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Maintaining adequate T levels

Started by samuel, December 29, 2011, 12:16:12 PM

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samuel

So, I've been injecting  once a week for two months.  I had my trough level tested last week and it was 758.  I think that between 700 and 1000 should be a good range to maintain.  I have not experienced any adverse side effects during the build up to this level(ie. rage, moodiness, etc.) I had a hysterectomy 2 years ago when I was 29 and over the last 2 years, I did nothing to replace any of the hormones my body could no longer produce.  So, starting T was not only medically necessary for bone density loss and libido issues, but it was also the answer to a long time dream.  Now, since I'm getting the Testosterone from my Psychiatrist and not an endocrinologist, I have questions that cannot be answered by my prescribing doctor. 

How do I maintain a level that is comfortable for me, both physically and psychologically, without exceeding that 1000 mark.  Should I go to ____ every 10 days  or 2 weeks, or should I change to _____ weekly?  Or would it be better to just inject the full ______ once a month?  I believe that the smaller doses more frequently along with the lack of estrogen issues to contend with have together helped me start my transition smoothly.  I would like to continue with the smoothness that I have experienced thus far.  I feel like the changes are coming at an acceptable rate, though I wish they'd come faster (but who doesn't?).     

Oh, and one more thing.  My girlfriend of 4.5 years is very resistant to the idea of using male pronouns.  That makes things very stressful and confusing for the other people that I have asked to use male pronouns, such as my step daughter and her husband.  They immediately began to respectfully fill my request, but with my partner constantly using she and her, now they have stepped backward and are following her lead.  I did not spring this on her, she knew  5 years ago when we met that I had gender issues that I was working though and though I did not know at that moment how far I would need to go to be comfortable in my skin, that there could come a time that only the most extreme transition would finally make me whole.  So, 2 years ago when I began trying to present as male outside the home more and more frequently I was surprised to hear her say that I deceived her.  That aside, what can I do to show her how important this whole pronoun thing is to me, and how confusing it can be to the people that are around us who are trying to support this process?

Thanks everyone!
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Nygeel

You should be discussing this with your doctor.
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samuel

I get that.  I will discuss it with him.  But I know for a fact that he has no idea.  My primary care doctor might know, but he's opposed to the injections and wants me to use a compounding pharmacy instead.  My insurance covers the injections, not the cream.  So for money's sake, I'm injecting.  Also, getting a referral to an endocrinologist is possible, but will likely put a wrench in the process.
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Nygeel

Quote from: samuel on December 29, 2011, 12:35:38 PM
I get that.  I will discuss it with him.  But I know for a fact that he has no idea.  My primary care doctor might know, but he's opposed to the injections and wants me to use a compounding pharmacy instead.  My insurance covers the injections, not the cream.  So for money's sake, I'm injecting.  Also, getting a referral to an endocrinologist is possible, but will likely put a wrench in the process.
Compounding pharmacies make injections, too.

What was that 700something number? Total testosterone? Taking more can actually feminize as opposed to masculinize.
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supremecatoverlord

The dose you're taking weekly is really high...especially for someone who has had their estrogen producing parts removed.
I say this, because it's a high dose for someone who hasn't had their parts removed just as well.
You should really discuss this with your doctor.

You also shouldn't be discussing doses on here in general by the way. Someone will probably wag their virtual finger at you for doing this soon enough, so I just thought I'd say.


I will ask about your girlfriend though. Does she identify as lesbian? If so, it may be hard for her to accept the fact that you are a guy, because some lesbians are all about being into women and refuse to back down from that "principle" no matter what. I think your girlfriend should personally be more open minded and that if she loves you, she should understand that sexuality is complicated and when you fall in love with someone, you should start loving that person for who they are, not what gender they identify more with.
Meow.



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samuel

Thanks for the heads up on the doseage no no.

As for the girlfriend, she identified as straight until about 6months before we started dating.  She went through this, "I'm a lesbian, yay" thing for a few months and then realized that she didn't like the rejection she was getting.  I appeared into the picture and it was love at first sight.  So here we are nearly 5 years later and I feel like I'm having to walk on eggshells everytime we discuss gender or pronouns.

