Help with TRT

Ferritin 74 31-79 reduced iron stores. 80- 300 normal iron stores
Hematocrit a problem? One point out of range?
Doc think fibromyalgia is possible. Leaves it at that.
Could hot flashes be high e2? Thing is e2 was higher prior to trt.
I am either going to get scripted hcg and AI or I’m dropping test and doing a serm restart. I know more now then I did when I started and my total t wasn’t great but not really bad either. I think if I would have just started with an ai And no t I would have made out well.

Any idea why my muscles and tendons may be so tight? A long period of low FT have caused muscular atrophy? Any idea how I can get my legs loosened up? I have been for massage, physio and no help.
Could this be from semi low vit-d. I do not want to believe I have fibromyalgia!!!

Ksman: even though I don’t see eye to eye on everything cause I hate adding new drugs all the time I’d like to thank you for the stickies and the amount of time you put in to helping people in general. You’re a bit of a stubborn ass as am I but you have a good heart. I really do appreciate you and tuna for the help you have given me and the understanding I now have of thing. Even with still a lot to learn I feel a lot more confident to walk into the docs office and talk about things that he has no clue about.

It seems I may have the urologist on board for treatment options. This is all because of reading your stickies and the threads of others who you have replied too. I am not saying I agree with being on 16 different pills but at the end of the day you feel better then I do so ill shut my mouth lol. Anyways thank you from my heart.

Edit: please tell me what size needle to try SC with .75 mg. should I go with 5/8 just so it gets in a little further?

Edit: I converted 124 pmol/l by deviding by 3.671. my pg/ml convertion e2= 33.8. is this really that high?
is lowering e2 the only way to raise free T? with my total T above range would you say i may need more T? 150 is alot i think. esp since I did the blood work on the 6th day of weekly injections.

My fear of more drugs is more expense… right now i have benefits that pay but if i don’t feel better and get back to work soon they will run out and i will have to pay :frowning:

bump for help

E2 is a little high. Ideally you want it in the low 20’s.

Depending how lean you are 5/8 and 3/8 should be ok. As long as you inject into the fat you’re ok.

anything to say about other questions tuna? thx by the way

I had TT=900, high FT and E2=37 and felt terrible. With anastrozole E2=37–>22 and I felt reborn. Mood problems fixed and sexual desire and response were returned. I may have been an extreme, but things like this to happen.

I offer information, options and choices. Better than not having any of the above. After doing this work for a long time, I might appear pushy.

sorry for the in connivance ,but ksman can i get ur email or something,it seems that i cant send pm to u ,and i need ur help due to trt after cancer :slight_smile:

Ksman has his own thread.

Thank you and sorry again :slight_smile:

No problem :slight_smile:

[quote]iw84aces wrote:
Ferritin 74 31-79 reduced iron stores. 80- 300 normal iron stores
Hematocrit a problem? One point out of range?
** I am confused by what you provide here

Doc think fibromyalgia is possible. Leaves it at that.
Could hot flashes be high e2? Thing is e2 was higher prior to trt.
** perhaps, but not at 33 I would expect

Any idea why my muscles and tendons may be so tight? A long period of low FT have caused muscular atrophy? Any idea how I can get my legs loosened up? I have been for massage, physio and no help.
Could this be from semi low vit-d. I do not want to believe I have fibromyalgia!!!

No idea. Might be tension from nerves not working right. You could ask for a muscle relaxer Rx simply to see if that helps. If so, nerves are the issue, then look at reasons why. Not really an area that I know about. And I am pushing pills again, but they can be useful for diagnostic work. Anti oxidants and EFA’s might be helpful in that regard,

:([/quote]

The muscle relaxants cyclobenzaprine and tizanidine are sometimes used off-label to treat fibromyalgia.[122][123]A small clinical trial of very low doses of cyclobenzaprine taken at bedtime demonstrated improved musculoskeletal pain, fatigue, tenderness and depression in FM patients.[124]

But I would not conclude that a positive response to a muscle relaxant was diagnostic for FM, only compatible with and could be something else. [including toxins]

Lol I took flexirol aka cyclo for one night. It didn’t help that I noticed and it made me feel even more groggy and even more spaced out then I already am lol…

Ya I hated that drug :slight_smile:

Hematocrit? Is it a problem?

