I have been on 160mg/week test HRT for about 8 months, along with tamoxifen and HCG. While I take test for overall health, I've noticed some good muscle gains. I'm wondering if I should take a break for a few months and then start up again, or if I should just continue the current regimen. I am 51 and my health is good, though my hematocrit is above the top end of the range from the test. Two weeks ago my test was measured at 775. Thanks.
Are you in the United States?
Firstly you don't just quit taking medications especially hormone replacement. There's always a tapering off period unless you are on antibiotics or short term pain meds from dentist etc...
Don't ever quit cold turkey on blood pressure, hormone etc.. medications.
About three weeks into your TRT/HRT (hormone replacement) your body sent signals to stop producing it's own testosterone. Guess what happens if you stop taking your prescribed testosterone at this point? You will crash. Your body will take months to get back up to speed producing it's own small amount (because you evidently weren't making enough on your own)
After about three weeks and there after you will experience one of the worst feelings of fatigue, depression and lack of energy and faint strength. So if you do anything taper the T dosage down to 125 first week, 100 second each week but stay on at least 100mg 1/2 ML or CC every week.
Tamoxifen/nolvadex is a SERM and your doctor is not up on his hormone information. What you should be on is an aromatase inhibitor (AI) Aromatase inhibitors work by inhibiting the action of the enzyme aromatase, which converts androgens into estrogens.
Excess testosterone will convert to estradiol and cause you to have high estrogen levels. You can get gynecomastia (breast tissue/man boobs) from that conversion and get real moody/emotional.
That's why you were given tamoxifen/nolvadex. Taking anastrozole/arimidex or any AI is the better choice of action.
Also the best current protocol is to split your prescribed dose into two smaller injections each week rather than one injection of the full dose each week. The conversion to estrogen is less.
It's not your fault the doctors don't know this. When it comes to male hormone replacement. An endocrinologist would know somewhat more, but guys that have been taking this stuff for years probably are more knowledgeable.
On high hematocrit levels donate a pint of blood. But tapering your weekly dose down will also help. Get lab work again,(lef.org) stay on top of that.
I wouldn't even tell the doctor your are tapering down, just continue getting your prescription and inject less. Don't ask for less testosterone from your doctor, you never know when you may need that extra.
Always rotate injection sites so as not to develop tough corky scar tissue.
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