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Hot!NHS HAS ACCEPED ME FOR TRT HELP

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lowtbrah
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Re: NHS HAS ACCEPED ME FOR TRT HELP 2019/02/13 19:55:30 (permalink)
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bezza blackpool
Down to 12nmol/l just before my next injection. Start feeling really **** from week 3 onwards


That sucks! .. why would you not go for Nebido ? Wouldn’t it be hiegher?
#21
bezza blackpool
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Re: NHS HAS ACCEPED ME FOR TRT HELP 2019/02/13 19:57:57 (permalink)
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Pretty stupid protocol really when you think within 24 to 48hrs testosterone level peaks at around 70nmol/l on 250mg of sustanon. I don't know why they cant just prescribe smaller more frequent dosages like 80mg per week.
#22
bezza blackpool
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Re: NHS HAS ACCEPED ME FOR TRT HELP 2019/02/13 19:59:16 (permalink)
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I didn't like the idea of nebido and chose sustanon instead. I don't follow that protocol anyway i felt like **** on it. I'm just using 100mg per week at the minute until i see them again in April.
#23
lowtbrah
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Re: NHS HAS ACCEPED ME FOR TRT HELP 2019/02/13 20:05:11 (permalink)
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bezza blackpool
I didn't like the idea of nebido and chose sustanon instead. I don't follow that protocol anyway i felt like **** on it. I'm just using 100mg per week at the minute until i see them again in April.


Man that sucks bro I’m scared to leave this private dr now guess il see when I go to my gp and explain and ask if they will do my bloods .... he was even saying that he thinks the testgsl is the best I’m like dude I’ve been on injection now for 3 and half weeks surly I can’t just get off and take test gel lol
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lowtbrah
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Re: NHS HAS ACCEPED ME FOR TRT HELP 2019/02/13 20:05:14 (permalink)
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bezza blackpool
I didn't like the idea of nebido and chose sustanon instead. I don't follow that protocol anyway i felt like **** on it. I'm just using 100mg per week at the minute until i see them again in April.


Man that sucks bro I’m scared to leave this private dr now guess il see when I go to my gp and explain and ask if they will do my bloods .... he was even saying that he thinks the testgsl is the best I’m like dude I’ve been on injection now for 3 and half weeks surly I can’t just get off and take test gel lol
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bezza blackpool
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Re: NHS HAS ACCEPED ME FOR TRT HELP 2019/02/13 20:07:39 (permalink)
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You might be surprised by the gel, worked ok for me. Had decent levels on it of around 24nmol/l and felt ok. Had to bin it off though, gave me an itchy rash wherever I applied it and didn't like the idea of it rubbing off onto my girlfriend.
#26
Shack
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Re: NHS HAS ACCEPED ME FOR TRT HELP 2019/02/14 16:31:10 (permalink)
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lowtbrah
Shack
lowtbrah

He said because I went private it’s abit of a issue but his happy to treat me with sus but not in the same dosage I can only have sus 250mg every 3 weeks ... I know my self that’s not good at all! But it’s free on nhs plus blood test and stuff so I’m stuck on what to do..... any thoughts ?


250mg every 3 weeks is the recommended therapeutic dose.  Your doctor is attempting to regulate your testosterone to within normal levels.  He is not proscribing you a course of gear on the NHS.    
 
Take the medical advice and dose and get your health sorted. 


Well yea and no because he said to me if my levels come back in normal range but low end like 8nmol he said he will be happy with that



 
Again, your doctor is acting on medical grounds. He is bringing your test levels into the normal range, all be it in the lower end of the scale. Test levels have a normal range and he is brought yours within that range.  Professionally you can't fault him. 
#27
lowtbrah
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Re: NHS HAS ACCEPED ME FOR TRT HELP 2019/02/14 16:44:13 (permalink)
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Shack
lowtbrah
Shack
lowtbrah

He said because I went private it’s abit of a issue but his happy to treat me with sus but not in the same dosage I can only have sus 250mg every 3 weeks ... I know my self that’s not good at all! But it’s free on nhs plus blood test and stuff so I’m stuck on what to do..... any thoughts ?


250mg every 3 weeks is the recommended therapeutic dose.  Your doctor is attempting to regulate your testosterone to within normal levels.  He is not proscribing you a course of gear on the NHS.    

Take the medical advice and dose and get your health sorted. 


