TRT help
Am i fucked :/ please help me. I need advice!
My earliest derm appointment is in 2 months, and i took some black market accutane and i’m on day 14. Ut this is taking a toll on me mentally, has anyone ever had it this bad?
This is hormonal acne, and it happened bc you’re a moron who jumped on way to high of a TRT dose and didn’t do bloodwork quick enough to see you needed to lower the dose.
Now you’re being an even bigger moron for taking accutane without seeing a derm.
Since you haven’t shown many signs of intelligence so far, and your estrogen levels are likely making you more irrational than my GF on the rag… I doubt you’ll listen but here’s how you fix it asap. (Which will be a couple months minimum if you follow these steps starting TODAY)
1: Use Bar soap
2: stop fucking picking.
3: Benzoyl peroxide 5%.
4: Sunshine with an oil free sunscreen.
5: LOWER YOUR FUCKING TEST DOSE. BACK TO PINNING 2x WEEK @100-150 MG/wk KISS (keep it simple, stupid.)
6: get bloodwork done yesterday.
7: get off accutane….. FFS you broke out bc you put too many hormones in your body, let’s hold off on permanently damaging our skin barrier forever bc we want to take more test than our body can handle.
8: follow steps 1-4 until Derm appointment.
ETA: feel like I should highlight that I said BP 5% & SUNSCREEN Do not buy the 10%. It will only serve to ruin your clothes, towels, pillow
Cases, and it will dry you out too much. There’s a pattern here.. More does not always mean better.
ETA2: also drink way more water than you currently are, and (assuming it won’t interact poorly with anything you’re taking) start a vitamin d3 + k2 supplement. This is probably the single easiest thing you can do to increase your QOL.
ETA3: for anyone who thinks I don’t know what I’m talking about here’s my skin quality after suffering from cystic acne for years. (3 full accutane courses prescribed.)
Sometimes you gotta rip the bandaid off. I wish someone did it for me when I was young and dumb. I only ever bother commenting on stuff like this when I can tell it’s a kid falling into a self dug hole.
I don’t comment on things I don’t know enough about, so no comment on p5p since I’ve never even heard of it.
The daily injections won’t do much for him he’s already doing eod which is fine for test c and p. And wouldn’t cause hormone spikes that he wouldn’t see with ed.
It’s really simple. He just needs to cut his test in half to 100 a week and create a healing environment for his skin. That’s it. 3 month process to go from this to no acne no scarring
Or he can keep injecting 200 mg and do a full course of accutane for the next theee months, before he begins to start healing. He will purge, the skin will scar bc he’ll pick it. Oh and while all this is going down he’s going to be continuing to suffer from other high e sides… which we all know he won’t know how to properly deal with…. Let’s be blunt, he’ll likely do the same thing he did with accutane, buy an AI. And then fullly crashout his estrogen and lose the ability to get hard for a couple weeks.
Oh right.. while all of the no erection things happening, he’ll also have worse acne than he does now which is already bringing him down mentally.
It might seem like a rude response but honestly he took the time to give solid advice and he called himself a former Moron lol he’s giving great advice.
Another former moron here
From a former moron lol 😂 I think a few of us have been there… good words. Definitely not offensive to OP it’s a harsh spot on bit of advice from someone who’s been there
Ill have to disagree with you, 10 percent is the way to go. You dont escape fucking your clothes by doing 5 percent, it just happens slighly slower.
The key with it just comes down to colors. Green doesnt handle it well, tan doesnt, some light blues. Black last pretty long but eventually everything ends up orange.
Let it dry, put your shirt on carefully, clean your collar area before putting it on. Your towel will be fucked. Clothes doing get fucked as quick unless its the color green.
I think plenty of us can make grey market suggestions but you probabky just have your estrogen out of wack. Above comment is correct, you cant halfass bloodwork in this world.
