthly and yearly checks.

Do you really want to go down this route for the rest of your life?

You do not try TRT, you do not go on it for a year then decide its not for me,

This is a medication for life, of which you sit down with your doctor and discuss along with family members as the chance of having children when on this medication is basically zero.

Your sperm count will drop off and your testicles may shrink slightly due to them shutting down testosterone production.

TRT does not add testosterone to what your body already produces, Your body and The hypothalamus sends a signal to the pituitary gland to say.... "wait a minute my body already has testosterone" and in turn they will shut down testosterone production from your testicles, Your LH & FSH will gradually drop to zero shutting down natural testosterone production from your testicles.

.

This is not a simple decision, you need to have real medical problems to be placed on TRT and you need to do your own research.

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By (user no longer on site)  over a year ago

Good morning all. Just wanted to thank OP for starting such an illuminating thread ...learned a lot from the post and all the discussions.

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By *naswingdressWoman  over a year ago

Manchester (she/her)

I hope that men feel more empowered to speak up and seek the help they need.

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By *aptain Caveman41Man  over a year ago

Home

Im on it due to an injury if you have a problem just seek help its nothing to be ashamed of

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By (user no longer on site)  over a year ago


"I have read many messages on here - go private, go private.

Fact is, TRT testosterone replacement is fully available on the NHS and if you are in need of this, it is available.

.

You will find the majority of GP doctors have little or no knowledge of TRT, why would they as it is not a daily occurrence.

When you go to your doctor ask for a private appointment with a specialist who deals with this daily, you will be seen within a week or two, the full report will be sent back to your doctor and...... if it is proven you do need this medication you will be prescribed it by your doctor.

1; you will normally start on Testogel, 1 x 50 mg sachet which you rub into your shoulders.

2; on the morning before you start this, you should have your bloods taken "before 10am"

3; You will rub this into your shoulders each morning for 3 months, then further bloods taken

4; you will probably show that you are still low and your dosage will be increased to 1.5 sachets per day, My bloods showed I needed 2 sachets per day.

5; once your dosage is correct, you will continue on 3 monthly blood checks, then reduced to 6 monthly, and eventually yearly blood tests.

6; By now you will be living a normal life in good health and this will be a way of life for you.

7; You may decide to go down the road of 12 weekly injections, saves the mess of rubbing in gel each morning. and if so, the above process starts again, 12 week injections, blood tests, reduced to 1o week interval, blood test until exact dosage is worked out for you. I am on one injection every 8 weeks.

PRIVATE;

Testogel comes in 40 sachet packs, the cost used to be £55 per pack

If on 2 sachets per day this will cost you around £100 per month every month for the rest of your life.

Testogel also comes in a bottle pump activator, simillar cost.

on top of this you will need private blood tests as I described above until correct dosage is found for you and then 6 monthly and yearly checks.

Do you really want to go down this route for the rest of your life?

You do not try TRT, you do not go on it for a year then decide its not for me,

This is a medication for life, of which you sit down with your doctor and discuss along with family members as the chance of having children when on this medication is basically zero.

Your sperm count will drop off and your testicles may shrink slightly due to them shutting down testosterone production.

TRT does not add testosterone to what your body already produces, Your body and The hypothalamus sends a signal to the pituitary gland to say.... "wait a minute my body already has testosterone" and in turn they will shut down testosterone production from your testicles, Your LH & FSH will gradually drop to zero shutting down natural testosterone production from your testicles.

.

This is not a simple decision, you need to have real medical problems to be placed on TRT and you need to do your own research.

"

Yes it is available on the NHS but when your GP will not budge or refer you after 3 years then where do you go? Private, best thing I ever did.

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By *iscean_dreamMan  over a year ago

Port talbot


"I have read many messages on here - go private, go private.

Fact is, TRT testosterone replacement is fully available on the NHS and if you are in need of this, it is available.

.

You will find the majority of GP doctors have little or no knowledge of TRT, why would they as it is not a daily occurrence.

When you go to your doctor ask for a private appointment with a specialist who deals with this daily, you will be seen within a week or two, the full report will be sent back to your doctor and...... if it is proven you do need this medication you will be prescribed it by your doctor.

1; you will normally start on Testogel, 1 x 50 mg sachet which you rub into your shoulders.

2; on the morning before you start this, you should have your bloods taken "before 10am"

3; You will rub this into your shoulders each morning for 3 months, then further bloods taken

4; you will probably show that you are still low and your dosage will be increased to 1.5 sachets per day, My bloods showed I needed 2 sachets per day.

5; once your dosage is correct, you will continue on 3 monthly blood checks, then reduced to 6 monthly, and eventually yearly blood tests.

6; By now you will be living a normal life in good health and this will be a way of life for you.

7; You may decide to go down the road of 12 weekly injections, saves the mess of rubbing in gel each morning. and if so, the above process starts again, 12 week injections, blood tests, reduced to 1o week interval, blood test until exact dosage is worked out for you. I am on one injection every 8 weeks.

PRIVATE;

Testogel comes in 40 sachet packs, the cost used to be £55 per pack

If on 2 sachets per day this will cost you around £100 per month every month for the rest of your life.

Testogel also comes in a bottle pump activator, simillar cost.

on top of this you will need private blood tests as I described above until correct dosage is found for you and then 6 monthly and yearly checks.

Do you really want to go down this route for the rest of your life?

You do not try TRT, you do not go on it for a year then decide its not for me,

This is a medication for life, of which you sit down with your doctor and discuss along with family members as the chance of having children when on this medication is basically zero.

Your sperm count will drop off and your testicles may shrink slightly due to them shutting down testosterone production.

TRT does not add testosterone to what your body already produces, Your body and The hypothalamus sends a signal to the pituitary gland to say.... "wait a minute my body already has testosterone" and in turn they will shut down testosterone production from your testicles, Your LH & FSH will gradually drop to zero shutting down natural testosterone production from your testicles.

.

This is not a simple decision, you need to have real medical problems to be placed on TRT and you need to do your own research.

"

Mine didn't hesitate to book me in for bloods and if needed when they come back I will be put straight on them.

It's crazy people have to go private for something readily available

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By *orny PTMan  over a year ago

Peterborough


"

It's crazy people have to go private for something readily available "

Postcode lottery as well as which nation you live in.

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By (user no longer on site)  over a year ago

The problem with NHS is if you come in the normal band then they just assume your ok.There is more to it than that.what I do is wrong by self medicating but i feel ace i even feel happy,i look great for my age and its only been a month.Going private is not an option for me.what i do cost for me is pennies .