Well yea and no because he said to me if my levels come back in normal range but low end like 8nmol he said he will be happy with that



 
Again, your doctor is acting on medical grounds. He is bringing your test levels into the normal range, all be it in the lower end of the scale. Test levels have a normal range and he is brought yours within that range.  Professionally you can't fault him. 


I’m sorry I don’t quit understand ? My dr hasn’t done anything yet .... the nhs endo is sayin he is willing to treat me, but they can only do sus 1 injection every 3 weeks at 250mg I’m already private becuase I thought they wasn’t going to help me.... so I’m just trying to decide what to do I know sus 3 weeks is not good for most but because I have low shbg is deffo not good for me I’m at the gp now trying to see if they will just help em
With bloods so that’s payed for and I think il be happy
#28
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Re: NHS HAS ACCEPED ME FOR TRT HELP 2019/02/14 17:15:07 (permalink)
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Shack
 
Again, your doctor is acting on medical grounds. He is bringing your test levels into the normal range, all be it in the lower end of the scale. Test levels have a normal range and he is brought yours within that range.  Professionally you can't fault him. 




And that's why many go private as the NHS are useless cnuts. TRT is so much more than just numbers and being within the 'normal range' which means nothing. 8 nmol/l is normal range for a 70 to 80 year old. Giving a patient a 250mg shot of Sustanon every 3 weeks is not professional behaviour. It's just fobbing off the patient.

 
#29
Bookerman
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Re: NHS HAS ACCEPED ME FOR TRT HELP 2019/02/14 17:53:27 (permalink)
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250mg of sust every 3 weeks is a decent starting point. Problem being if they inject it for you. If you split that into 2 jabs and even better 3 jabs you’d be in normal range.
In one jab by the 3rd week you’ll be low again but its the process. Do as tey say, get tested at end of 3rd week and it’ll most likely be low, tell them you felt great but from week 2 noticed a drop off in mood and energy. Dont overplay it if you’ve only had one shot obviously
post edited by Bookerman - 2019/02/14 17:56:06

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#30
lowtbrah
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Re: NHS HAS ACCEPED ME FOR TRT HELP 2019/02/14 18:08:16 (permalink)
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Bookerman
250mg of sust every 3 weeks is a decent starting point. Problem being if they inject it for you. If you split that into 2 jabs and even better 3 jabs you’d be in normal range.
In one jab by the 3rd week you’ll be low again but its the process. Do as tey say, get tested at end of 3rd week and it’ll most likely be low, tell them you felt great but from week 2 noticed a drop off in mood and energy. Dont overplay it if you’ve only had one shot obviously


The thing is he said I’m on to much testostrone that he don’t know why the dr would give me hcg With testostrone that I’m at risk of thinking my blood and my prostate Could get enlarged ... they will only give me 1 shot every 3 weeks and that’s it.. I doubt they will give me the treatment then self’s but who knows il email him and ask .. he is sending me out a letter with his email and said to email him what I decide to do go nhs or stay private
#31
lowtbrah
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Re: NHS HAS ACCEPED ME FOR TRT HELP 2019/02/14 18:08:18 (permalink)
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Y
#32
Shack
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Re: NHS HAS ACCEPED ME FOR TRT HELP 2019/02/14 18:09:37 (permalink)
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Airborne Warrior
Shack
 
Again, your doctor is acting on medical grounds. He is bringing your test levels into the normal range, all be it in the lower end of the scale. Test levels have a normal range and he is brought yours within that range.  Professionally you can't fault him. 




And that's why many go private as the NHS are useless cnuts. TRT is so much more than just numbers and being within the 'normal range' which means nothing. 8 nmol/l is normal range for a 70 to 80 year old. Giving a patient a 250mg shot of Sustanon every 3 weeks is not professional behaviour. It's just fobbing off the patient.




The NHS are not useless.  They are doctors which are prescribing therapeutic drugs to bring , in this case, testosterone levels into the normal range.  Just as they would use beta-blockers to bring blood pressure into normal range.  I'm afraid TRT is all about the numbers.  If your levels are found to below normal then you will get prescribed TRT, if not then you won't simple as that. You think you can ask you doctor to up the dose to 200mg per week?  Not going to happen. 
 
By all means go private.  As long as you are paying for it, the private doctors will be much more liberal with what are normal levels.    
#33
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Re: NHS HAS ACCEPED ME FOR TRT HELP 2019/02/14 18:16:53 (permalink)
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Why not just accept what your given, and then tweak it yourself. But be very careful, as overdoing it and you will have problems with your blood test results.







