39 Yr Old Facing Andropause Symptoms

[KSman]

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.

Things that Damage your Hormones

DO NOT POST YOUR CASE AND PERSONAL DETAILS HERE. CREATE YOUR OWN THREAD. This thread discusses things that cause hormone problems. This should be a “read the stickies” resource so we do not need to state the same things over and over in individual posts. See post on PCT or HPTA restart basics here: HPTA Restart Protocol - Testosterone Replacement - Forums - T Nation I will maintain this leading post by editing it. Additional material will be added to this leading post, not in posts that disc…

Above is suggested minimum reading.

Finding a TRT Doc

DO NOT POST YOUR CASE AND PERSONAL DETAILS HERE. CREATE YOUR OWN THREAD. 02/20/2015: With all of the science and medical issues, therapeutic options etc, the biggest problem in the TRT field is the doctors. Doctors do not need to have or evolve critical thinking or deductive reasoning to practice medicine. They are mostly robotic within their sphere of knowledge and ignorance. Listening to informed patients disturbs them. // The biggest problem for guys with hormone problems is finding a d…

- the biggest issue in TRT is finding a knowledgeable doctor

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

Stupid Things That Docs Do and Say

A great idea! Post stories of stupid doctor things. Lets not get into tangents discussing why they are stupid or technical explanations. We have been posting these things for years, time for dedicated collection.

TRT: Protocol for Injections

DO NOT POST YOUR CASE AND PERSONAL DETAILS HERE. CREATE YOUR OWN THREAD. Many guys ask for these details. Here is enough info to get started. This is really a small part of what most guys need to know. An Initial Protocol for Injections 100mg test cypionate or enanthate per week, divided into two or more injections per week. 250iu hCG subcutaneously EOD [every other day] Injecting testosterone once a week induces spikes in testosterone levels followed by lows. This can make many feel bad o…

Lab Work, Blood Testing and Symptoms

This sticky is maintained by KSman. This lead post is the sticky. DO NOT ATTEMPT TO DISCUSS YOUR PROBLEMS HERE! This is for technical reference use. KSman will compile information here and it will be a conservative approach. The next post will be for a broader approach that will be more expensive than most will tolerate and beyond what most insurance will pay for. Keep suggestions and contributions on topic. Some things might be better as PM’s to KSman to keep down the clutter. To understand wh…

Estradiol: Why You Should Care

Since this is a subject that comes up time and time again, I decided to start this thread so we can easily refer people to this information. From the beginning… Estradiol is an estrogen. It is known on blood tests as E2. Many people (even doctors) simply call it estrogen. Why it Matters There are basically two reasons we care about estradiol. The first is that E2 is a powerful testosterone receptor antagonist. What this means is that estradiol binds to androgen receptors and renders them us…

Thyroid Basics Explained

This is a sticky. DO NOT POST YOUR PERSONAL DETAILS HERE, CREATE YOUR OWN THREAD. This post has been updated/improved over a few years. The flow and organization is probably not great as a result and probably will remain in this state. A note about Thyroid “normal” ranges: Thyroid normal ranges are totally horrible and the foundation for millions of cases of institutionally ignored pathologies. Case in point; someone has “mid-range” TSH and thinks that things must be OK and so does the d…

• many guys here also have thyroid/iodine issues

https://t-nation.com/t/hpta-restart-for-trt-w-application-to-gear-pct/211723?u=ksman

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.