Have Been Struggling with TRT for a Year

Hi guys, I’ve been on trt for a year and it’s been a struggle. My numbers seem alright but I mean still getting all the symptoms of low T: anxiety, brain fog, low libido, no morning erections and constantly find my self second guessing myself. I inject both T Cyp and HCG, 12.5mg T daily and 120UI HCG daily.

My levels are:
E2 78.2 pmol/L (Range: 41 - 159)
TT 40.5 nmol/L (Range: 8.64 - 29)
FT 1.17 nmol/L (Range: 0.2 - 0.62)
SHBG 17.2 nmol/L (Range: 10 - 57)

As an aside, my thyroid is fine.
Take these results with a pinch of salt as my protocol was changed 4 weeks ago and am having a test on monday.
When I change doses I seem to get the sweet spot for 3 days to a week where I feel great but it never lasts.
Could I not need TRT?
Any thoughts on protocol and as to why I haven’t seen much improvement?

What’s your sleep (hours+quality) and mental health like? Do you have set goals and a schedule? That helps with anxiety for me: Having a plan and attacking that plan. How’s your diet?

By no libido do you mean the plumbing refuses to work? Or do you have no interest in sex?

Have you tried this protocol without the HCG?

I’ve been in the same boat but approaching 3 years. I also have low SHGB.

HCG could be a reason why there is no libido and erections. It’s not at all normal to see estrogen on the lower end with low SHBG on this type of protocol with being on an AI. Your FT is over the ranges, too much testosterone can also cause libido and erectile problems in some men.

You basically have a TT at 1167 ng/dL and low SHBG, not a single man on earth has these levels naturally. I think your problems stem from having really high levels.

I’ve heard of lot of men make this claim before and be wrong.

All my levels are within range for thyroid also I forgot to mention that I was taking anastrozole (think it was 6.25 mg but I can’t check atm).

I haven’t but im not sure as to why it’d make much difference.

Oh well in that case I’m sure your thyroid is perfect

That’s sarcasm, in case you missed it. Post the actual values and ranges.

Many men report to feel bad on HCG

The HCG is being used incorrectly. A shot every day is a waste of every other shot, for starters. That dose is a waste of time small too. You would be better off cutting the test dose, dropping the HCG and dropping the anastrozole. Then, if necessary, add back one of those things, but wait a long time first.

He is not taking AI as much as I see

Why HCG cannot be used every day? Ive seen some great doctors suggesting 100 ui HCG daily

Yes, apparently he is.

1 Like

I could be wrong, am a noob - but I faintly remember reading a study recently that it is ideal to have 48-50 hour gap between hCG doses.

Like I said, I faintly remember it, but it said something along the lines of the body becoming fatigued/desensitized temporarily after dosing and returns to optimal function in 48-50 hours. So it was rather inefficient to administer hCG everyday.

Will update this post once I manage to find the research paper. I am paraphrasing here, so apologies if am using all the wrong terminologies.

1 Like

That was when using high doses if we’re thinking of the same study. Not sure it applies to small doses.

Ive also heard such opinions of HCG(that it should be used at least EOD), but I cited something that an experienced TRT doctor has told me. Personally I read many conflicting statements regarding HCG

OK so I get about 8 hours sleep a night, I don’t tend to plan anything, although saying that with those short bursts of feeling good I’ve found myself planning how I’m going to complete the tasks I have during the day.
As to my libido I’ve found myself able to use it just takes a while to warm up but not wanting sexual encounters.

I’ll speak with the doc and see if I can try trt without HCG

Look mate, I’m not looking for sarcasm I’m im looking for help. I’ve haven’t claimed that it is perfect but everything is in range.

Then post what we’re asking for if you want help. The bottom end of the normal ranges suck

Only you are asking for thyroid.