Testosterone Replacement Therapy Dosing and Dosage Considerations

[@longjonz88]

probably one of the most informative, no nonsense explanations of trt I've seen on youtube to date! i like how he gets right to the point and says dosing is based on FREE testosterone and actually addresses dosing frequency. essentially if you metabolize it quick just split up your doses , if not then once a week is fine. great video doc!

[@swintegrative]

Glad it helped!

[@Chris-zi9bb]

​@swintegrative Why is your range so small? In my country the Medical Industry considered 196 - 636 pmol/L to be normal range for Free Testosterone. I'm at 340 and I'm on 0.7ml of Testosterone Cypionate. 100mg/ml

[@bestmoviestrailerbestmovie8437]

​@@Chris-zi9bbbrother help to understand what dosage I should take my testwsrone are 303ng/dl I have anxiety all day

[@prospectmmapod]

I started at 100ml test cyp every 5 days and my recovery is through the roof! I am not hitting legs 3 x a day like I was when I was 23! I'm 35 now! Strength is same, sex drive is way down tho. Any reason for it? Am I too low dosage?

[@HunterB738]

100ml 😂😂😂

[@loueelouuu]

@@HunterB738baby shit lmaooo

[@loueelouuu]

.5cc every Monday and friday You will be feeling and fucking like Superman for as long as you on it

[@JDB6320]

I take .2 every other day. For a total of .6 a week. I try to keep my spikes from going high and falling out. I Feel more balanced this way.

[@FRM101]

basic testosterone (tes) conversion math for beginners: ml = milliliters (this is the volume, the amount of liquid product) mg = milligrams (this is the strength, the amount of tes in a given ml of liquid product) 1ml = 1cc 1000/10ml vial (bottle) means there is a total of 1,000 mg of tes in within your entire 10 ml bottle 2000/10ml vial (bottle) means there is a total of 2,000 mg of tes within your entire 10 ml bottle 100mg/ml means there is 100mg of tes per 1ml/cc of liquid product 200mg/ml means there is 200mg of tes per 1ml/cc of liquid product measuring ml's in a 1ml/cc NON-insulin syringe - mentally put a decimal point in front of each single digit number listed on the syringe because each number is actually leading up to a total of 1 (ml/cc). For example: 1 = .1ml (same again for the hashmarks between). measuring ml's in a 1ml/cc INSULIN syringe: insulin syringes are listed as 'insulin units' of 10 each, however, because the syringe still adds up to a total of 1ml/cc, the proccess is similar to non-insulin syringes, just mentally drop the zero from the insulin unit number then put a decimal point before it. For example: 10 = .1ml (same again for the hashmarks between) converting ml of product to mg of tes when drawn from a 100mg/ml vial - after having converted the numbers on your syringe to draw the correct ml, mentally drop the decimal point from the ml's you've drawn, add a zero, and you have the mg of tes. For example: if I draw .5ml into my syringe, I've drawn 50mg of tes (and vice-versa) converting ml of product to mg of tes when drawn from a 200mg/ml vial - after having converted the numbers on your syringe to draw the correct ml, mentally drop the decimal point from the ml's you've drawn, double the number, add a zero and you have the mg of tes. For example: if I draw .5 ml into my syringe, I've drawn 100mg of tes (and vice versa)

[@swintegrative]

thanks for sharing this

[@hbadge22]

Finally, a simple, quick, and detailed explanation without any BS. Thanks doc. I just upped my IM dosage from 100mg per week to 140mg as my testosterone only topped out at 233 my/dL after 3 months on 100mg. I already notice the difference after just a few weeks.

[@swintegrative]

Glad it helped!

[@mistahozzy]

Just got 200 like a real man

[@ScottDreyfus]

I was doing pretty well with 150 mg every 14 but I was hitting the wall on day 11 until the day after. I tightened to 12 days but still crashing at the end. We just changed to 100 mg weekly to try and keep the levels more nuetral. I’m around 600 right after the injection 400 by day 7 and by day 14 I’m back in the 150s. I am flying between 500 and 700. It’s been life changing . I had a tumor on my hypothalmus and my hormones never returned after removal so trt it is. I felt like I was dying before . I was taking a prescription for everything. I was overweight tired and couldn’t sleep. I was sweaty all the time and I was always sick. I’m literally off of everything. Some of the aches and pain I had seem to have gone away and I’ve lost 54lbs so far in the year since starting. Work has become a breeze as a caddy and I was struggling to make it around last year. It really does feel like I saved my own life . I was so depressed before I didn’t want to keep going. It was all hormones. Now these mentally Ill idiots want to openly sign up to be experimented on and mutilate themselves for what? Fucking clicks? You don’t want to know what happens to your mind when you flip your hormones . You will lose your mind , but hell you gotta be kinda crazy to be in that position in the first place.

[@leavethelightsonpleasethec7154]

This is my story exactly. I start pen injections tomorrow🙏🏻

[@ScottDreyfus]

@@leavethelightsonpleasethec7154 I’m down 74 lbs now! It’s so awesome when you body starts responding to stimulus.

[@brandtrosenstock]

10 days max Break down your dose and miro dose Saturdays and Wednesdays

[@ScottDreyfus]

@@brandtrosenstock I am . I’m down to 60mg every four days now and I stay locked in about 900 all the time with no real hormone fluctuations before. It’s insane the standard protocol from insurance and what they put you through🤦‍♂️. A 200 mg shot when you’ve been hypogonadal will send you to the fucking moon! It’s like going from puberty to menopause in just a few days. Twice a week was at least manageable but the only way the acne doesn’t flare up is to stay closer to normal nadir dosing. I know I’m going to have to take this forever so I’m trying to find the lowest non symptomatic dosage. I hate to chase a number but anything below 500 ng/ dl and the back of my head just starts pouring sweat . I feel awful and I’d honestly rather not be breathing than go back to the mental health nightmare that high estrogen and low testosterone cause. I’ve been able to get off of all the other prescriptions. No ssris, no mood stabilizer, no cholesterol, no blood pressure, no chrons , no arthritis, no significant joint pain. I feel like a functioning adult and I’m in the best shape of my entire adult life. If I could sleep on the regular I’d swear to god I was some kinda super hero. When I get rest I have more output than when I was 20. I had no idea how good life could be just getting back to zero.

