Have any questions? 888.828.4300info@tctmed.com

Have any questions?
888.828.4300info@tctmed.com

The Side Effects of Too Much Testosterone – A Patient’s Perspective

If you’ve listened to the radio, picked up a fitness magazine, or simply talked to some guys at the gym, there’s a good chance you’ve heard of Testosterone Replacement Therapy.

It’s out in the public eye, and with good reason! More energy, better libido, fewer aches and pains, less body fat, more muscle.. who doesn’t want that?

side effects of too much testosterone

As with any medical treatment, however, there’s a risk/reward factor to consider. Almost any medicine can bring some ‘bad’ with the ‘good,’ and TRT is no exception.

The potential benefits need to be weighed against the potential adverse effects, and the recipient needs to be well aware of what the side effects of too much testosterone can entail.

First, let’s make this clear – carefully supervised Testosterone Replacement Therapy is night and day different from some guy injecting himself with copious amounts of questionable steroids.

Testosterone Replacement Therapy is a medical treatment that includes careful monitoring and intense focus on maintaining proper dosage, done by medical professionals specialized in exactly that.

Finding that proper dosage is key—while low testosterone can have a number of disagreeable symptoms, too much testosterone can also have side effects.

So What Are the Side Effects of Too Much Testosterone?

Testosterone, when administered correctly, has few side effects for the majority of men. However, too much testosterone can create some issues.

Estrogen

Yes, one of the side effects of too much testosterone is too much estrogen. Too much free testosterone in the body can lead to the over abundant hormone being converted into estrogen.

While some estrogen is a necessary and natural part of a man’s hormone balance, more than the normal amount can lead to all sorts of unwanted side effects, like mood swings, water retention, high blood pressure, breast sensitivity or even growth!

Thankfully, administering proper levels by skilled professionals limits the chance of such effects, and there are highly effective estrogen inhibitors that can be taken under their supervision should this problem arise.

Oily Skin and Acne

Oily skin and acne are indeed not uncommon side effects of TRT, to varying degrees.

While not everyone experiences these effects and they are often mild, they can be brought on or aggravated by the elevated levels of DHT associated with increased testosterone.

Again, careful dosage and proper monitoring can go a long way towards preventing or limiting these side effects of too much testosterone, and there are a number of treatment options for both oily skin and acne as well.

Hair Loss

Another side effect many associate with too much testosterone is hair loss, or male pattern balding.

While there are ties to hair loss and levels of DHT, it is a common misconception that increased levels of testosterone are a direct cause of hair loss (read our article about testosterone and balding here).

Prostate

The link between the prostate and testosterone is a highly debated subject in the medical world.

Years and years of the widely-accepted but incorrect belief that a direct link between prostate growth, prostate cancer, and high levels of testosterone exists have left many with the misconception that too much testosterone can lead to prostate cancer.

In truth, the vast majority of studies following PSA (Prostate Specific Antigen) show that it does not increase significantly with testosterone therapy.

All the recent short-term studies show no negative effects on prostate size, urination flow rates, or prostate symptom scores,  and it appears that TRT has little short-term effect on the prostate.

Long-term data is limited, however, and if you have a history of prostate cancer in your family this is certainly a side effect to consider (read more about testosterone and prostate cancer here).

Testicular Shrinking

Simply put, when the brain senses high levels of testosterone in the body, it will assume the testosterone is coming from the testicles.

The brain then shuts off production of LH (luteinizing hormone), the hormone that tells the testicles to produce testosterone, and the testicles may then experience a change in testicular firmness or volume as a result.

Increased Red Blood Cell Production

Another one of the side effects of too much testosterone, and possibly the most important one to consider, is the increase in red blood cell mass and hemoglobin levels.

Particularly in older men, increased red blood cell counts may increase the chance of heart attacks, strokes, or clotting if they are negligently ignored.

Increased hematocrit (the volume % of red blood cells in the blood) can be be reduced by either decreased testosterone replacement dosage or regular blood donation to decrease blood thickness.

Careful monitoring of hematocrit levels and staying ahead of any problematic levels is a major focus of good TRT.

A Good TRT Professional Will Keep You From Experiencing the Side Effects of Too Much Testosterone

Too much testosterone can have side effects, certainly.

But if a desire for increased libido, energy levels, decreased body fat, and overall improved quality of life have prompted you to look into Testosterone Replacement Therapy, it’s important to note that TRT that is done right—the way Testosterone Centers of Texas does it for me—is focused on reducing or even eliminating the chances of those side effects and effectively treating them should they arise.

TCT helped me find the perfect level of testosterone, and I know they can do the same for you.

—Tom Steele

SCHEDULE A FREE CONSULTATION

LOW T RESOURCES

T Steele

158 Comments

  1. Jay on 09/09/2015 at 4:59 am

    I am an 18 year old looking to build muscle. One solution is a supplement that boosts testosterone, but I don’t want anything bad to happen. Should i use it or not?

    • Augie Galindo on 09/09/2015 at 9:07 am

      Jay,

      Stay away from “testosterone boosting” supplements. Too many of them have significant adverse side effects and could reduce your natural production. Smart training, proper diet, and hard work is the way to go.

      Best regards,
      Augie Galindo, PA-C
      Testosterone Centers of Texas – Founding Partner

      • Anil Yadav on 09/27/2015 at 11:32 am

        Dear sir,

        I am 27 year old person . I want to build a muscular body. I have tried with balance diet and good exercise but I became unable to build my body. I did this for 1.5years so kindly suggest me what to do now?

        With regards,
        Anil Yadav
        Kathmandu,Nepal

        • Augie Galindo on 10/02/2015 at 11:14 pm

          Anil,

          The next step is finding a provider who will carefully evaluate your medical history, current symptoms, and hormone levels to see if therapy is appropriate for you.

          Best regards,
          Augie Galindo, PA-C
          Testosterone Centers of Texas – Founding Partner

        • amarjeet on 11/23/2015 at 4:57 am

          keep patient

  2. John & Vicki on 10/03/2015 at 8:20 am

    My 57 year old husband was experiencing low energy, depression and fits of angry. His testosterone level tested at 1281, and his PSA was within normal limits. (John is also a diabetic using Humalog and Lantus. He maintains a healthly & balanced diet. His weight is 160 and he is lean.) The course of treatment for his symptoms was Prozac. Although, the Prozac has helped, no one has been able to explain why he has high testosterone. Is is a result of stress? Is it too much physical excerise? (John does not go to the gym, but works outside chopping wood and taking care of our acreage.) Are there men who naturally have high T levels?
    We would appreciate any insight that you can share.

    Sincerely,

    John & Vicki

    • Augie Galindo on 10/03/2015 at 12:37 pm

      John & Vicki,

      Thank you for visiting our site. Significant testosterone level elevation, without use of medication, is actually very rare. However, if testosterone levels are elevated, it is highly likely that estrogen (estradiol) levels are also increased. This would undoubtedly have an effect on mood and irritability. There are men who have naturally high levels of testosterone, but levels above 1000, without some underlying cause, would be less likely.

      There are conditions or abnormalities of the testes, adrenals, or other tissues that could cause secretion of hormones like hCG or testosterone. These issues occur outside of normal androgen production and could lead to symptomatic elevation of testosterone levels. I would strongly recommend scheduling an appointment with an endocrinologist whose practice is solely focused on diabetes management.

      Best regards,
      Augie Galindo, PA-C
      Testosterone Centers of Texas – Founding Partner

    • Chris on 09/15/2016 at 10:22 am

      I also started getting results back that I had high test. and was no longer on a trt . I was having thyroid issues ( hyper) and as a result I was told it was an extra molecule , and what ever my testosterone levels were before are still now. This is what the endocrine doc said. I also tested positive (5 markers) for Lyme disease. I would get that checked because those bugs can hide in your blood and mimic a protein. Hope this helps

  3. renee on 10/05/2015 at 8:45 am

    PLEASE Help me…my husband of 33 years a good loyal man.. has been taking testosterone injections for approx a year now. I know he takes more than the rx says to. I have seen a COMPLETE change in him. He has been angry..he has been involved in risky sexual behavior and possibly illegal behavior. I am shocked and devasted..his last blood results were 1430..I do not know this man any more..he also has high blood pressure. My whole world is falling apart. could their be a link? please respond…

    • Augie Galindo on 10/05/2015 at 12:57 pm

      Renee,

      I am so sorry that this is happening. Keep in mind, that I have not evaluated your husband’s medical state or labs. Therefore, my response here is simply based on my knowledge of testosterone and potential side effects where anabolic abuse is concerned.

      Overuse of testosterone is likely to cause extremely high, and supraphysiologic (unnatural) levels of testosterone and estrogen. This can have a profound impact on mood and behavior, and is often associated with hyperaggression, behavioral change. Section 4.5 of this article (https://www.antoniocgomes.com/wp-content/uploads/2013/07/Hartgens-SpMed-2004.pdf) details this well. Properly supervised TRT typically improves irritability and mood, but abuse has a much different effect.

      I hope this lends some insight into what might be going on.

      Best regards,
      Augie Galindo, PA-C
      Testosterone Centers of Texas – Founding Partner

      • LedbetterSusan on 02/09/2016 at 1:31 am

        My husband is 56. We have been married for 32 years. He started testosterone shots almost 3 years ago. I actually notice something the first shot he received. I called and spoke to someone about a change in him right away. They said”we have never heard of that”. David woke up 1-8-2016 and emotionally walked out his life. A family of three. One being a special needs adult male who will never live alone. Also he walked away from a 25 year business. Now , the days before this we where making love like our marriage was better than ever. That shit has wrecked my wonderful husband. Our whole family and circle of friends are shocked. The clinic is allowing David to dictate how much to dose. My husband cut off my bank accounts. He is openly having an affair. My husband before T therepy would never behave in this crazy manor. My God! What does it take to see they are playing with God! Help the others because it’s to late for our family. Also,when you look into his eyes it’s like he is not there. It is so scarey. Can you come back from all that T ? I am so sad and miss my husband before T.
        THIS IS A PROBLEM THAT EVERYONE IS IGNORING. Susan Ledbetter from Tampa Fl.

        • Augie Galindo on 02/11/2016 at 5:36 pm

          Susan,

          I am very sorry for what you have endured. I have been soley focused on TRT since 2012, and I have not seen a similar situation. That being said, we monitor our patients very carefully, and their safety and overall health is our primary concern. Any time arbitrary desire and whims are allowed to dictate therapy, instead of sound medical goals and ethics, disaster is pending. I have seen that kind of thing happen when people are taking abuse levels of anabolics. I hate that this has happened to your family. Return to your normal self is possible, even after prolonged steroid abuse. With reactions that volatile, it would appear that TRT, no matter how well managed, is ill-advised for your husband.

