What to expect from Testosterone Therapy

What To Expect From Testosterone Therapy?

 Men want to know what to expect from taking Androgen Replacement and using Testosterone Injections.

If you have low testosterone levels or are suffering from erectile dysfunction, then you may need TRT Testosterone Replacement Therapy. What exactly can you expect from a physician-supervised Testosterone Program?

The only reason to undergo Testosterone Therapy using real testosterone, is to restore your male sex hormone levels back to the elevated numbers of your youth. The road to stably increased hormone levels varies according to the form of testosterone used, the route of administration, and the dosing level and frequency. This section will educate you on the differences between these factors to help you make informed decisions.

Testosterone injections

One of the most effective means of boosting low T levels back up into the normal range is by using Injectable Testosterone. While patients taking testosterone desires immediate results, it takes some time for the body to adjust to the new levels of androgen in the system. Some men feel a difference within the first 2 weeks, while others need 3 or 4 weeks to begin to feel a difference from their Low T treatment.

To see the full before and after effects of Testosterone treatment it can take a few months after which you can expect to visibly see the full benefits of testosterone injection therapy. Testosterone Replacement Therapy, especially when combined with HCG Injections and HGH or Human Growth Hormone Injections can dramatically build lean muscle mass, strengthen bones, and burn body fat leaving you with a trim waist and toned body.

When taking injectable HGH, the before and after treatment results are seen steadily over time. After 6 months of testosterone treatment with human growth hormone, the entire benefits of your androgen treatment program can be felt and clearly seen. Most symptoms of hormone deficiency subside and you feel and look more energetic. Most men report that their sex drive and frequency of sex increases dramatically when on a testosterone regimen.

 The Testosterone Results Timeline.

Patients taking testosterone want to know, "How long does it take for testosterone to work?". With a medically-supervised Testosterone Injection Therapy Program, you can expect to see the following before and after treatment results:

The first month of testosterone treatment is one of the most dramatic and important. During this period of time, your body begins to adjust to the new levels of male sex hormone circulating in your body. It is also a time when your hormone physician will carefully monitor your dosage and make any needed changes to dosing and schedule of injection administration to help you reach an optimal testosterone level.

It is also a time when many men who may have been using a testosterone cream, topical androgen gel, pellets or patches, decide they may want to try the injectable form of testosterone therapy. The dosing schedule will depend on whether you have opted to use a Cypionate Testosterone, Enanthate Testosterone, Propionate Testosterone or Undecanoate Testosterone, which have varying degrees of long-acting esters in their testosterone drug formulation.

Week One of Testosterone Treatment. If you have never received testosterone injections before and are suffering from hypogonadism (clinically low testosterone), you should begin to experience invaluable changes just 3 or 4 days after your first administration. You should sleep better and have more energy. You may even need less to sleep less because to achieve higher quality rest.

Week Two of Testosterone Treatment. Morning erections make a significant comeback! In men with erectile dysfunction problems, morning erections help to determine if their problems stem from a psychological or a physiological problem.

Week Three of Testosterone Treatment. You will begin to notice a sense of clarity as your cognitive function improves. Your ability to recall information and your articulation will improve. You will suddenly realize that you feel more mentally sharp and able, which will allow you to better cope with stress and pressure.

Week Four of Testosterone Treatment. You will feel as if you have boundless energy and want to get up and go! The lethargic feeling of couch potato is becoming a thing of the past and you feel more social and interested in sex and relationships. You begin to feel as if you are recovering your drive and motivation at work.

After Month One of Testosterone Therapy. You are better able to work out and recover from exercise. Your energy levels should be noticeably increased throughout the day. Your sexual interest is strong and your ability to have sex and maintain erections is significantly improving. You are sleeping better, and your mood has improved. If you were experiencing depression, hot flashes or mood swings, these should be subsiding. 

After Month Two of Testosterone Therapy. The same health improvements you were experiencing throughout your first month of Low T Therapy should continue to develop and improve. Your energy levels should still be increasing, hair loss and skin wrinkles should be less, and your drive and ambition are strong.

After Month Three of Testosterone Therapy. There should now be a significant, noticeable difference in your physique, body composition and muscle tone. Your energy levels, endurance and stamina should be dramatically increased. Your exercise routines should be easier and recovery from workouts much improved with better visible results. If you are taking HGH with testosterone, muscle gains are clearly visible and body fat much reduced.  You will experience improved healing, tissue and wound repair and recuperation after illness.