[@iamthefiremanjj]

At 200 test per week my total t is 91ng/l and estradiol is 171pmol/l so 3 times reference range for test and only 10 points over for estrogen on a European scale which is 161 max . It’s way to much for me I’m sure I can get away with 150mg and still be way above reference range for test . Even tho I didn’t need TRT I was 31ng/l naturally so 989ng/dl . At 150mg per week I felt the best and I’m sure it would be above reference range . Great libido and recovery anything more Than that I started running into problems with anxiety , insomnia , mood swings . Joint pains and headaches etc …. Blood pressure was always fantastic but I noticed for my Oura ring it showed an increase in night temp of 1-2 degrees F and my resting heart rate went from an average of 45-50 to over 60bpm . BP stayed the same . For me 50mg test prop EOD was great . Either that or doing .25ml test cyp twice a week which is a total of 125mg test. The thing is I always run into flu like problems a lot where I’ll feel super run down and sick . I ran some cycles and have low t because of it . Really I don’t care much about gains just wanna feel good and recover with a decent libido .

[@teflonmusk11B]

I am on at 100 mg every 2 weeks but it has been helping I am 32 and my levels were crazy low 65..... But it's due to my (tbi) brain injury in the military

[@swintegrative]

Thanks for sharing.

[@donor4053]

I’m 33 , and my doc put me on 100mg every two week .. my testosterone was low also .. tested me twice a month apart.. first time was 152 then 202 .. is 100mg not enough?

[@jesseobrien5864]

​@@donor4053no. Google:Jay Campbells Tesosterone Bible PDF"

[@somebb]

​@@donor4053Let your symptoms answer that

[@DannyDrakey]

Is 100mg 0.1ml?

[@Ryansbbqnbrew]

At 200mg a week, I was at 830, then went to 100 and was 730. Can’t really tell a lot of difference between the dosage. Thoughts? I’ve been on trt for 6 weeks. I started at 300-350 range.

[@swintegrative]

Well, if it was measured at the same time interval between the testosterone injection and the blood draw, it seems odd. I suspect it was not and that is why the levels look similar even though the dose was cut in half.

[@evelyn201]

830 is a good range for TRT, especially if your blood work and DRE checks good. At this point I would inject twice a week at half the dose. It seems to maintain that range you want without some side effects (for me anyhow) Everyone is different, but I have heard so many guys say even starting off they wish they had injected a less dose more frequently.

[@blacksamurai6038]

What's the name of the TRT clinic you're with?

[@Ryansbbqnbrew]

Update. Doctor took me off trt. My estrogen was at 78 and would not prescribe estrogen blockers for some reason.

[@catanac1]

@swintegrative What would be a good injection dosage for a woman in her 50’s? I’m hearing anywhere from 5mg to 80mg weekly, I’m very confused. Also, would you suggest Cyp or Suspension? Thanks in advance. :)

[@swintegrative]

Per week about 5mg but I don’t have a lot of females that use injections.

[@kmcdawg1]

I’ve been taking 100 mg every other week, I feel ok for 3 to 4 days and then I’m back to the old normal. Should I be doing injections every week?

[@swintegrative]

Hi Kelly, Thanks for the question. For my patients I typically recommend more frequent injections but since I am not your doctor you have to ask your doctor and see what they say.

[@DarkoFitCoach]

inject more frequently so your levels dont taper off, no rollercoaster. i inject daily = most stable levels possible

[@allegorx58]

100mg of what? That protocol is shit though. Break it down into EOD doses for sure

[@anthonychadwick3261]

100% daily or every other day. Every other week is crazy

[@pjfields2382]

Man I have gone through a different hell....I first got hit with the standard 200 mg every 2 weeks..I cried for a month and one period didn't sleep for a week ..turns out yah! I am hypersensitive....I am currently doing 50mg twice a week and my level still gets near 950...I still get anxiety...so should I go to the 60 per week...I would imagine I would still be in the 700 range ..... I feel it effects my adrenaline gland because I feel a bit of anxiety at times and get a sensation across my back ...any insight appreciated

[@sune1112]

So how much test to get 1200 ng?

[@swintegrative]

Everyone is different and depends where you are starting from

[@skinfiddler]

Mine was started too high (imo) 180mg/week, 2xs/week (Test Cyp 200mg/ml) My T checked last week was over 1500! with Free T and estradiol also high 30.7 and 93.3 respectively: Higher than I really want to be and pretty high for a 69yo guy who isn't a bodybuilder but does work out. Also having considerable anxiety 20-30 hrs post injection. I'm dialing back the dose as Dr hasn't provided guidance and I don't have an appt for another month.

[@mikeryan5856]

your doctor is awful for prescribing you that much for a first dose/ 80-120mg is usually plenty especially for a first timer and for someone your age.

[@stephendendy8376]

60 mg a week is enough 30 mg x2

[@Nathan00at78Uuiu]

I saw some body builders saying they are on 500mg of testosterone. Is this probably taken illegally or without a doctor? I saw also super body builders might be taking one to four thousand mg. But it seems TRT with a doctor keep the dose no higher than 200mg.

[@melliotbarrett]

I am 70 years of age and tested at the low end of free testosterone for my age. I am in Thailand abd getting TRT from a Thai doctor who is not expert in TRT. My starting level was 4.9 mg/ dl of free testosteronel. I am getting IM injection of 200 mg of testosterone cip .every three weeks.. does this seem reasonable?

[@swintegrative]

Taking testosterone once every 3 weeks does not make sense bc it will be out of your system in 1 creating lots of ups and downs.

[@P4N083]

Hi, I have been on TRT for just over a month now. My first Blood work came back great. On 300mg Sustanol twice a week as well as 250mg of HCG twice a week. Whether placebo or not, my mood has never been that great. Not to mention my energy. Abt a week ago, i start having a small headache which is refusing to go away. My blood pressure is great, abt 120/80. I repeated my blood work and the result were also great but the headache is not letting go. It isnt that bad but it is there. My doctor thinks it is unrelated to the treatment since my blood pressure and blood work is fine. Have you ever come across anything like this before?