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By (user no longer on site) OP     over a year ago


"Good morning all. Just wanted to thank OP for starting such an illuminating thread ...learned a lot from the post and all the discussions. "

you are very welcome, if any questions ask away and I will try to answer to the best of my ability

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By (user no longer on site) OP     over a year ago

I believe someone it looking for this thread, so refreshing it so he can find it.

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By *ndrew025Man  over a year ago

west lancs

Has anyone ever used these online home testing companies? I’d like to know what my levels are so I can monitor them.

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By *annaBeStrongMan  over a year ago

w


"Has anyone ever used these online home testing companies? I’d like to know what my levels are so I can monitor them. "

It’ll be pretty expensive to “monitor” them

That would require weekly testing, maybe more

But otherwise, yeah they’re good

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By *ooBulMan  over a year ago

Missin’ Yo’ Kissin’

Are we talking about the male menopause then?

TCM doctors (Traditional Chinese Medicine Doctors/Acupuncturists), have recognised this condition for quite a while whilst Western medicine has have dismissed it. I think they are starting to come round though......

If I felt that it was a problem I'd go down the acupuncturist route. The person I know of does herbs (d*unk as a tea), as well as acupuncture. But not all acupuncturists are Chinese herbalists!

As "M" above says quite rightly you can get tested for Vit D. However, you could try (Guys/Ladies), taking your top off on a sunny morning till Mid-day (if you don't have pervy neighbours), and soak up some rays. My TCM doctor recommended this years ago to me. It did work. But if it does not then you can go see your GP.

I found by accident that "Complans" were good for topping up my vit D for a short period. But again take advice from your GP.

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By *ndrew025Man  over a year ago

west lancs

I was thinking more just to find my current levels and then just a twice per year check depending on my results. If My levels are low then I’d have to do it another way.

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By *annaBeStrongMan  over a year ago

w


"Are we talking about the male menopause then?

TCM doctors (Traditional Chinese Medicine Doctors/Acupuncturists), have recognised this condition for quite a while whilst Western medicine has have dismissed it. I think they are starting to come round though......

If I felt that it was a problem I'd go down the acupuncturist route. The person I know of does herbs (d*unk as a tea), as well as acupuncture. But not all acupuncturists are Chinese herbalists!

As "M" above says quite rightly you can get tested for Vit D. However, you could try (Guys/Ladies), taking your top off on a sunny morning till Mid-day (if you don't have pervy neighbours), and soak up some rays. My TCM doctor recommended this years ago to me. It did work. But if it does not then you can go see your GP.

I found by accident that "Complans" were good for topping up my vit D for a short period. But again take advice from your GP. "

So obviously apart from the herbal stuff which I completely disagree with. I don’t think anyone should trust Chinese herbs over real medicine

Vitamin D from sunlight in the UK is extremely hard to get and for most of the year the sun isn’t even strong enough to make vitamin D

Supplement your vitamin D. Don’t rely on the sun, it’s not nearly enough this far north of the equator. That’s why so many foods have vitamin D added

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By (user no longer on site)  over a year ago


"I was thinking more just to find my current levels and then just a twice per year check depending on my results. If My levels are low then I’d have to do it another way. "

Checking twice a year won't give you a full picture. So many variables can affect your levels that it would not be of any benefit

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By *annaBeStrongMan  over a year ago

w


"I was thinking more just to find my current levels and then just a twice per year check depending on my results. If My levels are low then I’d have to do it another way.

Checking twice a year won't give you a full picture. So many variables can affect your levels that it would not be of any benefit"

This, even a bad nights sleep or a meal will complete change your levels

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By *orny PTMan  over a year ago

Peterborough


"I was thinking more just to find my current levels and then just a twice per year check depending on my results. If My levels are low then I’d have to do it another way.

Checking twice a year won't give you a full picture. So many variables can affect your levels that it would not be of any benefit"

Your height is monitored through out your life, if you see it drop by two inches or more and don't have major spine/hip problems, let them know. This is important and is a physical marker, as you will never grow taller again.

(Fighter pilots please ignore the last comment)

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By (user no longer on site)  over a year ago

Thanks OP, although I'm only 26 I mentioned this to my doctor and am getting my levels checked.

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By (user no longer on site) OP     over a year ago


"I was thinking more just to find my current levels and then just a twice per year check depending on my results. If My levels are low then I’d have to do it another way.

Checking twice a year won't give you a full picture. So many variables can affect your levels that it would not be of any benefit

This, even a bad nights sleep or a meal will complete change your levels "

Once you are fully set up on correct dosage which involves endless 3 monthly checks,

You can then happily reduce to 6 monthly or a 1 yearly check.

Otherwise this will take over your life and you will constantly be altering and changing your dosage which defeats purpose

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By *ndrew025Man  over a year ago

west lancs


"I was thinking more just to find my current levels and then just a twice per year check depending on my results. If My levels are low then I’d have to do it another way.

Checking twice a year won't give you a full picture. So many variables can affect your levels that it would not be of any benefit

This, even a bad nights sleep or a meal will complete change your levels

Once you are fully set up on correct dosage which involves endless 3 monthly checks,

You can then happily reduce to 6 monthly or a 1 yearly check.

Otherwise this will take over your life and you will constantly be altering and changing your dosage which defeats purpose "

I mean about checking my natural levels. If I did show low levels I would have to check more often if I decided to start TRT. I’m just thinking most people never check their levels it’s not even thought about

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By (user no longer on site)  over a year ago


"For men testosterone is not just about erections and muscles. Low testosterone and your personality is gone. No excitement, no vitality, no drive and no ambition.

As bad as it is for men, women entering menopause have it worse "

I have been feeling like this for a few weeks now, i called doc & had blood taken yesterday as i drive buses & last thing i need is to fall asleep while driving.

Thanks for the post

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By (user no longer on site) OP     over a year ago

This Testosterone onset effects tool will allow you to know the length of time on TRT before you notice changes

https://www.nebido.com/hcp/tools/testosterone-effects-onset

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By *orny PTMan  over a year ago

Peterborough


"For men testosterone is not just about erections and muscles. Low testosterone and your personality is gone. No excitement, no vitality, no drive and no ambition.

As bad as it is for men, women entering menopause have it worse

It isn't a competition "

It is, when it comes to funding, getting help, being taken seriously and battling through a reluctant GP appointment telephone system and putting the word out

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By (user no longer on site) OP     over a year ago


"This Testosterone onset effects tool will allow you to know the length of time on TRT before you notice changes

https://www.nebido.com/hcp/tools/testosterone-effects-onset"

sorry, once on web page click that you are a HCP, then select Tools at top this opens up the effects tool

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By (user no longer on site) OP     over a year ago

Brought this thread back up, as may be of interest to someone with ED

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By *orny PTMan  over a year ago

Peterborough

In my NHS trust the waiting list for the urology dept is now up to 40 weeks. It's the lack of communication that's the worst bit. "Go back to GP to speed things up": GP's receptionist "Only if it's medical"...the blood boils. Of course it's medical!