Cholesterol: I have a fatty liver and have been trying to cut a lot of things out of my diet. But my good cholesterol now sucks ass. Any thing u could suggest to lower bad and raise good?

I don’t think ur a pill pusher dude. I was forced to take pills that may have had adverse affects on me as a child and I fought everyday not to be made to take them!! Those things made me feel sick and wired…who knows what else they have had an affect on… <~~~~~ why I don’t like pills. It’s not personal, I don’t react we’ll to them and hate the lack of knowledge people as a whole have about the human body yet feel comfortable trying control it or prescribe it… Doctors make sick…

Good Morning Everyone, I’m a new guy. I’ve been reading and researching Sub-q and as many before have mentioned. There isn’t much info out there on sub-q T so I thought since I need more info on sub q, that perhaps it’s time I share what I’ve learned through the Ginny Pig protocol.

I’ve been on TRT for about 1.5 years and truthfully it’s not been that great I get my labs done regularly and E-2 has always been in line 22. Also TT FT also good always near top of range on day 7 end of weekly cycle. I was injecting IM 200mg CYP .5 weekly now I’ve decided to go Sub-q after seeing Dr. Crisler video.

Presently, it’s been 16 days on sub-q and here’s what I’ve observed.

At first things were pretty good, I decided that I would change from 200mg CYP .5 weekly to 100mg CYP .5 E3D. After the first sub-q, things were ok, after the second not so much and so on. The point is I believe that since sub-q T INJ is a slower release into the system, and if youâ??re going to switch to sub-q T then I suspect youâ??re going to bottom out during the “transition” period as I have.

After about 5 INJ sub-q E3D, a little over 2 weeks I was experiencing very low libido, and a fair amount of depression. So being the head Ginny, in the Ginny Pig Protocol, I instructed myself to adjust the protocol to 100mg .5 EOD.

I have no way to be sure, but I think, at least for me there seems to be a “loading” period. Eventually I suspect I will be able to adjust to perhaps E3d or low mg’s etc.

Also, I’m using a 29G .5 insulin pin, some bruising but if you heat the T it is greatly reduced, careful not to hot or you’ll get a real “hot” shot.

Please feel free to comment and I also hope this helps someone to get a little closer to where we’re all trying to get.

Lol is my thread now open forum? :slight_smile: bitches be crazy lol

Hematocrit:

TRT took HTC=47–>50
Your ferritin is low
You then suggested that donating blood was then not an option
You are loosing iron from a GI bleed, or diet needs more iron, or you are not absorbing iron.
Lots of unknowns.
High HTC can reduce peripheral and cerebral blood flow. Muscle pain and headaches can occur with other stuff. But with your FM type symptoms, would you notice that?

I read a bunch of stuff re liver bile acids. These are organic acids based on cholesterol. So they look like steroids!. Found a paper showing that these are steroid hormones. The get into the gut via the bile and bacteria remove an -OH group. Result is then able to affect how the gut works. Also affects immune functions in the body. Most of these are then resorbed and returned to the liver via the poral vein where these are recycled. The ones that have the -OH groups removed dock with specific receptors in the liver and are transported to the cell nuclei where gene expression is altered. This is a hormone level feedback loop. So there are strong implications. Gut flora and probiotics are obvious. And liver health is going to be a critical factor. And all of this may affect general gut performance and absorption. If the bile acid levels are high you get diarrhea as gut function is messed up. And the interesting part, there are probably effects from these hormones in other parts of the body that are not known. I have also read about how some bacteria calm down the immune system with strong effects on auto immune diseases [RA, Lupus, FM, Crones etc]. There was a good article in Scientific American last year re how our gut bacterial are so important and the fact that there is hugely more DNA functionality in our guts than our own gnome. More than you asked for!

