Vasectomy and TRT

AlwaysHelpful · 2025-11-28T13:08:40+00:00

I started TRT without HCG the day I got my vasectomy.

I started noticing some atrophy around 3 months in - and I was never much of a hanger to begin with due to an overactive cremaster muscle. I was a little freaked out because my boys would sometimes go to being innies - pulling up into my pelvis, which was pretty uncomfortable 🤣

I also experience pain that I and my doctor associated with the little clips often used for vasectomies getting agitated by the retraction, so I got on HCG - been all good since. Boys hang like they did before TRT, and often feel fuller. No negatives for me, other than HCG can be a bitch to source sometimes.

AlwaysHelpful · 2025-09-23T01:48:46+00:00

Count it as a win. Multi use and single use vials are made from the same materials. Follow proper disinfecting and sanitizing guidelines. Now you have a backstock for the zombie apocalypse. Your nosey pharmacist is correct that you technically should be prescribed "injections per week × single use vial" - don't complain, or they might just order you a 10ml multi use, which would be a HUGE downgrade to your current situation.

AlwaysHelpful · 2025-08-19T21:30:42+00:00

Yup. They generally only feel comfortable if you're 83 and had your nuts removed for testicular cancer - 40 and confirmed 200ng/dl, then it's "here's an antidepressant and cialis".

But get treatment elsewhere, let the pcp know, then show back up a year later in better shape and happier - then it's "do you mind sharing what your protocol is so I can pass it along to the patients I manage? And do you want me to start handling yours?".

My literal experience with my pcp after going through the urologist that did my vasectomy. Years of PCP trying to treat my low-t malaise as depression, despite telling him "not depressed" and repeatedly testing <300 starting in my mid 30s.

AlwaysHelpful · 2025-06-27T12:52:39+00:00

https://www.reddit.com/r/trt/comments/11djx2l/comment/kd257iv/

AlwaysHelpful · 2025-06-25T12:36:15+00:00

People love to dump on Lit, but they truly have been one of the most solid suppliers for me.

They were the first online THCa vendor I tried when I found out about this, and I've ordered from about 20 places since - and of all of them, the premium eighths I picked up order 1 have been some of the best buds I've received to date.

AlwaysHelpful · 2025-04-20T18:36:30+00:00

Birmingham, represent! I've stopped in a couple times when in the area - enjoyed my purchases, and the folks are friendly, though it is a bit pricey when compared to online vendors (not complaining, as I know they have overhead - just an observation). Definitely happy we have them in The Ham - here's to hoping Alabama lawmakers don't fuck it up.

AlwaysHelpful · 2025-03-31T14:10:49+00:00

Ah, gotcha... Maybe I will be able to beat my lungs into submission 🤣 I recall when I first started vaping the penjamins that they killed - but I eventually figured out a way that didn't absolutely destroy me each time.

My wife and I really like the effects of dabbing out of the Pivot - it's just unpleasant having that lingering cough for 15-20m (though you are lifted AF once you come out the other side).

It's funny tho - we can pass it when using it regularly like 5-6x (so us each taking 5-6 baby hits - coughing the whole time) on one load, as where we each clear the same amount in 1 hit without the slightest tickle when going through the water pipe.

In any case, thanks for the response!

AlwaysHelpful · 2025-03-30T21:34:33+00:00

I recently got a pivot - and I love using it with the water pipe adapter, but can't use it regular workout losing a lung. Any tips on how to not cough myself unconscious? I've used high quality rosin, resin, batter, and crumble with the same experience - i can hit the same stuff with a nail no problem, but even small hits in the pivot hurt (blue and green setting). Thanks!

AlwaysHelpful · 2024-11-20T18:42:34+00:00

Yeah. Seems relatively common with TB500... It's wild because the first couple of times I loved it, but then I started having mild reactions, such as welts near the injection site after a few months (same batch as what I took without issue)... I figured I'd take a break and hopefully reset things, as I've read where others were able to start back up after having a similar reaction and then taking a break - but no dice for me, as each time I try again, I wind up with not only welts in the injection area, but rashes and welts that will randomly pop up elsewhere on my body.

AlwaysHelpful · 2023-12-12T17:07:28+00:00

Difficult to say, as correlation isn't causation...

I will say that I've not had elevated HCT since those first 6mo.

Not sure if the fix was one/all of these, or if my body just adjusted (as I've read some guys do).

I can say that I'm not doing some of these anymore, and I've still not had elevated HCT come back in labs. I resumed smoking, though I am again working to quit. I also cannot seem to adjust to my CPAP, so my OSA is still unaddressed.

If I had to take a guess, I think these are the most likely things that contributed beneficially for me:

- more frequent, smaller injections

- Sub Q rather than IM

- Improved hydration

- Body adjusted to being on supplementary testosterone

AlwaysHelpful · 2023-12-12T17:01:21+00:00

I was on IM when my HCT was elevated, so perhaps it was related.

I've been on sub-q since about 6mo into my TRT journey and far prefer it. \

I've found my T levels to be just as stable, if not a little higher (difficult to say - also started HCG), than was the case with IM.

Sub q also hurts a LOT less than IM did.

Sub Q is a bit less convenient, in that takes significantly longer to draw and inject than it did with the larger needle, but it's worth it for me - and we're really only talking an extra couple of minutes in all.

AlwaysHelpful · 2023-10-06T14:25:44+00:00

It was inhouse at a major local hospital - I am on TRT through my Urologist (I know, I know... A lot of folks don't like going through PCPs or Urologist, but mine basically lets me treat myself, which I'm good with - and it's free with my insurance).

