How To Safely Come Off TRT?

Have you been on testosterone replacement therapy and wondering how to safely discontinue are you worried about high estrogen levels are you worried about whether or not your testosterone levels are going to come back into their normal range. In this article, we will look at how to come off TRT (testosterone replacement therapy) safely. We will address luteinizing hormone, estrogen, do you need to take things like HCG or Clomid, etc. We will also look at some of the questions surrounding testosterone replacement therapy and shutting off the natural production of testosterone when you stop replacement therapy. How To Come Safely Come Off TRT?
Once you decide to stop TRT you may ask if it's safe to stop it abruptly or if there's something specific you need to do to reset your body. Do you need to do something or to make sure everything is working the way it was prior to starting, for instance. The main reason people ask this question is because of the feedback loops between the testes the pituitary and the hypothalamus. These feedback loops can get interrupted when you are taking testosterone from some external source. This is true whether it is an injection, something you take by mouth, a pellet, or even a topical cream. That outside source of testosterone will actually interrupt the feedback loops between your brain and your testes. Sometimes it will just turn down or dampen that loop or it will shut it off completely and this is a dose dependent phenomenon.
First we want to look at the feedback loop itself, then we will look at what happens with testosterone replacement therapy. Finally we will look at the things you can do to mitigate the interrupted feedback loop when you stopping TRT.
Testosterone is produced from specific cells in the testes called the ledig cells. Those cells are stimulated to produce the testosterone by hormone that comes from the pituitary gland in your brain called luteinizing hormone. When your pituitary gland receives high levels or sufficient levels of testosterone (and to a lesser extent estrogen) it will decrease or dampen the amount of luteinizing hormone it produces. So when the Ledig cells produce the testosterone, it feeds back and shuts off or decreases the amount of luteinizing hormone that's produced there. In addition, there is a higher level in the brain called the hypothalamus that produces gonadotropin releasing hormone (GnRH). This hormone stimulates the pituitary to produce luteinizing hormone. The production of GnRH is partially influenced by the luteinizing hormone which feeds back to the hypothalamus to tell it there is enough. This will then cause a decrease in the amount of gonadotropin releasing hormone that it produces. The hypoothalamus also has an internal pulsatile stimulus of GnRH too. So that there is not a constant stream of gonadotropin releasing hormone, it is done in a pulsatile manner. When the the overall feedback loop is interrupted that pulsatile stimulation of gonadotropin releasing hormone is also interrupted.
Pituitary Feedback Loop While On TRT
When you are taking an exogenous source of testosterone, the amount of luteinizing hormone goes down. As that luteinizing hormone decreases, you will have less stimulation to the testes to produce that testosterone. In this case it's okay given that you are taking it exogenously. The moment you stop, it will take some time for your pituitary to reset and produce that luteinizing hormone again. Keep in mind this is not a light switch it is more like a dimmer switch. The more testosterone present in your body the less luteinizing hormone you will produce. If you are doing injections, day one after the injection the luteinizing hormone production will be very low and stay low for several days after. It may start to kick five days after or so depending on the dose you are taking. The more saturated your body is with the testosterone, the less LH you will produce. The same principal is true when you stop testosterone completely.
Many people have commented to me that they don't want to go on testosterone replacement therapy because they don't want their testosterone production to completely shut off. The signaling does not really work that way in my experience. It's more of a dimmer switch and it does come back when you stop taking it. There seems to be some suggestion that once you start testosterone therapy you have to continue taking it because it shuts off the internal production completely. This doesn't mean it won't happen but it seems to be more extreme cases. I wouldn't know because i've never seen it.
How To Come Off TRT Safely

[@romanmerino1]

I feel like everything you said.... Is exactly what everyone wants to know... But doesn't know where to find the information, for whatever reason. Love your videos and couldn't thank you enough for the valuable and very pertinent information!

[@swintegrative]

Glad it was helpful!

[@Jimii89]

Agree I thought it was really helpful

[@andre.shaw91]

This is interesting. So many other docs talk of complete shutdown on TRT, they never mention that it’s partial shutdown which is dose dependent. Good to hear a less dramatic view on it all.

[@Dreamhawke]

Thank you SO much for this video. This is the realistic perspective I was looking for.

[@swintegrative]

Glad it was helpful!

[@LeadAxolotl]

Thank you for providing these answers, I rushed into TRT without giving the lifestyle changes a real shot and was scared I had screwed myself over, this info has made me feel more confident about coming off of it to give those lifestyle changes a chance before committing myself to a lifetime of injections.

[@swintegrative]

Glad it was helpful good luck

[@bradfowler1759]

i think i am in the same boat as you. i dont think it's helping me at all. i just need to workout daily. the motivation isn't really there so i will have to discipline myself. it seems like biologically, we have the tools to benefit from the gains of testosterone naturally, not injecting it. are we thinking the same thing?