The hospitals won't tell the patients about this 40 week wait in a letter, nor the local GPs. I had to be on the phone for 51 minutes, only to play the pillar-to-post..no wonder online DIY diagnosis is rife.

NHS? No hope sunshine.

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By (user no longer on site) OP     over a year ago


"In my NHS trust the waiting list for the urology dept is now up to 40 weeks. It's the lack of communication that's the worst bit. "Go back to GP to speed things up": GP's receptionist "Only if it's medical"...the blood boils. Of course it's medical!

The hospitals won't tell the patients about this 40 week wait in a letter, nor the local GPs. I had to be on the phone for 51 minutes, only to play the pillar-to-post..no wonder online DIY diagnosis is rife.

NHS? No hope sunshine."

Go Private for first assessment, use a spire hospital and use their list of specialists to select a good one, first assessment will cost around £150 and is far better than waiting 40 weeks

You pay for your car to be serviced, why not spend some money on yourself rather than your car.

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By *eroLondonMan  over a year ago

Mayfair

Bookmarked.

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By (user no longer on site) OP     over a year ago

any questions on TRT (testosterone replacement) feel free to ask

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By (user no longer on site)  over a year ago

Is there a more natural way of replacing testosterone?

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By *ang bang bangity bangCouple  over a year ago

Sunderland


"Is there a more natural way of replacing testosterone?"

The standard stuff really

Keep bodyfat in check

Lift heavy weights and avoid lots of cardio. Although make sure you move and walk a lot

Red meat

Good fats

Keep stress to an adequate level

Good sleep

Avoid excessive alcohol and coffee

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By *orny PTMan  over a year ago

Peterborough

Does sex increase the t-levels or does it reduce them?

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By *igertigerCouple (MM)  over a year ago

cc hotel

Sleep Apnea can have a detrimental and significant negative impact on testosterone levels. If you happen to be snorer it could be worthwhile to have a sleep study and have your testosterone levels checked.

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By *hirdTimesACharmCouple  over a year ago

northamptonshire

Tbf, I just want the TRY for the gains lmao

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By *tranger swings 69Couple  over a year ago

cheshire

Great thread

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By (user no longer on site)  over a year ago


"Great thread "

Isn’t it just bookmarked

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By *ormerWelshcouple2020Man  over a year ago

Stourbridge


"I’m glad you feel better. If only women were allowed the same privilege without having to spend hundreds of pounds going private "

Mark speaking, I’ve had low testosterone reports for a while, but my GP doesn’t think it’s worth addressing, so it isn’t a given for men either

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By *entBarryUKMan  over a year ago

Ashford

This is a very interesting post, thanks OP.

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By *ormerWelshcouple2020Man  over a year ago

Stourbridge


"If you’re feeling

sluggish low energy

brain fog

low sex drive

body shape change

Lesser erections (softer, less frequent)

Then get your testosterone checked, it’s something vital in your body that tends to reduce with age.

There’s a normal range something like 10-30 nmol/L, in men of all ages mine was at 9!

I was put on TRT and the difference was almost immediate, and still carries on being hugely beneficial.

There’s risks after 50 and you need to be monitored regularly, with blood tests and consultation. The ideal level range over 50 in age is low to high teens, not in the 20’s+.

If you read the health benefits of normal testosterone, there are many, but let’s say I can everything better and harder than before.

.

.

I was tested and shown to be 9nmol/L, my doctor said this was within normal range, I then fractured my ankle and was seen by a specialist, I mentioned my low testosterone to him and he suspected I also had Low Bone Density.

He carried out further tests and confirmed I was Low on Testosterone and Low Bone Density was the cause of my ankle fracture.

His report was sent to my GP and I am now on TRT (Testosterone Replacement for life via NHS.

NOTE; This is a nhs treatment;

I have been on Testosterone Replacement for over 4 years now, first two years on Testogel and once dosage was fixed out things worked well, I was on two sachets a day which are rubbed into your shoulders.

I changed over to testosterone undecanoate (Nebido®) 1000mg /4ML injection every 8 weeks and this works just as well.

I average 25nmol/L although peak is slightly higher and Trough slightly lower.

My daily morning erections have returned and can achieve an erection as and when required, often when not required too.

.

So why was I placed on TRT, Testosterone Replacement

I suffered Erectile Dysfunction for 3 years, I was unable to achieve or maintain erections and I also have an effeminate shaped body

my other symptoms included;

• fatigue

• lethargy

• depression

• anxiety

• irritability

• low libido

• erectile dysfunction

• reduced exercise tolerance and strength

• excessive sweating and night sweats

• poor concentration or memory

• needing to shave less often (my legs, arms and face were smooth only needed to shave once a week or less.

My doctor and specialist eventually discovered this was due to Low Testosterone and I am now on Testosterone replacement for life.

My overall well being has increased rapidly, my fitness, strength and im even getting noticeable muscles

My Erections have also returned big time, powerful strong rock solid erections every morning and as and when performance is required, often unexpected moments too such as standing in a Tesco check out queue

Feel free to ask me anything regarding TRT and I will try and give a direct answer of my experience."

Does this have any detrimental effects on people who have had heart surgery? I have tremendous sweats soaks the bed , it’s like when you first had sex and put towels down! Lol

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By (user no longer on site)  over a year ago


"I got full blood work done last year including Testosterone, free Testosterone and SHGB. Going forward I am going to get it done every year and have my own track record of my hormone profile and what is normal for me. This is an important point to note, while there is ranges of normal what is actually more important is what is normal.

Can you let me know where you got your blood work done please? I am having the same fight with the nhs as everyone else, they are just not interested

On a side I have a few friends using TRT and all ended up going private as the NHS seems to have zero interest in providing TRT unless you are extremely low. I don't know the exact name for the classifications but HRT for women can be prescribed by a doctor but TRT can only be prescribed by a specialist, and we all know the battle that can be needed to see an NHS specialist "

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By (user no longer on site)  over a year ago

I am having the same problem as everyone else who goes to their nhs doctor, just not interested, but I suffer from pretty much every one of the symptoms mentioned in and loss test article, can anyone recommend a good place to get the blood work done? One that pacifically gives you a free testosterone level, as from my understanding this is the important level.