          Best regards,
          Augie Galindo, MPAS, PA-C
          Testosterone Centers of Texas | Founding Partner

          • A reasonable and educated man on 06/11/2016 at 8:36 am

            You should be deleting these comments from these women. Let’s face it – and say what you’re unwilling to speculate on (not only is it not your place, but common sense should tell you) these guys obviously were on the edge of leaving and having affairs, engaging in risky behavior, etc. BEFORE they started any sort of TRT. The TRT likely just gave them them the edge/push to do what they’ve been trying/considering to do for (in this case) 32 years. I see multiple posts here, with women complaining about their husbands behavior. It is absolutely disgusting. Delete the comments …and then delete this one so no one sees it, for God sakes, if only to keep a respectable business. These posts complaining of their men are extremely out of place and unprofessional.



          • Augie Galindo on 06/20/2016 at 3:17 pm

            @cantsay,

            I completely get where you are coming from, but the reason I have left these comments in place is because I have built a website that answers questions. Sometimes I get questions that are outside of the norm, but if any disparaging remarks are made about TRT, that aren’t outright malicious or intentionally disruptive, I can find merit in defending what I know to true about testosterone replacement.

            Best regards,
            Augie Galindo MPAS, PA-C
            Testosterone Centers of Texas | Founding Partner



          • Coleen on 08/28/2016 at 8:20 am

            HOW DOES Susan and Renee’s letters differ? Your responses do and then you agree with the guy that says these comments should be deleted. I HAVE seen my brother lose his hair and become a completely horrible person. He was taking shots and taking way too many. I could tell when he got off it and when he got back on it. ANYONE who says differently does not know what they are talking about AND isn’t it interesting that it is a man who wants these comments deleted. I would bet that he takes the supplement and that he also has anger and other personality issues from it. BUT of course, this is not well-studied because men control the money and the studies and they aren’t interested. I feel sorry for every victim of such person who abuses testosterone and feel sorry for the person abusing. OF COURSE, you give testosterone so I have a difficult time believing you are being objective.



          • Augie Galindo on 09/03/2016 at 4:32 pm

            Coleen,

            I understand that your experience with someone was abusing testosterone (“He was taking shots and taking way too many”) was a negative one, but that doesn’t mean that the same medication can’t be used appropriately, and to good ends. Yes, I left the negative comments, and still somewhat agree with the dissenting ones as well. If I were entirely biased, you would never have seen any of these responses. Whether you believe me or not is up to you, but consider this. This is a private website, for a privately held company, with content that is generated and maintained at our expense. I have no incentive to allow this type of debate on my forum, aside from the desire to allow for open and honest debate.

            Many of the negative comments, at least partially, sidestep the responsibility of the person who chooses to abuse a controlled substance in the first place. What I do is wholly and starkly different than what those who abuse “black market” testosterone and other anabolics do. You have made many assumptions in your post, many based solely on how somebody is thinking and behaving simply because they are male.

            I would caution you to not paint with such a broad brush. Drug abuse is drug abuse regardless of the agent, and yes, people who make the decision to abuse a substance often invite many terrible things into their lives and the lives of those around them. My patients’ safety comes first, and I have seen quite an opposite affect on lives and marriages with the closely monitored and medically sound therapy that we offer. I hope for you and your brother’s sake, that he finds a better, safer, and legal solution for the issues he is dealing with. Thank you for your response.

            Best regards,
            Augie Galindo MPAS, PA-C
            Testosterone Centers of Texas | Founding Partner



          • Greg S on 09/03/2016 at 6:36 pm

            I am sorry for the women who have men in their lives who have apparently abused or misused TRT or anabolics which resulted in adversely impacting their families. I am not a patient of Augie’s, unfortunately, but have received advice from him here directly and indirectly, as well as on the telephone. He is one of the most knowledgeable clinicians I have encountered.

            I have been on TRT for many years. It has changed my life in so many ways and made me a better person, a better dad and a better husband because I use it responsibly and follow up with my doctor religiously. There are millions of men of all ages whose lives have been impacted the similarly. Anything that is good for you can also be abused or misused and have detrimental consequences. It is not fair to blame the medication as being flawed but more appropriate to question the mind set of the individual who is using the medication if their behavior results in their being abusive.



        • Chris on 05/05/2016 at 8:11 pm

          This happened to my soon-to-be-ex too. He began taking testosterone injections, and his behavior changed. He became very aggressive and angry. He also became involved with several women. He was taking so much T that his estrogen levels became high and he had to take estrogen-blockers. Instead of cutting back on the T, he preferred to keep at it and control the estrogen. And he had to donate blood regularly. He destroyed a 16-year marriage with three kids. He, too, is financially abusive and has blocked my access to our accounts. That is the aftermath of testosterone abuse. And this was all under the supervision of a “doctor” in Myrtle Beach, SC.

          Here is what he was taking. I would love any feedback on whether or not this is considered a normal dose. He’s 5′ 9”, 130 lbs.

          testosterone cypionate (grape seed oil), (200 mg/ml)—-inject 1 ML intramuscularly weekly

          GHRP-6 (preserved)(1mg/ml)– inject .1 ML (100 mcg) subcutaneously every night at bedtime

          • Augie Galindo on 05/07/2016 at 1:03 pm

            Chris,

            It’s heart wrenching to hear stories like yours. To lend some insight, I have most of my patients on estrogen blockers as well. This is something that I find necessary even though we replace to the normal range only. We recommend against GHRP-6 and all growth hormone treatment, so I cant’ speak directly to that. His testosterone dose is higher than what I would start a patient at, but it’s not exorbitant. That, however, is only part of the picture. Proper dosing is dependent upon the observation of how a patient reacts to a dose over time. So, that dose could be entirely too high for him even though I would say it is on the spectrum of normal dosing in general.

            Best regards,
            Augie Galindo MPAS, PA-C
            Testosterone Centers of Texas | Founding Partner



  4. Angat on 10/12/2015 at 7:27 pm

    Hey I’m 18 years old, and I’m a men’s physique competitor. I am currently taking a zinc supplement and I’m eat healthy fats in order to maximize testosterone. I workout everyday, and my training is intense. Would me trying to maximize my testosterone through the supplement and diet affect my estorgen levels or hair loss?!

    • Augie Galindo on 10/13/2015 at 7:46 am

      Angat,

      Essentially, anything you do to raise testosterone levels, will also raise estradiol and DHT levels. Hair loss is more genetic than hormonal, but DHT does play a role in that.

      Best regards,
      Augie Galindo, PA-C
      Testosterone Centers of Texas – Founding Partner

  5. Debashis on 10/14/2015 at 4:59 pm

    Dear Augie,
    It was a nice article.
    I am Debashis 21 year old male from India.
    I planned to take 25mg testosterone throuth injection weekly without any medical proffesional’s prescription to increase my physical strength and running speed as I need it at this time. I will also practice reguler exercise and running. Do this small dose work?

    – With regards
    Debashis Dhar
    Coochbehar, India

    • Augie Galindo on 10/19/2015 at 8:53 am

      Debashis,

      Unfortunately, I don’t have any experience with using testosterone in that manner, so I am hard pressed to say whether there would be any benefit or not.

      Best regards,
      Augie Galindo, PA-C
      Testosterone Centers of Texas – Founding Partner

  6. Rob C on 10/18/2015 at 9:56 pm

    I had bariatric surgery 5 years ago and have been suffering from malabsorption resulting in low T level. I’m having a hard time with acne, depression, and anxiety. Would I be a candidate for TRT vs just prescription topical cream?

    • Augie Galindo on 10/19/2015 at 8:52 am

      Rob,

      Based on what you have told me, you should be a candidate for TRT. Almost anybody who meets criteria for topical therapy, could also be managed by injections.

      Best regards,
      Augie Galindo, PA-C
      Testosterone Centers of Texas – Founding Partner

  7. April on 10/28/2015 at 12:04 pm

    Hi there and thanks for the information. My husband used to abuse anabolic steroids to build his body and about 3 or 4 months ago he stopped using them to try and save our marriage. His mood swings and depression have gotten pretty out of hand for the last few weeks. Do you think he maybe did some damage to his natural hormones? He was thinking about looking into trt but I’m not sure if he’s suffering from low t or something else like depression. His energy levels and sex drive are low and he’s very irritable and cranky and a lot of days doesn’t have motivation to do much. Does this sound like low t?

    • Augie Galindo on 10/28/2015 at 9:24 pm

      April,

      Damage certainly could have been done, but also, he may be suffering from issues with estrogen. When testosterone is abused, estrogen levels can skyrocket. When you stop abusing the testosterone, levels plummet, but estradiol levels may remain very high. This and other issues are likely contributing to the mood swings and depression. TRT could be very helpful, but a full assessment is where he needs to start. To answer the last question directly, it definitely dose sound like Low T.

      Best regards,
      Augie Galindo, PA-C
      Testosterone Centers of Texas – Founding Partner

    • Gene on 03/11/2016 at 9:12 pm

      Recently my injections that were administer by my dr.went to 1800 then it dropped to 16 after not receiving any rejections for 2 months,just got one at 100cc now what?????

      • Augie Galindo on 03/19/2016 at 12:38 pm

        Gene,

        TRT success is all about having a game plan that fosters stable levels, frequent monitoring, and joint evaluation of biochemical and symptomatic response. Until those are achieved, you are going to have difficulty getting the results you should get. So, first things first, make sure your provider is able to establish those things and think about transferring your care elsewhere if they can’t.

        Best regards,
        Augie Galindo MPAS, PA-C
        Testosterone Centers of Texas | Founding Partner

  8. Jay on 11/20/2015 at 12:38 pm

    Hi i’m a 38 year old male with Low T i have been on fortesta for about 8 months my first levels were 250 but after my last blood test came back at 2500 i’m not moody and or am i a picture of health (6’5″325lb) trying to lose weight seems almost impossible. the sad part is i have felt better lately but 2500 that seems insane and i hope the labs are wrong i have another test in 2 months with me cutting back to half the dose i had before. As i cut back , should i expect to have the mood swings that some others have talked about? what are the other health risks i should be worried about?

    • Augie Galindo on 11/24/2015 at 11:01 am

      Jay,

      A total testosterone level of 2500 is definitely too high. With it, risks of increased estrogen, blood thickening, and a host of other issues increase as well. “Roid rage” type mood swings can happen with those higher levels, but it is estrogen (estradiol) that often leads to most moodiness when using testosterone. This is a big reason why I don’t wait so long in between tests when first starting TRT.