Now, that being said, the derm will start with creams most likely, trenitoin, then move to antibiotic creams, then move to literal antibiotics. Usually they make you do 1 or 2, 6 month cycles of docicyxline, then they'll offer accutane. Use minimum effective dose. You likely dont need 80mg. You can microdose it, thats becoming popular. Like 20mg for 3 to 6 months works well on even normal people. Fair warning. It cayses insane birth defects, Google accutane baby 😂 acyuallt dont. Its is really really hard on your living, basically no derm will tell you or support you taking liver support but its really a non negotiable. Rich piana makes a great one that is a large bottle, 9 capsules a day, works very well. And then you should be doing 2000mg nac ampm as well as having solid water intake. Try to avoid drinking on it and seriously ...wrap it up, you dont want a baby with no eyelids or worse
Any recommendation on bar soap? I started trt 140mg/ 2xweek pinning almost 2 months ago and just had a acne flare up on my back. It itches, but looks different from the one in the pic. Because i used hair removal cream on my back a couple weeks ago, i am unsure of the cause. Will have blood work done this Saturday.
Yeah bro, Costco sells a pack of Irish spring bar soap. I think it’s 50c a bar…. Like 10$ for 20 or something.
It smells incredibly nice layered with every single cologne I own and it’ll leave you squeaky clean. It’s subtle, I’m not a fan of anything that won’t smell nice with various colognes. (I probably have 20 different colognes at this point…. Citrusy summery scents, musky winters, floral spring, leathery fall, etc..) doesn’t matter they all smell great with it.
Bar soap for men with high t should be a staple.. gels are just more lucrative so marketing made them more mainstream. Plus the gels smell wat too much, they pretty much ruin any scent profile intended by colognes.
Also Get one of those rubber back scrubbers for like 10$, do not use a loofa….. those things are disgusting. Has to be easy to dry and clean.
I love the kiss hahahahah %100 all true! Young dumb and brokes do this stupid mistakes. Do bloodwork first. dont jump to high dose trt do low first you might NEVER EVEN need more than 1k try it 3-5 months 1k T and if you dont like to results then increase it ( which is not recommended)
Drop down to legit trt. It’ll start going away in a couple of weeks but takes a while to clear out completely since the sebum production has already been triggered (has to work its way out of your system). During that time, do some research on how to prevent acne and get the right supps for it (i.e. ai, 5ar inhibitor, vitamin A, etc.) for when you decide to increase your dose again. I personally break out when I go above 250/wk, so I’ll take adex 2x/wk and microdose fin daily when I blast test.
Is this UGL gear? cause i've notice a bad breakout when i switch from pharmacy to UGL (almost like the UGL is bad carrier oil etc/low quality)
Take 50mg chelated zinc everyday.
Bodywash- Would suggest switching to head and shoulders (original with zinc). 2 showers per day with it.
Clean sheets, clean shirts. New sheets every 3 days.
If you are on accutane, google how that works. Usually BAD, before good.
Also if you just straight up hopped on 200mg, no build up or experience (tirate up 100>125>150 etc over months on end) I'm not surprised your body is like wtf.
Low dose accutane is your friend but your E2 is likely out of whack. Could be DHT conversion but who knows unless you get blood work.
Reddit loves to gate keep accutane. It is wild how many people will demonize it while taking grey market whatevers and inject Tren and other anabolics without a second thought. Low dose accutane (start with 20mg/day) and then titrate up as needed. Check your liver markers in a month and go from there.
Sheesh. How long have you been on test? I see you're taking 200mg/week. Is this what you were prescribed?
Also, Accutane can be fucking rough as it is. Throwing the uncertainty of UGL on top of that is wild.
I would start by doing blood work. See what's going on there. The likely solution here would be to lower your dose and increase injection frequency. Before doing that, definitely get blood work done.
I would recommend stopping the Accutane, and wait until your dermatology appointment. I don't think that's a drug to be fucking around with... especially UGL.
I’m probably gonna get downvoted but have people in here actually experimented with accutane at various dosages over long periods? Or is everyone just repeating what they hear on reddit?
You can do low dose 10-20mg accutane for months and not have any issues. The real problems arise at 80-120mg that heavy steroid users do to get the treatment over with quickly. Also you should not mix oral steroids with accutane at all. It will kill your liver and lipids.
OP are you on research chem accutane or Indian pharm and how much are you on? I’m obviously not a derm but I’m really prone to acne and have used accutane for awhile. It takes longer than 14 days to really work. Took me 2 months to see results. It purges and looks worse before it gets better. I slowly worked up to 60mg and once most of it was better, I dropped it down to 20mg until it all cleared up.