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By *ang bang bangity bangCouple  over a year ago

Sunderland


"I am having the same problem as everyone else who goes to their nhs doctor, just not interested, but I suffer from pretty much every one of the symptoms mentioned in and loss test article, can anyone recommend a good place to get the blood work done? One that pacifically gives you a free testosterone level, as from my understanding this is the important level. "

I got mine done by Balance My Hormones. Specifically the intravenous one where you need to get blood drawn by a nurse etc. They help arrange it all

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By (user no longer on site)  over a year ago

Thanks

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By (user no longer on site)  over a year ago

If the NHS won't help just get your own of the Internet

10 ml bottle cost about 35 quid and will last about 3 months

140 mg per week I'd about right

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By (user no longer on site)  over a year ago

If the NHS won't help just get your own of the Internet

10 ml bottle cost about 35 quid and will last about 3 months

140 mg per week I'd about right

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By (user no longer on site)  over a year ago

Super long ester sounds so much easier that enan or cyp. Credit to your doc

Not IMHO

Nibido (testosterone undercanote) very long string ester, but has been proven to give too erratic in delivery.

Giving highs early on and very lows when due for another.

The very best way although a pain Is small daily injections of test prop or enanthate. Mimicking your own bodies production and a protocol I use.

Self medicating but under endo for over 10 years.

I have a medical condition present and recorded over my lifetime since 15/16 when I didnt hit puberty.

I dont have to but personally I would never accept the NHS refusal and would definitely self medication rather than feel like a tired lethargic sack of shit all my life

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By *rmrshorny2Couple  over a year ago

Seaside

Thanks for sharing

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By *ovingSussexLifeMan  over a year ago

West Sussex

I tried earlier in the year to get some help and my GP was useless. I had the tests, and my score was literally on the lowest point of what the NHS deems a normal score. But because it fell in that perimeter, I was told they couldn't help.

I would go privately, but simply can't afford to

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By (user no longer on site)  over a year ago


"I’m glad you feel better. If only women were allowed the same privilege without having to spend hundreds of pounds going private "

We're not, op is very lucky. I know of men who were almost laughed out of the doctors for mentioning trt for men.

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By (user no longer on site)  over a year ago


"I’m glad you feel better. If only women were allowed the same privilege without having to spend hundreds of pounds going private "

Vast majorty of men on trt have went private because the NHS has refused them because they have a beard or they are not 6st dripping wet.

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By *ophieslutTV/TS  over a year ago

Central


"

Super long ester sounds so much easier that enan or cyp. Credit to your doc

Not IMHO

Nibido (testosterone undercanote) very long string ester, but has been proven to give too erratic in delivery.

Giving highs early on and very lows when due for another.

The very best way although a pain Is small daily injections of test prop or enanthate. Mimicking your own bodies production and a protocol I use.

Self medicating but under endo for over 10 years.

I have a medical condition present and recorded over my lifetime since 15/16 when I didnt hit puberty.

I dont have to but personally I would never accept the NHS refusal and would definitely self medication rather than feel like a tired lethargic sack of shit all my life "

It's just so sad and life-limiting, that so many men are not able to get NHS or self-treatment, as you mention, because of the huge cost of the latter.

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By *rivervaderMan  over a year ago

bolton


"I’m glad you feel better. If only women were allowed the same privilege without having to spend hundreds of pounds going private "

You should be able to get it on the nhs my misses has just started taking it granted took her ages to get it

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By (user no longer on site) OP     over a year ago

I have been reading some of the messages regarding Low blood results and that you do not get this treatment on the NHS

.

I am afraid this is Utter Nonsense as it is available on the NHS and has been for the past 6 Years I have been on it.

Both Testogel and Nebido injections are available

I suspect the people who say it is not available either have not seen a doctor or their levels are within limits as TRT is definitely available and saves the nhs money in the long run.

Low testosterone is the cause of Osteoporosis (this is known as the invisible disease as you do not know you have it until it is almost too late).

Osteoporosis can be reversed

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By (user no longer on site)  over a year ago


"I have been reading some of the messages regarding Low blood results and that you do not get this treatment on the NHS

.

I am afraid this is Utter Nonsense as it is available on the NHS and has been for the past 6 Years I have been on it.

Both Testogel and Nebido injections are available

I suspect the people who say it is not available either have not seen a doctor or their levels are within limits as TRT is definitely available and saves the nhs money in the long run.

Low testosterone is the cause of Osteoporosis (this is known as the invisible disease as you do not know you have it until it is almost too late).

Osteoporosis can be reversed "

Nice work OP - negate people’s lived experiences

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By *eroLondonMan  over a year ago

Mayfair


"I have been reading some of the messages regarding Low blood results and that you do not get this treatment on the NHS

.

I am afraid this is Utter Nonsense as it is available on the NHS and has been for the past 6 Years I have been on it.

Both Testogel and Nebido injections are available

I suspect the people who say it is not available either have not seen a doctor or their levels are within limits as TRT is definitely available and saves the nhs money in the long run.

Low testosterone is the cause of Osteoporosis (this is known as the invisible disease as you do not know you have it until it is almost too late).

Osteoporosis can be reversed

Nice work OP - negate people’s lived experiences "

°

He is right though: Testogel and Nebido are available on the NHS, however these are prescribed by your GP once you are under the care of an Endocrinologist who will manage your care.

It's also worth having DEXA bone densitometry scans every three years or so to mitigate any potential onset of Osteopenia, before it becomes full blown Osteoporosis.

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By (user no longer on site)  over a year ago

Seen any improvement body wise like are your shoulders bigger ? Chest ? Ive debated going to see the dr about mine but I frequently go to the gym and worry Ill suddenly turn into a roid head

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By (user no longer on site)  over a year ago


"Seen any improvement body wise like are your shoulders bigger ? Chest ? Ive debated going to see the dr about mine but I frequently go to the gym and worry Ill suddenly turn into a roid head "

TrT isn't a steroid cycle.

Even if you upped the ante and dipped into the dark side these are not addictive.

If you get tostran 2% gel

For me 1 pump puts me in low normal

2 pumps above average

5 pumps high and equal to steroid cycle.

No sides apart from small nuts but I'm old and had kids and the snip so not bothered

Positives

More energy enthusiasm for life

I train hard and last 3 months switched to full body 3 x per week muscle building (hypertrophy) 3 to 4 sets 8 to 12 reps and have good result.

Diet good carbs on training and very low carbs on recovery days

Age 61

Would I recommend

Definitely test your own testosterone with medlabs for £30

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By (user no longer on site)  over a year ago

Is there a more natural way to replace testosterone?

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By (user no longer on site)  over a year ago


"I have been reading some of the messages regarding Low blood results and that you do not get this treatment on the NHS

.

I am afraid this is Utter Nonsense as it is available on the NHS and has been for the past 6 Years I have been on it.

Both Testogel and Nebido injections are available

I suspect the people who say it is not available either have not seen a doctor or their levels are within limits as TRT is definitely available and saves the nhs money in the long run.

Low testosterone is the cause of Osteoporosis (this is known as the invisible disease as you do not know you have it until it is almost too late).