      Best regards,
      Augie Galindo, PA-C
      Testosterone Centers of Texas – Founding Partner

  9. amit on 11/21/2015 at 3:28 am

    hey sir my question is if mastarbation is done 2 time a week then t level decrese is it realy happen

    • Augie Galindo on 11/24/2015 at 11:03 am

      Amit,

      Masturbation has been shown to raise testosterone levels, though the effects are short-lived and inconsistent.

      Best regards,
      Augie Galindo, PA-C
      Testosterone Centers of Texas – Founding Partner

  10. Greg on 11/26/2015 at 12:57 pm

    Hi Augie,

    Happy Thanksgiving! I am 51 years old and been on TRT for 4 years injecting 80 to 90 mg of Testosterone Cypionate a week. I am extremely healthy otherwise and train at least 4 days a week which I have been doing for almost 30 years. Labs from the last 18 months keep showing my total testosterone is in range however free testosterone is always high–230 to 270 pg/ml, with the upper tier being 155. Recently I have noticed some muscle loss and wonder if that can be from the high free T? I have no symptoms that would be associated with high free T. Thank you!

    • Augie Galindo on 11/30/2015 at 9:19 am

      Greg,

      I would be surprised to see a significantly elevated free testosterone level at that dosing, if no other anabolics are being used. However, a direct (analog) free T test can’t be trusted. Make sure your clinician is looking at your calculated free T and/or consider reducing your dose.

      Best regards,
      Augie Galindo, PA-C
      Testosterone Centers of Texas – Founding Partner

      • Greg on 12/09/2015 at 2:21 am

        Hi Augie,

        Absolutely no other drugs being taken of any kind. Thank you for the advice. I will be sure to have the calculated free T checked at my next appointment. Assuming the free T is truly that high, is it possible I am converting T into estrogen and therefore losing muscle? We have not checked my estrogen levels in quite some time. Thank you so much. Greg

  11. Gene on 01/03/2016 at 9:18 pm

    been taking 200mg of testosterone every two weeks just got a test and it came back 1800, how long does it take two start coming down? the shots were done at my Dr. clinic. will I have any serious effects on that being so high?

  12. Gene on 01/03/2016 at 9:22 pm

    I hve been getting t-shots every 2 weeks at my Dr.clinic, just got a blood test and it came back 1800, yikes!! I know that is very high,is there any serious side effects I should be worried about? injections were 200mg each time.I cannot even remember the last time I had a blood test for it.

    • Augie Galindo on 01/06/2016 at 2:15 pm

      Gene,

      Unfortunately, there are too many variable for me to be of much help. First of all, injecting only every second week is not advisable in my opinion. The medication, if using the one with the longest half life, is only 8 days. So, to try to keep good levels at day 14, the dose has to be pushed higher than it should be, OR you go too low by the end of week 2. However, your metabolism may be such that 200 mg every two weeks achieves a good trough level, but that would still mean that your numbers are too high a few days after your injection.

      Moreover, focusing on your total testosterone doesn’t really tell you much. And, finally, the timing of the lab test, in relation to your last injection is very important.

      Best regards,
      Augie Galindo, PA-C
      Testosterone Centers of Texas – Founding Partner

      • Gene on 01/06/2016 at 2:31 pm

        Thanks for getting back with me,.another question that is on my mind is how quickly do your numbers drop it you do not receive any more shots for a couple of weeks?

  13. Cory on 01/07/2016 at 8:37 pm

    I have been on trt for about 4 years taking 100mg every other week. Before starting my levels were between 100-140 now I am seeing 470-520. Although the difference between low 100 and 500 on how I feel is quite substantial I still have very low motivation to do anything along with Ed problems that even with 40 mg of cialis still have problems. I am being treated by an endocrinologist who is unwilling to raise my dosage base on my current levels. I would like to see how I feel at 800-1000. Based on what I have read over the years I believe my levels as a young man were on the high end based on my natural physique, athletic ability, and behavior

    • Augie Galindo on 01/08/2016 at 12:33 pm

      Cory,

      Each individual is different, and there is quite a bit of missing information here, so please understand that I can only make broad based assumptions here. That being said, my clinical experience leads me to believe that you may be under-dosed. We typically target higher levels than it appears you are currently achieving.

      Best regards,
      Augie Galindo, PA-C
      Testosterone Centers of Texas – Founding Partner

  14. Ron on 01/21/2016 at 11:15 pm

    Doctor has me taking 200mg every 2 weeks. The day after the third shot (6 weeks) the blood test came back stating my levels are to high. My erectile dysfunction issues have not improved.

    What are your recommendations for dosing and testing? Where should my testosterone levels ideally be to resolve the E.D. issue?

    • Augie Galindo on 01/26/2016 at 11:02 am

      Ron,

      Dosing is best done weekly. That’s the first place to start.

  15. Kris on 03/03/2016 at 1:48 pm

    I have been on Test replacement therapy for about 5 years since my body does not produce any or very little amount. I did test shots weekly, gels and now test-a-pel. I like the idea of no more shots or daily application of gels but there are side effects. ONE it hurts like hell but only for about 10 seconds. LOL and the other is I have trouble taking a piss for about 2 weeks after I get my implants. I do seem to have a bit more anxiety but it can be expected with therapy. I do have hormone levels tested every 4 months to stay on top of my health since I have had HBP since I was a teenager. I do recommend therapy if you need it since life sucks when you have Low T.

    • Augie Galindo on 03/04/2016 at 9:52 am

      Kris,

      I am glad that you are doing better on therapy. Trouble urinating and therapy related anxiety are actually pretty disconcerting symptoms. If testing is only occurring every 4 months, I would be very concerned about what is happening biochemically in the first month after implantation, when your levels are peaking. This is when you are at the highest risk for side effects and it’s this dramatic shift that is the primary reason we don’t use pellet therapy in our practice.

      Best regards,
      Augie Galindo MPAS, PA-C
      Testosterone Centers of Texas | Founding Partner

      • Kris on 03/04/2016 at 10:51 am

        I am only testing every 4 months my levels and PSA’s as well as my cholesterol every 6 months at this time. In the beginning we tested more often to ascertain my peaks which were never above 1000. The only problem i have is usually starting the 3rd week which I am now and since you raised my concern I am going in to get my blood worked up again, since its been a couple of years I have done it this soon after my implants. I would love to hear your recommendations if you feel you can objectively suggest your regiment. What other concerns you may have in regard to total body chemistry?

  16. Tony on 03/07/2016 at 2:34 pm

    Im 67 and I would say over all healthy, I need to lose about 35 pounds. After getting back routine blood results my Testosterone level is was 1400, high for my age, except for Lisinopril 10 mg, ateno/Chlor 50/25 (one half daily), Escitalopram, asprine, Allergy D I take noting else.
    my psa was 2.5 The doctor ordered a 2nd test for the Testost. Meanwhile Im a bit freaked out. Could you please comment.

    • Augie Galindo on 03/19/2016 at 9:49 am

      Tony,

      Retesting would be the best course of action. Lab error is not uncommon. Also, to get a more accurate evaluation, a calculated free testosterone level should be ordered.

      Best regards,
      Augie Galindo MPAS, PA-C
      Testosterone Centers of Texas | Founding Partner

  17. john on 03/08/2016 at 2:43 pm

    Hello,
    I am 26 years old. I’ve had issues with borderline Low T my entire life. My usual T levels are around 350 or lower and my estrone levels are always in the 90s. I also have a varricocele. Would varicocele surgery be my best option or would taking anti-estrogen be the way to go? I am also balding now and was wondering if a 5a-reductase inhibitor combine with an anti-estrogen would be ok to take or would that cause an excessive amount of testosterone?

    • Augie Galindo on 03/19/2016 at 12:14 pm

      John,

      With a history of a varicocele, testicular failure (primary hypogonadism) would be suspected. Estradiol levels are far more telling than estrone levels. My recommendation would be to visit a testosterone replacement practice and schedule a consult. Fixing your testosterone levels first would be best, before adding things like aromatase or 5a-reductase inhibitors.

      Best regards,
      Augie Galindo MPAS, PA-C
      Testosterone Centers of Texas | Founding Partner

  18. Andrew DeVore on 03/14/2016 at 6:41 pm

    Thank you so much for the article. It was very informative. Here is my dilemma, i have been receiving TRT for a few years now. I am currently at 3/4cc per week. As such, my last physical put me at 1451. whoa. not to mention high triglycerides, cholesterol, and low HDL. i am very worried. i dont alter my meds, and i follow it to the T. but if i go to low, it affects my mood, irritability, pain threshold, and sleepiness. After reading some of the others above, this is concerning. am about ready to just quit it all together. my concern is that before i went to TRT, i was going through 4 energy drinks a day, and suffered from massive migraines, on a daily basis. what is the worse of the two. i am concerned. my doc is too.

    • Augie Galindo on 03/19/2016 at 1:16 pm

      Andrew,

      While a total testosterone level of 1451 can cause some sticker shock, in the setting of TRT, I wouldn’t let it alarm you. Dosing adjustments are often necessary and you likely just need a smaller dose. Also, when you test your blood matters (in relation to when the shot was given). The literature that suggests problems with high cholesterol being caused by testosterone, has to do with oral administration. Aside from the lower HDL (which is not what you want), I would be very hesitant to point the the finger at TRT by injection, when it comes to hyperlipidemia and hypertriglyceridemia.

      Best regards,
      Augie Galindo MPAS, PA-C
      Testosterone Centers of Texas | Founding Partner

  19. Joe Baab on 03/20/2016 at 9:49 am

    Augie,

    I don’t have any hard data for you but I was on Fortesta, and I got new insurance and had to switch to Androgel. After the switch I am starting to feel some chest pains that were not there when I was on Fortesta within the first week or so. Could a change in the way you are receiving testosterone lead to these chest problems.

    Thanks,

    Joe

    • Augie Galindo on 03/20/2016 at 11:58 pm

      Joe,

      This is really difficult to answer. A lot depends on the type of pain you are experiencing. Any chest pain should be evaluated by your primary care provider, and possibly more urgently by emergency personnel. Now, if you are talking about breast changes or nipple/breast discomfort, it could be a totally different story. Either way, a visit with a qualified medical provider is what you need. I can’t say that I would expect chest pain to develop in the situation you’ve described.

