I think, first off, you need to be honest with yourself. What do you really want from your TRT?

You saying that ‘doctors don’t like to go high. Even normal range high’ is telling me that you don’t really want just TRT, as in replacing normal levels. I think you want more. No problem with that. It’s just a case of you deciding what you want.

You haven’t said your age. That’s quite important. There doesn’t really seem to be any really definitive answer as to whether very long term TRT is 100% beneficial or whether it has any detrimental effect as well.
It depends what you read and where you read it.

So, if you are young then are you prepared to take the higher end dose for a very long time and see what happens? Or, if you are in your fifties or older are you prepared to up the dose a bit because by the time any detrimental effect really kicks in it doesn’t really matter so much? Or anywhere in between.

This is only how I might do it, if all i wanted was long term TRT. I would probably start at 125mg EW and see where that took me. You have blood tests a lot more often than most of us, so you will be able to see results much quicker. If you can be bothered, then take half that dose twice a week. I never found once or twice a week made much difference to me. Others say differently. Your choice. I do think that pinning for the rest of your life will become extremely tedious though.

I doubt that 125mg EW will produce much growth, 250mg will probably do something and 500mg should be enough to put a grin on your face.

Ps The 500mg for 12 weeks on GBN is not TRT. That’s why the suggestion is to run it for 12 weeks, although some go to 16 or 20 weeks. But there’s still an end point of the cycle.

A lot of people cruise and blast. You might decide to cruise at 125mg and then do a 12 week 500mg EW blast a couple of times a year. You might get hooked on the obvious visual benefits and pin more, more often. That’s why I think you need to decide what you really want from your TRT. It definitely hooks you and drags you in.

Always think long term health. I suppose one advantage, if you can call it that, is that no matter what you do, you can’t fuck up your natural testosterone production.

That’s just my take. I’m not on TRT so can’t comment on how just a low dose TRT regime will affect you. But I can see how TRT will very soon become normal cycling or cruising and blasting. If that’s not what you want then you’ll need to be mentally strong.

Hopefully, someone who has been on TRT for a while can chip in.