I don’t believe FM is what is going on with me. I think that is the doctor washing his hands cause its to complicated for his small mind. I found out today that I have osteoarthritis and four mild concentric disk bulges, mild spinal canal stenosis and in l3 l4 area have bilateral foraminal stenosis. This can explain the pain and nurve problems. If they did an MRI on the upper back and neck they would find more I’m sure.

As I also have little spasms in the arms. I really do believe rt3 is a problem yet I have yet to have it tested. Doc doesn’t even know what it is and only deals with one thing per visit and my grandfather had a goitre the size of my head as a child and my sister also has thyroid problems . you would think he wouldn’t just dismiss the fact that my hair is falling out. Temps are all out if wack toe nails spilt easy and are hard… I am still not convinced that I just don’t have multiple issues going on due to the fact that I worked I underground for 4 years and some funky genetics. My nephew also has scoliosis.

I got my labs back.

Insulin fasting: 67.0…13-161

Cortisol am serum: 323…185-624

C- peptide 738…298-2350

ACTH 4.8…<10.0

The labs didn’t have units lol oh canada!!

Have you any sides from hgh?Waiting on igf-1 labs will be in on the 2nd. What do you think of this unghrt ???
Do you know of it?

Would gh theropy be good for a guy like me who doesn’t seem to respond to things very well and has Neuromuscular and skeletal issues?

Do you think I would reap reward from it?

Are you on hgh for life or can you come off of it?

I was scared to give blood because ferritin was low and I was wondering is this was dangerous?

I have another set of las to do tomorrow to recheck htc ferritin and some other things.

Thank you very much for the reply!! I do have intestinal stuff going on I don’t even know who to ask about that. Doctors seem to say you have ibs ur fine so do 20 million other people… Leave it at that.

EDIT

new IGF-1 221…78-232 ug/l

This is rather good no?

bump for KSMAN or TUNA or anyone with any helpful information :slight_smile:

IGF looks near the top of the range so that’s good.

GH therapy is expensive and you don’t seem to need it.

The other stuff looks alright, but those thyroid symptoms are important and should be treated.

Maybe finding a doc who can give you a little armour might help.

Thanks again my friend!! I am trying believe me…

OK Tuna and ksman… the long awaited rt3 test… lol

TSH 1.25…0.35 - 5.00 mIU/L

T4 FREE 21…12 -22 pmol/L

FREE T3 7.0…2.6 - 5.7 pmol/L

T3 REVERSE 23.3… 9.2 - 24.1 ng/dL im guessing I have some issues here although the doctor just tried to tell me once again not
Convertion to pmol/l…299.871 pmol/L
Rt3 ratio is… 2.3 should be greater then 20 or you have a problem…
Stop the thyroid madness said low ferritin can be the issue and mine is low. Hemoglobin and hametocrit sp are high so doctor says its not low iron…
Going to order a 4 point cortisol test from my homeopath but its 320 dollars. If no need then I won’t.

If I do have a problem will a good endo understand this. I have a endo appt in August. Or should I deal with this with the naturopath?
I asked for a thyroid ultrasound also, he tried to tell me its fine and i told him some of the best endo in the world can’t figure out the thyroid and asked what made him think he can… he stepped back and admitted i was right…

any ideas???

In light of my situation and lack of knowledge prior to trt I feel it is best to stop

My boys have shrunk very little and still hang so I think I have a good chance.

I have no hcg and even clomid/Nolva,Ai will have to come off label if the doc won’t help.

Please advise

A) how long should I stay on the serm and start ai right away ?

B) how do I taper off the ai if its in pill form and all I can get?

Please give dosing protocol I read and read but so many different protocols.

Bump :frowning: