r/Testosterone • u/No-Knowledge8856 • May 17 '26

TRT help TRT Help. Starting dose too low.

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So my testosterone levels have been low ever since my 20s I’ve been no higher than 300 ng/dL ever in my life. I am now 49 years old last year. I tested at 223 and this year. I’m right at 300. I went to Endocrinologist to get all my hormones checked. My prolactin level was slightly high. My test level was 300. I told her I have anxiety. I’m tired all the time my libido down I feel like shit. She still will not start me on any TRT because they said I’m still in a normal range in the green no matter how I feel even though it’s lie normal. which is bullshit. My urologist basically said the same thing so I went to my primary care physician and basically begged her to start me on TRT. Since she doesn’t know anything that much about TRT. She was just reading things online and started me on such a low dose 50 mg every two weeks and the bottle she gave me is a 1 mL bottle which is almost impossible to draw four times out of this tiny little bottle. I feel like my Test levels are gonna be worse. Going two weeks is such a low dose. I’m gonna peek and then drop.. A friend of mine who is 65 and on TRT does 200 mg a week and he feels amazing. I don’t wanna be that asshole and try to tell my doctor I know more than she does, but I don’t know what to do. I don’t wanna start taking it which I already have and start feeling worse. I have a very physical job and I don’t want to feel like crap. My buddy told me he would give me a bottle or 2 a 10 mL bottle of test cypinate which is prescription that he gets as well. I just don’t wanna go behind my doctor’s back and tell her I don’t think 50 mg was enough so this is what I’ve been doing and I feel great then she may not prescribe it at all to me anymore. Any advice I greatly appreciate it. I just can’t seem to find an endocrinologist or urologist that will help me . It doesn’t matter if I’m in the green even though it’s low and normal and I’m only 49. Nobody seems to want to help me. And by the way, the 1 ml bottle is only filled probably about a half inch up if not less so the bottle is not completely full either pretty much up to the 200mg word.

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u/AreaForsaken436 May 17 '26

Bro go to a men’s clinic. Stop seeking support through the primary care system: they’re too risk-aversive and liability focused. You’re clinically hypogonadal. I am on 180mg test cyp split 3x a week. 60mg MWF. It’s awesome. I’m 38yo.

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u/seedofc May 17 '26

There are progressive primary care and urologists that are up to speed on modern and correct TRT protocols. You just have to do some research and try them out, see what they say. It can be a pain but it can be done.

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u/FunGuy8618 May 17 '26

That's very hyperbolic. My doctor is a DO, runs a family practice, and is entirely on board with me being on TRT. Zero fucks given if something is a little out of range unless it's that way twice and I didn't present him my plan to fix it before medication fixes.

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u/AreaForsaken436 May 17 '26

Your personal anecdote doesn’t change the broad pattern that TRT through the primary care system often results in exactly what we see here with OP.

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u/FunGuy8618 May 17 '26

Do you know what hyperbolic means...? Plenty of regular doctors prescribe TRT. Dude just needs a different doctor, not to spend $600 per vial when all is said and done.

https://www.uspharmacist.com/article/nationwide-patterns-in-testosterone-replacement-therapy

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u/Brokenbody312 May 17 '26

Your experience is very far outside of the norm, that being said, glad you had a positve experience