Hi - for those who are well-versed in this can you see anything that is significantly ‘off’ in below results?
Total- to Free-T ratio is 3%, so happy with that (I am surprised the T level at 200mg Sustanon/wk is that high, tbh) and I’ve had markedly improved drive, energy and focus.
BUT - having mild ED the last 10days due to lower ‘dick-sensitivity’, mental libido seems ok (but not as high as I expected it to be..) Total T came at 1220 ng/dL (in Europe they use nmol/L however)
Mostly for the energy and drive reasons - had far higher T six years ago -(25 nmol/L , pre-kids…) and was not happy with the drastic reduction from 38yrs to 44yrs
It has definitely cleared my brain fog, increased focus and energy both mentally and physically.
Tow caveats are that my sleep and erections have declined significantly…
I can’t speak for you but if this was my blood work and knowing how my body functions, I would try lowering my e2 and possibly prolactin. I never got along with prolactin on the higher end.
So, 3 weeks later and been on 0.75mg of Arimidex a week (spead out in 3 doses) for those past weeks (doc advised to try anything between 0.5 to 1mg/week and see how it affects me) + I’m dividing the dose in 2x 100mg of Sustanon a week - suffice to say that libido and erections are back… with a vengance.
It’s close to becoming something of a problem - an urgent need to deep bone the wife at least once a day (she’s happy with this, for now), sometimes 2x day (this gets in the way of life as we have 2 kids and each a FT job…)… any day that we don’t get around to it I need to beat the living daylights out of the one-eyed trousersnake, so much that it’s getting distracting.
My TRT doc claims that about half of his patients over 40 do need some low/medium dose of AI to keep everything ticking over nicely, unless they are at v low bodyfat %ages.
My dose is high (200mg/wk) but he says that with my size I need it (now 219lbs, 16%BF on DEXA scan… always been pretty robust)
He did suggest (not order) I lower my dose to 125mg/week but I’m feeling SO good on this dose now with the Arimidex that I find it hard to voluntarily go along with… strength, focus, libido are great and I’m noticing it’s getting easier to cut away the blubber.
Another interesting effect - cravings have basically GONE. Nihil. No need for sweet food, alcohol, even coffee isn’t as important as it was pre-TRT - anyone else get this?
As above - the only ‘craving’ that it has not diminished is libido, my mind is constantly plotting how to get the kids asleep on time so I can jump the wife…
Your dose is too high and your doc is borderline malpractice. You’re taking a too much of one med, Testosterone, causing the need for excessive AI. Proper TRT usually requires very little AI.
E2 down to 50 ng/L from 81 (ref is ≤43)
Prolactin down to 12,8 from 19,4 µg/L (ref 4,0 - 15,2)
Hence, I feel much better and am not crashing E2 (even though te ratio suggests E2 is low with a Total T of 40 nmol/L)
I was told when I started the TRT that I most likely would not need Arimidex, but boy has the 0.25mg 3xwk made a difference - no more ‘on edge’, sleep better and ED completely reversed (and then some…)
Oh, and I am also taking 100mg a day of P5P (B6), this would in theory have helped reduce Prolactin…
Am in Europe (non UK), TRT is in it’s infancy and I’m learning that there is wild variance (100 to 250mg Test/wk) being prescribed.
So I’m reading up as fast as I can (am pretty auto-didactic) and using the knowledge of colleagues in the pharma-biz as best I can.
Agreed that it’s a high dose. Have been playing with the idea of just getting the T script from this doc and dosing it by myself, ie. making my own protocol
Honestly I had my complete work up this year including a Cornonary CTA. Zero calcium score, no narrowing all normal at 43. I was surprised considering my mild PED use in the past among with familial heart disease. Count me blessed