[@judoguy33]

Great information. Thank you for explaining it so clearly and comparing it to a dimmer switch rather than an on/off switch. Fantastic analogy! You got a sub from me just because of that

[@swintegrative]

Glad it was helpful!

[@ForsakenGod23]

This video reassured me so much, I can't say how thankful I am doc 🙏🏻

[@swintegrative]

thank you and glad it was helpful.

[@cocaine_hookers]

His advice to ween yourself off is pretty much the best way to avoid a total crash. I was on 150 per week for 8 months I just backed it off each week down by a few mg till I was almost to 0.1 Thats really the best way.

[@mattlofty5884]

Reckon I need to do a PCT ? I’ve been on for 2 weeks , 3 injections . Think i made a bad decision so wanna come off My levels were low 400’s

[@wte_lifts_417]

Thank you doc, this was exactly the video I was looking for. I started trt (24 year old using 250mg a week, T levels were on the low end of the range with minor symptoms) about 3 months ago and recently have gotten a lot of anxiety and other psychological side effects. I’ve decided to cease use to improve my mental health and get my lifestyle factors in order to improve my test naturally before trying TRT again. I was scared of stopping without any idea of how to do it but your video helped me so much, subscribed.

[@swintegrative]

Glad it helped. Thanks!

[@saulorona7012]

Hey man how did you come off? How are you feeling I'm having a similar issue

[@leestephen4288]

@@swintegrativewhat if you were on an HCG already? I was on 200mg a week of test C. Along with an HCG and an estrogen blocker for 7 weeks. is 200 mg too much to where is shut my LH off completely? And while everything returned back to normal quitting this cold turkey I haven’t taken anything for a week now. My hematocrit was way too high so I had to get off of it

[@sebastianconstantin5176]

lol. you didnt start trt, you just started doing roids. replacement is when u dont produce, and 250 is no near trt dose.

[@SuperSpiroman]

200 a week is too much for most guys, I take 120 to 80 a week microdosing every other day with insulin needles. I'd rather start low than high. My T levels were over 1200 and free T was 330with this low dose. I know a guy that was doing 350 a week for years his was over 5000 lol. Check out more plates more dates micro dosing you learn a lot.

[@Super0343]

Taking Clomid for about 3 months can resolve it , it helped me a lot my T levels was 152 and i started taking clomid now my levels are near 500 and now i am again starting clomid i hope i will break the levels of 500 ,wish me good luck

[@swintegrative]

Good luck!

[@YourLifeRedefined]

Thank you for this video

[@swintegrative]

My pleasure

[@georgejacob9715]

What is your opinion about using 2x times per week 250iu of HCG while you are in TRT? Thank you for the educational video!

[@st6431]

Thank you for the information. Unfortunately I can't afford HCG right now and only have access to some Nolvadex which I'm going to use for minimalist PCT and hope for the best.

[@swintegrative]

Best of luck!

[@heveyweightheveyweight5399]

Dont play games with this you need hcg nova is just gona block estrogen not raise naty levels . You need to change your priortys

[@Rickmaki]

Great Video !!!

[@swintegrative]

Glad you enjoyed it.

[@iamthefiremanjj]

I finally tapered i waited two days after last prop shot started on 400-500 IU hcg everyday until my vial runs out so that’s about 12 days . I am also using 25mg enclomid with this. Then for 6-7?more days I’ll run hcg at 800iu a day with 25mg clomid. That will be a 3 week SUPER charged pct. I think I’ll be fine was only on 87.5mg test prop a week. I actually feel so much better just on the HCG honestly Added 4000 IU vitamin d K2

[@teamsafetysales5673]

doc, may i know how long nebido (testosterone undecanoate ) out of body completely ? it hard to find online

[@iamthefiremanjj]

I did hcg for two weeks after getting off at 500 IU per day and 25 mg enclomid it helped with symptoms but my blood work is still absolute shit . I started 2 weeks after my last test prop shot and felt good for 2 weeks and now it’s weird . Hopping I start feeling better in a few weeks . I kept all my gains tho like still looking like a savage beasts

[@necessaryJustice_4all]

What about the use of an AI to come off trt? I remembering hearing something about using an AI (no hcg or Clomid) to come off trt. Is that bogus? I think some KZbinr suggested it. I’ve been on trt for about 4 years. It’s helped in different ways, but, I’ve never been able to get estrogen under control. Ever. And I don’t tolerate the addition of an AI to trt,so it’s a lose lose. I want to come off. I’d be willing to use the AI if it helped stimulate production of testosterone. (For a small period) Thanks! Great video. 🙏🏻

[@johnmontana18]

I would like to know how to restart TRT after stopping totally due to a pulmonary embolism. 5 weeks since the clots and seeing the very low T symptoms.