Is there an easier way?  A how to video?  A short picture book?
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wheat thins are delicious

Quote from: samuel on December 29, 2011, 12:35:38 PM
I get that.  I will discuss it with him.  But I know for a fact that he has no idea.  My primary care doctor might know, but he's opposed to the injections and wants me to use a compounding pharmacy instead.  My insurance covers the injections, not the cream.  So for money's sake, I'm injecting.  Also, getting a referral to an endocrinologist is possible, but will likely put a wrench in the process.

You have to search for doctors with the answers.  You have to advocate and research for your medical health.  We are not allowed to discuss dosages here.  Further more, everyone's bodies metabolizes T in a different way so what may be a good maintenance dose for one person might not be a good one for the next person.

Quote from: samuel on December 29, 2011, 02:04:12 PM
Thanks for the heads up on the doseage no no.

As for the girlfriend, she identified as straight until about 6months before we started dating.  She went through this, "I'm a lesbian, yay" thing for a few months and then realized that she didn't like the rejection she was getting.  I appeared into the picture and it was love at first sight.  So here we are nearly 5 years later and I feel like I'm having to walk on eggshells everytime we discuss gender or pronouns.

Is there an easier way?  A how to video?  A short picture book?

Have you discussed this with her previously?  How soon into the relationship did you reveal your trans status? 


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driven

Quote from: samuel on December 29, 2011, 12:35:38 PMMy primary care doctor might know, but he's opposed to the injections and wants me to use a compounding pharmacy instead.  My insurance covers the injections, not the cream.  So for money's sake, I'm injecting.
FWIW, the compounded cream is only about $30/month from Strohecker's. Might be worth it if your doc can't come up with an injection schedule that works for you. I'm a big wuss about needles, so I'd rather pay a little extra than jab myself in the leg every week. :o
"I am not what I ought to be, not what I want to be, not what I am going to be, but thankful that I am not what I used to be." - John Wooden
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Mister

I wouldn't mess with your dose at all for at least a few more months.  Give yourself time to adjust to the way testosterone makes you feel.   As long as you're in that 700 - 1000 range and your liver enzymes are within normal range, you're fine.  There is no need to try and max out on your levels for faster changes (they won't happen) or to nail a number exactly in the middle. 

As for your girlfriend, exceedingly few relationships survive transition, especially if your girlfriend/boyfriend identifies as gay/straight.
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Nygeel

I found this chart I was looking for...

The average total testosterone in cisgender men age 25-34 is 617 ng/dl. The highest average on this chart is under 700 ng/dl.
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Mister

Quote from: Nygeel on December 30, 2011, 07:10:42 AM
I found this chart I was looking for...

The average total testosterone in cisgender men age 25-34 is 617 ng/dl. The highest average on this chart is under 700 ng/dl.

keep in mind this isn't what we're shooting for. 
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Nygeel

Quote from: Mister on December 30, 2011, 10:39:13 AM
keep in mind this isn't what we're shooting for.
As far as I'm aware, it is.
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Mister

Quote from: Nygeel on December 30, 2011, 12:12:59 PM
As far as I'm aware, it is.

No, it's not.  A 20 something year old guy isn't generating enough testosterone to cause physical changes or overcome estrogen, both of which we are attempting to do. 
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Nygeel

Quote from: Mister on December 30, 2011, 04:22:11 PM
No, it's not.  A 20 something year old guy isn't generating enough testosterone to cause physical changes or overcome estrogen, both of which we are attempting to do.
Guys still grow facial hair in their 20s and go through some physical changes. If you look at the numbers the peak on the chart was 630(ish). Another chart which says "young adult males" says the mean maximum was 700ng/dl. 1000ng/dl is considered very high (top 2%).
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Mister

Quote from: Nygeel on December 30, 2011, 04:49:29 PM
Guys still grow facial hair in their 20s and go through some physical changes. If you look at the numbers the peak on the chart was 630(ish). Another chart which says "young adult males" says the mean maximum was 700ng/dl. 1000ng/dl is considered very high (top 2%).

Believe what you want.  Ask an Endocrinologist.
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