True TRT
Physiological testosterone replacement to maintain healthy male hormone levels
Target: 12-30 nmol/L (total testosterone)
Standard testosterone replacement therapy aiming for mid-to-high natural range levels. Suitable for men with clinically low testosterone or as a long-term base. The goal is symptom relief (energy, libido, mood, body composition) without supraphysiological levels.
Compounds
Frequency: 1-2x per week
Can substitute with Testosterone Cypionate
Dosage Summary: 100-150 mg Testosterone per week
Safety / Ancillaries
Only if high E2 symptoms present (gyno, excessive water retention, mood issues)
Supplements
Omega-3
2-4 g/day
Magnesium
400 mg/day
Vitamin D3
4000-5000 IU/day
Zinc
25-50 mg/day
Blood Marker Monitoring
| Marker | Frequency |
|---|---|
| Total Testosterone | Every 3-6 months |
| Estradiol | Every 3-6 months |
| Haematocrit / Haemoglobin | Every 6 months |
| Liver Function (ALT, AST) | Every 6 months |
| Lipid Panel | Every 6-12 months |
| PSA | Annually (if >40) |
Key Notes
- Start at the lower end (100 mg) and titrate based on bloodwork at 6-8 weeks
- Split dose into 2 injections per week for more stable levels and fewer side effects
- Do not start an AI pre-emptively -- only if E2 symptoms arise
- Donate blood if haematocrit exceeds 54%
- Consider HCG 250 IU 2-3x/week if fertility preservation is needed
Frequently Asked Questions
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