Why you need to start Subq TRT Injections right now…
I’ve recently been suffering from a few issues. My strength had decreased in the gym, I was fatigued and I had a complete loss of appetite. I decided to get some comprehensive blood work done and my creatine kinase (CK) came back in the 3000’s. The typical range for this is 24–170 U/l.
Creatine Kinase displays the break down level of muscle and repair that is ongoing in side the body. People at this range are typically those who have just run marathons. It can also be elevated after the gym or any form of extreme exercise, although just not normally anywhere close to this degree.
Creatine Kinase is also increased every time an Intramuscular (IM) is administered, as damage to the muscle tissue is caused.
Many optimal TRT procedures suggest injecting 2 times a week in order to avoid the peaks and trough that occur when injecting once a week or less frequently. This is damaging to our muscles and can add up to over 100 jabs in a year.
So when we combine IM injections with high intensity exercise 4–5 times a week, its easy to see how CK levels can rise. High CK levels place stress on our kidneys and is something we should look to minimise in order to optimise health in the long term. One option is subq injections.
Subq injections are typically used for administration of hCG, but testosterone can also be administered this way.
Dr. John Crisler has been a big advocate of this within the TRT community.
The main disadvantage of testosterone being administered subq is that it leaves a bump or nodule afterwards in the ab area typically used for subq injections - due to the large volume of liquid. Although there are several other areas to administer subq injections.
My favourite area being just above the glutes in the lower back aka the typical “love handle” area. Here there are no noticeable marks and the procedure is pain free. I would recommend using a 25g 5/8" needle, 1" would also work but is slightly too long.
Other advantages of injecting subq as outlined by Dr John Crisler:
- Testosterone is broken down slower in fat by the body. This leads to a more stable release around the body and decreases aromatisation, therefore decreasing the need for an AI.
- It also appears to be more potent, patients using this technique seem to be able to inject 20% less testosterone to maintain the same blood levels as seen with IM injections. So it’s even more economical.
On top of that it’s obviously a lot better for your muscles long term regardless of CK levels, also no more post IM muscular pain =)