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#34
lowtbrah
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Re: NHS HAS ACCEPED ME FOR TRT HELP 2019/02/14 18:27:25 (permalink)
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The nhs are great amazing even! But I have to agree I feel like they are not very good with try they said 8nmol was normal when I first Tested but it’s not even nhs dr like professor hacking his a nhs consultant He thinks it should be at least 12nmol .. 27 and I can’t even get a hard on no more I mean I can if I focused but it’s weak as **** I ain’t banged a girl in 2 years lol I told them and he said I just have bad luck try and do breathing exercises When I have time and try not to worry and relax....

So I went private with no choice and I can’t really afford it tbh I work part time so it’s not great but first time in years I feel kinda happy like life is good also sometimes I wake up with wood! Not a lot but at least it’s somthing

Now that my last test was at 6.5nmol they said they will treat me but it’s alwaya low so I dont think they are very great in this department .

I really would love to go with the mm but I jist don’t see 250mg every 3 weeks helping me I think it would make me worse lol I have a few days to decide so I shall see and I will email and ask if hey will let me tear my self I’d rather 70mg a week instead of 250mg 3 week

Ahhh man it’s so ****ed
#35
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Re: NHS HAS ACCEPED ME FOR TRT HELP 2019/02/15 03:26:05 (permalink)
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Shack
 
The NHS are not useless.  They are doctors which are prescribing therapeutic drugs to bring , in this case, testosterone levels into the normal range.  Just as they would use beta-blockers to bring blood pressure into normal range. 
 
And there lies the problem. Get everyone at 120/80 for blood pressure and we've nailed it. Hormones and the HPTA are totally different. All males have differing ranges to feel optimal so relying on numbers and ranges in TRT is only a small part of the battle. Patient care shouldn't end with getting the numbers right.
 
I'm afraid TRT is all about the numbers.  If your levels are found to below normal then you will get prescribed TRT, if not then you won't simple as that.
 
And that's a big problem. One man may feel fine at 10 nmol/l. Another may be suffering depression, anxiety, fatigue, low sex drive etc at that level. Relying on numbers alone is ridiculous. Anyone with a little knowledge of how male hormones work would know being at 10 nmol/l or thereabouts is not optimum for many young males and it's likely the symptoms they are describing to their doctor are actually real. They should get the care and treatment they pay for and deserve. 
 
You think you can ask you doctor to up the dose to 200mg per week?  Not going to happen. 
 
There are many high SHBG guys that require 200mg or more per week due to their testosterone being bound up in the receptors and mostly not being released into their system. Another example of where doctors and most endo's are usually clueless on how the HPTA can  function for certain individuals.  
 



 

 
#36
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Re: NHS HAS ACCEPED ME FOR TRT HELP 2019/02/15 03:31:05 (permalink)
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Bookerman
250mg of sust every 3 weeks is a decent starting point. Problem being if they inject it for you. If you split that into 2 jabs and even better 3 jabs you’d be in normal range.
In one jab by the 3rd week you’ll be low again but its the process. Do as tey say, get tested at end of 3rd week and it’ll most likely be low, tell them you felt great but from week 2 noticed a drop off in mood and energy. Dont overplay it if you’ve only had one shot obviously



Agreed and the advice I gave to the OP in my first post. Splitting the dose weekly would be much better and ideally because of the OP's low SHBG twice weekly at 40mg would be better. It's just a pity that endo's can't start out with a decent protocol from the off. It's not rocket science after all. 

 
#37
lowtbrah
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Re: NHS HAS ACCEPED ME FOR TRT HELP 2019/02/15 10:53:50 (permalink)
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Hmmm
#38
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Re: NHS HAS ACCEPED ME FOR TRT HELP 2019/02/15 11:26:15 (permalink)
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Why can't you just do it yourself? Test is cheaper than prescription, I don't see the point in going through all this hassle of getting the NHS to do it for you, when they clearly don't fully understand it and its not in there best interests. And I'm inclined to agree with them, the NHS has bigger things to worry about I'm afraid.
 
Tell your GP that you are going to get some Sust yourself, and you want him to monitor your bloods. If he's not happy to do that for you, then you have to do it yourself.
 
You are already happy to pay for private, which I'm sure is more expensive than getting it yourself and paying for your own blood tests already, so why all this bother? 

 
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#39
bezza blackpool
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Re: NHS HAS ACCEPED ME FOR TRT HELP 2019/02/15 11:27:50 (permalink)
+1 (1)
Because he worries haha.
#40
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