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bigD29

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  1. Like
    bigD29 reacted to charlysays in Hormone Test Results   
    https://www.endocrinology.org/media/1454/10-12-01_uk-guidelines-androgens-male.pdf
  2. Like
    bigD29 reacted to charlysays in Hormone Test Results   
    I can help you here mate. 
    1. There's really no way of knowing. Once you get on a trial therapy,  your estradiol and HCT levels will somewhat show what testosterone levels are natural for your body- if they go too high you're likely exceeding your ideal level.
    2. Yes, anything below around 15nmol/ltr is associated with a higher risk of symptoms. You can find this information on page 3 of the ISSAM guidelines. 
    3. Luckily for you the NHS guidelines on testosterone deficiency state that when the serum testosterone level is 12nmol or less or borderline that further investigation should be done (testing shbg,  albumin to calculate free testosterone) and in the clinical picture of testosterone deficiency,  a trial of treatment can be justified.
    I would print off the NHS guidelines and deliver them to your doctor a couple of weeks before an appointment. When you see him / her they should be supportive.
    Hope this helps. 
  3. Like
    bigD29 reacted to MFM in Self injecting on the NHS   
    All this bickering can only lead me to conclude that all of your E2 levels are sky high. Bunch of women. 
  4. Like
    bigD29 reacted to STINK in Self injecting on the NHS   
    Sure am. Their HCG can be expensive because you are prescribed only 1/3 of an amp and they expect you to chuck the rest. Noooo I buy bacteriostatic water and load up syringes and keep them in an air tight container in the fridge. £9 an amp 
  5. Like
    bigD29 reacted to STINK in Self injecting on the NHS   
    I inject prescribed Sustanon and I have injected Nebido. My Dr had me do an online 'course' it only took half an hour and was designed for those who are Diabetic or who need injections for Chrones disease etc....
     
    I feel good on TRT however I feel great when I add in HCG. My energy goes up and my sex drive comes back.
  6. Like
    bigD29 reacted to RRSUK in Self injecting on the NHS   
    I'd say the average steroid user has more experience doing IM jabs than a nurse.
    Its unlikely to be a daily routine for a nurse much more IV, SQ or canulating. 
    Plus most IM will be delt, possibly quad or glute but 9/10 just delt. Also 9/10 it will be water based as opposed to oil based, b12 or vaccinations and such.
    I much prefer my own technique as apposed to a nurse and suffer less PIP when doing myself.
  7. Like
    bigD29 reacted to Rockstar61811 in Self injecting on the NHS   
     
    Nebido is usually taken every 8 to 12 weeks yet a lot people say they would like to split it and take it weekly, monthly etc yet I have never heard of this being permitted.
    sustanon on other hand can be taken all different ways - e5d, weekly, every 2 weeks etc
     
