thank you, KSman. That is really helpful. I’ll look into the cortisol. I’m not chronically stressed, but work has been a bit more stressful. I thought that having lower cortisol was a good thing?
I started a TRT protocol on Monday, and I have an endo appointment next month to look into the prolactin issue (and hopefully shed more light on the low T, primary vs. secondary, etc).
TT is lower than LH/FSH would suggested. Mixed primary and secondary can occur.
AM cortisol below 10 is indicating a problem. Cortisol is essential for telling your body to get up and go from moment to moment. fT3 tells your body what to do hour by hour. Sometimes stress increases cortisol then cortisol levels can drop as if the adrenals cannot keep up. In that case, Wilson’s book on adrenal fatigue is a good read. The one can have a moment where you think that the book is talking about your life. Progesterone is one step away from cortisol and KAL brand [google/amazon] OTC 2% progesterone cream is a good thing to try, also good for wife/GF as dropping progesterone after mid-30’s leads to estrogen dominance, breast pain, bad periods, uterine fibroids and BTW, fibrotic breast disease is an iodine deficiency. My mind does drift around but that is key to analysis.
Good to know about the cortisol. Interesting about the progesterone. Will that mess up my labs or anything?
I haven’t seen the endo yet (appointment in 3 weeks), but I started a TRT program through a clinic in FL (the one locally I didn’t really feel comfortable with). Will the endo get super upset that I didn’t wait for him? haha.
Current protocol (started 9/19/2016):
200mg/week Test Cyp, (1mL injection IM, Mondays)
1mg/week Anastrazole, (2x .5 mg capsules, Tue/Thu)
1000 units / week HCG (2x 500 units, subq, Tue/Thu)
Vitamin B12 (optional, 2-3x/week 1000 mcg IM in the deltoid, Mon/Wed/Fri)
Feeling a bit better mentally focused, although this past weekend I was hella moody. The HCG was a kick in the libido a bit. Strange stuff.
The B12 I’m not sure I really need (was just part of the program package), but it did give an energy boost.
Moody could be from injecting only once a week. You feel the high and then feel the low. Total roller coaster. Inject more frequently.
Most would say to start with 100mg weekly and it needs to be spread out into 2 injections weekly. So 50mg Monday and 50mg Thursday.
Most would say that dose of Anastrozole is ok and they take it the same days as injections just to keep things simple. Some people are over responders of Anastrozole so it could potentially crash your estrogen. Some people need only .5mg weekly or maybe even less. So watch the e2 levels. Shoot for 22pg/ml.
Most would say to take 250 HCG every other day.
You can use 29 gauge insulin syringes for T and HCG and inject subcutaneous.