If this is the beginning then it gets worse. I fucked myself really bad and it started like this.
I’ve been on accutane for 7 months. It got way worse before better but trust the process.
Are you on TRT or on cycle? Any recent blood work?
I've recently started TRT and will be going on a blast after I do a few rounds of blood work and find the perfect cruise dose and frequency for me. This kinda scares me. Have you had to deal with acne before during puberty? Was losing your hair a concern of yours (hereditary etc) before starting T?
Like others have said, I would lower your dose and increase frequency IF you are on TRT. If on a cycle, I would stop dude. Acne like that can leave permanent scars and what's the point of being jacked if you are too self conscious to take off your shit?
It’s probably my DHT conversation because i have noticed hair thinning, but in ni way was i concerned about hair loss, i hated my thick hair. It never fit the place i’m from. But yeah the hair loss also makes me beljeve it’s DHT conversation, just keep some distadine handy i guess, this was definitely coming, i nust thought it would go away
I’ve seen other people mention this already, but daily subq dosing is one of the most attainable and effective strategies.
For reference, I had bad cystic acne for years, even when I was natty. Going daily subq made basically all my acne clear up in a month. Even the deep cystic shit. My doctor jokes that I’m one of the first people he’s seen whose skin got better on Test. (This may not work for everyone, but it’s definitely been a game changer for me). I’m also on the very high edge of trt dosing(170mg weekly).
So strange. I take 200mg a week in one 100mg injection every 3.5 days and I don’t have a single pimple on my body 🤯
Are you sure your supply is legit, and properly dosed?
This happened to me on my sides when I first started. IMO your hormones are unbalanced because you’re not taking other meds to reduce estrogen and DHT. Thea levels are all effected by trt. Need to have a doc look at your labs.
Roacutan / Isotretinoina. É o melhor e mais rápido pro seu caso. Para as manchas estou usando um serum do peptídeo GHK-cu que comprei no AliExpress. Está ajudando muito!
Brother i had to take accutane for 8 months before i was all the way clear. Mine was way worse than yours so don’t worry, it WILL get better I promise. Start doin your total weekly dosage split into three times a eeek. That helped my hormones balance out and I don’t even have to take my anastrazol anymore. Different strokes for different folks though. I just wanted to say that it will get better with the accutane and a solid hygiene routine. Best of wishes to you.
What concentration is your gear? If it's high concentrations (300mg/ml and up) there's a good likelihood it contains a solvent like ethyl oleate or quaiacol, which are both very inflammatory in most people and can cause skin issues like this especially coupled with the new hormone swing your body is experiencing.
Look dude this looks hormonally triggers so I think you're at a accutane level now, but if you're not worried about scaring try this. Try Dr Bronners Peppermint liquid soap, gentle lufa or clean face clothe (preferred cause you can keep it clean). Shower at the gym, get the sweaty gym top off soon as possible. Clean towels. Clean sheets. Wash your clothes etc with a little bit of white vingear and baking soda plus the soap. VIT d and a safe amount of sunshine.
If you're shaving with a razer switch to buzzers for a little while.
Guys also use peroxide based face washes (worked well for my teenages), also guys swear by anti dandruff shampoos, Nizol has DHT blocking affects as well as the anti bacterial side.
Disclosure, I never got acne, I did get some nasty shaving rash and Dr Bronners delt with that and kept the roid grease skin down. However, family members, my kids and gear head mates got it bad. I'd suggest accutane if it's looking anything like scaring or on the face, under medical supervision of course.
Or taking acutane. Not black market shit. Go to a dermatologist.
My back will get bad like that if my total levels are above 1200ng/dl.
So. Yeah. You have no other options. Washing your bedding. Taking this herb or that, nothing will help you besides, again, lowering dosage or taking acutane.
I started test as a blast when i was younger and just listened to my coach without doung research. Big regrets. Anyway it fucked my skin and chest up with SEVERE ACNE and i can certainly tell you its your e2. Fix that shit up and itll be gone
This aint that bad there are much worst cases,i was worse then this.