      Best regards,
      Augie Galindo MPAS, PA-C
      Testosterone Centers of Texas | Founding Partner

  20. SHARKS on 03/21/2016 at 10:35 am

    Hello, thanks for your several advised. I had serious erectile dysfunction and was diagnosed with low testosterone 45 gm in December last year. my provider placed me on HCG 5000iu injection for two months. Two wks ago I run a lab test and my Testos. move up to 1430 and I am still experiencing very poor erection, my provider has asked me to stop the injection for one months.

    • Augie Galindo on 03/21/2016 at 3:26 pm

      Hello,

      Unfortunately, there are too many question marks here for me to be able to even hazard a guess. However, abruptly stopping TRT (even by hCG) is rarely advisable.

      Best regards,
      Augie Galindo MPAS, PA-C
      Testosterone Centers of Texas | Founding Partner

  21. Tena on 03/30/2016 at 11:37 pm

    My husband has a high level of over 2400, we haven’t had sex in 2 years case he says he has no sex drive. But I know my husband looks at Porn and materbates when he gets excited. He thinks I’m stupid cause I would find cum spots in his underwear and he would say that it was from him peeing. We work different hours so I really don’t know what he really does but it makes no sense to me. He takes some kind of hd supplements with vitamins,swarms and a five hour energy everyday so would that have something to do with it? Just really trying to figure this out, he does have really bad mood swings but they are only directed towards me (his wife) but not other women. He treats other woman really nice and finds every reason to treat me like shut everyday. Please explain this for me cause it is driving me crazy and pushing me further away from him. I know it’s not me but I want to understand why is testosterone level is sky high.

    • Augie Galindo on 04/05/2016 at 12:10 am

      Tena,

      It is extremely rare that levels would be anywhere close to that without some type of supplementation. I understand that there are a lot of personal issues complicating this matter, but it would not be uncommon to suffer from erratic libido issues and mood swings if someone were taking large doses of anabolics, illicit or otherwise.

      Best regards,
      Augie Galindo MPAS, PA-C
      Testosterone Centers of Texas | Founding Partner

    • Gina Jensen on 04/24/2017 at 3:34 pm

      Hi Tena, I’m reading this thread regarding testosterone issues and husbands – honestly just feeling better knowing I’m not the only one feeling like this. My husband and I have been married 6 years with a 5 year old son.. We haven’t had sex in 4 years. My husband says its because he is taking too much Testosterone and it has the reverse effect (?) Same tho on the porn and the mstrb. He claims he is “trying” to get it to work like it used to. LOL, please! Why do they think we are idiots? I will add he nods off asleep every chance he gets, almost like a heroin addict. It’s awful to watch and live with. He is angry most of the time. Funny, how he started to “improve” this department yet it actually has pushed it to the point where I’m questioning everything. He has lost 70lbs and loves the way he looks and says he will take it the rest of his life. He doesn’t seem to care how much he is hurting his own son and myself. He has become incredibly selfish & greedy. I write to you asking if your situation has become better? TCT needs to create a rehab for the abusers of T.

      • Augie Galindo on 04/24/2017 at 5:21 pm

        Gina,

        I always appreciate different points of view on my blog, but I also think it important to point out differences in what we do and what abusers do as well. While I realize that you last comment about us needing to create a “rehab for the abusers of T” was a bit tongue-in-cheek, it is an issue we do take seriously.

        Our patients see us once per week for their injections and have their levels, doses, and symptoms monitored by medical professionals very closely. Because of the this level of care, we don’t have these kinds of issues with our patients. Those who choose to abuse any substance have issues that extend far beyond the properties of whatever it is they choose to abuse.

        Best regards,
        Augie Galindo MPAS, PA-C
        Testosterone Centers of Texas | Founding Partner

  22. Mohammed on 04/04/2016 at 12:09 pm

    After doing my normal check up, i found that my testosterone levels are very high and am not talking any medicine, so what shall i do, what can cause high testosterone level ?

    • Augie Galindo on 04/05/2016 at 12:18 am

      Mohammed,

      There could be numerous things leading to this. First things first, you should have your provider repeat the test along with pituitary hormones to look into things further.

      Best regards,
      Augie Galindo MPAS, PA-C
      Testosterone Centers of Texas | Founding Partner

  23. Greg on 04/06/2016 at 1:54 pm

    Hi Augie,

    Sorry to bother you again but I had posted on this blog on Nov 26 which you replied to and again followed up on Dec 9 but did not get a response. Anyway, I am going to see my Urologist this month to follow up as you had suggested and get current labs but had some additional questions for you. I have continued to take the same amount of testosterone each week and not only have I not been able to prevent muscle atrophy but I am accumulating fat as well. I train with weights 4 to 5 times a week and eat well as I have for the last 30 years. I have also had terrible time staying asleep and many times I wake up 2 or 3 times a night and feeling somewhat depressed during the day. As I mentioned my Free T has been very high despite my Total T being in the 800 – 1000 range. Could this be an Estrogen or Cortisol issue?

    Lastly, I am in Southern California. My Urologist is a great physician but not sure he is specialized enough to help me sort through this. I was wondering if you know of a practice like yours that is located in the Los Angeles area.

    Thank you again,
    Greg

  24. Scottie on 04/13/2016 at 9:34 am

    My name is Scottie my testostrone level was 890 at Doctor I take no medcine I am 43 any answers will be good please

    • Augie Galindo on 04/19/2016 at 10:59 pm

      Scottie,

      Depending on what your calculated free testosterone level is, 890 may not be too high. This could be your norm, so if your body is tolerating it well, there may be no cause for alarm.

      Best regards,
      Augie Galindo MPAS, PA-C
      Testosterone Centers of Texas | Founding Partner

  25. Wayne on 04/30/2016 at 8:58 am

    I am 22, 5-9, and 170. I started having a lot of fatigue by the end of most days and experiencing some ED issues about 2 years ago. My hormone levels have always been good (my last total T level being 802, free T 161, and E2 16 done about a month ago). My Dr says I shouldn’t be having any problems like that at all except that he says it sounds like my body is not utilizing my free testosterone somehow but he doesn’t know how or why.

    I take a Centrum MV, eat cereal, and drink milk every day. Also, all of my other labs (CBC, CMP, lipids, TSH, HgbA1C) are excellent. I am not depressed or anxious that I can tell and I do not take or use any drugs or drink any alcohol. I sleep 7-8 hours every night and always wake up feeling rested so I just don’t get it.

    Have you ever heard of anything like that before? Am I missing an enzyme or hormone or something to be able to utilize my testosterone? What substances allow you to utilize testosterone? What labs should I have drawn to help find out? Thank you for any help you can give me!

    • Augie Galindo on 05/07/2016 at 2:00 pm

      Wayne,

      Ultimately, if your free testosterone levels are normal, normal response can be expected. However, how you measure your free testosterone level matters. I suggest looking at your calculated free T which will require your total testosterone, sex-hormone binding globulin (SHBG), and your albumin levels. Also, you may want to look further into thyroid function. Your free T3 levels are very important.

      Best regards,
      Augie Galindo MPAS, PA-C
      Testosterone Centers of Texas | Founding Partner

      • Wayne on 05/15/2016 at 4:14 pm

        The lab says my Free T was 161, while my SHBG, albumin, free T3 and T4 were all WNL.

        What chemical does a man need to actually utilize testosterone? I seem to be missing that.

  26. Inder on 05/05/2016 at 11:55 am

    Hello. I’m a 52 year old living in Canada. I’ve had low T for quite a while and have been suffering with extra weight and man boobs for a while. I went to see an Endocrinologist about 3 months ago and was put on 200mg T every 2 weeks. Prior to the TRT, my level was at about 8.5 nmol/L. At my latest blood test, it was up to 31.8 nmol/L. The range is 8.4-24.8. So I’m above the range.

    Recently, I began to have fairly severe acne that occasionally hurts but that bot really an issue for me. Mostly, it’s the weight issue. There has not been any improvement in weight (fat) or the man boob issue. How long on TRT does it take to start seeing a noticeable difference. My mood has improved but I’m still always tired and still don’t have motivation to exercise more often.

    • Augie Galindo on 05/07/2016 at 1:08 pm

      Inder,

      We approach TRT quite differently, and are careful to counsel all of our patients about the fact that nothing about testosterone will directly make you shed weight. Actually, if side effects are not managed appropriately, it could make the “man boobs” (gynecomastia) worse. Dosing once every two weeks is simply not ideal. Aside from that, patients typically do see body composition improvement, but this doesn’t always equate to “weight loss”.

      Best regards,
      Augie Galindo MPAS, PA-C
      Testosterone Centers of Texas | Founding Partner

  27. Debbie on 05/06/2016 at 8:06 am

    I cannot understand how you can let a drug on the market that can totally break up such a normal family, everything was just great until he starts going to the gym and wanting to build his body up more, and then someone telling him about T, how it might have changed him in body, but to see kids crying because of the mood swings and anger and he cant see it and just to be so unhappy what he is doing.To take T I hope you do not have a family , to wreck so many lives is not normal,I have asked so many people for help and no one can,I have never cried so much as to see what this drug is doing, I do not know this man any more.

    • Augie Galindo on 05/07/2016 at 12:46 pm

      Debbie,

      Understand that testosterone, like any other drug, can be abused. Abusing any substance (like alcohol, pain medication, or illicit drugs) can certainly lead to devastating consequences. This is specifically one of the reasons we monitor our patients so closely, and administer the medication in our clinic. Once someone is outside of the direction of someone who know how to administer TRT well, or is obtaining things illegally, all fail-safes have been circumvented. The issue at the heart of this is substance abuse. I sincerely hope that you and your family find the help you need.

      Best regards,
      Augie Galindo MPAS, PA-C
      Testosterone Centers of Texas | Founding Partner

  28. Tim Ratliff on 05/06/2016 at 9:47 pm

    Hi,

    I had T pellets inserted about a month ago and went from a 300 level to 1,600 of free testosterone. I’ve put on 10 lbs in a month and dont feel well at all. I’m having difficulty concentrating… Can that be a side effect of high T levels?

    Thank you,
    Tim

    • Augie Galindo on 05/07/2016 at 12:23 pm

      Tim,

      Obviously I am making assumptions without the benefits of a history & physical and lab results, but I would be surprised if these symptoms were not related to your therapy. That wide spike, and inability to remove pellets that are causing problems are two of the reasons I don’t recommend pellet therapy. Your specific symptoms probably have more to do with estradiol levels, but this is likely elevated due to the unnaturally high testosterone levels.

