Overwhelmed Looking for Advice

So i was 481 beginning of 2018. And was told im fine. Then 288 less than a year later. Nothing had changed. I can only think maybe I was overtrained. I was hitting the weights pretty hard and heavy. The next test was 296 and that was a month on androgel. Then the next was 149 that was 2 days after quitting the gel. Theres another one thats not showing up for some reason and that was the one a month ago which was like 230 which would of been 2 months off of the gel then the 416/437 which was last thursday 3 months off the gel. Im kinda confused as what direction to take with all this shit.

So this doc is OK with your HCT being 52.5%? Interesting Wonder if he even noticed it?

Im assuming so. The last test was 50.2 And he acted like nothing was wrong. Havent spoken to him about these yet. But I’m assuming it will be the same thing. Considering it’s basically the same just a tad higher now. What would that be an indication of? Does working out raise blood levels and such or what’s your take on the reasoning.

I know I really dont feel the best. Definitely dont have the get up and go i used to have. The libido is shit the ed is constant. Morning wood is few and far between. The energy levels by late afternoon are very low. I have all the signs of low t but now looking at my free t im definitely over the 300 mark and from what ive gathered from my reading on here my free t which matters more isnt all that horrible.

Your Free T is not too bad I would guess your SHGB is on the low side. Which is a good thing IMO. The TT is a little low. I did not see E2 in your blood test I could have missed it the text is very small on my PC.
I would ask the doc to raise your TRT protocol to 100mg/wk. Divide that up into as many shorts as you like I don’t think it will matter. I don’t think you would need an AI at that dose and it would raise your TT and FT. When I am cruising on my TRT dose I feel the best when my TT is between 550 and 650. With my E2 around 27. Anything over that I can’t stop thinking about sex and I get really oily skin.

I would not listen to a word that hrdlvn has just said. Not a word.

E2 was only tested 1 time that was last month 2 months removed from trt and it was 13. Shgb also only tested then and it was 28

What is your take on the situation? Im really all over the place with all this. Can’t figure out what I should be concerned with or not concerned with. Cant figure out if i actually need trt or not. I live a very routine life. Nothing changes. Like ever. Down to the meals i eat every single day. Extremely regimented. My numbers are up and down and thats definitely not helping my thought process.

I don’t understand your labs.

18.4 pg/mL for free T is high? That converts to 1.8 ng/dL.

Either it should show ng/dL or the ranges are complete nonsense.

Forgive me but there are 89 comments in this thread. Can you give me a brief description of your situation and latest labs (total and free) with your current protocol (if any).

Basically at the beginning of 2018 i went to the doc because i was experiencing ed constantly. Id try to have sex. Nothing. Libido was real low. Ive had small cases of ed or wont stay hard even in my 20s. I used to drink heavily And assume maybe thats the reason. But even sober i started to experience it in my late 20s early 30s. Im 39 now btw. He wanted to test my tt and ft and some thyroids and other things. Came back 480s. Free t was 129 he said i was fine. So a year goes by it doesnt get any better. I have it rechecked in January of this year and it was 280. He agreed to put me on androgel 1.62% 1 pump. I took that for 1 month rechecked and i was at 295 tt. He told me to up it to 2 pumps. I wanted injections and asked to be referred to someone that would give me injections because my insurance wont pay for the gel and it was insanely expensive. I had to buy a new pump and had an appointment w a urologist a couple weeks from then so i decided to go ahead and take 3 pumps so i wasnt stuck with a whole bottle of expensive gel. After a week or 2 of 3 pumps i started experiencing what i believe to be high e2 issues. Very bad anxiety panic attacks. I quit taking the gel i had tt tested 2 days after stopping gel i was at 160 tt 2 months later was at 230 and as of thursday im back at 416.

Im 106 pg/ml free t ranges are 48-169

Ok.
First off, erase ‘high E2 issues’ from your brain. It will take time. Took me forever because I have a hard head.

You cannot get optimized with Androgel. It’s impossible. I started off with Androgel. Went up to 10g a day. It’s useless.

You need either Transscrotal cream BID or injections. Those are the only two methods that work. Find a new doc using this directory:

https://worldlinkmedical.com/directory

You need to get your free T levels much high than what they are now. On most cases that alone with fix the problem. If it doesn’t you can then address thyroid.

I have been racking my brain and thinking back over the past year or two and all kinds of weird shit has been happening periodically but not for an extended time. For example had a brief stint where i couldn’t hold my bladder. Like when i had to piss i had to piss or i was gona piss my pants. It came on sudden too. One minute i didnt have to then bam. Running to the bathroom. Then there was this week or so where my nuts were gone. Total atrophy this was all before ever touching trt. And i have never used steroids or sarms or anything like it. Most recently i was taking my son to the airport in chicago its about 2.5 hours from me and i was fine all the way up but on the way back extreme pain in my nuts. Like i was sitting on them but i wasnt. Felt like blue balls or getn kicked in the nuts. When i got home and stood up i was fine. Didnt feel shit for the week he was here. As soon as we left to go to thr airport a week later i got about hour and a half into the trip and extreme pain again. All the way there and back. That was 2 weeks ago and they been fine ever since. Im not sure what the hell is going on but something seems off

I have a doc now that is willing to do 100mg weekly test cyp injections. I was holding off due to the elevated rbc and all my cbc test levels from a month ago. Wasnt sure the right move. The panic attacks scared the fuck out of me. I dont want to live with that shit.

The problem is that if this doc is limiting himself to 100mg a week you’re probably wind up wasting your time. It is almost never sufficient.

He himself has been on it for 12 years. I believe he wanted to start me on 100mg due to my panic attacks on the gel. He said it was a “very low dose” and most guys start a lot higher. So i dont believe it was or is the end all be all. I just believe it was a starting point.

As long as he is willing to increase if you continue to have symptoms then give it a shot

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I feel like i may be screwed now with my tt being 416/430 what ever the hell they say it is. Hard to say if the doc will put me on it being over 300. I dont know how strict they are with those numbers or where the actual number lies for being “low”.

If your doctor isn’t interested in getting your levels optimized, when you are clearly symptomatic, you need to change doctors. Just because he’s been on TRT for 12 years doesn’t mean he knows what he’s doing. You should have seen my last doctor who was apparently on TRT for 10 years. He looked pathetic. Not exactly inspiring. Then you can google Keith Nichols as see what he looks like in comparison.

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