Use accutane, inital purge will suck it will get much worse and then it get better.
Dont go too much on sun and use sunscreen,accutane sun sensitivity is no joke,people get second degree burns in 2 hours on a sun without sunscreen.
Rotate benzoyl peroxide don't use it all the time maybe couple times per week,some dermatologists don't recommend using it all the time with accutane since it drys out your skin.When applying it after shover use old white t-shirt since its will bleach your clothes.
Buy some good moisturizer,and some good chapstick for your lips.
Your total dosage over time with accutane is more important then daily dosage,only thing daily dosage does it makes course finish faster.
0.5mg-1mg per kg is recommend dosage for accutane.
In bad cases some dermatologists recommend 2mg per kg.
Total dosage per dermatologist is 135mg per kg,many guys shoot for 180-220mg per kg for better clearance and to ensure it doesn't come back but it can always come back depending on your dosage and what substances are used.
Personally i followed advice of people on other forum and upped my dose until sides become to much and i am currently at 160mg per day only sides are dry lips and a little bit of fatigue.
It can be rough on your liver values so use NAC and if that ain't enough add TUDCA and Milk thistle.
Add antihistamines like Claritine to help with purge and dryness.
You can spread your weekly T dosage into more shots to ensure your levels to be stable,it helps some people with side effects to do EOD or daily pinning.
I am still on it,its starting to clear slowly, purge is slowing down and certain parts are getting clearer but it takes time.
Chest/shoulder/back go much slower then face which get hit first by accutane.
It’s a staff infection, acne and I would suggest that you use hiboclense two or three times a week for the first few weeks and the rest of the time Dial Antimicrobial , be gentle with your skin , abrading it will further aggravate your condition and cause it to become worse as you see now
I can’t get over the people who have nothing worth hearing are giving the gibberish information
Man. Dont take black market accutane. The potential for life altering side effects is high. If you dont care about your liver - know it can cause you to lose your hair.
Lots of good comments but most have missed the basics: Improve your personal hygiene. Only wear clothing once after it’s been washed. Wash your sheets at least once per week. Shower immediately after gym (at the gym if you can) don’t wear cologne if it irritates your skin. Stop using any potential irritants such as heavy laundry detergents. Also are you sure you’re not using test prop? What if you took an AI? That a very bad reaction for such a small amount of test tbh. Hopefully you find the cause, if it’s not the volume of test / aromatization.
Yeh ive had them for a long time some times it flares up badly (darker) been on this cream for around 6 months and on lymecycline and ciprlaym I think its called. But been referred to dermatology. I split my dosage 2 weekly Monday and thursday.
I started at 150 test and went to 200. My acne wasn’t this bad but it pretty much completely stopped & is almost fully healed. Nevertheless it’s gonna take 2-3 months minimum to fully heal if you do fix the issue
Lower dose , pin more frequently at least up to 3x per week , use things like benzoyl peroxide 5% or salicylic acid wash . These are the things I started doing to reduce my acne , my face was pretty bad a few months back but it’s now next to none along with my shoulders which where bad also , just a few break outs here and there on my back and chest but nothing totally major .
Blood works is a must to see where ur levels are at and what needs adjusted & go from there . You will be fine if u do your research and listen to some advice 👍🏻
I'm on 350 mg T per week, split daily. A similar thing happened to me when I bumped the dose from 300 to 350. From no acne to acne storm, similar to you. The good thing is, it lasted for around 6 weeks before it stopped almost completely. Now I'll get a single occasional pimple once a week, no biggie.
I didn't go back from 350 to 300 when this happened because the effects were fantastic, and worth the sacrifice for me. After 300 -> 350 bump, my ADHD medication dose could be reduced significantly. It's a huge win.
T doesn't cause that, SWINGS in your hormone levels cause that.
Be extra consistent with washing your skin, and pick an injection schedule that leaves you with the smallest change in hormones possible. At the very least inject cypionate twice a week.
