Nebido is a quite a unique little snowflake when it comes to testosterone. In this article you’ll learn how long Nebido takes to kick in initially, as well as in between injections.
Nebido is a form of testosterone called testosterone undecanoate.
It is quite different from most other testosterone as it is released much more slowly into the system and is a much longer lasting ester.
The recommended prescription for each injection interval is 10 – 14 weeks, with the average being around every 12 weeks, or 3 months.
Other testosterones are usually injected at much more frequent intervals. This could include every other day; once, twice or three times per week; or, even once every 2-3 weeks, like with Sustanon in some cases.
So naturally there is a bit more confusion around Nebido and how it works.
I want to thank Lars for his great question, which is the basis for today’s article. This is a common question asked repeatedly.
Let’s dig deeper.
Nebido – The First Injection And Loading Phase
The recommended prescription when starting Nebido is to start with one injection and then to follow up with another injection at six weeks after.
This is called the “loading phase”. The purpose of the loading phase is to make sure your testosterone levels are normalised as quickly as possible.
The loading phase is supposed to be prescribed for EVERY patient.
Taken from Nebido’s product information:
”The first injection interval is shorter so that the sustained active drug levels are reached more rapidly and the shorter interval at the beginning of therapy will make sure that testosterone levels are normalised quickly which will ensure fast alleviation of symptoms and complaints.
This shorter starting interval is advisable for every patient, regardless of whether the patient has already used other testosterone preparations or not. It is advisable that patients switching from shorter-acting testosterone injections (such as Testoviron®, Sustanon®) receive their first injection of Nebido® at the time point when their usual testosterone injection would have been due.”
Shockingly, many doctors do not apply this loading phase, despite it being advised in the product information.
If you are starting Nebido, I highly recommend that you push back against your doctor if they refuse to acknowledge the necessity of the loading phase.
Nebido – When Does It Kick In?
Nebido injections should take effect after one to two weeks.
According to the documentation, “One week after the injection, testosterone serum levels are at their maximum level.”
That means that you should start seeing an improvement in your low testosterone symptoms soon after this.
You won’t really feel anything “kick in”. The effects are not usually that strong that it feels like this big kick. Some people may experience that, but it’s not common, especially with Nebido.
Rather, it is a very smooth, subtle process as the testosterone starts to take effect.
Gradually over time, you may notice that some, if not all, of the negative effects you used to feel, have dissolved and gone away. Or, at least, have diminished significantly.
This is how you know it is working.
Timing Your Follow Up Injections
So, once you’re on Nebido and your levels are stable, when do you feel the next injection kick in?
Ideally, you don’t!
The goal of your TRT should be to ensure that you never go through any “dips”. A dip is when your testosterone levels drop too low. This is usually due to waiting too long for your next injection.
Ideally, you want to time your injections so that the next one takes effect before the previous one has completely worn off.
That way you never notice any dips and you don’t notice the new injection “kick in”. You just continue feeling good, without any interruption.
The only time you would notice an injection take effect, is if you waited too long for your next injection, and the positive effects of the previous shot had worn off and your low T symptoms returned. You should do your best to avoid this.
If you notice that your low-T symptoms start acting up again before your next injection, then you may need to discuss getting your injections more frequently.
While Nebido recommends an injection interval of 12 weeks, you may need to get them sooner.
For example, when I was on Nebido, my injection frequency was reduced to every 7-10 weeks, because waiting any longer than that caused me to experience horrible dips.
Pay attention to your body and take note of when you start to feel your symptoms return. Work with your doctor to find an injection interval that is ideal for you.
Conclusion
The goal of using Nebido and all TRT is to relieve your symptoms of low testosterone and keep them at bay permanently.
Once your treatment has taken effect, you and your doctor should do everything you can to maintain your testosterone levels, without any noticeable dips or side effects.
Knowledge is power, so if your doctor gives you contradictory information regarding Nebido, just show him the website and product information guidelines (listed below under references).
