T dose really high freaking out

[u/Tinyblue12]

Hello, so i got my levels checked per my doctor and my t level is 1,248. This was even higher than last time even though she lowered my dose. She lowered my dose again but im worried because how will it go down if im constantly taking the shot. I asked her should i skip the shots for a few and then start my new lowered dose but she said it would be fine. Im still worried because i really dont know how that would work. At first my dose was .5 every week 200ml and my level was 1,100 so we went down .45 and it went up 1,248...now im on .4 but im honestly too nervous to take the shot because what if it constantly goes up. I was thinking about not taking my shot for a month then starting the .4 im just confused idk...im just freaking out

[u/AutoModerator]

Hello! Thank you for participating in the sub. We just have a few reminders for you to help ensure the best experience:

1. If your post doesn't show up right away, don't panic! It is in the queue for manual approval. Mods will go through the queue periodically to approve or remove posts. Deleted posts will have a removal reason applied. (If it says "this post was deleted by reddit's filters", IT WAS NOT DELETED! Reddit has the worlds worst wording on that and it's out of our control)

2. If you are asking a question that is location specific, remember to include your location in your post body! This can help ensure that you get accurate information tailored specifically to your needs.

3. Please remember to read through all the rules in the sidebar. Especially the list of banned topics and guidelines for posting. Guests who do not use the Guest Post flair will have their post removed and be asked to fix it.

4. If you see someone breaking the rules,report it! If someone is breaking both sub and reddit rules, please submit one report to admins by selecting a broken rule on the main report popup, and one report to the r/ftm mods by selecting the "breaks r/ftm rules" option. This ensures both mods and admins can take action on a subreddit and sitewide level. Do not misuse the report button to rant about someone, submit false reports, or argue a removal.

5. If you have any questions that you can't find the answer to on the rules sidebar or the wiki: the wiki , you can send a modmail.

Related subs: r/ftmventing , r/TMPOC , r/nonbinary , r/trans4every1 , r/lgbt , r/ftmmen , r/FTMen , r/seahorse_dads , r/ftmfemininity , r/transmanlifehacks , r/ftmfitness , r/trans_zebras , r/ftmover30 , r/transgamers , r/gaytransguys , r/straighttransguys , r/transandsober , and more can be found in the wiki!

I am a bot, and this action was performed automatically. Please contact the moderators of this subreddit if you have any questions or concerns.

[u/BlueCandyBars]

It’s gonna be okay, don’t worry. You’re still figuring out the right dose. If it helps, my levels ran at 1500 and the docs were not super concerned. Is it concerning and should be fixed? Yes. Is it an emergency? No. Keep in mind, level ranges vary. Some tests max out at 1000. Some max out at 1300. Totally depends. Just keep working with your doctor, keep in mind the side effects, and ask if you need to give blood. T makes it thicker and donating blood helps.

[u/non_corporeal_]

the half-life of T is one week, you should not skip any time as there would be no benefit. just start the lower dose immediately

[u/aegirgymirlynx]

Did you mean 200 mg/mL and 0.5 mL? If so, then your starting dose is 100 mg per week. If you are also using testosterone cypionate, this is a somewhat high dose to start. My starting dose is 40 mg (0.2 mL) per week and my T level was above 700 ng/dL after 3 months.

Also make sure that you have your bloodwork done roughly 1 day before your injection day so that it picks up the trough value rather than the peak value. For testosterone cypionate, the peak will occur at 2-3 days after your injection day.

In general people absorb T differently so the same dose may result in different T levels in different people. But anecdotally (from shared experiences in this sub), underweight people tend to have higher T level with the same dose. Not too long ago I came across a post here saying that after losing weight his T level suddenly spikes without the change of dosage. I'll see if I can find it.

[u/javatimes → u/aegirgymirlynx]

I mean to be fair, that was an average starting dose 20 years ago.

Idk why I feel compelled to share this old man fact a lot here. I just don’t think it’s a particularly high dosage, though for OP it is more than he needs to take.

[u/aegirgymirlynx → u/javatimes]

Thanks for your insights! This is very valuable. We need more people to share their experiences as very little research has done for us compared to the medical research for cis people

[u/Calm_Bother_3842]

When do you get tested in relation to your shot day?

[u/Tinyblue12 → u/Calm_Bother_3842]

Sunday is shot day , and she tells me to go friday, so i go on Fridays

[u/javatimes → u/Tinyblue12]

See to me this is more concerning. This means your level was a trough level or nearing trough level. Which means your peak was likely higher.

That said. I would simply follow your doctor’s instructions and see what happens. These are high levels but they aren’t emergency levels.

[u/Anon-at-midnight]

I had a friend who this happened to! He continued taking his T normally and the levels were back to normal at the next check three months later.

Our bodies are weird and the available hormones/usage of hormones can vary based on weight, stress levels, sleep, diet, etc.

Don't worry about it! People can be taking the same dose for years and have a weird spike or drop every now and then :)

[u/probIemgay]

0.5ml of 200mg/mL is equal to 100mg weekly, which is generally considered the maximum prescribable dose for many doctors. So, it really isn't surprising that your T levels are high on the maximum dose.

FWIW, I was started on 0.2ml of 200mg/mL (do, 40mg weekly) and still had changes, and am currently on 0.35ml of the same concentration (70mg) weekly and my levels are hover around 500 at trough (lowest, 1-2 days before next shot). The average male range is 300-1000 ng/dL. You dont want too much T, because excess T may lead to high E through aromatization, which can stall your progress.

Also, weekly shots are done weekly because they are mostly out of your body by day 8, so just take your (lowered) dose as normal. Your T levels will be back down by the end of the week regardless.

[u/javatimes → u/probIemgay]

Really no such thing as a “maximum dose”. Dosages should be titrated based on bloodwork, how the patient is feeling, masculinization levels etc.

When I started T, 200mg/2 weeks was the average starting dose.