      Best regards,
      Augie Galindo MPAS, PA-C
      Testosterone Centers of Texas | Founding Partner

  29. Meer Azad on 05/08/2016 at 5:55 am

    I really need help please!!!! im starting my hair lose to much and im gonna be a bold what can i do ?!
    its mean my TESTO its to high ? please help

    • Augie Galindo on 05/22/2016 at 10:16 pm

      Mr. Azad,

      That is highly unlikely. Remember that DHT (one of testosterone’s active metabolites) is what induces changes in hair follicles that lead to hair loss, but your genetics are what decides your risk. You can find more answers IN THIS ARTICLE.

      Best regards,
      Augie Galindo, PA-C
      Testosterone Centers of Texas | Founding Partner

  30. Carey on 05/26/2016 at 11:10 am

    Hi my name is Carey I’m 36 years old and I’m a bodybuilder I’ve come to a stop in my progress of building muscle mass and was thinking of boosting some test c so I can continue to train my question is if done carefully well this have any draw backs on my training

    Thanks

    • Augie Galindo on 06/02/2016 at 9:12 pm

      Carey,

      Any short-term manipulation of your testosterone production designed to increase your levels will have drawbacks when you abruptly stop whatever intervention you implement whether natural or artificial, medically supervised or illicit. If you are planning on “temporarily” increasing your test levels, I would recommend against it.

      Best regards,

      Augie Galindo, MPAS, PA-C
      Testosterone Centers of Texas | Founding Partner

  31. Esteban on 05/26/2016 at 3:31 pm

    I have been getting TRT replacement via Testopel replacment for the last five years. It has been pretty successful but my Urologist never considers estrodiol. I begged him to have it tested once and it was high. He did not treat it because he said “he was never trained in that”.

    I have had to drop the Testopel because of insurance (thanks Obama). Now I inject each week. I get the ups and downs and my levels peak pretty high . At first we were at .75 ml test ccypionate once per week. My first blood test I had 1439 ng/dl (I took my test only two days after injection) We have reduced the doesage to 0.5 ml each week. I test again in two weeks.

    But, I still wish the doctor would address my estrodiol. Do you recommend any natural supplements to help? I would hate to change to a new doctor.

    • Augie Galindo on 06/02/2016 at 9:27 pm

      Esteban,

      DIM may help, but if somebody isn’t willing to properly treat the side effects of a treatment that they are administering, it may be time to seek other options. I promise you, you can achieve the most steady results with injections; far better than with pellets.

      Best regards,

      Augie Galindo, MPAS, PA-C
      Testosterone Centers of Texas | Founding Partner

  32. Razz on 06/03/2016 at 2:12 pm

    Hi, i am 28 male and my testosterone result is 1029,
    is there anything to worry about ? what should i do to control it to normal ?

    • Augie Galindo on 06/04/2016 at 12:14 am

      Razz,

      It is unlikely that you need to. Lab ranges are finicky things. Standard reference ranges are built to include two standard deviations from the median up and down for all people tested at a given reference labs. Normal variants will be out there. Your free testosterone levels may be completely normal, so remember not to worry too much about a lab test is you have no negative symptoms associated with it.

      Best regards,
      Augie Galindo, MPAS, PA-C
      Testosterone Centers of Texas | Founding Partner

  33. Ronnie on 06/06/2016 at 7:37 pm

    I have gynecomastia and need to get rid of what I have I have done countless research on the treatments and all their is two.One is testosterone supplements and the other is surgery.But I would like something more natural given the fact I have a really high metabolism.Please help me what are your recommendations.

    • Augie Galindo on 06/20/2016 at 2:37 pm

      Ronnie,

      Actually, depending on the severity of your gynecomastia, I would narrow your choices down to one…surgery. If actual breast tissue, and not just fat (pseudogynecomastia) has accumulated, then the only precise treatment I am aware of is mammoplasty. TRT, and perhaps estrogen blockade (with aromatase inhibitors or SERM’s) may help, but won’t cure. Also, gynecomastia can return, even after surgery.

      Best regards,
      Augie Galindo MPAS, PA-C
      Testosterone Centers of Texas | Founding Partner

  34. pradeep on 06/14/2016 at 12:29 am

    Hi .
    I’m 21 years men..resently my head hair Lost. Daily hair are lose on during bath. I don’t now what happaning. Weather it is hormones problems are not. Plz give me ideas for reduce my hair .

    • Augie Galindo on 06/20/2016 at 3:21 pm

      Pradeep,

      Your best next step is to see your primary care provider for a thorough history and physical exam.

      Best regards,
      Augie Galindo MPAS, PA-C
      Testosterone Centers of Texas | Founding Partner

  35. Ruben on 06/17/2016 at 9:22 pm

    71yo male not taking any meds nor T therapy. BMI of 21.8.
    Total T=1058
    Free T=69.6
    Estradiol=21.
    SHBG=121
    DHEA-S=138
    FSH=8.7 (slightly high)
    All Thyroids in range.
    Trying to increase muscle but having hard time.
    Why is T so high + how can I lower SHBG to increase free T?

    • Augie Galindo on 06/20/2016 at 3:26 pm

      Ruben,

      Without units of measure, I have to do a bit of guessing, but by my calculations (the free testosterone you’re reporting seems errant, perhaps a “direct” free T??) your free testosterone levels are at the bottom end of normal because of your SHBG levels. I would recommend being seen by a provider who specializes in TRT.

      Best regards,
      Augie Galindo MPAS, PA-C
      Testosterone Centers of Texas | Founding Partner

      • Ruben on 06/20/2016 at 3:38 pm

        Sorry about leaving off units.

        T=1058 ng/dL (range=180-741)

        FT=69.6 pg/mL (range=46-224)

        Does this help?

  36. Jennifer on 06/21/2016 at 9:22 pm

    If someone takes an over the counter testosterone booster, can that lead to increased mastrubation? We have sex about once a week, but my husband is linking his mastrubation/porn to the supplement.

    • Augie Galindo on 06/22/2016 at 10:51 am

      Jennifer,

      My general stock answer is that OTC supplements that don’t have illegal ingredients don’t work (for the most part). But, in the case that they might, increased testosterone levels would likely increase libido. What someone chooses to channel that into is up to them and their significant other.

      Best regards,
      Augie Galindo MPAS, PA-C
      Testosterone Centers of Texas | Founding Partner

  37. Golden balls on 07/10/2016 at 10:22 am

    Hi!
    Thank you for this website. Im 34,120kg,muscular and live in Africa. My test levels before I started trt was 560 with range 350-1100 and I had/have some gynecomastia(sign of e2 problems?). I had ankle surgery and the doctor percribed testosterone to help my calve heal back to normal. Ive struggled my whole life with treatment ressitant depression(from age 16 after a bad head injury). When I started the test shots my depression was greatly alleviated and thus starting trt. My test levels are now 1500 with range 250-900(200mg test cyp per week and 1mg AI every day). My doctor did not perscribe me hcg and my testicals has shrunk quite a bit. I started hcg this week 500iu eod and would like to know when I can expect them to return to normal. I have been on testosterone for 4 months now. Also is it safe to keep my testosterone levels this high? I needed to start giving blood every two months because of blood pressure(hematocrit). My doctor is not very knowledgeable and I think I might know more about trt than him. Everything in my life is going better after I started this but Im experiencing anxiety because of not too bright doctors giving me this treatment and other doctors telling me that Ive now moved into the realm of drug abuse. Your insight will mean the world to me.

    Kind regards,
    Goldenballs

    • Augie Galindo on 07/13/2016 at 12:17 am

      Golden,

      The most important testosterone metric is your free testosterone. Your totals can be very misleading. As for hCG and testicular atrophy, if your dosing is correct, you should see a response within about 3 weeks. Seeking out an experienced provider to manage your care should be your first order of business.

      Best regards,
      Augie Galindo MPAS, PA-C
      Testosterone Centers of Texas | Founding Partner

  38. Diana on 07/14/2016 at 12:27 pm

    My son is 36 years old and has been taking some OTC testosterone supplement. Recently he broke out with a lot of red dime size bumps. He went too the Dr and had some blood tests done and while most of them were normal, his white blood cell count was high. (13.5) His MCHC was low. (31.9). And his Absolute Lymphocytes was high, (10247). He seems to think he’s fine and that this is a result of the testosterone. Is this possible? I’m concerned because there is a history of Hodgkin disease and pancreatic cancer on his dad’s side and I’m afraid it could be more serious than he realizes. Any thoughts or comments would be very much appreciated.

    • Augie Galindo on 07/28/2016 at 2:30 pm

      Diana,

      While I cannot speak to the possibility of Lymphoma or pancreatic cancer, I can tell you that I have never seen that type of reaction from any patient I’ve treated with testosterone. That being said, “testosterone boosters” are a totally different subject. Not being closely regulated, they could have any number of contaminants or be otherwise falsely labeled. Stopping any questionable supplements when strange symptoms present is typically advisable.

      Best regards,
      Augie Galindo MPAS, PA-C
      Testosterone Centers of Texas | Founding Partner

  39. Hamilton on 07/25/2016 at 12:53 am

    Hello Dr,

    This article was very informative. I was on TRT and experienced testicular shrinkage and was prescribed HCG, I didn’t get a great answer from my Dr. on how long the treatment should last(HCG).

    I see online usually 3-6 weeks, but I figure you can give a better answer.

    The rx is 250-500IU everyday(250 if testicle pain from growth or feeling too aggressive and towards 500 if tolerated well)

    I appreciate your answers in this entire article and any help you can give me

    • Augie Galindo on 07/28/2016 at 3:38 pm

      Hamilton,

      Thank you for your feedback. I approach the treatment of testicular atrophy differently. It is part of our weekly treatment, and is ongoing alongside TRT. The regimens of 3-6 weeks that you have seen is probably associated with PCT (post cycle therapy used by those who abuse anabolics), or hCG diets. Neither are a particularly good idea. For the most part, if you have worrisome reduction of volume of the testes, you will likely need ongoing therapy, but I have great success with only dosing once per week.

      Best regards,
      Augie Galindo MPAS, PA-C
      Testosterone Centers of Texas | Founding Partner

  40. Stephen Wolstenholme on 08/02/2016 at 3:46 am

    The only change I have found with a testosterone suppliment is that I want sex all the time. That has not been a problem for me or my wife.

