My TRT Protocol with Klinefelter's Syndrome

Please read the stickies found here: About the T Replacement Category - #2 by KSman

  • advice for new guys - need more info about you
  • things that damage your hormones
  • protocol for injections
  • finding a TRT doc

When on TRT, LH/FSH–>zero, not need to test these again.
Do you use iodized salt and have selenium in your vitamins?
Outer eyebrows are sparse?
Feel cold easily?

  • did you have TSH tested?

IGF-1 is a measure of your GH status. You are GH deficient.
How old are you?

I am taking TRT “test-E (Cidoteston 200mg” every 10 days " and .25 Arimidex EOD " " I started Arimidex only lately only for past 5 weeks"

That is not good as T levels go very high then decrease. Your lab results are then mostly determined by your lab timing.

You need to self-inject T twice a week and take anastrozole at that time.
Anastrozole needs to match T levels and if T levels are changing a lot, anastrozole dose is not right and E2 levels will be moving too.

Fasting glucose? - 106, indicating a small problem
Fasting cholesterol? - high
PSA?
A1C?
Blood pressure OK?

Do you take Vit-D3? 5000iu/day suggested.

Have you been sick or had an infection?
**Leucocytic count 14.06 N.4-11 x10^3/ul **
Comment (Leucocytosis with absolute neutrophilia)

Cortisol AM 8.32 N.M 5-25 ug/dl
-when was this done? 8AM, ~1 hour after waking up?

  • 8:30AM, cortisol seems low

Weight gain/loss and energy determined by:

T levels, FT or Bio-T
E2, should be ~ 22pg/ml 80 pmol/L
Cortisol, should be better than 10 in AM
GH status, IGF-1
Thyroid: Body temps need to be as discussed in the thyroid basics sticky
CoQ10, which can be low if using statin drugs
Vit-D25 labs, get to near 60 with Vit-D3

Where are you? - Affects diagnostic and treatment options.