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TRT should always be considered a life long treatment. The main reason anyone would come off is for fertility purposes (25% of men fail TRT and hCG for fertility). TRT is fine to be on constantly, you... See Full Answer
Yes & no. As Testosterone dose increase past a certain point, say, 180-200mg/week - Side effect chance tends to exponentially increase & benefits tend to decrease per mg. For many men they still do ge... See Full Answer
A combination of Clomid/Enclomiphene & HCG is usually ideal. It would be fine to start those up while still on TRT for a few weeks if it's all planned, then stop Testosterone completely. Testosterone ... See Full Answer
At AlphaMD, we're here to help. Feel free to ask us any question you would like about TRT, medical weightloss, ED, or other topics related to men's health. Or take a moment to browse through our past questions.
You've been on TRT for six months. Maybe a year. Your levels are dialed in, you feel better than you have in ages, and you've put on some solid muscle. But lately, you've been scrolling through forums where guys are talking about their "blasts" and posting transformation photos that make your progress look pedestrian. You start wondering: is there a next level here?
Welcome to the crossroads where therapeutic testosterone replacement meets performance enhancement. It's the point where a lot of guys start researching cruise and blast protocols, and it's worth understanding exactly what that means before you go down that road.
Let's get the terminology straight. A "cruise" is basically TRT, a physiological dose of testosterone that keeps your levels in the normal range, typically 100-200mg per week depending on your individual response. It's the baseline that maintains your health and wellbeing.
A "blast" is when you temporarily increase your dose significantly, often to 400-600mg per week or higher, sometimes stacking additional compounds like anavar, deca, or other anabolics. This isn't therapy anymore. This is performance enhancement, and there's no point pretending otherwise.
The cycle usually goes something like this: blast for 12-16 weeks to make rapid gains, then cruise back down to a TRT dose for an equal or longer period to let your body recover. Rinse and repeat. It's the approach many competitive bodybuilders use, and it's become increasingly popular among recreational lifters who are already on TRT.
The appeal is obvious. If 150mg per week makes you feel good and helps you build muscle at a normal rate, wouldn't 500mg make you feel amazing and build muscle five times faster?
Not exactly, but the results from a properly run blast can be dramatic. We're talking 15-20 pounds of lean tissue in a few months when combined with serious training and nutrition. That's the kind of progress that takes years at natural testosterone levels, compressed into a single cycle.
And here's the thing that makes it especially tempting for guys already on TRT: you're already injecting testosterone. You're already managing your protocol, getting bloodwork, and you're past the mental barrier of "using steroids" since you're on doctor-prescribed testosterone anyway. The leap from 150mg to 500mg feels smaller than the leap from zero to 150mg.
Plus, since you're staying on a cruise dose between blasts rather than cycling completely off like traditional steroid users, you avoid the brutal crashes and PCT (post-cycle therapy) protocols. In theory, it's a more sustainable approach to using supraphysiological doses.
But here's where the fantasy meets physics, biology, and risk management.
First, those higher doses don't just amplify the benefits, they amplify everything. Your blood pressure goes up. Your hematocrit climbs. Your lipid panel starts looking like a ticker tape parade of bad news. Estrogen management becomes more complicated, and for some guys, side effects like acne, sleep apnea, and mood changes become significant issues.
You're also potentially creating a moving target with your health markers. When you're on a stable TRT dose, you and your doctor can establish a baseline and monitor for changes. When you're bouncing between cruise and blast, you're never quite sure what's normal for you anymore. Is that elevated liver enzyme from your blast, or is something else going on? Hard to say when your dosing is all over the map.
Then there's the fact that your body doesn't have an off switch for adaptation. You blast, you make gains, you cruise, and you try to hold onto those gains. But your body has a set point it wants to maintain based on your hormones and lifestyle. Once you come back down to TRT doses, you're often fighting to keep tissue that your current hormone levels don't fully support. It's not impossible, but it's not the permanent upgrade guys imagine it to be.
Look, I'm not going to sit here and tell you that nobody should ever use supraphysiological doses of testosterone. If you're a competitive bodybuilder or physique athlete, performance enhancement comes with the territory. You've made a conscious decision that the competitive edge is worth the health risks, and you're (hopefully) working with professionals who understand how to manage those risks.
The key word there is "competitive." If you're stepping on stage or making a living from your physique, you're playing a different game with different stakes. The calculation changes.
But if you're a regular guy who just wants to look good at the beach or feel more confident with your shirt off, you probably don't need to blast. The juice, quite literally, isn't worth the squeeze. Optimized TRT, combined with consistent training and solid nutrition, can get you 90% of the way there with a fraction of the risk and complexity.
Before you even think about increasing your testosterone dose, make sure you've maxed out everything else. And I mean everything.
Is your TRT dose actually optimized? A lot of guys are on conservative protocols that keep them at the low end of normal. There's often room to adjust within therapeutic ranges before you need to jump into blast territory. Are you managing estrogen properly? Are you addressing lifestyle factors like sleep, stress, and recovery?
How's your training? Most guys would see better results from fixing their program than from doubling their test dose. Are you following a structured progression? Are you actually pushing intensity, or just going through the motions? Are you eating enough protein and calories to support growth?
And here's the thing nobody wants to admit: patience is a performance enhancer too. The difference between gaining 15 pounds of muscle in four months versus 12 months matters a lot less than you think it does, especially when one path comes with significantly more health risks.
If you're on TRT and genuinely happy with your health but wondering about performance enhancement, at least be honest about what you're considering. You're not optimizing therapy, you're choosing to use steroids. That's not a moral judgment, but it is a practical distinction that matters for how you approach it.
Talk to your provider about your goals. A clinic like AlphaMD can help you optimize within therapeutic ranges and make sure you're getting everything possible from your current protocol before you consider going beyond it. Sometimes that conversation alone helps clarify whether you actually need more hormones or if you need better programming and consistency.
And if you do decide to explore cruise and blast, do it with your eyes open. Get comprehensive bloodwork before, during, and after. Monitor your cardiovascular health closely. Have a clear plan for managing side effects. Understand that you're taking on additional risk in exchange for faster results, and make that tradeoff consciously rather than stumbling into it because everyone on Reddit seems to be doing it.
The temptation to push further is natural, especially when you've already seen what optimized testosterone can do. Just make sure you're pushing in the right direction for the right reasons. Sometimes the best gains come from mastering the basics, not from chasing the next compound.
At AlphaMD, we're here to help. Feel free to ask us any question you would like about TRT, medical weightloss, ED, or other topics related to men's health. Or take a moment to browse through our past questions.
TRT should always be considered a life long treatment. The main reason anyone would come off is for fertility purposes (25% of men fail TRT and hCG for fertility). TRT is fine to be on constantly, you... See Full Answer
Yes & no. As Testosterone dose increase past a certain point, say, 180-200mg/week - Side effect chance tends to exponentially increase & benefits tend to decrease per mg. For many men they still do ge... See Full Answer
A combination of Clomid/Enclomiphene & HCG is usually ideal. It would be fine to start those up while still on TRT for a few weeks if it's all planned, then stop Testosterone completely. Testosterone ... See Full Answer
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