Osteoporosis can be reversed "

Its a postcode lottery. Many areas will not treat unless your levels are ultra low. Some areas will treat if your under 12nmol.

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By (user no longer on site)  over a year ago


"Is there a more natural way to replace testosterone?"

Get your testicals to produce more =p

Id your overweight you can try to lose weight whic will reduce fat which aromatises testosterone to estrogen. Less aromatisation = more test.

Eat well,

Sleep well 7hrs min (you produce most your testostorne when your asleep)

Be a heathly weight.

These are the onky steps.that will truelt natrually increase your testosterone.

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By (user no longer on site)  over a year ago

Testogel is what i'm prescribed by my endo for transitioning. Granted not the same reason as low testosterone but the difference in myself since starting it has been incredible. Don't hesitate if you think it could benefit you x

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By (user no longer on site)  over a year ago

I had blood tests a few months ago as I wasn't feeling too good turns out I have cronic leukaemia which was a shock

I'm on a watch and wait now they won't do anything till I get worse

So I'd advise all men over 60 to have a blood test

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By *rHotNottsMan  over a year ago

Dubai & Nottingham


"I have been reading some of the messages regarding Low blood results and that you do not get this treatment on the NHS

.

I am afraid this is Utter Nonsense as it is available on the NHS and has been for the past 6 Years I have been on it.

Both Testogel and Nebido injections are available

I suspect the people who say it is not available either have not seen a doctor or their levels are within limits as TRT is definitely available and saves the nhs money in the long run.

Low testosterone is the cause of Osteoporosis (this is known as the invisible disease as you do not know you have it until it is almost too late).

Osteoporosis can be reversed

Its a postcode lottery. Many areas will not treat unless your levels are ultra low. Some areas will treat if your under 12nmol. "

I get my bloods checked every 3 months. We have a walk in clinic in Dubai it takes 5 minutes, the results are instant I have taken IV infusions for different things but my T is in range between 18 and 27 nmol depending on the time of day, it’s much higher if go at 8am than 10am. People that want a shot of T simply go at 11am

.

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By (user no longer on site)  over a year ago


"I have been reading some of the messages regarding Low blood results and that you do not get this treatment on the NHS

.

I am afraid this is Utter Nonsense as it is available on the NHS and has been for the past 6 Years I have been on it.

Both Testogel and Nebido injections are available

I suspect the people who say it is not available either have not seen a doctor or their levels are within limits as TRT is definitely available and saves the nhs money in the long run.

Low testosterone is the cause of Osteoporosis (this is known as the invisible disease as you do not know you have it until it is almost too late).

Osteoporosis can be reversed

Its a postcode lottery. Many areas will not treat unless your levels are ultra low. Some areas will treat if your under 12nmol.

I get my bloods checked every 3 months. We have a walk in clinic in Dubai it takes 5 minutes, the results are instant I have taken IV infusions for different things but my T is in range between 18 and 27 nmol depending on the time of day, it’s much higher if go at 8am than 10am. People that want a shot of T simply go at 11am

. "

If you have healthy testostrone you should not inject test. Thjs will disrupt and eventally shut down your hpt axis which will stop natural test production.

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By (user no longer on site)  over a year ago


"Is there a more natural way to replace testosterone?

Get your testicals to produce more =p

Id your overweight you can try to lose weight whic will reduce fat which aromatises testosterone to estrogen. Less aromatisation = more test.

Eat well,

Sleep well 7hrs min (you produce most your testostorne when your asleep)

Be a heathly weight.

These are the onky steps.that will truelt natrually increase your testosterone.

"

Not the only way

There are others

Weight training would be an excellent method to help boost

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By *ab FunstersCouple  over a year ago

Midlands

This has been a great topic OP, learning how others have dealt with this is enlightening..x

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By *rMonkeyMan  over a year ago

Somewhere


"I have been reading some of the messages regarding Low blood results and that you do not get this treatment on the NHS

.

I am afraid this is Utter Nonsense as it is available on the NHS and has been for the past 6 Years I have been on it.

Both Testogel and Nebido injections are available

I suspect the people who say it is not available either have not seen a doctor or their levels are within limits as TRT is definitely available and saves the nhs money in the long run.

Low testosterone is the cause of Osteoporosis (this is known as the invisible disease as you do not know you have it until it is almost too late).

Osteoporosis can be reversed "

It is available, but not all doctors will refer you for treatment.

I jumped through hoops for 2 years, test after test, every one below the threshold level for treatment, albeit only just but it was low.

Still would not refer me, even after writing to the local trust asking why not and was told funding would not permit.

Went private, best thing I ever did.

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By *axim3840Man  over a year ago

Hackney

Testogel or Nebido can be described for males as far I am aware

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By (user no longer on site)  over a year ago

I'm so glad your feeling better.

Fabulous thread raising awareness.

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By (user no longer on site)  over a year ago


"This has been a great topic OP, learning how others have dealt with this is enlightening..x"

Totally agree. Very good subject to raise awareness of.

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By (user no longer on site)  over a year ago


"I am having the same problem as everyone else who goes to their nhs doctor, just not interested, but I suffer from pretty much every one of the symptoms mentioned in and loss test article, can anyone recommend a good place to get the blood work done? One that pacifically gives you a free testosterone level, as from my understanding this is the important level. "

Try Medichecks and get their "Advanced TRT Blood Test". It's not the cheapest but it's comprehensive and worth the investment in your health. Don't bother with your GP as a first point of call because they don't know anything about the subject and any tests they do will be too limited to be of any use.

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By (user no longer on site)  over a year ago


"

Super long ester sounds so much easier that enan or cyp. Credit to your doc

Not IMHO

Nibido (testosterone undercanote) very long string ester, but has been proven to give too erratic in delivery.

Giving highs early on and very lows when due for another.

The very best way although a pain Is small daily injections of test prop or enanthate. Mimicking your own bodies production and a protocol I use.

Self medicating but under endo for over 10 years.

I have a medical condition present and recorded over my lifetime since 15/16 when I didnt hit puberty.

I dont have to but personally I would never accept the NHS refusal and would definitely self medication rather than feel like a tired lethargic sack of shit all my life "

Twice-weekly test enanthate or test cypionate works really well and it's dirt cheap. You can also get 25 years supply for no more than a few hundred quid. The clinical dosing protocol for test undecanoate is completely wrong - too widely spaced and too high a dose at once so hormone levels swing wildly, going too high then too low. Even worse there's no attempt to control the inevitable excess oestrogen levels that it triggers which cause all kinds of problems. Nothing wrong with the compound itself other than relatively high price, but it does need dosing in smaller amounts more often.

