8 months ago I started TRT. I presented with normal total (516), high shbg (52), and low direct/free T (4.8). Doctor started me on 100ml per week and we re-checked levels after 8 weeks. Second blood test showed total at 637 and direct/free at 7.1. Doctor upped my dose to 200ml per week and I’m going back next week for 6 months bloodwork on that dose. My main symptom from the beginning was low sex drive. I had literally none and it did bump up with my initial 100ml dose and bumped up some more when we went to 200ml. Morning erections and sex drive came back, but I will say it’s not consistent. I feel like I’ve noticed my sex drive dip a bit the last couple of months and less consistent erections in the morning. I have seen a difference at the gym for sure and my body composition has changed a bit.
I say all that to say I think I know the bloodwork will show my direct/free t is still on the low side. I’m concerned my doctor won’t be willing to go above 200ml a week.
Just wondering what you guys think of this situation? Does it make sense? Do doctors go above 200ml ever? Right now it’s covered through my insurance so this is the easiest way for me.