[@stephendendy8376]

600 mg a week 🤣that’s body builders steroid cycle and h c g why your joking right ?

[@P4N083]

@@stephendendy8376 it was a misexplanation of my dosages . 0,3ml twice a week. That’s about 120mg a week

[@barrysmith8193]

My combat PTSD is at a controllable level and I was suspect that my private LPN-c had inappropriately raised my testosterone dosage to an unacceptable level. He refused to discuss my concerns with me. After well educating myself on Cipionate I spoke to my Walmart pharmacist about my concerns. She advised me of the dangers of excessive dosages above what your body is to receive based on current and past performance and advised me to get another opinion at another Dr. I did so with my Dr at the VA and she confirmed my pharmacist information was totally correct and continuing with this incorrect dosage puts me a risk for some serious non reversible health issues. For you veterans know that many of the symptoms of PTSD are similar to incorrect testosterone symptoms. If you are having what you believe is PTSD issues may in reality be testosterone issues. Get checked and get on the correct dosage by a knowledgeable and competent person. Too high testosterone levels can cause non reversible liver and heart problems.

[@swintegrative]

Thanks for sharing your story

[@rodneybrimer5171]

No Energy. Zero ! I have made myself go thru my days but lately it’s horrible. I went to grocery store and literally took me 15 mins to get out and go in. That may sound crazy but it’s a fact. I’m forgetful ,I forget simple things lately, numbness in my hands and tingling sensation in my leg. For years I have zero tolerance to cold. I hate winter now. Example when people decide it’s cool enough for a sweatshirt I’ll have on a short sleeve t a long sleeve and a hoodie. Hot flashes at night almost every night. I had a back surgery back in 2015 and I have blamed the above problems on it. The last couple years each symptom has gotten worse. Then I decided to research low to severe low T. I believe that’s my prob. I’m guessing the meds have destroyed my level of T! I’m telling y’all I’m miserable like a car engine that’s starving for fuel. Tommorow is my Dr apt and I’m coming back to this post with a update on my level. Then I’ll come back in few months to update again,,,why? Because it might help someone someday. Y’all ever wonder why there seems to be a high number of people going thru this? Something is causing it. Food,Air,Water? 👍

[@swintegrative]

Thanks for sharing. Toxins probably

[@barrysmith8193]

You refer to “at-home” testing to check your own values however I have not been able find a source for this. All of the home testing for men requires sample collection then sending off to a lab and receiving results in 3-5 days. Where do I get, who makes, a real at home to be done by us test kit? Please advise. Many thanks.

[@swintegrative]

not sure about at home but there are places you can got to and pay out of pocket

[@JAB227]

My doctor has me take test c 100ml once every 2 weeks. First month on it, I asked her why so little with so long without since the lifespan is shorter than 14 days. She said she wanted to see how my body reacts to it. Is this correct?

[@swintegrative]

I can’t speculate on that. I can say that people generally do better with at least weekly shots.

[@jasonbell4308]

Ok here’s what I know, personally. I knew my levels was low without a test. Got tested n it was on the low end of the chart MyChart uses. Obviously they say nothing can be done. Of course I was trying to workout n such. Mentally I wanted to go an get back into it, no question at all. Physically felt exhausted all the time and sleep was crap all the time. Eating wasn’t good, 1x a day or 1x every 2 days. No energy ever, an stayed in bed weekend wise 12-14 hours like I did as a teenager, an I’m 45. Get up 4 hours later roughly an I’m ready to sleep again another 12hrs. So I said fuk them test I know myself and my body and it’s definitely not healthy as I was. Bought a bottle cypionate 200per cc. An injected 1 cc every 7 days. With in hours after my first injection in my glute I literally felt the test already. Took the whole day to make sure I was feeling what I did. Next day I worked, I usually take my ADD medication before work (20mg every 4 hours) however on this day I didn’t take it. However at work I ended up take it 1x. 2 weeks go by an every 7 days I did 1cc only. On the 3rd week I tried less than 1 an half cc but more than 1cc. During that week I didn’t take my ADD medication at all. My sleep those first 2 weeks improved a lot, however on the 3rd week it was excellent. My mood felt better, eating was way more healthier (3-4 times a day) an my energy was definitely where I felt it needed to be. Able to work, go home and do things around the house and play with my son who’s 1 years old. So I did that same amount for the rest of that bottle I bought. My wife knew what I did as I told her and she said she wished I was able to do that all the time. Noticed herself my energy levels and my eating habit changed. How I managed to do more of the things I said I do and actually did them that day. With that short explained story I knew what would happen after I stopped taken it. Basically 3 weeks later and it’s more or less drinking all the stuff doctors probably would cringe due to the amount. Red Bulls, mountain dues and even preworkout, all to have energy threw the day. I did this for 2 reason, one knowing it would improve my quality of life as I knew what was going on and 2 I also knew my levels would drop as the body stops making it. Knowing it would make my test fail this time. I believe truly that the so called parameters that is used is completely garbage. As you said in video everyone’s different. Granted high is probably factual but when it comes a low I am convinced everyone is different and it should be thrown in with group of 100 men that was probably out of shape making the low point being far to low. My question is, is more than 1cc but less than 1.5cc (in the middle on syringe) to much? If not, should shot be 10 days instead of 7-8 days apart? Not trying to over do it. I do go to gym but obviously not using it to be mr olympian but improve my quality life. An to me that was the right amount. Or at least I felt that way but perhaps 1cc was enough. My intention is to have a doc prescribed it and properly monitor it, an also stop taking my ADD meds all together considering that bit over 1cc I didn’t take that at all the entire time. Never needed it. Idk if you still pay attention to comments but a bit of insight and or answers would be appreciated

[@swintegrative]

Yes, I still read most of the comments so thanks for your input. I think this is a fairly common scenario. I don't think it is a good idea to take testosterone ongoing without having your levels checked and that is how you know if it's a good dose. That said most of my patients are under 1 cc per week (with a few exceptions). Still it is not really the appropriate human dose to think about. It is the appropriate dose for you that is important.