After Month Four of Testosterone Therapy. By now, your endurance, stamina, exercise potential, and overall performance ability should supersede all your expectations. If you have never been on testosterone therapy before your first program and you have been eating well and exercising from the beginning, you will be surprised at the level of transformation you have experienced. Furthermore, it will be evident that these results and this amount of energy output would not be possible without restoring your testosterone levels to the numbers had in your youth.

After Month Five of Testosterone Therapy. The changes and improvements in your physical performance, ability, and growth will be fantastic. If you were experiencing mental problems such as sadness, depression, anxiety, or even mental fatigue, by now you should notice substantial progress in your ability to deal with unpleasant or challenging scenarios and circumstances. Remember that all the other positive changes you have experienced will also contribute to a sense of self-improvement. This makes you naturally feel better about your personal progression and growth. More importantly, the physiological changes in brain chemical secretion add to your sense of fulfillment, happiness, and overall well-being.

After Month Six of Testosterone Therapy. All individuals receiving testosterone experience different effects by 6 months of therapy. What you experience will also depend on how many cycles of testosterone therapy you have participated in previously. Sometimes, a user’s sense of improvement begins to dwindle or remain stagnant. The body can become used to the type, or ester, of testosterone that is being used if the same therapy is continued for more than 1 or 2 years. Also, because other processes in the body cease to function when testosterone levels are manipulated using testosterone injections, the benefits of therapy begin to diminish and the “feel good” scenarios that were being experienced stop.

Taking HCG and Auxiliary Hormone Medication During and After Treatment Cycle. What is a PCT (Post-Cycle Therapy)?

There are several therapeutic efficacy and safety reasons why you should not continue with testosterone injections indefinitely without giving your body time to normalize and “reset”. Because of the widespread decline in benefits after six months of a testosterone regimen, our physicians regularly incorporate a cleanse (PCT) in an attempt to reactivate the endocrine and related systems. As you increase your testosterone levels using any kind of testosterone enhancement program, the high levels of circulating testosterone mean that your body shuts down the production of endogenous testosterone; it also increases the production of estrogen, which can lead to a series of undesirable side effects. This means that the synthesis of luteinizing hormone (LH; the hormone produced by your brain to stimulate testosterone production in the testes) and follicle-stimulating hormone (FSH; the hormone produced by your brain to stimulate sperm production) stops. When FSH and LH levels are no longer detectable, you will not experience the exceptional benefits and energy-optimizing results expected from a testosterone injection program.

Another important concern for men receiving testosterone therapy is testicular atrophy. Patients that participate in testosterone therapy may experience some shrinkage of the testes. This occurs as a result of the lack of work performed by testes after testosterone and sperm production has been reduced or shut down in response to the testosterone therapy. In particular, men with smaller testes suffer more from shrinkage while on therapy than those with larger testes.

What does PCT Post Cycle Therapy consist of?

Your post cycle therapy consists of a testosterone secretagogue or Human Chorionic Gonaditropin (hCG) to stimulate the secretion of your natural or endogenous testosterone from the testes to stimulate their natural production ability. HCG injections are a medication that has the effect of signaling a man's testes (LH) to secrete testosterone.

Even if your testosterone levels are already raised due to androgen therapy, HCG helps prevent testicular atrophy or shrinkage. HCG or testosterone secretagogue therapy is administered orally or by subcutaneous injection  twice a week during androgen replacement therapy.

For PCT, HCG  is takne for 10–15 consecutive days. hCG mimics LH Luteinizing Hormone to stimulate testosterone production by the testes. It works by effectively tricking the testes into thinking that they are being instructed to produce testosterone, even though levels are already high because of the injectable testosterone therapy. By itself,testosterone secretagogue therapy is not sufficient to maintain normal testosterone levels in men with a testosterone deficiency but using HCG is an essential part of TRT ensuring that the testes remain functioning during Low T Therapy avoiding any testicular atrophy.

