39 Yr Old Facing Andropause Symptoms

Head damage can damage the pituitary!

Face puffy from E2.
E2 may be elevated from low liver clearance. Can be liver problem or medications that compete for the same enzyme pathways that clear liver. More E2 increases SHBG and the more non-bioavailable SHBG+T inflates TT and TT then overstates your T status. FT is not tested there. More SHBG reduces FT.

Also, your high LH can lead to a lot of T–>E2 inside the testes. Your labs are suggesting that you still have SERMs in your body.

Please describe PCT in detail, doses too.

Welcome to the best TRT forum anywhere.

We can provide good support here for your hormone concerns.
Please do not post your case details in the stickies.
Create a thread for you. The title will stay with you for a long time, choose wisely.
Please keep all of your postings in your case in one thread so we have context.

Most of the knowledge here is in the stickies.
Please read these stickies to investigate your concerns before posting.

Your hormone health involves multiple hormones and hormone systems. Keep an open mind to other ‘factors’ in your health and don’t have T Tunnel Vision.

Please read all of this post and note the last paragraph.

Advice for New Guys)

  • note the first paragraph
  • we need more info about you
  • this sticky provides concepts and definition you need to understand the ‘language’ of TRT.

Above is suggested minimum reading.

- the biggest issue in TRT is finding a knowledgeable doctor

If you want to understand the scale of the problems with doctors, read this:

  • many guys here also have thyroid/iodine issues


Sometimes guys ask for something to show their doc re use of hCG: Concomitant intramuscular human chorionic gonadotropin preserves spermatogenesis in men undergoing testosterone replacement therapy - PubMed and Low-dose human chorionic gonadotropin maintains intratesticular testosterone in normal men with testosterone-induced gonadotropin suppression - PubMed

KSman is a retired Engineer. That means that KSman is not a doctor. However, KSman does know more about these issues than most doctors. In this forum, you will, frustratingly, probably acquire a better understanding of these issues than your doctor has. You will then have the convictions to seek the hormone care that you need. You have to manage your own healthcare; you cannot be passive. When you are given medical advice, for better or worse, you must filter that through your doctor. KSman has an attitude about doctors, you will begin to understand why.