[@wwtf7180]

40mg every 4 days for me. Total is 800 and free is 20. Feel great.

[@swintegrative]

Thanks for sharing

[@texaspete5105]

Is that 3ml per week

[@wwtf7180]

@@texaspete5105 the test cyp I pin with is 200mg per ml. So 40mg is .20ml 3ml would be 600mg. Ouch!! Way to much.

[@gerrymcintosh4477]

I have an ejection fraction of 23% (very low). Would TRT be something I can do? Would it be hard on my heart? I am crazy for thinking, at my age (64 years), I can improve. I have all the symptoms of low T and would like to investigate a way to help.

[@swintegrative]

Exercise can improve ejection fraction and trt can help w exercise tolerance. See my other videos on TRT and heart health might be helpful

[@gerrymcintosh4477]

Actually my ejection fraction is cause from the fact my ventrical are not beating in sync. The right ventrical doesn’t beat as well as the left one. I am very active, and fit for my age, but know I can do better, especially with the help of TRT. 🤷‍♂️

[@mikep3322]

I was off and on test for pastb3 years for powerlifting. I'm in my 40s I'm done with all that heavy llifting. My neighbor is a urologist a d I explained how much I was on etc. I td him I wanted to come completely off. He said if I do if feel depressed possibly a d recommended me to wean myself down to 200mg a week AMD stay on 200mg

[@swintegrative]

Thanks for sharing.. that’s still fairly high dose but it could be right for you.

[@MyFord77]

I’m on the gel, one pump a day. Today is my 3rd day. I don’t feel any different other than I feel weaker and less sexually aroused. Is this normal?

[@swintegrative]

It usually takes several weeks to notice any impact

[@stronglion-qm6vs]

​@@swintegrativeHey dr. Thank you for this great video. I have a question. How level my testosterone should be approximately one day before the next injection if I intend to get stabilized testosterone level in 700? Thanks.

[@albertlopez1519]

I have testosterone cream in a fat cylinder that I attach a plastic syringe. It is 125mg per 1ml . I'm supposed to use it every day. Im strictly taking it for muscle growth. Sorry question is how much should I take a day? Should I take the whole 1ml?

[@swintegrative]

Hi Albert, you will have to ask the prescribing doctor. I can't tell you that.

[@fcafa]

In your opinion is 300mg a week a safe dose for some people or is that high for all? My doctor just upped my weekly dose from 200mg once a week to 300mg once a week. Is this a safe long term dose? I know you cant give medical advice on here, but have you had patients on 300 a week that do well on it? My trough on 200mg/week was at 650ng/dl

[@swintegrative]

300 mg per week could be the right dose for someone. I don’t think I have ever had someone quite that high though.

[@NightLetterLondon]

300mg per week is virtually a bodybuilder's cycle dose. it is high. for your doctor to jump you up by 100mg per week seems rather odd.

[@007yankeesrule]

I am prescribed 200 mg of depo testosterone shots every other week. Three months later and i did not notice and changes. On my own, I recently started injecting my self weekly. What a difference in drive. Only problem now, is im not due for renewal for another three weeks. Plus, my wife feels i have too much drive now. I cant win. Any suggestions besides self satisfaction? 😅 Thank you.

[@texaspete5105]

Could pay for it lol ,,but the wife might leave u then ..

[@ayebo15]

Thanks for the information. Increasing the dose was the right move for you then. Do you take any HCG in addition? If yes, how much?

[@idread3523]

Keep bangin her out

[@bamafan1411]

My doctor just put me on testosterone cypionate 200mg/ml once a month. Is this normal. I'm 52 male and testosterone level was 371 on a recent test. I eat healthy and go to the gym several times a week. Feel good other than being a little tired. She thinks this is the way to go. Is once a month normal?

[@swintegrative]

monthly shots usually don't work well.

[@jameso.4381]

Rare to find a female doctor that knows TRT inside and out - Switch to a Male that has way more experience in men's reproductive health.

[@somebb]

My free test has been dead center normal but total test low and I have had many of the symptoms. Could my baseline for free test be higher than normal?

[@swintegrative]

It could be but very hard to quantify. Usually would say that something else is causing your symptoms.

[@somebb]

@swintegrative I have had tons of labs since, cbc, bmp, thyroid, ect. Everything normal except total test. Total test fluctuates between 250-350 in the last year. Edit: I have been on trt for last 5 weeks and I feel way better.

[@arielrodriguez6980]

Hello, I am currently on 100 mg weekly doing shots of 34, 34, 32mg mg,every M,W,F and my total T came back at 978 and estradiol sensitive 69. Can I do instead 125 mg weekly of 25 mg M-F to raise the T and help lower the estradiol some?

[@swintegrative]

Hi Ariel, thanks for the question. Since I am not your doctor, I cannot advise you on how to take your testosterone. What I can say is that increasing the testosterone dose will raise your estradiol further.

[@arielrodriguez6980]

@@swintegrative Thank you but do you think my estradiol sensitive is high at 69?

[@swintegrative]

it is.

[@olivierjasko]

Again and very unfortunate that there is very little information about the transdermal application, what is the difference between a injection of 50mg of testosterone and a daily application of Testogel 50mg?

[@swintegrative]

there is very little research on this topic. I can tell you there is no way to tell bc of absorption difference fro one person to the next. A general rule is 50mg injection once per week is the same as daily 50mg. Blood testing tells you what you really need to know though.

[@olivierjasko]

@@swintegrative thank you, yes true there is very little about transdermal test like Testogel, I was unsuccessful in finding anything on the risks of blood cloths and transdermal testosterone.

[@DanielBrown-nj3th]

Free on TRT should be max at 16.4. Where are you getting 200? That’s insane

[@swintegrative]

Surprised you are the first one to comment on that. This come from quest diagnostics. Labcorp range would be closer to what you are saying but can go as high as 24.

[@bobbybroward]

I find it without prescription where I live but idk if I need it I’m 28 and feel really sluggish lately. Regardless of how much I work out.

[@swintegrative]

Go see a doctor to find out why

[@johnalsaka3201]

Hey doctor, my testosterone level was 240 ng/dl and I just started TRT with 200 mg every two weeks for 3 months and after 2 weeks of therapy my testosterone level jumped to 600 ng/dl , my question is: is TRT with the dosage 200 mg biweekly really beneficial with gaining muscles and losing weight?