SERMS and AI's for Testosterone Therapy
You will also take an anti-estrogen or aromatase inhibitor, and an estrogen blocker. Clomid also known as clomiphene blocks estrogen from getting to the pituitary and hypothalamus, where works to stop testosterone production. Anti-estrogens or aromatase inhibitors also help to  prevent armatization or the conversion of excess testosterone to estrogen leading to estrogen dominance and unwanted testosterone symptoms in men. Aromatization cause estrogen accumulation during Low Testosterone Treatment is responsible for side effects associated with testosterone therapy such as gynecomastia or "man boobs" .

An example of a PCT protocol is as follows (note that the exact drug and dose prescribed will depend on the specific information contained within each patient file, as well as the individual patient goals):

• 250–800 units of a testosterone secretagogue every day for 10 consecutive days
• One estrogen blocker or antagonist by mouth every day for 10–15 consecutive days

Men who experience testicular atrophy can be placed on a special regimen to help normalize all their hormone levels and physiological functions. Contact your hormone physician if are experiencing any testosterone side effects or testicular atrophy so your dosages and hormone medications can be adjusted . 

Once you receive a prescription for Testosterone Therapy, you will want to know "Where do I buy Testosterone?", What type of Testosterone should I buy?", "How Do I know if I am Buying Real Testosterone?"

Purchasing testosterone steroid hormone medication is a major medical decision and it is not for everyone.  What is best testosterone to use: natural testosterone boosters, testosterone injections, testosterone creams, androgen transdermal gels, testosterone pills or pellets? The most effective and lowest cost Testosterone Treatment Option is the injectable form of testosterone.

How do I know that I am getting the correct testosterone medication for me and that it is coming from a trusted and legal testosterone supplier?
If you are interested in your overall health and safety, then ensuring that your medication is prescribed by a licensed physician specialized in age-management should be the primary objective. You should only buy testosterone products or services from licensed medical professionals and US-based pharmacies that are FDA-compliant age-management in the United States. Your focus should be to find a licensed testosterone clinic location.

Testosterone is a Sterid Hormone Medicine.
"Anabolic steroids, including derivatives of testosterone, are often used illicitly and are now controlled substances that cannot be purchased legally without a prescription from a physician. Men participating in testosterone-replacement programs appreciate the rapid results and the extraordinary muscle growth that they experience from these substances, even at the eventual cost of irreversible endocrine system malfunction."

Testosterone, like many anabolic steroids, was classified as a controlled substance in 1991. Testosterone is administered parenterally in normal and delayed-release (depot) forms. In September 1995, the FDA approved testosterone transdermal patches (Androderm), and many transdermal forms and brands are now available including implants, gels, and topical solutions. A testosterone buccal system, Striant, was FDA-approved in July 2003; Striant is a mucoadhesive product that adheres to the buccal mucosa and provides a controlled and sustained release of testosterone.

In May 2014, the FDA approved an intranasal gel formulation of testosterone (Natesto). A transdermal patch (Intrinsa) for hormone replacement in women is under investigation; the daily dosages used in women are much lower than for products used in males. The FDA refused approval for Intrinsa in 2004 stating that more data regarding safety, especially in relation to cardiovascular and breast health, were required.

Why use an esterized form of Testosterone for Therapy?
Most forms of testosterone used in testosterone-replacement programs are "esterified" forms of testosterone. Esterification is a chemical reaction that leads to the formation of an ester group. The addition of an ester to the testosterone molecule alters its solubility, allowing the drug to be administered as an injectable and create a "depot" or reservoir of androgen steroid hormone for steady release into the body over time..

There are several different acid molecules that can be added to the basic testosterone molecule, including cypionic acid (which forms testosterone cypionate), decanoic acid (which forms testosterone decanoate), and propionic acid (which forms testosterone propionate). The characteristics of the acid that becomes attached to testosterone determines the different characteristics of the injected testosterone solution. Generally, fatty acids with longer length carbon chains are released more slowly into the circulation, and that they are active for longer. Conversely, fatty acids with shorter chains tend to achieve higher peak levels, but have a shorter duration of action.

There are pros and cons to long and short chain testosterone esters. Although longer acting testosterones are administered less frequently because they remain active for longer, the longer a medication stays functioning in the body, the higher the potential for side effects.

Some potential side effects of using too much testosterone steroid:

• Acne and oily skin
• Edems or water retention
• Irritability or aggressiveness
• Weight gain or gynecomastia if estrgoen blockers are not used to inhibit aromatization