There are some cutting edge protocols that look even more promising where some of the test is substituted with a very small amount of another hormone such as trenbolone. It often seems to work better and has less chance of side effects although it can take a bit of time to dial in the ideal doses.

I don't bother with the NHS at all for a lot of things these days, either going private or sourcing things myself. After having shoulder surgery a few years ago I put together a treatment plan to speed recovery that had near-miraculous results. Cost me about £600 but it was well worth it I did a huge amount of research and reading scientific papers beforehand though so it was based on actual research and clinical evidence rather than the recommendation of some guy down the gym.

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By *andotherjCouple  over a year ago

wetherby

This is a brilliant thread, and many thanks to all contributers.

I have some of the expected symptoms of low testosterone, tiredness, lack of energy,brain fog etc. One other oddity I have is inability to cum or ejaculate despite lots of opportunities . Could this be a low T symptom? It's not something I see reported.

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By (user no longer on site)  over a year ago


"This is a brilliant thread, and many thanks to all contributers.

I have some of the expected symptoms of low testosterone, tiredness, lack of energy,brain fog etc. One other oddity I have is inability to cum or ejaculate despite lots of opportunities . Could this be a low T symptom? It's not something I see reported.

"

Sounds like you might have an issue with your testosterone levels. Sexual function can also be affected by oestrogen levels being too high or too low, and since your body makes oestrogen from testosterone, if the latter is low then it's going to have knock-on effects.

Get yourself tested just to be sure - going through a private testing company is probably best and easiest. If there is a problem you want it sorted sooner rather than later because low test has very real implications for your long term health and quality of life.

Low test is also a big problem for women and it has a lot of the same effects as in men. Quite a large proportion of women who use the combined pill end up with significantly reduced testosterone to the point that they're likely to experience some effects from it. It's possible to supplement testosterone directly but you have to be very careful with dosing and an easier alternative is a daily supplement of DHEA, although you need to buy it from overseas.

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By *orny PTMan  over a year ago

Peterborough


"Sleep Apnea can have a detrimental and significant negative impact on testosterone levels. If you happen to be snorer it could be worthwhile to have a sleep study and have your testosterone levels checked. "

Mines tested 11 nmols, twice in a year. I'm on the wonky diagnosis this week, so I should get a grown ups's opinion aka Mental health team assesmnent for The autistic sprectrum and all that entails, then for my t-levels a hospital based assessment to see if that's to blame a well.

I think it's a combination of the two, plus external factors. Holistically assessed is going to be the phrase of the day, on both occasions.

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By *orny PTMan  over a year ago

Peterborough


"In my NHS trust the waiting list for the urology dept is now up to 40 weeks. It's the lack of communication that's the worst bit. "Go back to GP to speed things up": GP's receptionist "Only if it's medical"...the blood boils. Of course it's medical!

The hospitals won't tell the patients about this 40 week wait in a letter, nor the local GPs. I had to be on the phone for 51 minutes, only to play the pillar-to-post..no wonder online DIY diagnosis is rife.

NHS? No hope sunshine.

Go Private for first assessment, use a spire hospital and use their list of specialists to select a good one, first assessment will cost around £150 and is far better than waiting 40 weeks

You pay for your car to be serviced, why not spend some money on yourself rather than your car."

Because the NHS/GOV won't pay it for me, plus I haven't got that much spare cash.

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By (user no longer on site)  over a year ago


"In my NHS trust the waiting list for the urology dept is now up to 40 weeks. It's the lack of communication that's the worst bit. "Go back to GP to speed things up": GP's receptionist "Only if it's medical"...the blood boils. Of course it's medical!

The hospitals won't tell the patients about this 40 week wait in a letter, nor the local GPs. I had to be on the phone for 51 minutes, only to play the pillar-to-post..no wonder online DIY diagnosis is rife.

NHS? No hope sunshine.

Go Private for first assessment, use a spire hospital and use their list of specialists to select a good one, first assessment will cost around £150 and is far better than waiting 40 weeks

You pay for your car to be serviced, why not spend some money on yourself rather than your car.

Because the NHS/GOV won't pay it for me, plus I haven't got that much spare cash."

You can source the compounds yourself for less than you'd pay in prescription charges alone but it does require a certain amount of research into suppliers as well as dosing protocols and control of possible side effects. Downside is that this approach is obviously somewhat higher risk than finding a good endocrinologist but if the alternative is not being treated at all then it's worthwhile.

Obviously you'd still need to get blood tests which may involve using a private service to get it done right since the NHS generally won't.

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By (user no longer on site)  over a year ago

Sourcing underground testosterone while may be cheap is not safe.

There is no certinty that its been made in a sterilised enviroment or indeed that it is of conistant strength or the strength it claims to be.

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By (user no longer on site)  over a year ago


"Sourcing underground testosterone while may be cheap is not safe.

There is no certinty that its been made in a sterilised enviroment or indeed that it is of conistant strength or the strength it claims to be.

"

There are good trusted sources.

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By *razytimesinloveCouple  over a year ago

SW Scotland

If anyone is wanting tested there’s companies like medilabs that send the kit out and you can either go to a clinic or ask a nurse etc to do it.

There’s also a few places popping up that can do the whole thing.

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By *it-chrissyTV/TS  over a year ago

sw. london

side effects ?

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By (user no longer on site)  over a year ago

Potential sterilaty (can be revered/kept fertile with hcg).

Potebtial raised estrogen, raised hematocrit. These should be managed by your perscribing doctor.

Otherwise your usimg bio identical testosterone to get to normal testosterone levels so no adverse effects.

If you use thenlikes of tren or goto superphysiological levels like the gym bros then you will likely suffer more side effects.

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By *rmrshorny2Couple  over a year ago

Seaside

No side effects here but feel better in self

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By *ovingSussexLifeMan  over a year ago

West Sussex

Can anyone recommend one they have personal experience of please?

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By *wisted999Man  over a year ago

North Bucks


"Can anyone recommend one they have personal experience of please?"

Testogel mate.

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By *ovingSussexLifeMan  over a year ago

West Sussex


"I have read many messages on here - go private, go private.

Fact is, TRT testosterone replacement is fully available on the NHS and if you are in need of this, it is available.

.

You will find the majority of GP doctors have little or no knowledge of TRT, why would they as it is not a daily occurrence.

When you go to your doctor ask for a private appointment with a specialist who deals with this daily, you will be seen within a week or two, the full report will be sent back to your doctor and...... if it is proven you do need this medication you will be prescribed it by your doctor.

1; you will normally start on Testogel, 1 x 50 mg sachet which you rub into your shoulders.

2; on the morning before you start this, you should have your bloods taken "before 10am"

3; You will rub this into your shoulders each morning for 3 months, then further bloods taken

4; you will probably show that you are still low and your dosage will be increased to 1.5 sachets per day, My bloods showed I needed 2 sachets per day.

