prilosec may be creating multiple mineral/vitamin deficiencies
Do you get foot or leg cramps or can tighten muscles and have them lock up? That is low magnesium and lab status may not be decisive. Biotest store here sells ZMA.
hCG 250iu SC EOD will preserve your testes.
You see guys struggling because their doctors are not able to manage TRT properly. We inform and things get better, often with a new doctor needed.
Thyroid fT3 is the only active thyroid hormone, there are no T4 receptors. Get fT3 tested, should be mid-range or better. T3 uptake is obsolete now that fT3 can be tested directly.
You can get a very good indication of overall thyroid function via oral body temperatures - see below.
TSH look very good, but is only one page in the book. Thyroid is very more complex than TRT.
Most thyroid problems here, and they are common, are from not using iodized salt. T4 looks good in this regard.
Low E2 can cause some to have joint pain in healthy joints. You need to avoid low E2 from too much anastrozole. Some, not rare, are anastrozole over-responders who need 1/4 the expected doses.
If E2 gets elevated you can expect low energy, mood problems, possible bloat or water gain, reduced libido. Most guys find that E2 management is mission critical. Your ankles were talking about this.
You should be on hGH and know your IGF-1 numbers. T and hGH are synergistic. Joints take a long time to improve, do not expect fast results. Takes 6 weeks to really feel what hGH doing.
Skip clomid as it typically increases E2. With hCG there is no need.
5000iu Vit-D3, find tiny oil based capsules. Take 25,000iu first 5 days. Do not take with high fiber foods.
Fish oil and other sources of EFA’s can be good for inflammation and joints.
At your age, DHEA-S will probably be suboptimal. Take with a meal +fats -fiber.
High potency B-complex multi-vits with good number of trace elements including 150mcg iodine + 200mcg selenium. If B-12 does not improve, may need sublingual.
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
Evaluate your overall thyroid function by checking oral body temperatures as per the thyroid basics sticky. Thyroid hormone fT3 is what gets the job done and it regulates mitochondrial activity, the source of ATP which is the universal currency of cellular energy. This is part of the body’s temperature control loop. This can get messed up if you are iodine deficient. In many countries, you need to be using iodized salt. Other countries add iodine to dairy or bread.
KSman is simply a regular member on this site. Nothing more other than highly active.
I can be a bit abrupt in my replies and recommendations. I have a lot of ground to cover as this forum has become much more active in the last two years. I can’t follow threads that go deep over time. You need to respond to all of my points and requests as soon as possible before you fall off of my radar. The worse problems are guys who ignore issues re thyroid, body temperatures, history of iodized salt. Please do not piss people off saying that lab results are normal, we need lab number and ranges.
The value that you get out of this process and forum depends on your effort and performance. The bulk of your learning is reading/studying the suggested stickies.