[@joediffy]

Wow best advice I've gotten, my doctor just put me on TRT and I got almost nothing out of it, now I'm feel bad, it seems to be doing the opposite of what TRT is supposed to be doing and my doctor is clueless! I need a specialist to help me with this issue.

[@swintegrative]

Glad it helped

[@Rog-Nature-vs-Nurture]

Hi. Hope you are better. May I ask how long time you used TRT? I am about to try but have thougts.

[@joediffy]

@@Rog-Nature-vs-Nurture I gave up on it, but I was on it for about 4 months. It seemed to help a bit at first but as time went on I felt no benefit so I stopped. Please don't let my experience stop you from trying it, many men get a huge benefit from it, we are all different. Make sure you get your estrogen levels check regularly because if it gets to high, you could develop a gynecomastia. If this happens, your doctor will need to prescribe an estrogen blockers. Let me know if you have any other questions. I really don't have that much experience but I'll help you all that I can. Take care.

[@fooloco]

Thank you for the video. I’m 34 and have considered getting off TRT mainly because it’s been a struggle to keep the estrogen in check and also because I figured I had hypogonadism(total T was 200 when I started) but it could’ve been stress, outside environmental things with where I was at, at that time in my life( I’m type1 diabetic). I wish I had looked into why my levels were so low instead of jumping right onto TRT. I have been on it for 3 years but really I just want to see if I could get back to where I was before I needed TRT. I’d definitely want to get back on it later on in life like after my 40’s, I think it’s great for those cases, but for now, I’d like to see if I could get back to decent levels being natty while having a solid diet and workout plan.

[@swintegrative]

Good plan and cortisol is definitely contributing factor to secondary hypogonadism.

[@paulwhiting8089]

Did you get off ?

[@CaptainEagle51]

Bro im 34 as well and I'm wondering if I should do the same. Don't get me wrong I don't regret starting trt, but I started to notice too much acne on my chest and on top of law's currently changing, plus the fucking cost to do this shit legally... i figure i need to fix all these other things around my life and be more strict with my dieting and health and stop smoking weed and jump back on when I'm older. And go the rout of peptides

[@tadehpetrossian5698]

I have been on Testosterone replacement therapy for a little over two months and I noticed that I have acne on my chest back and neck. But mainly on my neck. My question is what is the best way to get off Testosterone replacement therapy because my estrogen level has gone up. Before when I started Testosterone my estrogen was at 18 and now my estrogen level is at 43. How can I bring my estrogen level down to 20 to 30 while being on Testosterone replacement therapy?

[@CaptainEagle51]

I started micro dosing pinning with insulin needles .07 daily. My acne is under control 💪🏼 eliminate the peaks the valleys

[@alejandroga366]

Hey doc I been on TRT for 2 I'm thinking of stoping cause it's causing smatch problems for me do I need pct or I just stop an also how long untill I go back to normal

[@gettingfitat5015]

first off: Thank you for this video!! Very informative. Secondly: rather that give a long story, will coming off TRT shrink your prostate (if it's been enlarged by the testosterone)?

[@swintegrative]

Probably yes. I would expect the psa to drop which is a proxy for prostate size.

[@TheMatrixgod]

i use to be on patches i beleive 2m i think,was on it like 4 months but then stopped as i didnt feel anything but always thought if it made my levels worst

[@iamthefiremanjj]

When do you notice testes size getting bigger ? After one week on the HCG? Or what I’m doing 3-4 weeks pct with higher dose HCG and 25mg enclomid

[@Zakktera]

I guess i can see if somebody was having a medical condition contributed from trt to need to stop it. I couldn't imagine taking myself off of it. It literally saved my life.

[@swintegrative]

Your not alone in that feeling.

[@ryankingsley4801]

I am on TRT one year (age 29). I have been on keto all year and lost 27kg.. soon to be 30kg of fat. (120kg to 94kg as of now 5’10) I have very low Testosterone… should I stop TRT and see if my levels return to a normal level? Above what I was when I was 30kg heavier?

[@marcosperales2550]

Thanks.