[@swintegrative]

Yes it can be. Going from 240 to 600 should be giving your muscles more of a growth signal.

[@johnalsaka3201]

@@swintegrative do you recommend to increase my dosage?

[@swintegrative]

You have to ask the prescribing doctor.

[@johnalsaka3201]

@@swintegrative thank you so much 🙏

[@stronglion-qm6vs]

​@johnalsaka3201 hey Man, you said that your testosterone level jumped from 240 to 600 with The dosage 200mg biweekly. May ask you when did check it? I mean how many days before your next injection did you check it? And now how are you doing? Did you gain muscle and have you down you body fat? I really appreciate your answer because I am starting the same dosage next week.

[@leonbonnici]

Hello just need some reassurance please! I am a FTM guy. Was on 250mg every 3wks but i had alot of peaks when i take it i have 37 of Free T and when im due my shot i had low t of 7. Now im going to start 125mg every 2 wks. Will my t be fine this way ? Will i get my t sky high like this ? Kindly Please reply...thank you

[@realalifarhat]

Hey Dr, do you do virtual consultations?

[@swintegrative]

[e-mail]

[@Srvelis82]

I’m On 200per, once a week. Two days before my shot I can tell a dramatic change in my mood. I become easily irritated and confrontational. Could this be a result of metabolizing too fast. I used to do every 3-4 days, but my wife pushed back a little thinking I was doing something wrong.

[@BJJandBS]

Real Doctor or Chiropractor?

[@uncledebo44ch23]

Hi, how do you bring down a very high Free Testosterone level?

[@swintegrative]

Well not sure why one would want to do this but you have to raise the Sec Hormone Binding globulin by increasing estrogens lowering insulin is probably the easiest way. Check out videos on SHBG.

[@mattmcdonough3673]

Dr is 1ml of 200 testosterone cyprionate once a week. Is that a normal dosage or on high end

[@swintegrative]

High end

[@mattmcdonough3673]

@swintegrative Dr. With my testosterone usage I've noticed testicle shrinkage. Is there something to fix that issue.

[@swintegrative]

@@mattmcdonough3673 yes that is common. HCG helps with testicular shrinkage.

[@hughbutler532]

Hi my doctor phoned saying my testosterone was 5.2 saying very low , they didn't explain anything at all , my mood fatigue has been bad for couple of years . The waiting list is very long . I got testosterone C 200mg what advice on doses and when to take please.

[@harlemfashion1561]

What about taking a shot once a week what’s the difference

[@swintegrative]

Difference in once vs twice, I think the video goes into that right?

[@Adventism27]

Doc, I hope you're still replying to comments. I am on 0.6ML a week. I am tired and I am dealing with brain fog. Is this enough or what suggestion do you have? I am 49 years old. Weight has increased since my energy has been low (276). I only been on the TRT for two weeks and I do not feel any better. Please give me your thoughts.

[@swintegrative]

it typically takes longer to see results from testosterone 3-6 weeks to start to see it.

[@PeterAlma-oh3xg]

@@swintegrative thank you for your response.

[@kellensperduto4359]

I have a testosterone NG/DL of 158.84 and free testosterone of 34.46. i went to the hormone replacement specicialist and he didnt want to put me on replacement therapy because my age of 29 and firtility issues. can someone on here help me accuratly figure out the mg per week i need to get to a more average level of around 500 ng/dl ? thanks

[@ebsell]

My total testosterone level was 7.2 when I was 47 I’m now 54 and have no idea what it is. Hard in Canada to even test for it let alone prescribe it

[@swintegrative]

Wow that's quite low Wasup Fool.

[@randygoldberg8753]

You poor bastard. You must be feeling terrible.

[@nickgrayy]

Went to a horomones doctor and he put me on 1ml/200mg test Cyp twice a week. Is that too much

[@swintegrative]

It's an aggressive dose.

[@nickgrayy]

@@swintegrative that’s what some people are saying. It’s been a month and I’m finally feeling like myself from last year. I’m having usable strength and a good bit of my libido is back and my wife is much easier to please now. I thought I’d feel more spectacular but it’s seems subtle. So I probably keep the dosage as set. If I go lower I don’t know if it’d work. But I am getting a second opinion as I don’t want to jeopardize my health

[@NightLetterLondon]

400mg per week is a bodybuilder's cycle dose. way too high for TRT..

[@adammadtin8451]

Does anyone find there resting heart rate goes up when on testosterone?

[@swintegrative]

Other people have commented on this. I have not seen it in my practice and have not found solid research supporting this

[@adammadtin8451]

@@swintegrative I have been using it on and off for about 20 years but not always at hrt doses. Last cycle has been 250mgs of enanthate per week. First few weeks always feel great but then the high heart rate starts and Ed problems. I suspect it’s from estrogen conversion. I am am trying tamoxifen currently to see if it helps

[@abdelbachirlegrand5163]

what do you take to thin the blood under TRT and at what dose ?

[@swintegrative]

Check out video on TRT and high hematocrit

[@yoyogames99]

Is trt best option for increasing testosterone?

[@swintegrative]

That’s really gonna depend on your situation. I can’t say that it will be the most reliable way.

[@NO-hg6sn]

Hello doctor, i was wondering how much ml should i take per week for a 300mg ?

[@swintegrative]

Hi NO, That depends on the kind you have. They make 100mg/ml, 200 mg/ml and 250mg/ml. The most common is 200 mg/ml so that would be 1.5 ml. Hope that helps.

[@elmazwilder1933]

Are your patients taking typically 0.5ml every 7days ?

[@swintegrative]

Elmaz, we don't have a one size fits all approach. That's an approximate average some take more some take less (every 7 days or broken into several doses per week).

[@ES-pr8bt]

I live in the middle of nowhere Canada, my free test was 7.2 about 6 years ago. I’m 54 now and my estrogen is high and developed gyno a few years ago on one side, it’s getting worse. Drs here won’t prescribe TRT. I don’t have a family Dr so outpatients is my only option and it seems like they know nothing about the subject.

