Help Adjusting TRT Protocol-Acne, Libido, Low Free T

Pharma
1

Hello, I am 35 175lbs 5’11 and have been on TRT for 2 years. I have been trying to find my sweet spot and get dialed in the majority of the 2 years. I work out 6 days a week and eat very healthy etc…My current issues are:

Back acne
Oily face
Low libido
Testes and penis always feel cold and have a shrunk look when flaccid
Also a loss of sensitivity during intercourse. No erection issues
Have a hard time putting on muscle still as well
Random facial flushing in the afternoon where It gets red and hot

Current protocol-30MG MWF for a total of 90MG a week.

I have been as high as 150MG a week but that made my acne and oily skin worse without much help in the other areas so i backed down again. I have tried once a week, twice a week all felt the same with no resolution to symptoms.

Below are my current labs taken last week. I was shocked to see my E2 was in range as all the research and reddit talk i see is my issues are most likely related to high E2 but its within range. I was also shocked at how low my Free T is. Granted this is my trough levels but from what i gather Free T levels are more important than total T. My SHBG seems to be right around average so not sure if injecting frequency needs to be more or less? I have ordered HCG thats on its way. From research this could help with my libido and sensitivity issues but I also read it could make my acne worse, thoughts on adding HCG? I have also made a app with Defy for the end of the month to see what they say about it all but hoping for some guidance until then…Any advice on what I can do to enhance my numbers and symptoms would be greatly appreciated!

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2

did you had acne/oily skin/libido issues before TRT?
your dose looks low. your blood levels seem fine. hcg will up your T+E2, definitely a boost to libido for me.
once i switched from Tcyp to daily Tprop injections (200mg total) a lot of things, mainly libido improved. i never had acne or skin issues to begin with

3

I did not have these issues prior to injecting Test. I had low energy, low drive, extreme tiredness which have all improved but now i have new onset of symptoms from the test.

4

I rarely say this but your dose is too low. You need to get that FT up back to your prior results. Every prior result you had is better other than A1c which is still in range but I would like a bit lower. Not sure why your acne is as bad as it is with these results.

1 Like
5

Previous results was me taking 120MG 2x a week (60mg a shot) maybe i didnt wait long enough for the hormones to settle before switching but the acne was way worse and so was the facial flushing.

6

I had back acne issues at 180mg Test.

Swapped to 80mg test/wk and 100mg Deca/wk and saw a notable improvement in acne. It’s still there moreso than when I was natty, but it has reduced in how bad it was when on higher test doses.

I believe this has something to do with DHT derived from Test, whereas Deca does not convert to DHT.