  41. Scott on 08/10/2016 at 10:20 am

    I’m 49 years old and carry too much fat, although I’m steadily losing it. I began TRT (cypionate) at a doseage of 150 mg per week around 12 weeks ago. This seems to put me about 1250 two days afterwards, based on blood work. The problem for me is this…sexual function returned like gangbusters but only for about 4-6 weeks, but then declined quickly and is worse than before. I also have somewhat elevated Hematocrit and hemoglobin, doc said donate blood and that ED would work itself out (he assumed it was the cause due to thick blood). Didnt work. I suspect E but doc says that only happens with much higher doseage. I have adjusted diet (cruciferous veggies, etc) but no help. Are there any OTC supplements that might actually help?

    • Augie Galindo on 08/22/2016 at 2:15 pm

      Scott,

      I believe you’re on the right track. While there are some OTC supplements like DIM that help metabolize estrogen, your doctor is incorrect about estradiol only being an issue with higher doses. Testing for and treating hyperestrogenism is where you need to start.

      Best regards,
      Augie Galindo MPAS, PA-C
      Testosterone Centers of Texas | Founding Partner

  42. […] The Side Effects of Too Much Testosterone – A Patient’s Perspective […]

  43. Frank on 08/14/2016 at 1:07 pm

    I’m a 37 year old Male, I have been on TRT for 5 months now. I have had some high and lows being on it and still trying to get the right levels. I started off with my urologist and the appointments are every 6 months. My primary has even chimed in and has checked my levels but I don’t know if my primary is telling me the right thing to do. I’m supposed to be taking 200mg/1 ml a week and Anastrozole 1mg once a week. My T was 600 and E was 65. My primary Dr. Had me take my Anastrozole once a day and it brought my E down to a 29 and my T up to a 950. She then wanted me to change my injection to a half a ml which put me back in to high and lows again (mood swings etc). I have yet to get checked but after telling her she wants me to take 1 ml one week then a half the next week and so on back and fourth with the Anastrozole once a week again. To me it don’t sound right and it’s all over the place. I’m curious on some else that has gone through this or someone with the experience can possibly give me a better guidance or suggestions. Thank you for taking the time to read.
    Frank

    • Augie Galindo on 08/22/2016 at 6:23 pm

      Frank,

      That is a very unorthodox approach in my opinion, and things could be done much more efficiently, safely, and effectively. I can’t stress enough how important it is that your provider know how to manage TRT by your free T levels. Also, you can have too much anastrozole because you can have to little estrogen. Everything is about balance.

      Best regards,
      Augie Galindo MPAS, PA-C
      Testosterone Centers of Texas | Founding Partner

  44. Is testing even worth it? | Mantality on 08/17/2016 at 10:05 am

    […] A reliable blood test can help you understand the deficiency levels of your testosterone production. Without this insight, consuming testosterone products without a physician’s supervision or a baseline understanding of your testosterone has dangerous implications. Too much testosterone in your body can lead to a variety of health complications, including increased estradiol (estrogen in men), hair loss, shrinking testicles, and elevated red blood cell production. (TCT) […]

  45. Anthony Perez on 08/18/2016 at 9:06 am

    I started on TRT about 3 years ago with weekly injections.
    I really never missed a weekly injection of 1 cc of Cypinate.
    Recently I experimented with a few cycles of Trenabol.
    More recent I injected 1 cc of T400.
    I suddenly started having anxiety episodes.
    Went to my doctor and he gave me meds for anxiety.
    My further blood tests revealed that my T levels were over 2000.
    Can this be the reason for the high anxiety???

    • Augie Galindo on 08/22/2016 at 10:19 pm

      Anthony,

      Absolutely, the abuse of any medication will have consequences. Your testosterone levels were more than double normal, therefore I would assume that your estrogen levels looked similarly erratic.

      Best regards,
      Augie Galindo MPAS, PA-C
      Testosterone Centers of Texas | Founding Partner

  46. David Johnson on 08/21/2016 at 10:06 am

    53 yr male, Reading through these post caused me to want to reply to all the people pointing blame at TRT for marriage issues and such. It’s not the TRT! I have been on TRT or over 4 yrs now it saved my life, Before TRT I had bad depression and was very unhappy with life. If I had not found TRT I feel that I would have killed my self by now. But instead I am very happy and living life with my wife of 34+ years! So look for your problem some where else it’s not caused by TRT. Start looking in the mirror first then your attitude second then look into HRT for yourself. Stop running around telling all your girlfriends and everyone else you run into everyday how TRT ruined your marriage! You could cause someone to be talked out of getting the treatment they need and that could cause them to live a very unhappy life or even kill themselves! Like I said it’s not the TRT!

    • Augie Galindo on 08/22/2016 at 10:31 pm

      David,

      Thank you for you input. I have left these comments on this thread because they no doubt resonate with some of my readers. That being said, I have hoped that those affected by the willful acts of loved ones would see that it wasn’t a medication or therapy that transformed their mild-mannered spouse into a monster.

      I always say that my job is to help people with symptoms of testosterone deficiency feel the way they are supposed to feel. This isn’t the fountain of youth, its not even “anti-aging”, this is about not losing something you were never meant to lose. Now, many of these heart-breaking cases come from patients who “self-treat” or abuse anabolics. That is far removed from what we do. My goal is to improve my patients’ quality of life, my mandate is that we do that safely.

      Now, libido is often increased in my patients; men and women alike. But, here is the simple fact of the matter:

      Having a healthy sex drive is not the problem, LETTING sex drive you is.

      If someone has it within them to do things that would jeopardize their marriage, testosterone did not place there out of the blue. These are consequences of willful decision, not the sequelae of a steroid induced psychotic break. At least not when TRT is done right.

      Best regards,
      Augie Galindo MPAS, PA-C
      Testosterone Centers of Texas | Founding Partner

  47. yakul on 08/28/2016 at 10:16 pm

    i take soy prtien after qorkout…will it destroy my testosterone

    • Augie Galindo on 09/03/2016 at 4:52 pm

      Yakul,

      Studies are a bit mixed on this, while soy does have rather large amounts of plant based estrogens that have been linked to lowered testosterone production, the most recent literature somewhat minimizes the concern over this issue.

      Best regards,
      Augie Galindo MPAS, PA-C
      Testosterone Centers of Texas | Founding Partner

  48. Anonymous on 08/30/2016 at 10:47 pm

    Hello so i have started taking t-90 xplode to get better workout results also better football practice performance and i was just wondering if t-90 xplode could be a really bad thing for someone my age and my weight (17 and 140 lbs thank you)

    • Augie Galindo on 09/03/2016 at 5:00 pm

      Hello,

      I don’t ever recommend OTC testosterone supplements, because in the rare case that they do work, they often do so to the detriment of your overall health and this also means that the side effects of increased testosterone won’t be managed appropriately.

      Best regards,
      Augie Galindo MPAS, PA-C
      Testosterone Centers of Texas | Founding Partner

  49. Robert D. Tackmann aka BEAU T. on 09/05/2016 at 2:48 pm

    MY I’m 68,Live in Hawaii,X VIET NAM VET. My primary Doctoer at the VETERANS ADMINISTRATION was blown out of the water when he viewed my LEVEL,THE NUMBER WAS 1027.Yep,his eye’s popped out of his head,he did some other testing on me,like on a mission from GOD,all he came up with was. YOUR JUST ONE OF THE LUCKY ONES. I PLAY TENNIS SINGLES,and for my age I’m still QUICK on my feet,& do my home work out with light weights. He did mention that It could cause prostrate cancer, but my numbers are really good. It dropped a little to 997 as of AUG,So what do you think? Aloha,ROBERT D. TACKMANN aka BEAU T.

    • Augie Galindo on 09/20/2016 at 11:07 pm

      Mr. Tackmann,

      It sounds like you are doing great! If you feel well, don’t change a thing. TRT is more about symptoms than numbers, but both have to make sense. I have seen pretty “astronomical” total testosterone levels still yield below normal free testosterone levels, but this does not seem to be the case with you.

      Best regards,
      Augie Galindo MPAS, PA-C
      Testosterone Centers of Texas | Founding Partner

      • GENE MAY on 09/22/2016 at 7:26 am

        I am 76 yrs. old I have been getting injections from my dr. for a couple of yrs. my levels have been all over the place, they have been giving me 200 mg every 2 weeks, a friend of mine goes to a different dr. and she gives him 100 mg every week and his results after testing have been right on and with no spikes in them, would it be better for me to have the same treatment that he is receiving to keep my levels at a even level?

        • Augie Galindo on 10/02/2016 at 3:39 pm

          Gene,

          ABOSOLUTELY! Only doing injections every 2 weeks simply is not conducive to optimal response.

          Best regards,
          Augie Galindo MPAS, PA-C
          Testosterone Centers of Texas | Founding Partner

  50. JuanSantiago Ramírez on 09/19/2016 at 1:13 pm

    Hi I am 24 years old and I have male hypogonadism. I got put on TRT 4 months ago and I wish people would stop having such a fearful conformist mentality. My t levels naturally are 150 and I look like a 15 year old. I don’t have a bierd and I’m skinny – I know bodybuilding more than anyone and when I say that I’ve dieted and trained you have to trust me. Still I got no results and overeating gave me a belly evethough all my macros were from clean sources. I have a passive personality so people pick on me which has led me to develop serious anger issues over many years. I used to scream and punch holes in the walls. Irritability is a symptom of low testosterone. Now on TRT I have a better sense of humor and I’m less angry. I was hoping testosterone would make me aggressive but I still have the same passive behaviour and I still get picked on. The difference is I don’t dwell on it like before. My t levels are 1006 and honestly I’m so happy and I thank God so much for this otherwise I would not have developed like a normal boy. If at 24 I still look like a kid and my t is at 150 then it was not gonna get better any time soon. My body is exploding with muscles as well! 🙂 I’m so happy! 🙂 My point is that this myth of aggression needs to stop. Some people are just jerks. That’s it. That’s all there is to it. How many people have you (the person reading this) met that are extremely angry and aggressive with a weak and out of shape body (fat and lethargic) and how many nice and wonderful people have you met with an incredibly built and strong body (huge jaw and muscles)? I even have gigantic friends on steroids and they’re super nice. One is a sober drug addict as well and has a strong spiritual program – he will be the first person to help you and his arms are the size of both my legs. When someone is a jerk and you give them power they are going to abuse that power it’s that simple. I’m even thinking of going all out and trying Trenbolone because of its well known effects of aggression. I’m so tired of being picked on. I’m even getting picked on by people half my size and by elderly who can barely walk properly just because they know I will not react. So people please stop believing everything you’re told!!! There is nothing wrong with testosterone. Stop blaming this beautiful molecule and blame the man in charge of his own actions.