[@swintegrative]

ES sorry to hear that. Did you try to do a search for bioidentical hormone doctors or functional medicine doctor?

[@coreykolenosky5974]

In Canada you have "right" to see a Specialist....but you have to ask ...

[@joeld4992]

I just got a blood test back from being on 220 mg/per week for 6 months. We messed up the testing dates, so I went a long time without a proper test. I started losing all benefits about 3 to 4 months ago. Got a blood test back and I have high rbc, high hemoglobin around 18 and 56%. I'm going to be bringing down the dose to 100 mg a week starting today. How long do you think it might take for me to get back to feeling better? 28 yo starting test levels was 400 range.

[@gamer_1250ptylk]

Lol almost to die doing 220mg week for 6 months,thats not TRT thats a 6 month cycle of test cruising

[@cescorotundo2195]

I inject 200ml per week in daily doses of 0.15ml to maintain the most flat curve posible. Yes, daily i inject and it just takes 3 min during my morning ruitine. Ask your doc about that or the cream. My childhood friend whos 45 yrs young now loves the creame. All he says is hes destroying his wife in bed and just feels great. Ive never tried the cream though.

[@elchu1971]

The name of the cream?

[@MississippiWopGenius396]

cypionate comes in either 100mg or 200mg...so when comparing the the 2 dosages-which is better? or is it just personal preference...Im on 200 mg now and it seems like the 100 mg was better for me as far as how my body reacted to the treatment...or maybe the rx was a different brand/company not sure.

[@swintegrative]

I think just personal preference. Were you taking the same milligram amount each time?

[@MississippiWopGenius396]

@@swintegrative yes

[@swintegrative]

I am not sure then but that's interesting.

[@thanosrabbit]

I’m 29. No real symptoms of low test. However I haven’t got anything checked. Would it be detrimental if I were to just go on 250mg of Test C split into two doses every 5 days? Then get my bloods done around 3 months or so? Would just like to put on more muscle, quicker

[@tc4562]

Did you try it ? I’m thinking of doing the same . Just worried about the side effects

[@rayjustray4091]

I am taking 100 mgs of testosterone gel. Been about two months. Too much?

[@lvg777]

You're totally vague on the dosages. A dose must consider how much and how often. You talk about using 0.4 ml - 1.0 ml (200 mg/ml), but not a word on how often to inject. I'll take a guess and assume you're talking weekly.

[@swintegrative]

yes I was referring to an average weekly dosing range.

[@anuragthakur099]

Hey sir , i want to take testosterone undecanonate but i am not sure about that . My physical test for army is after three months. So i want to know that how many days it will last in my body . I don't want to be caught in medical test . What can i do ? Sir , please help me 🙏

[@anuragthakur099]

There will be urine test and blood test

[@jessegotti3451]

200mg cyp weekly....Resulted in 700 total the day before next injection.... feeling that likely had me at a high of 1400...lowered dosage to 135 every week....total was 1550 on day 3 after injection..... I assumed 20% lower dose should result in 20% lower level. How did a lower dose result in higher level? I'd like to be high normal.... Would dropping to a lower weekly dose, of say, 100ml....or alternatively 160ml changed to every 10 days...be better to lower to a normal range? I understand your answer is not medical advice....but scientifically, which method would better accomplish the goal.... of lowering total test....dosage or interval? Thank you

[@swintegrative]

It was higher bc you checked your levels closer to the injection day.

[@jessegotti3451]

@@swintegrative I understand..... Even all things equal, aside from lowering the dose... the lower dose resulted in a higher level.

[@swintegrative]

Yes but you checked at a different interval. If you checked on the day before the next injection all things would be equal. Since you checked at a different interval they are not. So check on the same time interval.

[@jessegotti3451]

@@swintegrative I should have been more clear. I checked at the same intervals.. I checked at 3 days after injection and the day before injection. My levels were about 30% higher when taking 20% less testosterone. I waited a couple months after adjusting dosage, before testing.

[@swintegrative]

I don’t have a great answer for that then but levels can change internally based on exercise, weight loss, medication/drugs, etc.

[@dzmalekvali1110]

My Doc says my blood test shows 52 nml and 192 blood thicker

[@michaelkartsonis6332]

You look like rude Jude lol

[@PaulPadilla-h2x]

I recently had my family Dr check my Test the test shows my testosterone is as follows. Total test 202 Albumin 4.4 Sx hormone binding glubuin 40 I’m 50 years old weight 190lb . My Dr says he wants to put on weekly injections 200ml, I’m concerned that it might be to much, I reached out to a wellness clinic unfortunately they don’t take insurance. Should I be concerned that my family dr may not be experienced in this. Please your thoughts and suggestions are appropriate

[@jameso.4381]

Some doctors are very generous with TEST dosing, most are overly cautious, so the patient doesn't turn around and sue them in case any adverse side effects pop up on a more generous dose of say, 200mg/ml p/wk. --- With a weekly injection of 200 mg/ml of TEST CYP, I don't see how the average 50+ year-old is not going to go over the reference range for just about everything. ---- Thank your generous doctors but suggest you would prefer to gradually dose up instead of down, starting with, say,100 mg/ml of TEST CYP. ---- If higher dosing is needed to get you into the upper range, say, 700 to 800 Total TEST, plus Free TEST within the upper range, consider discussing a backup, small dose aromatase inhibitor if the Estradiol levels rise up, accompanied by symptoms. If you're comfortable with a Total TEST level of around 500 to 600, and a mid-level Free TEST value to match, an aromatase inhibitor might not even be needed ---- Frequent bloodwork is a must, as levels can get out of whack if unchecked, especially hemoglobin/hematocrit. Make sure to keep those blood viscosity levels from going very high above the reference range. ---- How you feel on a certain dose, given that all other levels are not abnormal, should be taken into consideration when dialing in a dose.

[@dlindo8892]

Do you think the blood donation I gave would effect my levels at all? Thanks

[@swintegrative]

Nope

[@montanak7]

No one will tell us women what our/my hormone numbers should be while on biote pellets. I get 1:1 pellets and they never change the dosage.