5; once your dosage is correct, you will continue on 3 monthly blood checks, then reduced to 6 monthly, and eventually yearly blood tests.

6; By now you will be living a normal life in good health and this will be a way of life for you.

7; You may decide to go down the road of 12 weekly injections, saves the mess of rubbing in gel each morning. and if so, the above process starts again, 12 week injections, blood tests, reduced to 1o week interval, blood test until exact dosage is worked out for you. I am on one injection every 8 weeks.

PRIVATE;

Testogel comes in 40 sachet packs, the cost used to be £55 per pack

If on 2 sachets per day this will cost you around £100 per month every month for the rest of your life.

Testogel also comes in a bottle pump activator, simillar cost.

on top of this you will need private blood tests as I described above until correct dosage is found for you and then 6 monthly and yearly checks.

Do you really want to go down this route for the rest of your life?

You do not try TRT, you do not go on it for a year then decide its not for me,

This is a medication for life, of which you sit down with your doctor and discuss along with family members as the chance of having children when on this medication is basically zero.

Your sperm count will drop off and your testicles may shrink slightly due to them shutting down testosterone production.

TRT does not add testosterone to what your body already produces, Your body and The hypothalamus sends a signal to the pituitary gland to say.... "wait a minute my body already has testosterone" and in turn they will shut down testosterone production from your testicles, Your LH & FSH will gradually drop to zero shutting down natural testosterone production from your testicles.

.

This is not a simple decision, you need to have real medical problems to be placed on TRT and you need to do your own research.

"

Excellent post. Thank you

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By *rooperRedMan  over a year ago

Littlehampton

Just had my second set of results back. Testosterone at 10.6 nmol/L, which is up from the 7.7 a month ago. Still feeling the same meh. Will have to wait and see what they come up with now but I'm not getting my hopes up.

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By *orny PTMan  over a year ago

Peterborough


"Just had my second set of results back. Testosterone at 10.6 nmol/L, which is up from the 7.7 a month ago. Still feeling the same meh. Will have to wait and see what they come up with now but I'm not getting my hopes up."

That's bad, as my GP thinks 11n/mols is within the normal range, who for, an 85 year old?

Hope the meh, feeling disappears soon.

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By (user no longer on site) OP     over a year ago


"Just had my second set of results back. Testosterone at 10.6 nmol/L, which is up from the 7.7 a month ago. Still feeling the same meh. Will have to wait and see what they come up with now but I'm not getting my hopes up.

That's bad, as my GP thinks 11n/mols is within the normal range, who for, an 85 year old?

Hope the meh, feeling disappears soon."

what time was your blood taken as it has to be before 10am and the earlier the better.

You need to find a doctor who is educated in testosterone replacement, it is obvious with both of you guys above that you need to request a 2nd opinion and also request a private consultation.

I was 13nmol/L when I was placed on TRT and this was because my "Free Testosterone" was almost non existent.

Free testosterone feeds your bones and provides bone growth.

If your natural testosterone is as low as 10 or 11, then you will almost definitely have Osteoporosis or the beginning of osteoporosis (Osteopenia)

This is a serious illness which is known as a blind disease as you cannot see it until its too late.

Pay for a private consultation and take your previous results with you.

Go to spirehealthcare.com and find a consultant close to you

they send results and advice to your own doctor and then your own doctor will prescribe TRT on the NHS

feel free to message me for advice.

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By *rooperRedMan  over a year ago

Littlehampton


"Just had my second set of results back. Testosterone at 10.6 nmol/L, which is up from the 7.7 a month ago. Still feeling the same meh. Will have to wait and see what they come up with now but I'm not getting my hopes up.

That's bad, as my GP thinks 11n/mols is within the normal range, who for, an 85 year old?

Hope the meh, feeling disappears soon.

what time was your blood taken as it has to be before 10am and the earlier the better.

You need to find a doctor who is educated in testosterone replacement, it is obvious with both of you guys above that you need to request a 2nd opinion and also request a private consultation.

I was 13nmol/L when I was placed on TRT and this was because my "Free Testosterone" was almost non existent.

Free testosterone feeds your bones and provides bone growth.

If your natural testosterone is as low as 10 or 11, then you will almost definitely have Osteoporosis or the beginning of osteoporosis (Osteopenia)

This is a serious illness which is known as a blind disease as you cannot see it until its too late.

Pay for a private consultation and take your previous results with you.

Go to spirehealthcare.com and find a consultant close to you

they send results and advice to your own doctor and then your own doctor will prescribe TRT on the NHS

feel free to message me for advice.

"

Yes, it was an early fasting one. I'll keep pushing them. Had to essentially write an essay on their online consultation form to blag the second test. I've looked at private places and have a few options. It's just the initial fee that's a bit steep with some places, but I'll push the NHS as far as I can and see what they say.

And thanks.

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By *orny PTMan  over a year ago

Peterborough

Same for me a pre-brekkie blood test. I am having an appointment with the urologist I've had at least two or three tests so they will have to belive me when I tell them in a couple of weeks time.

Thanks for the info.

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By *rooperRedMan  over a year ago

Littlehampton


"Same for me a pre-brekkie blood test. I am having an appointment with the urologist I've had at least two or three tests so they will have to belive me when I tell them in a couple of weeks time.

Thanks for the info."

Good luck!

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By (user no longer on site) OP     over a year ago


"Same for me a pre-brekkie blood test. I am having an appointment with the urologist I've had at least two or three tests so they will have to belive me when I tell them in a couple of weeks time.

Thanks for the info."

Perfect, make sure you ask the Urologist to test your Free Testosterone too

ensure you are fully clued up on TRT before you see him,

make it obvious that you are fully aware of all symptom's, and the side effects

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By *orny PTMan  over a year ago

Peterborough


"Same for me a pre-brekkie blood test. I am having an appointment with the urologist I've had at least two or three tests so they will have to belive me when I tell them in a couple of weeks time.

Thanks for the info.

Good luck!"

Cheers buddy.