  51. Kelley Moore on 10/08/2016 at 12:30 pm

    I’m a 50 year old woman not quite thru menopause…. 286 days since my last period… I’m also a gym fanatic who lifts heavy weights and works out daily for the last 16 years. Having extreme hot flashes and night sweats, my gynecologist prescribed effexor. And because my libido had sunk down to nothing, he prescribed pharmacy compounded 1% cream.. As time passed, he pulled the dosage up to 2%.. At the right dosage, my libido kicked in and with the newness of that good o’ feeling, I was having fun up to 4/5 times per day… After a while, my sex life calmed back down to once or twice per day. For the first time ever in my life, I became interested in porn and got to understand what that incognito button on my browser was about… With it, I began to explore areas of my husband (married for 27 years) and my sexual relationship that I’d always before said “no.”. My husband was a happy camper =]. With the testosterone, I began experiencing acne and oily skin (especially blackheads and enlarged pores).Tweezers became my friend because of extra hair growth on my chin.. Good things that happened was I muscled up much easier.. (leg press 630lbs @4sets w 10 reps, bicep curls w 35lb dumbells, etc.) I also became a little more aggresive, but that was a good thing.. And it helped me maintain a high state of energy for my dance classes at the gym. All of these things considered, I still thought the testosterone was worth the unwanted side effects. I love having a libido..

    Throughout the years, as a woman, I came to believe that if my husband would romance me, please me, and go the extra mile to interest me, that I would want to have sex. And that if I wasn’t interested, it must mean that I was just not attracted to him. On the contrary, I learned that hormones make a world of difference in how I see my husband, always my best friend, but now my hunky guy who can rock my world.. Lol.. Testosterone has been a good thing for me, especially in opening myself to new sexual things and understanding how orgasms release a feeling of relaxation to sexual tension.. I’m better understanding what guys go through with all the testosterone in their bodies. I also regret finding reasons to tell my husband “not now, maybe later” in the past, but still firmly believe that I’m not just going to participate in sex when I don’t want to.. My realization is that with TRT, I hold the power to get MYSELF interested in sex… With that said, my last blood test showed that my RBC, HEMAGLOBIN, and HEMATOCRIT levels were abnormally high and threw red flags… My doctor said these levels indicate excessive testosterone with an increased risk of stroke and blood clotting, especially important to someone who works out as hard as I do. My doc is currently using a salivary test to check all my hormone levels and plans to adjust my hormones accordingly.. That’s why supervision is so necessary… Hormone replacement therapy is a Godsend… And it’s also something that has to be cared for with responsibility… I’ve talked to my daughters (in their 20s) about hormones and how the imbalance can effect all of us.. I don’t wish them to go years thinking it’s common to have sex just once a month, or think they’ve lost the attraction for their spouse, only to find their hormones were out of whack.. Knowledge and a good doctor make all the difference.

  52. Bill C on 10/15/2016 at 1:11 pm

    Hopefully I can get advice here, no other forum has responded to my posts. I am 49, had a physical and lab test showed my testosterone level was 96. Dr prescribed 400mg(2ml), of Watson T cypinate every 2 weeks. First week I felt good, then has went downhill(. The good:sex drive is great, skin is oily but at least it’s not dry. The bad: zero energy(10x worse than before TRT), some random anxiety, and body aches all over,c and water weight. I went back to Dr and my regular Dr was off, so seen a PA, she just kept saying, thyroids, diabetic maybe, sleep apnea. All those tests were perfect, all labs perfect 6 weeks ago except a 96 T level. My wife says I rarely snore and never heard me make odd sounds in sleep. Finally the PA agreed to do a estrogen lab test so will find out in few days. She told me to reduce dose to 400mg 1x month and I said, I can tell 8 days in I feel even worse after shot, so then she said 200mg(1cc) every 2 weeks, I feel horrible, this guessing doesn’t cut it, not sure why she tried to blame everything but possible estrogen as a possible issue, even saying I can prescribed anti depressants. Help! Thank you

    • Augie Galindo on 10/20/2016 at 3:39 pm

      Bill,

      Your dose is too high and too infrequent. Watch THIS VIDEO for more specifics. Your estradiol levels must be monitored to do TRT right. If you are coming across discrepancies in your care, remember, you always have the right to seek a second opinion.

      Best regards,
      Augie Galindo MPAS, PA-C
      Testosterone Centers of Texas | Founding Partner

  53. Anku on 10/15/2016 at 3:54 pm

    Respected Sir
    i Am 18 years 5 month old. I Have Odd hair On My Chin,upper lip and Neck . Like my Friends I Also Want To Grow a full Beard .I Am Very Serious About It . Please Guide Me . I Shall Be very Thankfull To You If You Would Help To Resolve my Problem.

    • Augie Galindo on 10/20/2016 at 3:41 pm

      Anku,

      I certainly respect your fervor, but stay far away from testosterone for this issue. Genetics drive what happens with facial hair distribution much more so than testosterone does.

      Best regards,
      Augie Galindo MPAS, PA-C
      Testosterone Centers of Texas | Founding Partner

  54. Matt B on 11/12/2016 at 12:08 am

    What are your thoughts on Sex Hormone Binding Globulin and it’s possible negative affects on testosterone replacement. I’ve been on testosterone cypionate for 4 years and very low dose arimidex to control estrogen. However, for the last 10-12 months many of my low T symptoms have returned. My total T remains strong, around 1200, but my free T is much lower than I’m used to (6-10, normally close to 20). We have tested my SHBG levels the last couple of months and both times they were through the roof (86-88, normal is upper 20’s!). Dr thinks this is my problem and recommends stinging nettles to reduce the SHBG levels. I have done this for 3 months now with no change in symptoms, free T, or SHBG levels. Is this the route I should be taking or should I consider increasing my dosage? Currently I inject 1.2 ml of cypionate (200mg/ml) weekly (we tried dividing the dose into 2 injections per week, but I felt much worse so I went back to once per week). Would love some advice. Thanks.

    • Augie Galindo on 11/22/2016 at 11:19 am

      Matt,

      Yes, elevated SHBG levels will have a profound impact on your symptomatic response. I can’t really get into what I would do in your particular case, but providers adept in managing this issue can certainly work with what you have been up against. Make sure your provider is utilizing your CALCULATED free T.

      Best regards,
      Augie Galindo MPAS, PA-C
      Testosterone Centers of Texas | Founding Partner

  55. MANUEL on 11/24/2016 at 10:37 am

    I have high testosterone level naturally, without consuming testosterone products
    I’m twice as normal
    What should i do
    Thanks
    Manuel

    • Augie Galindo on 11/26/2016 at 5:40 pm

      Manuel,

      I would start with retesting and getting a second opinion from someone familiar with TRT. A result that is twice normal without the use of anabolics would be extremely rare.

      Best regards,
      Augie Galindo MPAS, PA-C
      Testosterone Centers of Texas | Founding Partner

  56. […] might sound good if you just equate men and testosterone = good, all the time, every time, but when the male body creates too much testosterone, that extra chemical is automatically metabolized i…. For men who suffer from low testosterone, the typical dosages range at 200mg every 2-4 weeks IF […]

  57. David on 02/12/2017 at 7:47 pm

    How can you control testicular shrinking with TRT?

    • Augie Galindo on 02/13/2017 at 10:56 am

      David,

      This is something we treat with the use of hCG.

      Best regards,
      Augie Galindo MPAS, PA-C
      Testosterone Centers of Texas | Founding Partner

  58. Xhesi Patushi on 02/20/2017 at 2:39 pm

    Hi I have a high testosterone level of 10.4 where the normal is 8.6 How can I avoid this extra testosterone turning into estrogen?

    • Augie Galindo on 02/24/2017 at 1:45 pm

      Xhesi,

      Reducing conversion has to be done medicinally, but you can help by avoiding alcohol and reducing body fat.

      Best regards,
      Augie Galindo MPAS, PA-C
      Testosterone Centers of Texas | Founding Partner

  59. Rob on 03/23/2017 at 7:03 pm

    Hi i am a 43 year old male my total testosterone is 458 and my free testosterone is 47…only one point above the lowest number. I suffer from all the symptoms of low T, especially fatigue and ED, but my current doctor will not help me. All other test like vitamin levels, kidney function, liver function, blood count, so forth and so on, were all good. Should I seek a second opinion? I read that men in my age range average level is around 600 to 650. I have very weak and sometimes no morning erections and I usually go all day long with no erections at all now as opposed to what used to be the norm was 3 to 4 times a day. The erection quality is also not great or does not last long. I have not had a total failure during intercourse yet, but I am worried that this is next. Do you treat men like me who are in the low normal range, but suffer from the symptoms? Should I try to find another doctor who will help me? Any advice or insight would be greatly appreciated. Thanks!

    • Augie Galindo on 03/30/2017 at 5:52 pm

      Rob,

      Anytime someone has a provider that has to be “talked into” prescribing TRT, your care is probably doomed form the get go. Finding a provider who is comfortable with both diagnosis and treatment of testosterone deficiency, and the evaluation of total AND calculated free testosterone levels is paramount to good outcomes.

      Best regards,
      Augie Galindo MPAS, PA-C
      Testosterone Centers of Texas | Founding Partner

  60. hal wallace on 05/24/2017 at 11:27 am

    My situation is that I have been seeing an endocrinologist for TRT for almost a year and a half. Before my last visit I had my estrogen levels checked and the level was 140. I know it was 39 when I started. When I approached the dr with this, he said emphatically, “We don’t do estrogen in this context. When you take testosterone you get estrogen. If you get gynecomastia, the only recourse is surgery. Period.” I said I had read that arimidex was used to lower estrogen, he said he wouldn’t consider it as it was off label and he would have to see studies approving it. All I need to know is whether a level of 140 is harmful, and I can’t find any reliable information about that. I don’t know who to ask. Thanks for the assist

    • Augie Galindo on 05/25/2017 at 7:54 pm

      Hal,

      I am sorry that you have had this experience thus far. Before I respond, let me acknowledge that I am not and endocrinologist, nor am I a physician. I am a physician assistant and that means I have had 3 years of post graduate training in the medical model and I have a Master of Physician Assistant Studies. I have been in healthcare since 1997. Endocrinologists, on the other hand, have more lengthy and more advanced training in the treatment of hormonal disorders. Now, there is also a factor of specialization and focus. Endocrinologists are specialists in hormonal disorders. I have focused exclusively on the treatment of hypogonadism for the last 5 years.

      With all that behind us, I start virtually all my male patients on Arimidex from the very beginning, BECAUSE I know that when I give you testosterone, you will get estrogen. If your estrogen is low, perhaps that’s a good thing. This is very rarely the case. Therefore, to maintain normal estrogen levels, you will need to account for the excess production.