Nebido can be a great solution for many people when used correctly.
If you have any questions regarding Nebido, feel free to leave them in the comments section below.
Till next time.
References:
https://www.nebido.com/en/hcp/product-information/faq-nebido/
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3188848/
After your 3rd injection what do u do after that..are u meant to stop nebido how do u come off it. I dont plan to be on nebido forever. I havr been on test e before doing what u might a called a mild test cycle amount comming off that made me feel very bad so i didnt do it again. Now im doing nebido i had my first shot week 1 then seconfld shot week4 then third shot week 9 what is the protocol after this do i stop? Or what
What you doing is a mild steroid cycle, and not TRT, therefore I can unfortunately not help you. The only advice I can offer is that you make sure you know exactly what you’re doing before you start messing with your natural hormones. If you screw up your hormones, then you very well may have to be on TRT for life.
I have been on nebido for about 6 years every 12weeks but now it doesn’t work !! I feel low and down and low energy after 3-4 weeks thru my injection of nebido !! What do u suggest? Is there an alternative choice ?
Speak to your physician and take blood tests to see what’s going on after the 3-4 weeks. There are other alternative testosterones(Sustanon, Enanthate, Cypionate, Creams) and you may be one of the unlucky ones that doesn’t respond well to Nebido, which is quite common.
So after discovering that my test was very low, I got my first shot of nebido today. Pretty painful I might add. Haha.
I am 42 yo
My GP is saying 3 to 4 months between injections and nothing about a loading phase. Either he doesn’t know or he is trying to save me some money because it is very expensive here in SA and medical aid does not cover it.
I am so excited to see the results as I suffer from terrible anxiety that keeps me up most nights as well as a serious drop in libido and energy.
Advice suggestions please.
Congrats! Give it time and see how you feel.
While a loading phase is recommended in the Nebido documentation, many doctors do not follow this protocol. You’ll have to ask yours why they did not. You have to be proactive and raise these questions yourself, because many times they aren’t even aware themselves.
If after your first round (6 weeks), you see no improvement, discuss the loading phase / booster shot with him.
Also, feel free to discuss shorter injection intervals (8-12 weeks) with him if necessary, if you don’t see improvements (after 6 months of treatment . And insist on follow up blood work to ensure that your levels are sufficient.
Hopefully it works for you, and you see improvements in your symptoms.
Keep us posted and good luck!
I am 80 year old male and have been using Nebido for over a decade with consistently excellent results. I know quickly when I need my injection. Remember the prostate requires high test. Levels for healthy functioning. Also high test. Levels maintain muscle mass, bone mass, secondary sex characteristics, general energy and mood levels AND sex drive. works for me.
I’m glad to hear it works well for you!
Hi Paolo, I started TRT toda, Nebido.
I see you’re an old hand at this and I have a few questions if you don’t mind. My level was very low, what was yours when you started and what exercise / diet regimen are you currently on? Have you dropped weight at all and how is your energy and concentration levels?
Thanks in advance for your response.
Congrats on getting treated.
When my doctor first started me on treatment, I was on 380ng/dl. So this is not as low as many guys like yourself and others are.
Exercise: Strength training with hypertrophy 4-5 times per week, depending on the program.
Diet: Plant-based, making sure I get adequate protein. Minimum alcohol.
I remain between 8-12% body fat depending on the time of year and program, with visible abs all year round. I don’t get more shredded than this because I lift for longevity, not aesthetics primarily. Plus I don’t plan to compete ever. My weight fluctuates according to my program (slow-cutting/slow-bulking focus), but always within healthy ranges.
TRT has improved my overall fitness immensely, as well as my mood, focus and concentration. It also improved my anxiety a little bit. However, I go to therapy to deal with the other anxiety that I can’t shake off, and therapy works perfectly for that.
I hope that helps!
I am 52 years old and had my first nebido shot in December 2018. After about 3 weeks I did feel a difference however when it got to around week 7 the effects seem to have dissolved. As my doctor said come back every 8 weeks.