[@swintegrative]

You're welcome

[@iamthefiremanjj]

lol I got gyno quitting TRT cold Turkey 5 weeks after my prop shot got a painful lump in left nipple gonna go get blood work because I should be good now did enclomid 25mg a day and 500 IU hcg for 3 weeks

[@chrisg.5585]

43 years old. Was only on trt for 3-4 months. Caused cystic acne and I made the decision to jump off and used a pct protocol of weaning shots to nothing 3 1/2 weeks ago , then took clomid and tamoxifen. Kinda feel like shit. When will I get to baseline feeling of normal??? Thanks

[@FD_and_B]

You can tell he’s legit because he’s wearing a shirt

[@jaredzimmy]

Legit because legit he is

[@wakeup3987]

He looks healthy 😂

[@gladiation6615]

He is wearing scrubs actually

[@Swole_Geek]

😂😂😂😂😂

[@Naveed-it6wf]

Not cos of shirt but cos he looks tired.. Must be busy and honest

[@user-xj5xp6qz5g]

Just what I needed.. thanks Doc. I went carnivore (and some fruit) after starting TRT 3 years ago. Now Im seeing a bunch of older guys like me going carnivore and cleaning up their diets/lives and their testosterone is coming back.. Im assuming because of the high LDL. Im going to come off TRT and see what I can make on my own now at 54. My nads also shrank by 50% so itd be nice if they returned to my reg size as well.

[@swintegrative]

Best of luck!

[@musawir99]

Thank you

[@swintegrative]

You're welcome

[@mrrealessexxlifex2632]

Hi doc , I’ve been taking sustanon 250 mg per week for 4 years now and looking to completely come off, would you recommend HCG for 4/6 weeks then clomid ? Thanks

[@iamthefiremanjj]

Enclomid made me feel horrible by the way absolutely terrrible

[@megiMove]

Could you give us a dose of clomid after trying coming of trt ? I cant get hcg here. But, clomid i do. If you have some form of dosages and length.. please tell ?

[@ShepherdMinistry]

Look up Dr Scally Power PCT. Day 1-20 : 2000iu HCG every other day.
Day 1-30 : Nolva 40mg/day (20mg was taken twice per day) ; Clomid 100mg/day (50mg was taken twice per day)
Day 31-45 : Nolva 40mg/day (20mg was taken twice per day) Some do lower amounts of hcg. A few Doctors state you don’t need more than 500iu per day but I believe this all comes down to many factors. Please consult a dr for their recommendation on this protocol. This is just info I know from research, but a DR should be the one telling you what you should do.

[@judahniknam5957]

24 years old with total test at 82 and Free test at 4. I’m thinking of going on trt for the overall benefits, but I’m concerned about coming off. I want to roll with it, but I just don’t want to screw my self up naturally or if I make some “gains” I don’t want to lose that either.

[@tongpoo8985]

82 is insanely low you should get on it. Are you taking any opioids or steroids in the past or are your levels just like that naturally?

[@neilwattoo]

If you want kids, don't ever get on.

[@togrulahmadov4917]

Your profile picture doesn’t say that tho. You might ve abused the hell of steroids and didn’t do good PCT protocol. 😅

[@thehomefront1905]

If it's that low, there's a reason for it. Are you on drugs? Opioids lower the test massively

[@michaelurukalo4657]

Im 30 been on trt for 3 years testosterone cypiomate will i be okay?

[@Engineer_GM_Ford_Chrysler]

So your saying you really don't need PCT coming off Test if your a healthy individual? And HCG is a good boost to get things up and running quickly? Is Tapering a good way for your natural production to come back? When tapering down, does your natural production begin to make up the difference in lack of injected Test? Or will your natural production just completely stop when your body knows its getting it from TRT or will there still be natural production if your taking a very low dose? I guess I am trying to understand if taking test will change your level of natural production rather than just completely shutting down. Im 51 and beginning feeling the symptoms of what I think is just getting older. I want to bring some of that energy, muscle back and thinking of TRT, but want to know if I can come off easily after trying it for a year or two. Thank you!

[@swintegrative]

If you are on a small enough dose, you will still produce LH. If you have LH, you still have internal production. How much idk.

[@mazensworld1014]

Please make more videos like this. A lot of guys I’m the same Situation like me with no answers. I’m 26 and been on trt for a year. I never even ended trt in the first place but tricked myself into thinking I needed it. Test levels before I got on before was at high 500’s. Started at 200mg a week and now dropping to 100 a week. Took HCG on and off and now I’m taking it constantly with trt at 500 iu HCG a week with 100 trt. Should I continue my weed off cycle? It’s only been 1 week at 100 a week. I have a new job and am unsure how bad the crash is going to be.

[@swintegrative]

For most people it is not as bad s they expect it to be. I will make another video on this.

[@radatabass]

@@swintegrative my crash was horrible. Worse than any withdrawals I’ve ever had. Due to that crash I came off with HCG and Enclomaphene which was completely painless.

[@swintegrative]

@@radatabass Good for you, thanks for sharing.

[@paulwhiting8089]

@@radatabass I'm facing that crash now, 4 weeks ago it's horrendous the experience

[@radatabass]

@@paulwhiting8089 ya man. Some people have reported it worse than opioid withdrawal. I️ had psychosis from it and literally thought I️ was going crazy. I️ feel for you. Hang it there you’re probably almost over the hump.

