I have been hanging around this site for a while but this is my first post. I have learned a lot from reading on here and was hoping yall could provide me with some guidance. I have been on TRT for about 1 ½ years now and I still don’t feel like I have it dialed in. I will say I do feel much better than my pre TRT days and I am grateful for that but I still feel tired most of the time, have low libido, and lack motivation.
Info about myself. I’m a 35 yo male 5’11 200lbs and fluctuate between 10-12% bf. I workout 3-4 days a week. I was first diagnosed with low T at the age of 31 from lab work. I tired multiple things over the next few years to optimize my T and increase in naturally to no avail.
Currently I self inject IM test cyp .25cc (50mg) twice a week for a total of .5cc (100mg) a wk. My E was low prior to starting TRT but after 3 months came back at 88. I started anastrazole at 1mg a week with no effect on my E. My doctor titrated the anastrazole up and I’m currently taking 1mg MWF for a total of 3mgs a week. I recognize that this is a large dose compared to what most people take but I have been on this dose for approx 6 months and it consistently keeps my E in the upper 20s. I also take 50mg of micronized slow release pregnenolone every morning. I tried DHEA and for the first few weeks I felt great on it, like it was the missing ingredient, but after that it started causing increased heart rate and low mood. It also seemed to readily convert to E as it made my E spike up again. On lab test my DHEA comes back in the low-normal range but every time I’ve tried to reincorporate it I have the above effects.
I also take the following supplements:
Mornings:
Ubiquinol (lab test a year ago showed low c0Q10 levels but it is now in the high normal range)
Fish oil
Krill oil
DIM
PQQ
Vit D (lab test a year ago showed VitD level at 29 but after supplementation my last level was 72)
Before Bed:
Magnesium citrate 600mg
Opti Zinc 30mg
B6 20mg
My recent lab tests are as follows:
TSH 2.46 (0.40-4.50 mIU/L)
T4 total 4.3L (4.5-12.0 mcg/dL)
Free T4 index 1.5 (1.4-3.8)
T3 uptake 35 (22-35%)
Free testosterone 100.8 (46-224 pg/ml)
Total testosterone 865 (270-1070 ng/dL)
Estradiol 28 (< or = 39pg/mL)
Sex Hormone Binding Globulin 52H (10-50 nmol/L)
DHEA 128 (61-1636 ng/dL)
WBC 4.9 (3.8-10.8)
RBC 4.91 (4.2-5.8)
HgB 15.7 (13.2-17.1)
HCT 46.8 (38.5-50)
MCV 95.4 (80-100)
MCH 32.1 (27-33)
MCHC 33.6 (32-36)
RDW 16.1H (11-15)
PLT 318 (140-400)
MPV 8.2 (7.5-11.5)
Absolute Neutrophils 3268 (1500-7800)
Absolute Lymphocytes 1073 (850-3900)
Absolute Monocytes 363 (200-950)
Absolute Eosinophils 167 (15-500)
Absolute Basophils 29 (0-200)
PSA 0.8 (0.1-3.9)
If there are other lab results that you need let me know. Any feedback would be appreciated.