I get 250mg T ester every 2-3 weeks. It's suboptimal but this is standard procedure where I live. My endo won't do anything which is not in the book.
The thing is that I don't notice the T peak after a few days. I don't understand this. When my T is really high then why don't I feel really good or horny?
I had my E2 checked and this is not the problem. My E2 is more or less unchanged around 25.
I could also try nebido but nebido has a bad rep. I don't want it.
I'm also on cymbalta for depression but only started 1 week ago.
I could try to simply administer hcg on my own but I also worry about needing an extra AI if E2 goes up.
I also read there are no long term safety studies with hcg. What if this is dangerous when you take it for years and years?
2-3 weeks is bordering on unacceptable for TRT.... I can only surmise the ester is enanthate or cypionate, in which case the half-life will be somewhere between 4-6 days, that means after 4-6 days half the amount of compound should have been released into the bloodstream...
250mg of injectable is NOT all testosterone some of that weight is the ester, therefore your 250mg should be about 162-167mg of actual testosterone...
Therefore half of about 165mg + 82mg in the first 4-6 days, in the next 4-6 days 41mg, 20mg, 10mg and so on.... only 72% of that total is bioavailable, so the end amount is much less.....
As you can see, the dosing schedule is NOT optimal for your needs.... 100-150mg every 5-6 days might be a better protocol to keep your blood levels more stable and to take account of the compounded half-lives from the previous injections still in your blood....
cymbalta might best be only used short term, you don't want to become reliant on SNRI's....
You might speak with your endo about shortening the injection frequency with a reduced dose, or maybe injecting yourself more often with testosterone via other avenues...!!
What does your endo say about hCG intermittent dosing..?