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By (user no longer on site) OP     over a year ago

One last bit of advice

Before I started trt, I educated myself using

Excelmale.com

This is a American forum but fully gives advice on all aspects of TRT

I started testosterone replacement back in 2016

I receive a DEXA bone density scan every 2 years and my bone density is increasing by 12.4% this is due to TRT as well as Accrete D3 prescription

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By *orny PTMan  over a year ago

Peterborough

Age Range Average total testosterone (nmol/l) Average free testosterone (nmol/l) SHBG

25-34 21.38 0.428 35.5

35-44 23.14 0.356 40.1

45-54 21.02 0.314 44.6

55-64 19.49 0.2888 45.5

65-74 18.15 0.239 48.7

75-84 16.32 0.207 51.0

85-100 13.05 0.186 65.9

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By (user no longer on site) OP     over a year ago


"Age Range Average total testosterone (nmol/l) Average free testosterone (nmol/l) SHBG

25-34 21.38 0.428 35.5

35-44 23.14 0.356 40.1

45-54 21.02 0.314 44.6

55-64 19.49 0.2888 45.5

65-74 18.15 0.239 48.7

75-84 16.32 0.207 51.0

85-100 13.05 0.186 65.9

"

At 52 my SHBG averaged 70, the higher the SHBG the lower your free testosterone

There is little to do, to control shbg

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By *rooperRedMan  over a year ago

Littlehampton

Had a call from the doc yesterday. He's sticking me on the gel Nd referring me to endocrinology. Thankfully he said we might as well start treatment now rather than wait so I have my prescription. Picking it up on Tuesday.

In the words of Borat: Great success!

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By *eroLondonMan  over a year ago

Mayfair

Brilliant! ^

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By (user no longer on site) OP     over a year ago


"Had a call from the doc yesterday. He's sticking me on the gel Nd referring me to endocrinology. Thankfully he said we might as well start treatment now rather than wait so I have my prescription. Picking it up on Tuesday.

In the words of Borat: Great success! "

Hopefully TestoGel as this one applies easier and is not sticky, it absorbs within minutes

I have tried a few and in my opinion for Gels, TestoGel works best.

You will probably be started on one sachet per day, get further bloods taken after around 4 weeks, then probably increase to 1.5 sachets per day, further tests and end up on 2 sachets per day

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By *rooperRedMan  over a year ago

Littlehampton


"Had a call from the doc yesterday. He's sticking me on the gel Nd referring me to endocrinology. Thankfully he said we might as well start treatment now rather than wait so I have my prescription. Picking it up on Tuesday.

In the words of Borat: Great success!

Hopefully TestoGel as this one applies easier and is not sticky, it absorbs within minutes

I have tried a few and in my opinion for Gels, TestoGel works best.

You will probably be started on one sachet per day, get further bloods taken after around 4 weeks, then probably increase to 1.5 sachets per day, further tests and end up on 2 sachets per day "

It's a pump thing apparently, so don't know how good that is.

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By (user no longer on site) OP     over a year ago


"Had a call from the doc yesterday. He's sticking me on the gel Nd referring me to endocrinology. Thankfully he said we might as well start treatment now rather than wait so I have my prescription. Picking it up on Tuesday.

In the words of Borat: Great success!

Hopefully TestoGel as this one applies easier and is not sticky, it absorbs within minutes

I have tried a few and in my opinion for Gels, TestoGel works best.

You will probably be started on one sachet per day, get further bloods taken after around 4 weeks, then probably increase to 1.5 sachets per day, further tests and end up on 2 sachets per day

It's a pump thing apparently, so don't know how good that is."

The pump replaced the Testogel sachets, if you pm me, I can send a pic of both.

With the pump, you need 5 full pumps each morning for the equivalent of two testogel sachets and this should bring your testosterone to levels of around 24nmol/L

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By *rHotNottsMan  over a year ago

Dubai & Nottingham

I would also second the recommendation for Spire , they will often see you sane day as a regular GP can do bloods. The analysis you get is amazing, well worth the £150.

They even post a copy to your NHS GP if you have one. NHS then add a note - patient advised, no follow up needed.

I’m getting much more into IV infusions and omega-3s , T reads around 17-22 depending on time of day , you can’t normally get shots for free until below 12 in the uk although if paying you can get them based on symptoms only - which is the correct approach - because most people wouldn’t know their level was / should be before they started doing bloods

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By *rHotNottsMan  over a year ago

Dubai & Nottingham


"Had a call from the doc yesterday. He's sticking me on the gel Nd referring me to endocrinology. Thankfully he said we might as well start treatment now rather than wait so I have my prescription. Picking it up on Tuesday.

In the words of Borat: Great success!

Hopefully TestoGel as this one applies easier and is not sticky, it absorbs within minutes

I have tried a few and in my opinion for Gels, TestoGel works best.

You will probably be started on one sachet per day, get further bloods taken after around 4 weeks, then probably increase to 1.5 sachets per day, further tests and end up on 2 sachets per day

It's a pump thing apparently, so don't know how good that is.

The pump replaced the Testogel sachets, if you pm me, I can send a pic of both.

With the pump, you need 5 full pumps each morning for the equivalent of two testogel sachets and this should bring your testosterone to levels of around 24nmol/L"

I’ve never heard of this , shouldn’t you built it up slowly? 24 seems quite high ? I guess it depends on age right ?

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By (user no longer on site) OP     over a year ago


"Had a call from the doc yesterday. He's sticking me on the gel Nd referring me to endocrinology. Thankfully he said we might as well start treatment now rather than wait so I have my prescription. Picking it up on Tuesday.

In the words of Borat: Great success!

Hopefully TestoGel as this one applies easier and is not sticky, it absorbs within minutes

I have tried a few and in my opinion for Gels, TestoGel works best.

You will probably be started on one sachet per day, get further bloods taken after around 4 weeks, then probably increase to 1.5 sachets per day, further tests and end up on 2 sachets per day

It's a pump thing apparently, so don't know how good that is.

The pump replaced the Testogel sachets, if you pm me, I can send a pic of both.

With the pump, you need 5 full pumps each morning for the equivalent of two testogel sachets and this should bring your testosterone to levels of around 24nmol/L

I’ve never heard of this , shouldn’t you built it up slowly? 24 seems quite high ? I guess it depends on age right ?"

With Gels, your Testosterone drops off daily

The Gel is rubbed into skin around 8am and your body has "Peak" Testosterone, within an hour this is dropping off which is simillar to a normal healthy man.

by night time your levels will be mid teens.

Anyone starting on TRT, normally starts on one sachet of Gel, or two pumps if using a pump applicator.

your testosterone levels are tested over the month to determine if your level needs increasing.

I started on 1 sachet, then increased to 1.5 sachets per day and eventually settled out at 2 sachets per day which gave me my correct body testosterone.

.

Whey I changed over to injections,

I was on 12 weekly injections and my testosterone in blood was tested at week 10.

This proved to be LOW, so my testosterone injections were reduced to an injection every 10 weeks and my blood was tested at week 8.

At week 8, my testosterone was Low, so I was put on an injection every 8 weeks and blood tested at week 6.

Week 6 proved to be satisfactory with my bloods, so I am now on a Testosterone injection every 8 weeks.

Please note, it is not only your testosterone that is tested, you have all bloods tested for such as psa monitoring etc.

As this may be the last post, I have started a new thread on this

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