natesto to cypionate

[halfbraindolt]

I've been on Natesto nasal gel for 10 months, 3 times a day with each application.  I have an endo that is stressful at best who refuses to check my T levels so no idea where I am in that regard.  I was still having spotting so she moved me to an injectable dose weekly.  I feel like that might be really low compared to the amount I was getting with the gel.  Today is three days after my first injection and I feel like I've got a horrible case of PMS.  I'm moody, tired and I've noticed my BP is way lower than it has been since starting T.  Technically a good thing but makes me think, yeah I'm not getting much T right now.  Question, does anyone have any experience switching from gel to injectable and have these same issues?  Do I just need to adjust to the new mode of application or am I justified in calling and trying desperately to get her to increase my dose?  I'd just up it myself but she spelled out the dosing instructions so I won't be able to refill when needed if I self increase.  Just looking for some guidance.





No Dosages Please

[V M]

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[Dena]

I saw the unedited post and I think it's important your Endo check your levels even if you have to pay extra for the test. Hormones react differently in peoples body so a high dose for one person may be a low dose for another. The only way you will know if you are in the proper range will be with a blood test. Some of the guys should be checking in soon and they have discussed spotting issues in other threads. They will be able to give you more help on this than I can.

[Elis]

I'm on gel and have been for almost 4 months. I wanted to switch to injectables but my doctor said not to switch if I was getting good results; plus he said most people who switch go back to gel. Gel seems to be better because you get a consistent daily dose. I have heard trans guys do get pms symptoms in the beginning of switching and just before they're due for their next shot because their T levels are at their lowest peak.
It worries me that your endo doesn't check your T levels. If you don't know then too little T and you won't masculise properly or too much and your body will convert the extra T to estrogen.
I'd recommend you get a different endo and wait it out with the injectables to see if your moods go back to normal or switch back to the gel.
Plus weekly is normal. Doctors either say to inject once every 1 to 2 weeks depending on the dosage they recommend. Although I've never heard of using the gel 3 times a day.

[halfbraindolt]

Sorry for the mistake with listing dosages.  I was hoping someone could tell me if equivalent but I understand and won't do it again. 

Thanks for the feedback guys. I'm trying to find another endo who works with trans patients but despite living in a very GLBT friendly city I'm struggling finding another one.

[Alexthecat]

If you do not already go to a local support group you should. Lots of people there will be on HRT and I doubt they all go to your doctor. They can tell you a good doctor and who to avoid.

[Dena]

Sorry for the mistake with listing dosages.  I was hoping someone could tell me if equivalent but I understand and won't do it again. 

Thanks for the feedback guys. I'm trying to find another endo who works with trans patients but despite living in a very GLBT friendly city I'm struggling finding another one.

I don't have medical training but when I snooped around a bit in some documentation I have encountered as a moderator and in my own care under medical supervision, I found the dosages to be greatly different. I am unsure if it's the knowledge of your Endo, something wrong in the information or if I am having a stupid attack but the lack of test with the ease of running them bothers me. Just today, I found that the first lab I used can test testosterone levels but not estrogen levels. For my next test I will need to use another lab. That indicates that Testosterone testing is very common (low T commercials). Women and estrogen are somewhat neglected.

[2fish]

I'm shocked that a Dr will refuse to check levels. When I switched from my first Dr (he was just crazy), to my current Dr, I told him I wanted to be checked every 3 months for the first year and every six months after. He was completely fine with that.   It checking levels is like poring a cup of coffee without looking at what you are doing. Dangerous.

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