Both grains in the morning? (Currently splitting AM/PM)
You can experiment and see if you feel better or more vital earlier in the day. Try 1.5 - 0.5 first. If dose is too much, you could feel jittery.
Great, will try that - thanks very much
@KSman I was hoping to get your input on my latest blood tests;
Total T : 457 (249-836) - disappointing as same as last test in May despite routine 9 week injections of Nebido. Not sure why this is not increasing over a 4 month period and 2 shots - increase in E2 causing this?
E2 : 19.68 (25.8-60.7) - much increased from 6 in May so finally beginning to increase. Do you think it is prudent to begin a small dose of Arimidex now to keep it here?
FT3 : 5.43 (2-4.4) H
FT4 : 0.909 (0.93-1.7) L
TSH : 0.255 (0.27-4.2) L
Not sure what to make of these - I have been taking NDT (3 grains/day) for 3 months or so but not sure what these results tell me about whether it is working / the right thing?
Many thanks
Peter
You completely exhausted the Nebido injection and it is not working for you as prescribed.
Can you get it and self-inject more often? But the product literature states that the objective is to have you in normal range - that was obtained, but how symptomatic were you then?
Is T cyp or T eth available for you?
You would do a lot better with steady T levels and then labs would provide meaningful guidance. Also, if you had tested LH/FSH at that time, that might indicate that your HPTA was not shut down - indicating a total failure of therapy.
Typically, labs at the end of the period of infrequent injections does not provide much value as levels can be quite low.
E2=19.68 is decent, but would be better matched against much higher T levels.
We do not have FT data and thus have no idea what your status really is. If SHBG is elevated, TT can provide an exaggerated view of your status.
NDT dose seems too high, but I would like your body temperatures to be making that judgment. Do you feel agitated, too warm or wired up?
TSH is low, and that is sometimes needed to get rid of hypo symptoms. Some docs do not like or understand that. I would not worry about low FT4 in this case as FT3 is the active hormone and FT4 is a reservoir for fT4ā>FT3
Thanks @KSman - I will request my Doc considers T cyp or eth but heās A) keen on Nebido and B) Thinks 500 is where I should be.
These bloods were mid way between shots.
Time to start an AI or wait 3 weeks until next shot?
Temps have been settled at around 97.3-6 waking and 98.3-6 evening. Reason for adding third grain was an attempt to get these to 98/98.6
No symptoms of feeling wired or jittery at all - in fact I have felt nothing at all from NDT.
Should I reduce NDT or maintain current dose in your opinion?
How have temperatures changed with NDT?
No change in alertness or energy?
NDT did not work for me, temps stayed low this time. Seems to have been a rT3 problem and time release T3 is helping - compounding pharmacy only item.
How accurate is that thermometer? Others batting 98.6?
Many guys will simply be symptomatic at TT=500
Your FT unknown.