I had my second shot 2 weeks ago. Now I plan to reduce the window for the next shot. Which I will have done in 6 weeks and then after that 8 weeks.
Great – you know your own body, so listen to it like you’ve been doing. If 6-8 weeks is what it takes to keep your symptoms clear, then that’s what it should be, if your doctor agrees (hopefully). My sweet spot was every 7-9 weeks and my doctor was happy to comply.
Hi. I use gel (tostran 2%) 6 pumps ED now. Too much hassle and not something I want to continue. Enanthate is not available for me, but nebido is. Is this something worth trying?
1000mg/ 150mg = 6,6 weeks, but the manufacturer says 10-12 weeks between injections. If I get an blood test in the morning every week from week 4-5 to se if levels is still god, what should they be? With the gel, the values is high 2 hours after, so I measure 24h after (15-20 nmol/L, btw. normal is 12-35 n/mol here in Norway). Is it still the same concept or will for ex. the values be way higher after only 4 weeks since the long half-life? Just trying to understand how to get the values “correct” before estimating my next injection.
I just do not want to use gel anymore, but since I have heard so much negative on nebido I am a little afraid starting to use it. Btw I want kids in the future but then I will try HCG and clomiphene while on trt. Planning to come of meds with so long half-life is just not good I recon. So bad we do not have enanthate here..
Thank you very much.
Nebido is a lot better than Tostran Gel based on my own experience. Many men have great success with it. Others don’t. You’ll need to gauge for yourself.You need to find the right injection interval that works for you. For me, it was around every 8 weeks, but it will all depend on when you feel the effects wearing off. At that point, you need your next injection a week before that. For example, if you feel the effects wearing off in week 9, get your next injection in week 8. You will need to calibrate based on your own response.
Don’t focus on the numbers, they are largely irrelevant. Base your decisions on your symptoms and keeping the symptoms away. For some people that might be 15nmol, for others it might be 25nmol. Whatever it takes to improve your symptoms is what you need.
Hi paolo i am 29 and i am suffering from low energy and no libido and i went to check my free t level and it is 160 i went to see a doctor and he bot me on nebido 10 days gone by no improvement unluckly we dont have good doctors for trt in ksa what other hormones should I test them. …
Give the Nebido time to work. Two weeks at least when you first start. Also, make sure you get a booster shot at 6 weeks. This is necessary for your first two injections and is in the Nebido documentation, you can ask your doctor about it. Other hormones you can test are estrodial and SHBG.
Hi there I’m on nebido. Had the booster and then next jab at 12 weeks. BT 8 weeks later and my levels have dropped too low. Did you go through booster again or just shorten the window to next shot?
My sweet spot for injections was also at about 8 weeks. And luckily my doctor accommodated me. If you’re levels are low like you say, your doctor shouldn’t be able to argue with the blood test results and should accommodate you changing to an injection interval that prevents you from dropping too low. Best of luck.
Hi, After having a shot of nebido 1000mg 4ml, i get a fever for a few days? and a lump on my butt? could i take 1ml every 2/3 weeks? or do you have to take the 4ml at one time?
Thanks.
Hi Pablo. Sorry for the delayed response. I never got a notification for this message.
Technically you can split it, but it’s not recommended as it is supposed to be administered in one go. Are you not able to get Sustanon instead, which might help. Also, check your other hormones (like estradial, amongst others), which may be contributing to the fever/hot flushes.
Hi Paolo , I am in the seventh week and there is no erection at all taking into account the loading dose I am worried , what to do about erection ?
Hi Bassel. Sorry for the delayed response. I never got a notification for this message. How are things now? Have you had a follow up blood test to check whether your T levels are in fact at normal now? How about the other hormones? Are they still in normal levels too?
Hi,
I had my free testosterone level tested and the number came in at 380 pmol/L. I am 27 years old. Would nebido be beneficial for me? I did some research and found that optimal free testosterone is around 700 – 950 pmol/L?
If you have symptoms of low testosterone (and not just a low testosterone lab result), and those symptoms are caused by your low testosterone, then yes, Nebido or any other exogenous testosterone may help.
Hi Paolo, i have just taken my loading/boosting phase injection of Nebido last week i am now on week 7, since taking the first injection. I literally feel no changes, other than sleeping pattern becoming worse. I feel more tired/lethargic, no change in mood, no libido. Am i expecting changes to happen too quickly? What are general the early signs that things may be changing?
Hi Peter
To start, give it another week or two to see if the follow-up shot boosts your levels and you see some improvement.
If after 8-9 weeks since your first injection, you still don’t feel any improvement, then your next best bet is to go back to your doctor and ask them to do another blood test and see where your levels are. Because by then, you should have seen some improvement.
If your testosterone levels are at good levels, then you might want to check the other hormones, like estrodial, to see if there aren’t any anomalies there.
Your expectations at 7-9 weeks are perfectly valid and warrant concern if you aren’t noticing an improvement.
Keep in mind that the effects of the shot are very gradual when starting a long ester testosterone like Nebido. It’s not like one day you wake up feeling like superman. Rather, it’s more like one day you say to yourself something like “Hey, I haven’t been moody in a while and I don’t feel so bad today.” And then your mood and energy gradually start to improve.
See how that goes, and let me know how you get along!
Hi paolo
I’m a seventy year old male first tested for low t 8yrs ago , I started on 4ml but
never had the loading shot and have been given various doeses from 1/2/4 ml
because 4ml was making me very aggressive and anxious. When I was born my
nuts had not dropped into there sacks so I went in for operations at about ten yrs
old and have had no problems sex wise since however I’ve been unable to have
any children firing blanks . Have come to terms with this a long time ago . The question is what if I have been running on low t all my life and never had a problem
It’s seems that after all these yrs on t it’s been a waste of time , the only time I feel
really good is at about week ten for maybe two weeks or less then back to square
one . I am frightened if I stop at my age my body will no longer make t
Kind regards Peter
Hi Peter. If your mood felt better when you didn’t take TRT compared to when you did, then my inclination would be to go off it. The potential problem is that you’ve been on TRT for 8 years, which may have halted your natural production. You’ll never know until you stop and then do blood tests after about 6-12 months, as it can take some time to start working again. It’s unlikely at your age, but also very individual, so you would need to try it and see what happens. Also one thing to keep in mind, is that a lot of times, the hormone imbalances can be more than just testosterone-related, for example estrodial etc.
I would suggest working with a private TRT specialist if possible, because they can tailor your doses according to how you respond. They can also do full blood testing of all the male hormones and make recommendations accordingly. Finally, the doctors there would also be able to take into consideration the physical problems you had in the past. Best of luck.
Just had a blood test after two Nebido injections, ie after 12 weeks: ZERO difference in testosterone level, in fact it has actually fallen since I did the first one. Had a third injection last week, still feeling very low, low energy etc. Any thoughts? Thanks for this page: very helpful info!
While 2 injections in the first 12 weeks (one every 6 weeks I presume) of your treatment should normally show an increase, I wouldn’t be surprised that some people like yourself have this experience. My guess would be that your levels were low to start with, and that by the time you got to week 12, your second injection may already have worn off and you were in the dip. Thus when you were tested, it showed lower than before, which would be expected. Try testing your levels again after this third injection at around weeks 2-4. That way, you should be testing at the peak of the injection, and get a good idea of where your levels are while you’re “on”. If levels look good then and symptoms feel better, then you likely need to reduce intervals between injections. Also keep in mind, that for some people, it may take a few injections to reach normal levels in the beginning. This is not uncommon. We all have different experiences with our treatments and need to fine tune as we move along. All the best!
Thanks so much for this Paolo: much appreciated. I needed a reason for optimism after feeling so bad for so long then maybe expecting too much of the first injections. I’ll definitely get tested in 3-4 weeks and see where I’m at. Thanks again, Damian
No problem, Damian. We’ve all been there and I can certainly understand the urgency to get rid of the symptoms and feel better again. I’m sure it will come right after the next injection (and blood test) or two. If not, please keep me posted what you do thereafter as an alternative, or have any other questions.
Hi Paolo,
I had my 1st Nebido shot 4 weeks ago and having my 2nd in 2 weeks. Feeling great/much better so far.
Worried about the dips and crashes though once I go on 12 weeks interval. Seems like 10 weeks is the best you can hope to get on the NHS although many seem to go below normal after 6-8 weeks.
I wanted to ask you if you know the definitive answer to the half-life of Nebido’s formulation. I’ve seen so many different takes on this. Their own insert says either 90 days or 90±40 days depending on what decade it was printed. The last range is absurd – imagine somebody said Test Cyp is 5±2days, ie 3 or perhaps 8 days….
But they also cite studies that talk about half-life of 53 days, or 70±20 days, which is still all over the place and far from conclusive.
Then other sources mention 33.7 days (at least for TU using caster oil as the carrier) or even less.
This makes it very difficult to calculate optimal dosing interval or dosage of weekly top-up of Test E or Cyp to smooth out the Test U rollercoaster.
Hi Nick
Whatever the official half-life is, is irrelevant, and not worth chasing down, because it ultimately means nothing in a personal context. Your dosing should be based on your own response to the treatment. The documentation is simply to set a baseline, but should be adjusted as needed for each individual. Don’t get caught up in the micro details, it won’t make any difference.
My sweet spot was every 7-8 weeks. Others get by just fine on 8-10 weeks. I think 10-14 weeks is stretching it a bit. The problem with the NHS is that they are textbook slaves who can’t think any further than the pamphlet information they hold in their hand. It’s extremely rare for them to deviate from the prescribed, standard application of a treatment.
If you can’t find an optimal interval that avoids crashes between your Nebido shots (whatever the half life may be, again, it’s not important) with the NHS, then all I can advise is to stop beating your head against the wall out of frustration and go private. All the best!
Hi Paolo,
Thought I give you an update 18 months later; I’ve now had 8 injections of Nebido every 12 weeks on the NHS except for 6 weeks between 1 and 2.My pre-dose T levels were prior to:
– 1st injection: 2.4 nmol/l
– 3rd injection: 18.6nmol/l
– 5th injection: 19.4 nmol/l
– 8th injection: 20.6 nmol/l
So leveling out around 20 nmol/l (575 ng/dl) at its lowest point, which I think is as good as you can expect on Nebido (steady-state achieved after 450 days, which I’m past). Peaks are most likely 30-35 at least (I’ve yet to test and will probably have to do this privately) if going by graphs in the literature.
I do feel the effect wearing off after about 6-7 weeks but I can’t convince my endo to shorten the frequency of the injections at those Cmin levels, which are still very healthy…
I’m in my late 40’s, BMI 30 (105kg), and have not been working out or dieting to the extent I had planned to when starting TRT (which took a decade of nagging) due to personal circumstances caused by the COVID and the lockdown.
Next challenges are to convince my endo that I should be allowed to (i) inject subcutaneous which is supported by studies, (ii) myself for my own convenience and cost saving for the NHS, and (iii) spread the 4ml/1000mg Nebido vial out over several smaller but more frequent injections (e.g. 125 mg/0.5ml every 1.5 weeks) for smoother levels. Wish me luck 🙂
Cheers,
Nick
EDIT: By the way, the reverse-calculated half-life of Nedbido has been 66 days in my own case.
On my 3rd shot. It’s working for me. Depression is gone, FINALLY brain fog is gone as well so I have badass mental clarity and better focus. I’m not as fatigued as before or an asshole anymore. I am still waiting for my libido to hit 100% but definitely has improved. My test levels were really F’D Up! I was BELOW 80. I messed up my test levels with pro hormone cycles since I was 21 and over extensive cycles. I’m currently 32. – Tx
Great to hear. I also noticed I was less of an asshole when I started haha. Irritability was definitely one of my low-T symptoms before treatment. Thanks for the feedback!
Hi Paolo.
Great post. I just wanted to get your opinion on my case.
I started using Nebido from February 2020, unfortunately due to bilateral testicular cancer, meaning I have nothing to create testosterone anymore…
We measured the levels a couple of weeks after my surgery and they were of course very low, around 10 ng/dL. I had my 1st Nebido shot right after, around mid-February.
We again measured levels 7 weeks after that and they were 380 ng/dL, so we went ahead with the booster shot. My levels 10 days after that 2nd shot are 1350 ng/dL, which seems too high.
Nevertheless, I am still putting a little excess weight, around 5 kg, especially in mid-section (i.e. belly weight).
Does the TRT takes a while to stabilize the level between shots?
Thanks!
Miguel, high levels like that are normal, as a huge amount of testosterone (1000mg/4ml) is deposited into your muscle. So initially your levels will spike, then gradually stabilise and decline over the time between injections. Usually men feel better after 1-2 weeks after the injection. This is also why it’s recommended to get your next injection before the previous one wears off. Otherwise you’ll feel these dips/”crashes”.
This is one of Nebido’s biggest criticism by many doctors (and patients) – that you get a massive surge in testosterone in the beginning, and then wait so long until the next injection. It can work fine for some people (like it did for me having injections every 8 weeks), but for others it may not be ideal if they experience related side-effects, or they keep experiencing these dips.
As long as you feel better, that should be the gauge for measuring the effectiveness of the injections – don’t worry about the numbers.
Thanks for the reply!
According to your experience, how long does it take so I can start seeing the effects of Nebido on body composition? Loss of fat and increase of lean mass, especially?
After my surgery, I gained a little bit of weight (around 5kg) and it has been near impossible to lose that. I mostly blame the loss of testosterone due to the surgery and starting TRT, since I was always lean and able to maintain (and lose) weight quite easily…
Thanks!
That depends on how much work you put in and how you control your diet. It would take roughly the same as time it normally would when you had normal testosterone levels. The harder and more diligently you work though, the faster you can accelerate that process (to a point).
Hi! I was on Androgel, got my first shot of Nebido and felt great. After 7 weeks my testo was 13,6 nnm/l and I did not get booster. After 8 weeks I felt horible. After 10 weeks got my secons shoot of Nebido. 4 days gone by, nothing have changed. No libido, ED is back, anxiety…how long till second injection starts to work? My testo was probably low because I did not get a booster…thnx, Alen
It can take up to two weeks. That’s why you need to try to get the next shot before the previous one wears off. This is normal in the beginning as it wears off for different people at different periods. I used to get my shots every 8 weeks too, because after 9 weeks it would wear off and I’d feel like crap. Booster shot aside (which should have been given at 6 weeks), if you find your regular shots wear off around week 8 to 10,then it would make sense to get the next shot around week 7-8.it May be later than this, because you didn’t get your booster shot, which is likely the cause of the issues now.
Hi my nebido injections wear off after 6 weeks!!! And my intervals are every 12 weeks and so the dip is 6 weeks until my next injection. Within the 6weeks dip I have very bad sleep and other bad symptoms. How can I explain this to my doctor?
Just like you did to me. Emphasise the low T symptoms returning early and ask for smaller intervals between injections, or to be moved to a testosterone that works better. Maybe also do blood tests after 6 weeks to see where your levels are at as a way of backing up your case.
Hi Paulo
I have been on nebido since Jan 2020. I had the standard loading dose at 6 weeks and and every 10 weeks since. I dipped badly at week 6 last time but GP won’t give an injection before 10 weeks. I am now 2.5 weeks into another 10 week cycle and I am quite lethargic with low libido.
I can’t really fault my GP as he is trying his best. There is literally nobody else in the Republic of Ireland working with people with Low T. One of his solutions is to prescribe testogel to get you over the dip until your next injection but he expects that to only occur at between 6 and 10 approximately. Have you heard of this type of solution to a nebido trough before?
If your doctor is willing to prescribe Testogel for the dip, then he is basically admitting that the Nebido is not working as needed for you. I have never heard of Testogel being prescribed with Nebido. You can try it though and see what happens. Or try to get the intervals between Nebido shots shortened, or find a properly experienced TRT practitioner. I have listed some here: https://trthub.com/options-for-trt-and-hormone-related-services You are more likely to get an appropriate and effective treatment privately.
Hi. Very nice pages.
I have testolevel 10.0 and freetesto 180. What you think about that?
Tried testogel,did not work well. 10.0->13.0
Tried nebido. 21 and 350 after 3 weeks. Ended it.
Second trial 35 and 707. Ended it.(why so different)
Tried testovan, 6.0 and 122. Did not work at all..what you think. A+B is not C. Own production ended and gel not absorded.
Now back nebido. One shot taked.
The reason why i ended nebido is that hemoglobin and hematocrit got too high. Hemoglobin was 163 and after nebido about +10 up.
Same hematocrit. Always close upper limit and nebido took that too high,up to limit little bit.
Now back nebido. First full shot and 6 week full or half,not sure yet.
With doctor we thinked that we take half shots double often so maybe blood not get too thick. Maybe half shot every 4 or 5 weeks.
What you think about that? Manufacturer has not took research about that.
Is it possible to take half shot and save other half in fridge? Or maybe i just use half and throw other half away.
Now 1 week after first shot. I feel not the best. And feeling burning hot like flushed.
One reason i started to use testo is that always hot and sweaty and tried to get help.
I think you should give Nebido time to work. It can take up to two weeks to take effect. The second shot should be a booster and follow the first shot after six weeks. Which is probably why the second time you tried it, your levels were higher.
Overall, you seem to be trying many different things without giving it enough time to take effect. Your doctor doesn’t sound like they know what they’re doing if they’re willing to make so many different changes so rapidly. I would suggest working with a more experienced TRT practitioner, who will be able to advise you and manage your haematocrit levels properly. You can check out these services as a starting point:
https://trthub.com/options-for-trt-and-hormone-related-services/
https://trthub.com/getting-testosterone-replacement-therapy-in-europe/
And my age is 37 old.
Hi Paulo
I need to know if Nebido can cause balls shrinkage ?
TRT, in any form may cause ball shrinkage. If that’s a big deal for you, then you consider looking into HCG as a supplement to your treatment. But for most of us, the “shrinkage” is so insignificant, we don’t stress about it.
Thanks. Your blog and YouTube channel is eye opening is reaching alot of people. If you know of any good Doctors in S.A who are good with trt may you please provide a list. As I have noticed most Doctor’s have no clue dealing with low T.
Hi there
Been having Nedido injections for 14 months and altho my T level is up I still feel very bad a lot of the tome: all the reguslar Low T symptoms. Any thoughts?
Thanks again for your excellent resource.
What’s your total and free T levels at? If they’re still in the low-mid range, you may need to increase the frequency of the shots so that the time between shots in shorter. Or consider moving to another type of testosterone. If your doctor is uncooperative despite your symptoms, it might be time for a new doctor or to go private with a specialist.
Thanks Paolo. My level is around 22, so presumably I shouldn’t be feeling quite so bad. He is private: a consultant urologist who does TRT as a sideline – and has for twenty years, apparently. Feeling really quite lacking in hope. I’ve been trying various different methods for very nearly two years now.
Hei
i have been on nebido 6mnd. i have got lymf notes . minor whit nebido, testo gel was even worse. Now in desember i got prostata infekt and i got antibiotica for 6 weeks and i got my shot 13 novermber i got 8 weeks interval. now i am realy on the down side, 3mnd out just want to sleep. i dont no what to do because my body dont like the test. Somone no how long time before my body starts back up. i feel my testicels got difrent and larger now.