      As for gynecomastia, surgery IS the definitive treatment for it, but the best course is to avoid the surgical recourse by preventing the stimulation of breast tissue from an unmitigated elevation of estrogen. I do think that an estradiol level of 140 is unhealthy for you and I would personally not continue TRT without treatment for this issue.

      Finally, you are unlikely find a perfect study on this, and if I were to hazard a guess, you are equally unlikely to get the response you are looking for even if you did. Good luck in your debate, sir!

      Best regards,
      Augie Galindo MPAS, PA-C
      Testosterone Centers of Texas | Founding Partner

      • hal on 05/26/2017 at 10:51 am

        thank you Augie, for your kind and circumspect response. I did find a new Endo, who does treat with AI, specifically Arimidex. The most interesting thing is that my PCP, who reads my labs, and with whom I discussed this, did not pick up on the potential harm, and the Endo was opposed to treatment. I pursued this from my own study of the literature. The lesson here is ultimately one always has to be personally responsible for their own health care. I appreciate your insight. Thanks again.

  61. Kaleb Maier on 06/17/2017 at 6:20 am

    I’m currently taking 200mg of cypionate once a week and 1 mg of arimadex. My dose is on Monday morning and by Saturday I start feeling effects of high estrogen. I went to another dr. whom recommended going down to 100 mg a week and stop taking my arimadex. My concern however is that my estrogen levels will be higher due to my previous 200mg dose. Will dropping my dose to 100mg and stopping my arimadex give me unwanted side effects?

    • Augie Galindo on 06/24/2017 at 7:41 pm

      Kaleb,

      The problem is the recommendation for you to change your testosterone dose based on your estrogenic symptoms rather than testing your testosterone and estradiol levels before changing the approach. Also, that is a rather aggressive change given this scenario.

      Best regards,
      Augie Galindo MPAS, PA-C
      Testosterone Centers of Texas | Founding Partner

      • Kaleb Maier on 06/24/2017 at 7:53 pm

        When You say aggressive, do you mean cutting it in half, opposed to stepping it down until I reach 100mg? Also when is the most important measure of testosterone levels; the day after the injection or at the half life? When I consulted my TRT about bring my dose down he mentioned it was only at 660, however that is 7 days after my injection. Before I started taking any arimadex and was taking 200 mg my estrogen level reached 60. So I started taking 1mg of arimadex the day after my injection. This brought my estrogen to 42.5 and it was just over 26 before I started my TRT. At this point he recommended taking 1 more mg The day of my injection as well. After this adjustment I began having difficulty 5 days after my dose. I definitely feel like I should be taking less testosterone not only because of my elevated estrogen but my LDL went from 97 to 127 in the first 2 months of my TRT. I also noticed my resting heart I increased by about 20bpm. My dr said none of this should be due to the TRT, however I’ve read other wise in several articles. Any knowledge would be appreciate. Thanks.

  62. Ken on 06/29/2017 at 8:07 am

    Help – I was prescribed testosterone gel- I could not concentrate, stay awake, felt depressed and would forget words in the middle of a sentence, but sex drive fine!. It solved all of that – easy.

    The price was – my sex drive has gone through the roof and that does not suit the wife or make for a happy marriage – So I either take the medication – or we argue all the time.
    does anyone know the risks in not taking the prescribed dose – other than a foggy brain, tired all day, can’t concentrate, struggle to put a full sentence together?

    • Augie Galindo on 07/03/2017 at 4:09 pm

      Ken,

      I don’t see this in my patients, but I monitor dosing and symptomatic/biochemical responses very carefully. Below a certain threshold, dosing may not be beneficial. You likely just need adjustments made to your dosing regimen.

      Best regards,
      Augie Galindo MPAS, PA-C
      Testosterone Centers of Texas | Founding Partner

  63. Roy on 07/06/2017 at 10:23 am

    I started TRT three months ago 0.6 ml (120mg)once a week. At the two months my serum testosterone was 819 and my estradiol was 48.3. I was becoming very anxious and could not sleep at night. We reduced my dose to 0.2 mm (40mg) twice a week and added 300 mg indole-3-carbinol per day. My test at three months showed my serum testosterone had increased to 977 and my estradiol had only dropped to 47.6. I am still very anxious and cannot sleep, I don’t have much energy sex drive is ok but not great. Why would the serum testosterone go up with a reduction of 33% in the dose? What should I do to lower my estradiol? How much more should I reduce my dose of testosterrone?

    thanks Roy

    • Augie Galindo on 07/06/2017 at 11:35 am

      Roy,

      Unfortunately I can’t give you dosing advice in this environment. I can tell you that your treatment does not follow what I consider to be best practices for establishing, monitoring, and tailoring TRT. Your estradiol levels need to be managed differently, and you would benefit from a more regimented approach to your lab draws.

      Best regards,
      Augie Galindo MPAS, PA-C
      Testosterone Centers of Texas | Founding Partner

  64. Mahesh Hegde on 08/04/2017 at 3:03 pm

    My son aged 14 years tested high for Testosterone 572.9 ng/dL
    (Normal limit mentioned in report 5 ng/dL to 70 ng/do)
    FSH 3.96 mIU/no
    Doctor advised me to show my son to paediatric endocrinologist
    Can you please advise what is concern in above result

    • Augie Galindo on 08/08/2017 at 10:15 am

      Mahesh,

      It’s difficult to say, because that is not an abnormal level for a teenage male. The range of 5-70 ng/dl would be normal for a female. Perhaps they reported the gender wrong on the lab work?

      Best regards,
      Augie Galindo MPAS, PA-C
      Testosterone Centers of Texas | Founding Partner

  65. Biswajit Adhikary on 08/20/2017 at 4:54 am

    Is testosterone can cause physctic disorder in female like aggressiveness and demanding for sex Please reply I have a sister she is having this thing’s from 13 years

    • Augie Galindo on 08/31/2017 at 9:13 am

      Biswajit,

      Much more information would be needed to form that conclusion. I would recommend seeking the help of a local medical professional.

      Best regards,
      Augie Galindo MPAS, PA-C
      Testosterone Centers of Texas | Founding Partner

  66. Helen Agest on 08/26/2017 at 9:46 pm

    Hi my brother used testosterone shot and now his right boobs is painful what he can do ??? thank you

    • Augie Galindo on 08/31/2017 at 10:28 am

      Helen,

      He needs to stop testosterone and have his estrogen levels assessed and managed.

      Best regards,
      Augie Galindo MPAS, PA-C
      Testosterone Centers of Texas | Founding Partner

  67. Rich on 08/29/2017 at 12:28 pm

    Wow, I can’t believe some guys defending other guys destructive behaviour while using too much testosterone. It is a common and known fact that too much testosterone causes mood and anger issues etc. I feel bad for the women who have posted on here about what their husbands have become with abuse or over use of testosterone. And any levels above 1200 are going to cause some kind of behavioural problems, I can’t believe doctors will allow these patients to continue with this amount of T. And I’m ashamed of the guys who defend this abuse who blame it on problems in the marriage. EVERY marriage has problems but when the people in it are thinking rationally, they dont leave everything behind to pursue their quest for more testosterone! And to say it wasn’t caused by the testosterone levels being too high is pathetic. Men need to take responisbility for their own actions and man up. Or continue on their angry way, lose everything and ruin someone elseses life. Pathetic. Oh, surprise! I’m a guy who began having temper problems when MY levels got above 1000 and guess what I did? I assessed the situation, thought about it in a rational way, talked to my doctor who lowered my dose, now I’m at 750 and no longer get short tempered. It’s called manning up, boys, try it. (Oh, great forum to TCT! Love you guys!)

    • Augie Galindo on 08/31/2017 at 5:07 pm

      Rich,

      I agree with your sentiments. Abuse of dangerous substances is never a good thing. I would clarify though, that one’s response of aggression to TRT (or even anabolic abuse) has much more to do with unmitigated elevations of estrogen levels. Also, some men need a higher total testosterone to achieve an optimized, normal calculated free testosterone. So, when someone is mismanaged and/or abusing anabolic substances, and you add to that an already volatile attitude, horrible things can take place. I just don’t see this type of response in my practice, but we have safeguards in place to ensure that we aren’t allowing such conditions to develop. Thank you for the kind feedback, and thank you very much for your comments!

      Best regards,
      Augie Galindo MPAS, PA-C
      Testosterone Centers of Texas | Founding Partner

  68. Dennis Lane on 09/01/2017 at 10:39 am

    I started a pellet program 1.5 months ago, (age 55) which boosted my level from 126 to 863. Sex drive has increased, (main reason for getting testosterone) but I’m having issues with my face being beet red, scaly and I seem to be highly sensitive to the sun. People at work think I got a bad sun burn. Constantly trying to put oil and creams on my face to try and calm it down. Also a few strange skin tags have come up. Not sure if this is going to be worth it if

    • Augie Galindo on 09/12/2017 at 11:10 am

      Dennis,
      I have not seen issues with skin tags, this is typically a symptom of sun exposure mixed with genetic predisposition, however. Now, with increased testosterone levels comes increased estrogen levels, and if this is not being managed it could leave you prone to flushing. To be clear, your symptoms are not ones that are common to TRT with my approach, but pellets are quite different than injections.

      Best regards,
      Augie Galindo MPAS, PA-C
      Testosterone Centers of Texas | Founding Partner

  69. Brian Boomer on 09/18/2017 at 1:09 pm

    Without harm, would it be possible to double my prescribed dosage and receive the injection every two weeks, instead of every week?

    • Brian,

      No, that is not recommended. While seemingly logical, medication half-lives and biochemical responses aren’t usually linear.

      Best regards,
      Augie Galindo MPAS, PA-C
      Testosterone Centers of Texas | Founding Partner

  70. Matthew on 09/25/2017 at 9:46 am

    How do you increase testostérone true diet?
    I eat fruits vegetables whole eggs beef salmon chicken
    No milk and no dairy

    Im not sure if i have low testosterone but i know i have low estrogen my skin Is dry no hairloss my testicle are medium size, i dont have gynecosmastia.

    Im 33 mâle weight 215 pounds with just very small gut.

    Thank you

    • Matthew,

      We have many articles addressing things you can add to your routine to foster better natural production of testosterone. Also, seeing an experienced provider and having baseline levels drawn may be a good idea.

      Best regards,
      Augie Galindo MPAS, PA-C
      Testosterone Centers of Texas | Founding Partner

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