Cramps are a good sign of magnesium deficiency and most are deficient without any complicating factors. Get ZMA from the Biotest store on this sight. Take 1 cap in AM and two at night. Later if things are improved, you could try two caps per day. When you take minerals like this, your body can only absorb so much from a dose.
You absolutely need iodized salt and should not use non-iodized. There are vitamins with 150mcg iodine and 200mcg selenium.
FD: This implies possible contamination from fire retardants. Some contain antimony, other bromides. Do you need to wear fire retardant pants through whole shift. Sweating increases exposure.
Take 25mg DHEA every day with a meal that has less fiber and more fats.
Increase cholesterol with dietary choices, try to get near 180 total.
Please check oral body temperatures as suggested below.
Some concern with fT3 above mid-range, could be some stress effects on adrenals.
Thyroid lab ranges are mostly useless.
TSH should be close to 1.0
Ferritin: Mens’ bodys hoard iron. Please avoid iron fortified foods: rice, pasta, flour, breads, cereals - read the labels.
You are somewhat primary hypogonadism.
E2=30 is not good with your mid-range FT. Lowering E2 could be helpful for your mental state, but has no advantage re LH/FSH as these are already high.
Low DHEA might possibly be rate limiting DHEA–>T inside the testes, but something else is probably wrong with your testes.
TRT:
self inject T cyp/eth 50mg twice a week, subq, not IM, #29 1/2" 0.5ml insulin syringes
you will need 0.5mg anastrozole twice a week at time of injections as you are already well above the therapeutic target of E2=22pg/ml
hCG probably better every other day, 3.5x per day
??? Waking temp 98.0 - 98.7. ???
Snacks are to carb rich, hummus is not bad.
History suggests Vit-D deficiency. Test Vit-D25 later on. Find 5,000iu Vit-D3 tiny oil based capsules and take 25,000 first 5 days and 5,000iu thereafter. Take with a low fiber higher fat meal.
Get a high potency B-complex multi-vit with trace elements with 150mcg iodine and 200mcg selenium. [Might resolve high RDW.]
Have you had a doc examine your testes for vascular abnormalities etc?
Noted not aching.
Good observation by GF re cold hands and feet. But sweating can easily account for that.
Less hair on lower legs is reflecting lower T levels.
Please read the stickies found here: About the T Replacement Category - #2 by KSman
- advice for new guys - need more info about you
- things that damage your hormones
- protocol for injections
- finding a TRT doc
Evaluate your overall thyroid function by checking oral body temperatures as per the thyroid basics sticky. Thyroid hormone fT3 is what gets the job done and it regulates mitochondrial activity, the source of ATP which is the universal currency of cellular energy. This is part of the body’s temperature control loop. This can get messed up if you are iodine deficient. In many countries, you need to be using iodized salt. Other countries add iodine to dairy or bread.
KSman is simply a regular member on this site. Nothing more other than highly active.
I can be a bit abrupt in my replies and recommendations. I have a lot of ground to cover as this forum has become much more active in the last two years. I can’t follow threads that go deep over time. You need to respond to all of my points and requests as soon as possible before you fall off of my radar. The worse problems are guys who ignore issues re thyroid, body temperatures, history of iodized salt. Please do not piss people off saying that lab results are normal, we need lab number and ranges.
The value that you get out of this process and forum depends on your effort and performance. The bulk of your learning is reading/studying the suggested stickies.