[@joshuaharper4439]

Also, is it normal for your blood pressure to be high and also be hot quite a bit when normally you’re cold a lot can it also cause breathing issues lately my breathing has been a little bit harder when I’m taking the hCG

[@swintegrative]

Estrogen can go up with HCG use and has been known to cause hot flashes. Sounds like these r things to discuss w your doctor

[@truthsek]

Hlo sir i had 1 ml trt short thn i left it do i need pct?

[@neilwattoo]

Man, I'm gonna attempt getting off. Been on for about a decade and my sperm count is 0 and LH and FSH also very low. Wanna try and have kids again. Didn't think I would want more until I met my lady. Got all my meds lined up to help. I'm getting back on later, for sure. But I really hope I can start producing sperm again. Heard some get pregnant after 2 and 3 months off. Heard some take a year. Some never. Scary stuff. Didn't know this would shut me down like this when put on. Gonna do a huge blast for the next 3 months, and then start to come off. Outta be fun 😭

[@tonehernandez8598]

Take HCG

[@leestephen4288]

Question. I was on 200mg a week of test C. Along with an HCG and an estrogen blocker for 7 weeks. is 200 mg too much to where is shut my LH off completely? And while everything returned back to normal quitting this cold turkey I haven’t taken anything for a week now. My hematocrit was way too high so I had to get off of it

[@swintegrative]

200mg per week would likely reduce lh and fish to zero.

[@michaelnorth9526]

Is it fine to be on hcg the entire year along with testosterone replacement therapy? Would being on hcg as well affect anything when coming off of both?

[@swintegrative]

I usually have people take 2 week breaks every few mo but I think most clinics do it continuously.

[@Thepainwall]

Thanks for the video doc. I’m scared of coming off of testosterone as being a body builder I was taking 2cc a week for almost a year. I’ve been having heart palpitations and chest pains that are very new. I came off of it cold turkey a few months ago and crashed super hard. I thought I was dying. My body was freaking out. And not I’m pinning .5 cc twice a week. Trying to stop taking it and I’m just scared of the crash again and that it might hurt my heart.

[@swintegrative]

Why would stopping testosterone do something to your heart?

[@warrenb8228]

Cocaine destroys the heart muscles, which is amazing considering the density of the muscle cells.

[@jonathanartiga5320]

When I’ve tried stopping testosterone i get those same symptoms, i would believe you should know this information Doc. Chest pain and heart palpitations with high blood pressure are symptoms of low T. Does it cause heart problems??? Who knows, but those of us who have experienced those symptoms sure do feel like it could cause heart problems. Heavy breathing, fatigue and palpitations make us feel that way.

[@heveyweightheveyweight5399]

Sound like your shit was cut

[@onlyonecannoli3952]

​@@swintegrativeMaybe he's just heartbroken cause he's not seeing Testosterone anymore... didn't think of that did ya Mr. smarty pants doc?

[@sh4094]

New sub here. Quick question doc, would someone need to take a PCT after stopping TRT after only 4 weeks of taking 150mg (Cyp 75mg twice a week) ?

[@swintegrative]

Hard to say for sure as it is not “needed” anyway. It just helps ease the landing. Given the short duration it probably would be overkill.

[@cocaine_hookers]

After 4 weeks no you’ll be fine.

[@Jimiinphinity317]

Why would you stop on the week when it's actually just kicking in? No point in taking any AAS for that short of a period. Not even worth it

[@sakibc1787]

Coming off TRT doctor is saying to take HCG and clomid every other day for 8 weeks? Isn't that too much ? should I take HCG and Clomid both ? or one or the other ? Please somebody advice.

[@swintegrative]

I can’t say if it is too much for you but it does sound like a lot.

[@tacticalribeye9583]

What are the long term effects of trt? I've been taking for over a year, 180 cc a week due to levels being 275 at the age of 34. I have no plans on wanting to stop any time soon as i feel great. However, I need to donate blood to reduce red blood cells every 6-8 weeks. Is this normal? Your thoughts are greatly appreciated.

[@manoo422]

Why do you think you need to give blood? What is your hematocrit?

[@tacticalribeye9583]

@@manoo422 to many red blood cells.

[@damonsmith1049]

Out of curiosity, would a cold reboot of TRT be a good idea? My hematocrit, hemoglobin and RBC went high after about 7 months on 200mg/week then backed down to 140 for a few weeks. I'm thinking of giving my body a few months off then starting again around 120-140 mg/week in hopes it doesn't raise my blood again.

[@swintegrative]

Lowering your dose sometimes does the trick.