[@swintegrative]

Are you asking what a female testosterone reference range should be if you are on pellets?

[@montanak7]

@@swintegrative yes please!! For a woman in 40s. I only weigh 100 pounds I cannot seem to gain weight ...even getting pellets for two years. Both testosterone and estradiol. I get both pellets and only my lab work has changed. With any reference range, I might be able to figure out why.

[@swintegrative]

women should follow free testosterone as well not just the total. We shoot for about 3-4 pg/ml but it could go as high as 6. This is how I treat low testosterone ( in females) but there is a lot of difference from one doctor to the next. Also some women don't tolerate higher levels.

[@montanak7]

@@swintegrative thank you so much for taking the time to answer my questions. You also answered my questions on PCR test for EBV on another video. Very grateful.

[@montanak7]

My freeT is 5.7 pg/ml, sex binding hormone glob 120 nmol/L, test LC-MS 83 ng/dl And I just got two more pellets inserted today and these were the test results he went on. I just want to make sure these numbers are not creating new risks. Keep in mind, before I started pellets my testosterone levels were so low they could not be calculated by lab. I know you’re busy but you have been the most helpful ... if I wasn’t in Florida I would be making an appointment with you immediately!

[@DT-oh6gx]

what's 3.5 days? if I inject monday is the .5 considered Thursday night? shouldn't you inject in the morning? will injecting at night affect my sleep?

[@swintegrative]

Yes it is am vs pm. It usually does not affect sleep

[@albertlopez1519]

Sorry can you reread the question I had to comments below. I revised the question that I forgot to add at the end

[@Robert-wb8ok]

My doctor started me on 100mg every 2 weeks for 5 months, is that too low to see muscle growth?. Had some depression, anxiety and want to built solid muscle

[@loueelouuu]

Way too low

[@NOTLeavingLV]

He gets to the topic at like 1:25

[@joshuacooper7567]

My test levels are a 182. What kind of dose and frequency should I be on ?

[@fredbey7811]

Hey Doc, I'm on 50mg test cyp every Friday via Kaiser... I recieved 1cc/ml syringe with 100mg/ 10ml vial... how do I measure correctly using a 100u/insulin syringe for 50mg? what line do I draw to?

[@swintegrative]

Measure to 0.5 or 50 units.

[@neildarealdeal7129]

If I am taking 160 cc's a week , how many mg's that?

[@swintegrative]

look at the mg/ml uualy 200mg per ml.

[@neildarealdeal7129]

@@swintegrative Okay, thanks! The hormone company was giving me too much. It almost caused a heart attack. They were giving me 220 CC's a week. I am freakishly strong and fast even at 60 years old. However; they reduced my dose to 180 cc's and after a year that was still too much at the end of the week and just before I took another shot I was still well over 1500 levels. Should I reduce to 160 or 140 cc's a week? Thanks!

[@swintegrative]

@@neildarealdeal7129 sounds like you need to reduce it but the labs will tell you how much.

[@travops8996]

Damn it's Jude

[@Biker65]

I'm twice a week @ 200mg

[@zainman1698]

Hey im trying to figure out what is the average, 250mg Cypionate, how much a week ( hormone therapy is illegal when im from i cant get tested)

[@bigbadbootydaddy616]

ive just taken 1.5 ml of test enthanate, planing on doing this every 7 days.. im looking to heal 9 broken ribs and gain a little muscle.

[@kellyfontes7757]

I workout everyday, I am 49, 6'3" 225 I am now taking 200mg a week, going to bump it up to 300mg a week. My hard weight/workout days are the day of the weekly injection and the two days after. I just gave blood and will begin giving blood every 6 weeks. All my numbers are good. I eat alot of red meat, eggs, sardines, frozen blueberries, avocado, bannanas, broccoli and about 1-2 whey protien shakes a day.

[@majicogarcia8417]

🍪

[@tbaymufon6448]

I legit thought you were rude Jude by the thumbnail lol

[@dougm7737]

I am microdosing 200ml 2x a week and am getting some bloating as I believe my estrogen levels are high. What would you recommend to bring this level down. Would you recommend an aromtise inhibitor or maybe a B complex? Thanks for your input!!

[@swintegrative]

I can't make recommendations like that but 200mg twice weekly is not micro-dosing.

[@LukeSly91]

Microdosing haha. 400mg a week is a legit steroid cycle

[@jokcoustou]

You mean 200 milligrams or mL for milliliters... You wrote ML so 200 milliliters is like really high

[@dougm7737]

Sorry yes 200 milligrams. I'm now cutting back to .8 milligrams once a week and recheck my peak and low levels.

[@joshuadaltilia8480]

No it's actually those gentlemen, not those folks cos this medical practice is gender specific

[@michaeldiraimondo]

Is it possible to have elevated estrogen but It does not show up in the blood labs? Meaning, in taking testosterone, it lowers SHBG levels, which lowers total estradiol and total testosterone relative to the free levels. So free estradiol may rise even if the total does not... so this would not show up in the blood work if one is only testing total estradiol Also, the conversion occurs within cells and is not fully represented in serum levels. Any advice / input on this would be appreciated. thank you.

[@swintegrative]

There are multiple estrogen tests to reflect the different types of estrogen. In addition there are more accurate and less accurate tests for these. There is also a free estradiol test. One should not be concerned about intracellular vs extra cellular levels however.

[@michaeldiraimondo]

@@swintegrative ok my doc was using Estradiol (TEST: 004515 Test number copied CPT: 82670), in your experience, would that not provide an accurate enough picture to see if estrogens were elevated? have you ever seen someone with an overactive immune system from underlying chronic infections such as Lyme, have their immune system sent into overdrive from T replacement to the point where they could no longer continue it? thanks for taking the time to answer, it is very much appreciated.

[@offshorewayde9363]

Hi doctor Can you help me I need the correct prescription to buy testosterone depo/cypionate 200mg at my local pharmacy I would like to do my blood test 1st tomorrow But i need a doctor to prescribe me Can you please be of assistance

[@swintegrative]

Negative. I can only write prescriptions for established patients.