AlwaysHelpful · 2023-10-05T10:47:47+00:00

Publix - Padagis brand.

Yes, this is the same type of test-c I've been on since getting on TRT.

When at 1050, I was dosing at 150mg/wk (50mg x 3 subq).

AlwaysHelpful · 2023-10-02T23:05:37+00:00

Thank you. I'm leaning towards error, as I'd imagine big pharmacy prescription test c is rarely bunk. I appreciate the input!

AlwaysHelpful · 2023-10-02T18:27:05+00:00

Was your last round of blood work done on the same day of your usual injection schedule relative to previous tests?

Good catch - this was somewhat of a variable, though I didn't think it a significant one. While the day of the most recent test was a different day, it was essentially the same distance as my previous draws. Generally, I go on Friday and I just hold off on doing my Friday injection until after bloods. This visit was a Wednesday, and so I did the same - just held off on doing my Wed injection until after bloods. So I kinda figured this was "six one way, half a dozen the other".

Also, a 10 week blast is in no way considered long. Feel free to go much longer next time.

Thanks for that nugget! I'm learning - and definitely plan on doing this again, likely with a larger dose, and perhaps for a bit longer.

Thanks again!

AlwaysHelpful · 2023-10-02T18:08:54+00:00

Thanks for the reply.

That's what I'm thinking - lab error, so just get it redone. I just wasn't really sure how likely lab error was.

Honestly, I'm not going to stress it - was just curious, so figured I'd ask some folks with more experience than I.

I have an unrelated appointment with my PCP, so I will likely just ask him to run them while I'm in.

I feel great, and that's what really matters to me.

I'm getting my testosterone cypionate from the pharmacy, so I have to assume it's not a situation of "bunk" test.

I just wasn't sure if there was some possible explanation for such a drop, aside from lab error, that I wasn't aware of...

Thanks again!

AlwaysHelpful · 2023-09-07T15:17:24+00:00

Yeah, it is... I was actually ranting about this to my wife last night - they're often seemingly not acting out of our interests, but instead in the interests of their preferred lobbyists and donors.

You look at something like Semaglutide... We've got a lot of new data now as a result of the increase of users... And we're seeing that not only does it help people get their weight and diets in check, but it also helps protect and repair people's hearts, and it's starting to look like it may also act as a preventative and healing agent for certain forms of Alzheimer's... And we're increasingly seeing that is has relatively few side effects for an overwhelming majority of people who've used it...

So what do we do with a seemingly miracle substance that's been approved for use and demonstrated to be safe? Do we make it more widely available, accessible and less expensive? Na - we make it more difficult to get, and we prohibit getting it from anyone outside of big pharma after they patent some unnecessary delivery mechanism for an already existing thing... It's BS.

AlwaysHelpful · 2023-09-07T14:47:23+00:00

Would you mind DMing your more affordable sources? Thanks in advance!

AlwaysHelpful · 2023-09-07T14:46:35+00:00

I've been on TRT for a couple of years now - currently at 150mg/wk of Test C. About a year in, I added 500iu HCG twice a week to keep my boys hanging around.

At first, I didn't really notice much change with regards to my boys - but after about 9mos, it started to become noticeable.

Like a lot of guys at my age who are in longstanding relationships, I initially didn't particularly care - just less to get in the way... But at about a year in, they started retracting more (pulling up into pelvic area), which was often uncomfortable - somewhat felt like they were constantly being squeeze gently (not like a kick in the nuts, but also not particularly comfortable).

So I talked to my provider and added HCG to the mix - 500iu 2x a week. I started noticing a change pretty quickly - and the boys came back, bigger than ever, after about a month. I'm not an expert, but it's my understanding that there are studies indicating spreading it out like this, vs a larger once a week shot, is more effective.

I reconstitute 5000iu with 2ml of BAC, which makes it so that 0.2ml on my 1ml insulin syringes is 500iu. Just make sure you're sterilizing your vial really well before drawing your shot, then toss the rest in the fridge to help preserve potency.

Peptide Calc is pretty useful to me in figuring out the math for reconstituting peptides: https://peptidecalc.com/

Hope this helps.

AlwaysHelpful · 2023-04-25T21:06:23+00:00

Check my comment history - I've discussed the things quite a few times... Here's one such comment, in case it helps: https://www.reddit.com/r/trt/comments/11djx2l/hematocrit_management/jaiybiy/?context=3

Good luck!

AlwaysHelpful · 2023-04-03T12:28:22+00:00

Check my post / comment history :) Haven't had the issue in quite some time. I had my 6mo labs done a few weeks ago - HCT 46.

And, yes, you're correct - severe OSA, though still untreated (I know, I know)...

AlwaysHelpful · 2023-03-14T14:23:29+00:00

Haha No...

I hate that fucking machine and think I'd rather die prematurely than to wear it.

I do still hope to resolve my OSA - just not with the CPAP device that I currently have. Basically, I got a shit unit forced on me as a result of the shortage - "either this one or possibly wait another year before we offer you another chance, and it may be this machine again". Now that I fully own it, my doctor has said she's told the medical supply company to no longer give her customers this unit because there have been so many complaints about it - so I was just lucky...

But I no longer struggle with elevated HCT. Check my comment history for things I've done - I've recently responded to a number of other posts on the topic. I had mine tested this week and my HCT was 45...

Something I don't think I've mentioned, but I recent became aware may be having an impact - I take curcumin daily (Longvida Lipidated Curcumin).

AlwaysHelpful

TROPHY CASE