[@damonsmith1049]

@@swintegrative thanks for the input! I was experiencing light headedness, tingling in arms and hands, and my blood pressure was a bit higher for me. Not out of control but 125/65 - 130/70 when I was normally 115/70 or better. Interestingly my fasting glucose was always about 103-106 which I attributed to the ratio of blood being off from the thickness of it. Was always 90 or below. Been off for 7 days now feel ok waiting for the inevitable symptoms.

[@davidharden7575]

Thanks for the info. I started TRT 4 weeks ago. I'm 46 and i feel amazing but i am terrified about the idea of coming off it. I don't believe i want to live on it for the rest of my life. I am going in for my first blood work (next week) since starting April 14 and will talk to him about HCG and how to restart my system. My testicles have already shrunk. I got on TRT because i was dealing with exhaustion and my weight has crept up to 270. I am 6 foot 5 but I was a marathon runner and did triathlons in my 20's and 30's and i haven't been able to figure out how to get back into shape. In 1 month i've already lost 20 lbs and i'm training like i did in my 20's . Im still afraid of long term side effects.

[@ruinerfixxxer]

Same age here. Been on trt for about a year on a low dose (1ml) every two weeks. For the past month, I've been on .7ml every week. I feel a lot better. No fatigue, depression, etc. I don't like the idea of being on something for the rest of my life, but I'm not going back to my old life before taking try. I was in a quagmire mentally and physically.

[@CatAtomic99]

@@ruinerfixxxer Glad you're feeling better. :D

[@joshuaharper4439]

Currently, my doctor has me on 2500. I use three times a week for the next five months. Is that normal? What will that do? How will that help? I should say thanks I forgot to mention that’s HCG

[@swintegrative]

That is a higher dose but it will stimulate testes to make spermatozoa and testosterone.

[@skinfiddler]

I'd rather not quit TRT because I haven't felt this great in memory. I have to come off of it though because high PSA (14) and will be undergoing biopsy(s?)/ treatment in the future. I'm 71 and tried HCG previously and it made me feel like crap. Would Clomid be a reasonable substitute or other??

[@swintegrative]

With psa of 14 you just focus on that

[@yordy59]

Don’t take clomid it’s the worst

[@bradfowler1759]

i have been on it over 4 years now. i do not think it does anything for me. i think it's caused me to gain weight, some muscle, but it's also made my low back issues worse, exposing my weak core. diminishing returns... i don't see a point in continuing it. i just need to consistently work out. not worried about my libido, just being able to look down and see my penis again would be great. thoughts?

[@EvermontKing]

Thank you for your video. Prior to trt I had 259 ng per dl and 59 free. I don't know what I am now but I've been on it for maybe 2 months taking it daily at 70 mg per week taking small daily doses with insulin needle. I'm starting to feel tired again and I've been losing erections and feeling weak. I think maybe I should get off because I don't like how I feel and I think there's probably a better way to raise my levels to acceptable like long jack or onions. I don't like how I feel at all anymore.

[@swintegrative]

Sometimes good to take a break and reset.

[@welcometotheflesh6424]

Triple your dose 💪💪💪

[@mattlofty5884]

I came off trt 4 months ago cold turkey, my hormones are all Back to good levels however my LH is still elevated , I’m assuming this will start coming down into normal range soon as my testicles are clearly working

[@swintegrative]

Yes it should.

[@endofdayzfitnessu.k2126]

How long was u on trt and what dose

[@mattlofty5884]

@@endofdayzfitnessu.k2126 200mg a week for 2 months only. In hindsight I wish I started low , I’d probably still be on trt

[@harryide4063]

Iv been on a pretty strong dosage of test c for about 20 months now, starting at the age of 19. Iam now 21 and looking to come off, is it possible for my natural testosterone to come back as it was before with the right pct such as HCG and clomid. Also how long can you estimate it to come back ? It was a big mistake coming on and I regret it.

[@welcometotheflesh6424]

Why was it a big mistake getting on it

[@GJ-DT]

If you quit trt cold turkey instead of tapering off does it take longer for the estrogen to come down than the testosterone, and if so how much longer does it take for the estrogen to lessen or come down after the testosterone crashes. Thankx.

[@swintegrative]

There is another video where I talk about this and has to do with the fish and lh levels… about 2-3 weeks longer

[@Rboling4199]

I was on TRT for about 2 months, decided to get off cold turkey, a few weeks later I have thee worst depression /anxiety/insomnia, so I got back on it, been about 3 weeks now and symptoms are still here. Want to get off all together, what pct would you recommend? Please help

[@Rboling4199]

@@ShepherdMinistry Ty brother

[@manoo422]

2 months on, a few weeks off, 3 weeks on....sounds like you need to make you mind up, you are neither on or off!!