[@offshorewayde9363]

@@swintegrative how do I enroll to become a patient please

[@surfbug1]

Explain mL to mg to cc

[@swintegrative]

Ml and cc are the same it is a volume of fluid. MG is a weight. Testosterone injections come in 200mg/ ml. So there is 200mg in every ml.

[@julienrodot8288]

Hi doc if you don’t mind: I am a male 49 yo.My total testo is in average, my free testo is very low. My PSA is OK, my SHBG very high, my E2 above the max(slightly). Cortisol is OK but my DHEA was very low. But I took iodine for a while and my TSH is 0.02 and t3 too high (iatrogenic hyperthyroïdie). I took 37.5 mg of testo per day for a month and zero results. I doubled the dose to 75 mg per day (topic) for 2 weeks and same zero effects. Do you think my results could have been wrong because of my thyroid ? Then may be I don’t need testo supplementation even though my libido is close to zero. Thanks in advance doc for your response 😊

[@swintegrative]

No not thyroid. It's likely absorption issue or not checking close enough to the application.

[@julienrodot8288]

@@swintegrative Ok thanks 😊

[@nicholasl8249]

I switched to small daily doses using a insulin syringe and pinning my pecs and shoulders. Why don't more doctors recommend this!? Its virtually painless and theres no dips in levels while waiting for your next injection

[@AmyMcLin-ms3xx]

How much do you take per day?

[@nicholasl8249]

@@AmyMcLin-ms3xx 18 units from a 1ml syringe

[@nicholasl8249]

@ 18 units per day. it works out to slightly over 200mg a week of test cyp.

[@nicoc7024]

Would there be any significant difference between say tues Friday injections compared to every 3.5 days?

[@swintegrative]

Doubt it

[@infiniteg7852]

My testosterone level is 261... urologist wants to start me on 200mg Bi-Weekly. Is that good? Or do you recommend weekly? 🤔

[@swintegrative]

Usually weekly is better but some do ok with biweekly. Depends on your symptoms and levels.

[@joydavid7757]

How to protect liver on trt ?

[@swintegrative]

TRT usually does not negatively affect your liver. There are oral testosterone drugs which can negatively affect the liver but these are not used for TRT

[@joydavid7757]

@swintegrative thx for your reply, and what about blood thickness how to manage that?

[@tomhilditch2328]

this video needs an edit

[@swintegrative]

What’s that?

[@carlorocky]

I’ve been on TRT- 200mg. every two weeks for the last 10 years. My H&H are high and my testosterone is 86! I’m a 50 year old male. What in the world could possibly cause such a thing? How dangerous is my situation?

[@BJw2]

I’ve heard of people doing bi-weekly injections but I thought it was more beneficial for weekly injections?

[@swintegrative]

Is the question about the testosterone being lower?

[@carlorocky]

@@swintegrative. Yes, how could it possibly have gone that low?

[@swintegrative]

@@carlorocky your checking the levels at the trough, try checking one day after the shot.

[@dlindo8892]

Do you have any patients doing subq injections? If so is it as effective as intramuscular as far a getting levels up at the same dose? Thanks.

[@swintegrative]

Yes and yes.

[@dlindo8892]

Southwest Integrative Medicine Thanks a lot for the reply. When they do subq do they inject in the belly fat or somewhere else? And does it take a longer to get levels at a steady state doing subq? I ask, because I switched to subq same dose and same schedule as intramuscular and after five weeks I got blood work my total t levels dropped 350 points. I was injecting in my belly fat. I did donate blood about a month prior to my blood draw. Not sure if that effects blood work though. Thanks again

[@swintegrative]

the subQ should not change your weekly dose. Likely the new test was done at a different time interval than the last one.

[@dlindo8892]

Southwest Integrative Medicine Hmmm. I inject every other day though. I wouldn’t think it would change. I have very low SHBG

[@swintegrative]

The testosterone level is changing even if you inject every other day. It will change less if you inject more frequently but it is still changing.

[@joshuamoore647]

My doctor is trying to get me to take 200mg 1 time per month =(

[@JuanMoreno-xx3fz]

I have low white blood cells and get tired quickly and many have said testosterone has alot that will help for that. Not sure how much i should take?

[@Jamedia66]

1 cc every 5 days. Test C. It will help a lot. I have the same issue and sometimes am narcoleptic. It did away with all of it.

[@tadehpetrossian5698]

I have a serious question please? I have been on Testosterone replacement therapy for a little over 2 months and I am feeling fine I am doing 0.7cc a week I did my blood work and I saw that my estrogen level is now at 43. Is that high? Cause I have been researching and saw that estrogen level for men on Testosterone replacement therapy their estrogen level should be between 20 to 30. What should I consider doing thank you.

[@swintegrative]

The optimal level of estrogen is not universal but roughly 25 is a good target. The decision to lower estrogen is made based on symptoms but too low can be a problem too. Estrogen blockers like anastrozole or natural supplements can be used.

[@tadehpetrossian5698]

@@swintegrative aren't estrogen blockers harmful for your health? Some doctors say it can lead to heart disease stroke.

[@tadehpetrossian5698]

@@swintegrative what do you think about lowering the dosage and taking it 2 times a week. Because I'm looking to bring down the estrogen at the most to 30.

[@tadehpetrossian5698]

@@swintegrative if estrogen is high dosent it cause acne? I just want everything to be balanced not to high not too low.

[@123upandadaminc8]

Do you need a PCT and what kind of needle?

[@stronglion-qm6vs]

Hey dr. Thank you for this great video. I have a question. How level my testosterone should be approximately one day before the next injection if I intend to get stabilized testosterone level in 700? Thanks.

[@swintegrative]

I worry more about free testosterone and it’s not the same for everyone…

[@stronglion-qm6vs]

@swintegrative thanks for responding.

[@atutor1]

Starts at 1:34

[@AlexanderReyPerez]

Thank you for the clear and concise info!

[@swintegrative]

Glad it was helpful!

[@steveazusa]

I'm on 150mg every 5 days of testosterone cypionate gonna ask my doctor if we can try 200mg every 5 days i feel fantastic but wanna feel amazing ! Haha

[@swintegrative]

Best of luck!

[@Savage2society]

This so dumb. Why Change a running a running System?