For someone interested in both TRT and Nandrolone, would you start them at the same time? Or get the TRT dialed in first? For proof of joint pain, would past MRI reports suffice?

AlphaMD's Answer

Each medical provider has a slightly different approach to treatment...and this can be a good thing. As there are no hard fixed guidelines to treatment initiation, experienced providers are aware that there are times when combining testosterone and nandrolone can offer synergistic effects, with testosterone promoting anabolic gains and nandrolone supporting muscle growth and recovery. However, if you are new or "naive" to TRT treatment, adding one treatment at a time is never a bad thing, but this can be discussed with a qualified medical provider, experienced in this level of care.

That said, each patient and their specific goals need to be considered beyond just the patient's labs and medical history. This is because much of what we treat with TRT is not based not solely on lab values; but equally based on your subjective concerns, symptoms, and goals of care. These goals of care should be equally discussed with a qualified healthcare clinician along with your labs. Listen, no one knows better than you, if you have joint pain. Therefore, proof is not always in an imaging result, it is also in your lived experience - and a good provider will listen to you and to your goals and treat you accordingly.