[@michaelcerbone389]

I was on 160 mg of test cyp. Wanna try for a kid.. sperm count was low but not gone dropped to 100 mg test.. while taking clomid 50 mg and 1500 units hcg 3x a week.. for about a month.. decided to stop test all together a week ago.. you think soon i will be more fertility or am i still looking at that 3 month mark? Thank you so much , your video's are very informative.. just what i was looking for.

[@swintegrative]

More yes hard to say how much more. Just had someone have normal sperm count despite being on TRT (and no hcg) last week so it is possible.

[@michaelcerbone389]

@swintegrative thank you I started taking zinc as well and also a natural test booster with tongkat ali , ashwaghanda etc.. hopefully it helps.. cant wait to go back on.. 😩

[@daviddavid1057]

Hello! One question: if you are already on trt and you have to do the next blood test to test your testosterone levels, is it better to stop taking supplements like multivitamins and stuff a few days before or it is not necessary and will be totally not affect your testosterone levels at all? because I hear some say it will have an effect on it! What is your opinion on this? Thanks Doc

[@swintegrative]

Most vitamins are not going to affect it especially when u are taking exogenous sources

[@daviddavid1057]

@@swintegrative Thank you for your quick response Doc! But what about biotin interference with lab tests? Do you know anything about that?

[@swintegrative]

@@daviddavid1057 actually biotin can skew tests but that is the only one. You have to avoid it for about 1-2 days before testing

[@daviddavid1057]

@@swintegrative When you say avoid biotin 1-2 days before the blood test, are you talking about supliment biotin or do you also have to avoid eggs for example, because the eggs also contain biotin right?! Thank you!

[@shakapower1]

Does the same thing happen if you taking orals only?

[@swintegrative]

I would assume so but I don’t use those

[@shakapower1]

@Southwest Integrative Medicine what is your thoughts on the multi easter test 400mg vs single easter test 300?

[@MichalskiTube]

I have been on TRT for 3 weeks had 3 doses. I want to come off and look at improving my lifestyle less alcohol and more sleep. Like I should have done before trt. Since it’s only been 3 weeks can I assume I don’t need a pct?

[@swintegrative]

Most people that are on for one month or less will have little to no issues coming off. Of course, everyone is different.

[@MichalskiTube]

@@swintegrative thank you. You have a new subscriber

[@judahlion3330]

​@@MichalskiTubedid u have any issues?

[@manoo422]

What could you possibly conclude from being on for 3 weeks!!?

[@adeelahmed8641]

Give us an update in the same boat buddy?

[@giannisgiannaros489]

I dont understand very good English can we use only clomid without hcg?

[@swintegrative]

Yes you can

[@giannisgiannaros489]

@@swintegrative thank you sir

[@bradfowler1759]

Doc - i also take anastrozole and kisspeptin... what about those? i don't wanna have DD man boobs.

[@therighttruth8702]

Can low T cause insomnia

[@swintegrative]

Raising testosterone seems to help some people with low T

[@user-Red5hield-exp0ser]

Get onto HCG and / or HMG while on the TRT. Then, lower the TRT and eventually come off as your FSH, LH, and testes grow back.. Do not just come off it!! Why this doctor is recommending to just come off it is quite bizarre. That is not an option unless you were blasting(steroid cycle) and are in your 20s... Most people on TRT are 30+. Have high SHBG and/or some sort of problem along the HPT Axis, which means they needed it in the first place anyway

[@swintegrative]

Thanks for your feedback and input. The content of this video is based on direct experience working with patients coming off testosterone. There are many reasons people benefit from TRT and equally many reasons for it being low to begin with. This kind of nuance is not always captured when doing a video like this. That’s why it is best to discuss with your prescriber. I do find that many do not need hcg but some do. I have another video coming out soon that tries to capture a little more nuance.

[@Trentonn2]

only good video on this

[@Allias1121]

What happens if you are not able to come off yet with the assistance of hcg or clomid?

[@swintegrative]

This would all depend on the context and the situation...what happens when you try... why you want to come off...and many other questions. A doctor's visit.

[@BizzyIzzy87]

Thinking about this because TRT has don’t nothing to improve my sex life and only made it worse. Helped my physique but man the libido and erections 👎

[@joeprimal2044]

Possibly to much estrogen. Id try skipping a dose and then coming back on at a lower dose. I feel best way down at 80mg / week, but I build muscle better at higher doses. Anything over the 80 mg and I need some aromasin to knock my estrogen down. Generally speaking the older you are the more you aromatize into estrogen.

[@1888CHAD8881]

Easiest way is to simply go on a blast cycle.