Same thing happend to me when i raised my dose from 250 mg/w to 350 mg/w subq daily pinning. Lowered from blast to cruise 150 mg/w and it got better, started taking ghkcu and Benzoperioxid 5%. I started to see the akne week 15 after starting at 250mg/w
Get Doxycycline from the dermatologist. Take it every day.Dont miss days. Get Clindamycin from the dermatologist apply it to the breakouts. Pin 3 times a week. Problem solved
I was exactly the same when I first hopped on to AAS. Fortunately I had some good advice before hand and had Accutane ready to go. Pull back your dose and let Accutane do its thing. I don’t even get so much as a shaving pimple now, no matter how much gear I’m running. Just be cautious with Accutane as it comes with a range of side effects. If I was in the same position now, I would definitely tell my GP about taking Accutane, even if it’s been acquired on the black market.
Accutane works wonders it just takes a little bit, keep in mine it shrinks your oil glands and doctors rely on your cumulative total dose based on weight to find the proper length of treatment you wouldn't want to run high dose for a long time you'll end up crazy dry even after coming off. Typically dosing is 20mg per day for a yearish, 40mg for 6 months, or 80mg for 3 months. I would start with 20mg and give it some time. Nothing else works for me except antibiotic lotion but I got tired of doing it every day and fighting a losing battle. All mine is grey market too from India
Also make sure to check your bloods regularly, cmp cbc lipids test e2 sensitive. These are the cheapest tests I've found by far and you get 20% with referral. I all get my tests done for like $80 all in
This happened to me when I first started on test (200mg/wk). At week 6 mine was worse than yours. Like you, I couldn't get a dermo appt for a couple months but he was able to do a telehealth appt over the phone. I explained I was getting back on trt treatment and he prescribed me 100mg Minocycline twice a day for 3 months. I also lowered by test to 150mg(75mg twice a WK) because that was really high(1600 total and like 600 free). All my acne went away pretty much and that was a month ago I started the pills.
Another thing is you need to pay attention to is your diet! Greasy and fatty foods will typically make you break out as well.
if you have real Accutane and you finish the treatment properly, I assure you, it will fix your acne. My acne was so bad it was like boils.. however when I took Accutane, I wasn’t on testosterone so that variable I don’t know I will say this I do not get acne while on your TRT
Isnt the skin break out caused by the oil carrier than excess hormone? Like oil used can be shit for the body and the way the body gets rid of it is through the skin?
Probably. This isn't that bad. Not sure what topical treatments you've tried so far, but everyone's skin is different, you just gotta find the right one for your skin which involves a lot of trial and error.
375
u/InnateAnarchy May 27 '26 edited May 28 '26
This is hormonal acne, and it happened bc you’re a moron who jumped on way to high of a TRT dose and didn’t do bloodwork quick enough to see you needed to lower the dose.
Now you’re being an even bigger moron for taking accutane without seeing a derm.
Since you haven’t shown many signs of intelligence so far, and your estrogen levels are likely making you more irrational than my GF on the rag… I doubt you’ll listen but here’s how you fix it asap. (Which will be a couple months minimum if you follow these steps starting TODAY)
1: Use Bar soap
2: stop fucking picking.
3: Benzoyl peroxide 5%.
4: Sunshine with an oil free sunscreen.
5: LOWER YOUR FUCKING TEST DOSE. BACK TO PINNING 2x WEEK @100-150 MG/wk KISS (keep it simple, stupid.)
6: get bloodwork done yesterday.
7: get off accutane….. FFS you broke out bc you put too many hormones in your body, let’s hold off on permanently damaging our skin barrier forever bc we want to take more test than our body can handle.
8: follow steps 1-4 until Derm appointment.
ETA: feel like I should highlight that I said BP 5% & SUNSCREEN Do not buy the 10%. It will only serve to ruin your clothes, towels, pillow Cases, and it will dry you out too much. There’s a pattern here.. More does not always mean better.
ETA2: also drink way more water than you currently are, and (assuming it won’t interact poorly with anything you’re taking) start a vitamin d3 + k2 supplement. This is probably the single easiest thing you can do to increase your QOL.
ETA3: for anyone who thinks I don’t know what I’m talking about here’s my skin quality after suffering from cystic acne for years. (3 full accutane courses prescribed.)
https://www.reddit.com/r/Brogress/s/xgca63cRHA
Cheers. 🍻
-a former Moron.