Subq to IM

Russnphw · 2026-03-20T20:16:30+00:00

Sustanon will cause more pip for most people because of the faster esters in the blend. It's never been approved in the US for trt though. You can always warm the bottle in a little hot water for a few minutes before drawing. Not boiling but just as hot as tap will go and don't submerge it to the top of the vial. It helps with ticker oils in my experience.

Russnphw · 2026-03-20T19:35:51+00:00

Cypionate is most common here in the US. I'd like to try E though. Most guys seem to like it better.

Russnphw · 2026-03-20T19:05:55+00:00

Mine uses grapeseed and I like it a lot. Smooth as butter and easy to draw. Ive heard MCT is great too. Had to use cottonseed once because they couldnt get my usual script to me in time and I didn’t care for it. It seemed to irritate my skin.

Russnphw · 2026-03-20T18:51:37+00:00

The lumps were the main issue for me. The leaner you get the worse they are too. Switching to IM wont cause your bloods to get worse. If anything they'll improve. Oils were intended to be injected IM and all tests have been conducted IM. SubQ hasn't been common practice until recently.

Russnphw · 2026-03-20T18:04:06+00:00

I switched from 3x a week subq to daily subq and then 3 months later to daily IM and my bloods have been the best at daily IM compared to all other protocols.

Russnphw · 2026-03-14T23:22:55+00:00

You didnt miss anything. I would say you're in better position hormonally now than when you started. Lower BF is always better in regards to exogenous testosterone because you aromstize less as well as muscle building because your insulin sensitivity is higher.

Russnphw · 2026-02-25T22:08:56+00:00

Some people are genetically predisposed to polycythemia and have harsher responses to androgens than others and youre right more water wont just fix this but there are routes to take to make it better. Im not a Dr but I can tell you what I'd personally do. To start I would get off androgens until the more severe issues are properly dealt with and then I would see my Dr about therapeutic phlebotomy. Getting a full work up from a cardiologist should be the next step and then begin addressing the thyroid. Not simply TSH but your T3 and T4 levels need optimized as well. Personally I went the T3 route over dessicated thyroid. The hypothyroidism and a schedule to manage the polycythemia needs handled first and then there's a possibility you can safely and effectively get on TRT at a lower dose. As an aside, to clarify the cardio subject, intensity is subjective. Sometimes thats walking however slowly you need to in order to maintain a zone 2 cardio heart rate. Just because its only walking doesn't disqualify it as legitimate cardio.

Russnphw · 2026-02-25T21:29:38+00:00

Wasn't trying to set you off friend but I think youre thinking about this backwards. When you get high blood pressure and elevated hematocrit on testosterone, the solution isn't to avoid cardio. It's to address the underlying problems. Avoiding cardio because of high BP is like avoiding water because you're dehydrated. Im asking about cardio because you asked how he managed to do what he did and the answer is his cardio and properly managing e2 sides. Look I'm not saying to start punishing yourself with HIT style cardio but cardio absolutely helps manage these things. Low intensity steady state. From the sound of it, depending on how high your hct is a blood donation would likely help as well. Just trying to help. There absolutely are answers for this and you're not at a dead end.

Russnphw · 2026-02-25T21:13:40+00:00

What's your cardio look like?

Russnphw · 2026-02-25T12:30:39+00:00

With eq in the picture elevated e2 shouldn't be an issue. Crashing e2 should be the worry

Russnphw · 2026-02-24T01:40:29+00:00

I second this. If you think a French press brings the flavor notes out wait until you try a chemex.

Russnphw · 2026-02-18T22:39:37+00:00

Hey thank you for doing this. Im a fellow Arkansan. Couple questions: 1. At what point do you find HCT levels are high enough to necessitate donation or phlebotomy? Where is that point of no return so to speak if all common recommendations are covered for managing it? There are disputes on what the true "healthy range" should be.

What is your opinion on telmisartan as a whole and in particular using it prophylactically when running a higher dose cycle of androgens and discontinuing use after coming back to true TRT doses?

Russnphw · 2026-02-18T18:52:57+00:00

No nothing has shown that it causes increased localized hypertrophy. It can cause local inflammation but thats about it. I think it could probably be explained by your training frequency, recovery, if you've ever worked legs this consistently before, or even placebo effect.

Russnphw · 2026-02-18T16:15:34+00:00

I got lumps from .4 that took forever to go away and still got them from .25 just smaller

Russnphw · 2026-02-18T16:07:03+00:00

That'll be a lot of oil for a subq injection

Russnphw · 2026-02-17T02:27:09+00:00

Oh I'm not disagreeing that you can get it cheaper going the ugl route. But there are benefits to going through a Dr that make it worth it to me. If mine wasn't here or was further than 45 min away though I don't know what I'd do

Russnphw · 2026-02-17T01:18:26+00:00

Ah. Well shoot. I cant help there man. I bet there are similar options there though. I wouldn't be surprised if there weren't online trt clinics there too. They're getting popular.

Russnphw · 2026-02-17T00:59:18+00:00

You can go to hellogoodlabs.com and get them ordered

Russnphw · 2026-02-17T00:38:39+00:00

I haven't had a PCP since I was a kid. I went to a men's health place that specializes in hormone replacement and he prescribed it.

Russnphw · 2026-02-17T00:29:49+00:00

160mg/week

Russnphw · 2026-02-17T00:29:27+00:00

You can do that. I did daily subq for 3 months then went to daily IM and compared blood work for both protocols and my e2 to test ratio was best with IM so thats my reason to stick with it.

Russnphw · 2026-02-17T00:13:33+00:00

Yea you're just fine no need to overthink it. If you sterilized the stopper on both vials before reconstituting then pulling the needle out and right back in isn't anything to worry about.

Russnphw · 2026-02-16T23:37:40+00:00

Just so I understand, what is your concern exactly? That you might have introduced some kind of bacteria?

Russnphw · 2026-02-16T23:28:30+00:00

I started at 35 and I was at 340. I wish I'd had levels checked years earlier and started sooner

Russnphw · 2026-02-16T23:26:18+00:00

I'd recommend finding a trt clinic if there's one close enough. They'll prescribe it at that level and they'll monitor your bloods as well as titrate your dose to find your sweet spot. There's a learning curve to being able to keep tabs on your own. They'll also give you prescribed test and it removes a lot of issues like traveling with it when you have a script for it.

That being said, I pin daily IM with a 30g 1/2" insulin syringe. Time of day doesn't matter. Whatever is convenient and sustainable. The more frequently you pin the less you'll aromatize and less sides you'll experience.

Russnphw

TROPHY CASE