[@Zx10ninja0104]

I don’t say this to be rude whatsoever or condescending, but it’s funny how much people will believe what is said in this video and jump on TRT, I know TRT has a ton of benefits, but the cons are significant as well. I’m no doctor but I think it’s very safe to say that testosterone injections stop your natural production of TRT which will not start again after injections. Very hard to find information with people admitting or talking about this. if you are on the fence about this I would wait until your older and would consider staying on injections 4 Eva.

[@swintegrative]

Hi Ernest, thanks for sharing. You mentioned "testosterone injections stop your natural production of TRT which will not start again after injections." I do not find this to be the case. On numerous patients testosterone levels do seem to come back to their pre-injection levels after stopping TRT. This seems to be the rule and not the exception in my practice. I know it is possible for production to permanently be suppressed (but not completely shut down) with long term use. After 14 yrs of practice, I have yet to see this though. I am curious if you have different information/experience.

[@30mattdavies]

Good job you’re not a dr as what you advised is completely false. Jumped on and off trt for years (8 months longest time on) and regular blood work. My test always recovers to pre levels within 4 months. Rough time for around 6 weeks after it’s out of my system, but always a gradual return.

[@chriswoyce6285]

Less is more👍🏻

[@swintegrative]

Yes it can be

[@dazSls13]

People really believe this dude is a doctor

[@johnthicks8568]

You should never go off. What would be the point of that.

[@therighttruth8702]

Working out of state money issues lol

[@chriswoyce6285]

In my personal experience just taper off.

[@paulwhiting8089]

I decided to come off due to fertility problems even after taking hcg. My doctor said just go cold turkey and you will be fine.HOW WRONG WAS HE! 4 weeks later I'm so emotional like I could cry at any minute I get anxious quite frequently. I'm fatigued more Everything is a challenge, even getting to work which always puts up my fight or flight response. Horrible experience

[@swintegrative]

Most people do bounce back but it can take 5-8 weeks… depends on your dose when you stopped.

[@paulwhiting8089]

@@swintegrative my dose was 0.5ml every 5 days and I was on about 16/17 months. Hopefully I've getting over the worst of it. 🤞

[@chrisdelacruz1355]

You may need clomid. I just had an experience like that. i know horrible!! Mine lingered for 2-3 months. And im just now atarting to feel better but i miss the motivation i had before

[@paulwhiting8089]

@Adam Hull I got my wife pregnant and decided to go back on trt. It's been 6 weeks now and starting to feel much better. Low T is no joke that's for sure

[@paulwhiting8089]

@Adam Hull if you do come off mate make sure you use a pct to make the transition as smooth as possible. All the best mate 👍

[@mattjames5858]

How safe is HCG? I have some in my fridge but I have been hesitant to inject it. I have been on TRT for a year I’m thinking about getting off and started the HCG cycle to get everything firing on all cylinders again.

[@swintegrative]

It is typically very safe.

[@holykhaos1337]

Just did my first blood hormone panel ever. Total Testosterone at 497 the Normal range 263-916 ng/dl Shbg 38.1 nmol/L normal range 16.5-55.9 nmol/l Testosterone Free Calc 88.4 pg/ml normal range 42.3-190.0 pg/ml IGF-1 Insulin-Like Growth Factor-1 241 ng/ml normal range 95-290 ng/ml LH 4.1 normal range 1.8-8.6. Miu/ml Estradial 19.8 normal range 7.6-42.6 pg/ml TSH 2.590 Normal range 0.450-4.500 uIU/ml FSH 2.1 Normal range 1.5- 12.4. mIU/ml Need your advice brother. I have all the symptoms of low T. I'm 35 years old lifelong Natty. I normally transform my body way faster than the average person with proper food and decent sleep training hard of course. However when I stop training and eat like trash I also get out of shape just as fast. So i can work out for 12-20 weeks 5 days minimum a week and literally look like I been training for year or years. I been working overnights for the last year and not sleeping well I been training again from taking 5 months off got out of shape and now am some months into training now but this year has been weird I'm not transforming as fast. I just had my hormone panel blood test done for the first time in life would like your input on it. How do I reach out to you???

[@swintegrative]

It sounds like you need an actual appointment. 480 451 5407 or email [e-mail]

[@drain9993]

your bloods are absolutely perfect. Symptoms they use to sell TRT are vague at best. Mine was 200 when i started and even I want to get off it.

[@crystalholdread8591]

@@drain9993 me too. Why do you want to get off of it?

[@danielhigdon2646]

My red blood cell profile increases. I try to donate but sometimes it is not enough. Any way to mitigate this?

[@pixelmobbin]

if its HCT - I have made mine lower by lowering dose, and drinking a ton of water a day sometimes I miss and feel the sides (tired, sore hands) went from 52.5 to 50 just doing that no donating (can't - deal with thyroid - need my iron) @@danielhigdon2646