Age:58 , Been weight training in the gym for 35 yrs. I train 5 days a week and eat a high protein diet . 5’7 200lbs.
I’m stumped and want to understand what happened before going back to the urologist with my questions. Been reading, but this is all too new to me. All help is appreciated.
Started with just Test. cyp. 100mg. every 14 days. 6 mo. ago. (no hcg or anything else.) Dr. had me go to 5 days 100mg. about 2 mo. ago. and recent testosterone level dropped from 391ng./dl. to now 336ng./dl. since.
I did donate blood the day before lab (3/18/17) work because of high hematocrit level from my primary care physician lab work weeks prior to this.
As of 3/19/17 Dose 100mg. average every 5 days. Also had a cortisone shot the day before this lab work.
Man, Is this test for real? I would increase the dose… RBC was just a little bit above, just a little is what I aways want it to be. Increasing the dose will not kill you…, you cannot live with this 390 range… you don’t do TRT to be 58 yo test levels… you do TRT to optimize your hormone levels, you don’t want to feel like a 58 yo, you want to feel like 30 at least.
you can increase the dose by reducing the space between the days. Every 4 or 3 days would be good, of course, if you don’t mind injecting more frequently.
You are one of the few who are T hyper-metabolizers. Typically for those, 300mg per week is required to get where others are at 100mg/week. The effective half-life is then also reduced. So injecting once a week or E5D does not work.
When you do the labs matters. You can get any number you want, simply change lab timing. Always do labs halfway between injections. Time of office visit can be wrong. Be consistent so observed changes are not lab timing artifacts.
Ask for this:
Self inject T 85-86mg EOD with a #29 1/2" 0.5ml insulin syringe
Take 1/4mg anastrozole at time of injections
250iu hCG SC EOD at time of injections if you want to preserve size of testes
The goal is to get near E2=22pg/ml
May need to increase anastrozole!
To get small amounts of anastrozole, dissolve 1mg/ml in vodka and dispense by the drop or volume.
Your low SHBG is worrying. Do you have diabetes? [symptom]
Your low SHBG will keep TT lower as there will be less SHBG+T
With effective TRT, there will be more hematocrit.
PSA tested?
DRE normal?
Do not expect much from Euro’s
See last paragraph in this post to eval your thyroid. Important.
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.