Please note I live in the UK so some of the terms used and blood measurements may differ to those in the US.
-age 42
-height 5’10”
-waist 44-46 inch
-weight 118Kg (259 lbs)
-describe body and facial hair: facial hair no issues have a good beard. I would describe my body hair as normal as it always was with the exception of lower leg hair. Lower legs, no hair below knee and skin shinny until about July 16 when GP prescribed T, shortly after hair has returned (about the same as other body hair) to about mid shin. Mid shin-ankle no hair but no longer shiny skin.
-describe where you carry fat and how changed; I carry fat around lower abdomen (like a woman) some also around chest. I seem to put fat on easily no matter what I do. This started to come on around 2009 before then I was very lean runner type appearance.
-health conditions, symptoms [history]: diagnosed with Compound Combat Related PTSD , which includes periods of high anxiety, depression, hypervigilance, hypersensitivity, night terrors.
-Rx and OTC drugs, any hair loss drugs or prostate drugs ever; I have had several anti-depressants between 2009 and 2014 when I came off them due to the issues they caused my physical state (zombie feeling, weight gain, lack of motivation, lack of energy, nocturnal emissions, constant over sleeping, lack of appetite, and involuntary limb movement (ticks.)), also the fact that the anti depressants don’t work for PTSD. Drug free until June 2016 when I found my new GP she totally agreed re Low T and needing TRT but new nothing about it. Prescribed 50mg T in gel daily. No hair loss drugs or prostate drugs ever.
-lab results with ranges: I have only been able to get those bloods the GP would agree to. It is too expensive on my pension to go private to get all those suggested. Please note July 15 was a different GP and different Lab.
-describe diet I have a good diet around 32-35000 kcal daily try to eat as lean as possible and on a lean gain however as stated I am still putting on fat even if cutting kcal down. I am allowed 1-2 cheat meals a week.
-describe training 5 day a week training 3 days powerlifting style with main lift accessory, 2 days bodybuilding style for upper and lower. Each Powerlifting day around 2hrs bb days around 60-90mins. I have recently added 20mins hiit on rower 2-3 times a week in am and conditioning 2-3 times after lifting which is either prowler push, yoke, or farmers walks in pm.
-testes ache, ever, with a fever? Testes have ached but not for more than a few hours, and only 2-3 days maybe a month I have difficulty remembering the exact occurrence of this but now it is a lot less. No fever however since starting T in July they have shrunk and pulled towards body
-how have morning wood and nocturnal erections changed: very rare morning wood or nocturnal. Very low sex drive
In July 16 my GP booked appointment for Endo, this took place last week Jan 17 (the great UK NHS). The endo stated he would give TRT but would be T injection once every 6 weeks called Nebido. He had no concern re E at all and said it’s not important and due to not wanting children was not concerned re testicular shrinkage or signs of Hypogonadism. Each time I raised an objection or showed clinical proof he deflected or did not answer the question. Getting another opinion is almost impossible as he was the head Endo in my area and they tend to stick together not wanting to challenge a colleague, I cannot afford for private care in UK. My GP was aghast at the endo’s response and will support me self-medicating.
I am looking at the following protocol
100mg test cypionate or ethanate injected per week with two or more injections per week.
250iu (25mg) hcg sc eod [every other day]
1.0mg Arimidex/anastrozole per week in divided doses. However at this time I am unsure if I can get the anti-E in less than 1.0mg dose.
I am booked in for more bloods next week which will be
SHBG, Ferritin, Testosterone (male), Cortisol, Full Blood Count.