     
  8. Like
    bigD29 reacted to big vin in Self injecting on the NHS   
    My endo knew , my gp knew and the nurse at my gp surgery knew I used to self inject they really didn't have any concerns about it , I used to even ask the nurse at the gp surgery for the needles and barrels . 
    They are very sloppy at my surgery , when my endo switched me to nebido I was still getting the sustanon on prescription every two weeks even though I was on nebido I just kept getting the sustanon even though I never used it I saved loads of amps up and sold them in did it for over a year could have still been getting them now as it was me who told my gp yo cancel the repeat prescription for sustanon as I had switched to nebido .
    My endo wrote to my gp to tell me I had stopped sustanon but my gp never read his letters he is useless 
  9. Like
    bigD29 reacted to big vin in Self injecting on the NHS   
    I been on trt for 6 years I used to always inject myself with sustanon my gp knew about it was not concerned at all . I think the doctors practice was happy me doing it ad it saved them money by having a nurse do it .
    I switched to nebido and started having the nurse do it as it's a lot thicker substance and have to do 4ml at a time i would rather have the nurse do that for me in my buttock.
  10. Like
    bigD29 reacted to Mully in Self injecting on the NHS   
    Tbh I don't  pin there, one of the worst places for veins IMO. Sub Q might not be that much of a bad idea, tho I would only be doing about .5ml a time in that case. If its an issue getting them to do it, get you own and do it youself, I would
  11. Like
    bigD29 reacted to Mingster in Self injecting on the NHS   
    And keep your comments civil please.
  12. Like
    bigD29 reacted to Rockstar61811 in Self injecting on the NHS   
    IMO Sustanon has more flexibility where as nebido is a little cookie cutter.
  13. Like
    bigD29 reacted to Rockstar61811 in Self injecting on the NHS   
    Yes I stated also before the thread was locked I didn't see why he was getting grief also. Diabetics self inject multiple times a day as NHS patients 
  14. Like
    bigD29 reacted to MFM in Self injecting on the NHS   
    Just leading on from a locked thread below, it was said that an endo on the NHS would never let you inject yourself for TRT. Well, my GP said he's got quite a few TRT patients, and some of them who have been on it long enough have been trained to do it themselves. Probably not common, but at least they do it in some practices. 
    @Mingster
  15. Like
    bigD29 reacted to charlysays in Self injecting on the NHS   
    I was going to add to that thread that I don't see why the OP was getting such a hard time for pursuing what the guidelines recommend. 
    If he's tried all other routes in trying to make himself feel normal then he should be supported in his bid to trial some TRT. His levels are borderline on the upper treatment threshold and as such warrant further investigation and a trial of treatment. 
    There are recent studies (since 2012) showing that he's at an increased risk of HG even with a level of 13nmol.
    Why does he focus on testosterone? Possibly because all his other numbers are solidly mid range?
  16. Like
    bigD29 reacted to charlysays in NHS won't help me, should I do TRT my self?   
    You're not giving us any numbers so noone can really advise.
    The NHS guidelines say that there must be persistent symptoms of low testosterone with atleast two sub 12nmol/ltr morning draw (blood test taken before 10am ideally) total testosterone readings. With these criteria met further investigations should be done and a trial of treatment can be justified, e.g up to 6 months to see if symptoms improve. The guidelines also include "borderline levels" which may include levels up to around 13nmol.
    Certainly, there is a recent study (2014) which show that young men are more at risk of hypogonadism with levels below 13.9nmol/ltr.
    If you're levels are over 14-15nmol then it's unlikely to be the cause of your symptoms but a full panel should be done to calculate free testosterone to check for unusual scenarious like a very high SHBG.
  17. Like
    bigD29 reacted to Rockstar61811 in Best way to use Sustanon for TRT?   
    I think you guys are being a little harsh here - diabetics self inject so just because he is self injecting doesn't make it wrong or not proper. 
    Sustanon instructions advise transgender treatment at 1ml every 2 weeks and trt at 1ml every 3 weeks but can try 2 weeks or as directed (so they leave it open a bit). 
  18. Like
    bigD29 reacted to MFM in Best way to use Sustanon for TRT?   
    I never did. I just stored it in a cupboard.
  19. Like
    bigD29 reacted to GeeHFifteen in Best way to use Sustanon for TRT?   
    Every 5 days would be optimal. But bear in mind that 250mg is generally not high enough of a dosage to fluctuate your E2 massively, hence why the Endo offered it to you as an option.
    It comes down to your personal preference and what suits around your schedule.
  20. Like
    bigD29 reacted to MFM in Best way to use Sustanon for TRT?   
    Just thinking TRT is a life long commitment and a hassle I wish I didn't have, so if you feel ok on your current levels it's just something to think about.
  21. Like
    bigD29 reacted to STINK in Best way to use Sustanon for TRT?   
    Every 5 days, that way you keep E2 and SHBG low so you will actually feel the benefit. 
  22. Like
    bigD29 reacted to big vin in New blood results just in   
    Try the sustanon then for three months see how you feel .
    You can always come off after three months and do pct and recover your natural test production . 
    At the moment you are in limbo so unless you try the trt dose you won't know how you are am going to feel .
    If you do try it and it does not improve your symptoms much come off after 3 months it's no point staying on if it makes no difference as you will be then committed to trt indefinitely 
  23. Like
    bigD29 reacted to MFM in Switching TRT to NHS is dead easy   
    I'm not sure as I've never been on the NHS. I think once they're happy your levels are stable once a year probably sounds correct.
  24. Like
    bigD29 got a reaction from MFM in Switching TRT to NHS is dead easy   
    Excellent news mate. Private seems like the way to go! 
    Are once a year blood tests the norm? 
     
     
     
     
  25. Like
    bigD29 reacted to big vin in New blood results just in   
    You are not going to like this but it's what i think. 
     
    I think it's all in your head you have this obsession about your test levels .
    I'm telling you now your test levels are not causing your lack of motivation in the gym or they are causing you to fall asleep . You are just not strong minded enough to train without gear . You are not on your own though lots of people rely on gear .
    Increasing your test levels to normal or high normal range physiologically will do nothing but in your mind it will .
    Try doing trt level of testosterone for a while see how you feel . 
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