Opinions On My Current TRT Protocol and Blood Tests?

Pharma / TRT Testosterone Replacement
1

Hi guys, I am 29 years old, 92 kg.
Two months ago, I started injecting 125 mg of test-E every five days. Symptoms: depression, anxiety, negative obsessive thoughts all the time, no libido, emotionally numb, no energy, low desire, general apathy etc. One year ago by my psycho I was put on 60 mg of Cymbalta and 300 mg of Luvox. Currently on 30 mg of cymbalta (slow taper)and 300 mg of luvox. Below are my pre TRT blood tests:

E2-49 pmol/L (94.8-223)

FSH-6.1 IU/L (1.5-12.4)

LH-4.2 IU/L (1.7-8.6)

Progesteron-0.6 nmol/L (0.7-4.3)

Prolactin-432 mIUL (86-324)

DHEA-S-17.95 umol/L (4.34-12.20)

Total testosterone-13 nmol/L (8.6-29.0)

SHBG-26.6 nmol/L (18.3-54.1)

Free testosterone-0.271 nmol/L (0.091-0.579)

Cortisol-649 nmol/L (171-536)

TSH-1.56 mIU/L (0.40-4.00)

fT4-17.3 pmol/L (12-22)

Below are my blood tests after 7 weeks of being on TRT protocol (125 mg of Test-E every five days):

E2-192 pmol/L (94.8-223), previous-49 pmol/L

FSH < 0.100 IU/L

LH < 0.100 IU/L

Prolactin-565 mIU/L (86-324), previous-432 mIU/L

Total test.-30.2 nmol/L (8.6-29.0), previous-13 nmol/L

SHBG-14.5 nmol/L (18.3-54.1), previous-26.6 nmol/L

Free test.-0.908 nmol/L (0.091-0.579), prev.-0.271 nmol/L

Cortisol-465 nmol/L (171-536), prev.-465 nmol/L

TSH-1.34 mIU/L (0.35-4.94), prev.-1.56 mIU/L

fT3-4.2 pmol/L (3.1-6.8)

ft4-12.9 pmol/L (12-22), prev.-17.3 pmol/L

As you can see, my testosterone levels have increased significantly including E2 levels, but except constant morning woods and increased strength at the gym I don’t feel any better. I am still tired, depressed (even more than before), negative obsessive thoughts still in my mind, no libido, no energy etc. What do you think about my new blood tests after 7 weeks on TRT and what do you think about my current protocol ? Does it need adjustment or should I stick with the same protocol ? If you need more info, please be free to ask Thank you in advance.

2

Just a couple of things:

I’m assuming you do not have a TRT doctor. You need to run down the reason for your high prolactin. Are you taking DHEA? If no, that needs to be addressed. While you are taking testosterone, you do not need to check FSH or LH. It’s not unusual for SHBG to decrease on testosterone.

3

I have a TRT doctor, but I just wanted opinion of you guys because my doctor told me to continue with the same protocol regardless the fact that I feel worse on 125 mg of test-E every five days. I am not taking DHEA. Doc. suggested to take cabergoline for prolactin but my prolactin has increased when I started taking ssri’s so I decided to slowly wean myself off ssri’s and then retest prolactin. Maybe I should give more time to current protocol (two months have passed) and will start feeling better soon ?

4

I think that is a good move.

Probably. See if decreasing prolactin will help.

1 Like
5

TRT can relieve the symptoms of low-T, but not if the symptoms aren’t related to low-T.

6

Vitamin B6 could help while you’re tapering off. Easier to handle than Caber

7

Last time when I posted you told me that my E2 is too low and my testosterone is also low and inert and you have reccomended me that I contact TRT clinic which I did. I am with BMH and they put me on 125 mg of test E every five days.

8

Which dose of vitamin b6 do you reccomend to start with ?

9

The guys prolactin is shit, estrogen is WAY too high, shbg is crashed, no wonder he feel like crap.

1 Like
10

100-300mg daily

11

What should I do ? My TRT doctor told me to continue with the same protocol regardless of those blood results.

12

Thank you.

13

Any other advices or opinions ?