My doctor started me on TRT, and I am looking for advice here, since many people here seem to know more than the doctors. I am 43, 6'3" 200lb, in average shape, and up until 18 months ago all was well. In the past 18 months, depression has set in, libido has subsided, and erections are subpar. After speaking to my doctor, he initially prescribed Wellbutrin, which had some affect on the depression, but didnt solve much else. A couple months ago things pretty much hit rock bottom, mood was terrible, constant depression and zero libido. For most of my life, my libido was through the roof, and sex was daily. Needless to say, it is very depressing to be quite the opposite now. I spoke to my doctor about this, and he suggested getting a blood test, and check the testosterone levels. The test came back, and TT was 390, which he says is "normal", he suggested I could try TRT to see if I felt better at a higher level. He prescribed Test-E, 100mg every 2 weeks.
From what I have been reading, this seems to be a fairly old school regimen, and results in many ups and downs in the testosterone level. I decided to split this dose to 2 injections per week, in a effort to even things out. I am looking for advice as to whether HCG would be worthwhile as well. In the past I always had fairly large testicles, but they have reduced in size over the past 18 months, with the left one being far smaller than the right.
I am looking for advice on suggested dosing of Test-E, and whether subcutaneous injections would be better. Also looking for dosing advice on HCG if recommended. My other concern is my DHT level, since it is above normal. My doctor didnt seem to concerned about this, but from some of what I read, high DHT can also be a libido killer.
Here are the blood results.
Estradiol 20pg/nl (0-52)
LH 4.1mIU/ml (1.5-9.3)
Prolactin 5ng/ml (2.1-17.7)
TT 390ng/dl (250-1100)
Free Test 62pg/ml (46-224)
Test Bioavail 124.9ng/dl (110-575)
Test SHBG 26 nmol/l (10-50)
Test Albumin 4.4 g/dl (3.6-5.1)
Thyroid stim 2.34 uiu/ml (0.35-5.5)
DHT 119ng/dl (16-79)
From what I have been reading, this seems to be a fairly old school regimen, and results in many ups and downs in the testosterone level. I decided to split this dose to 2 injections per week, in a effort to even things out. I am looking for advice as to whether HCG would be worthwhile as well. In the past I always had fairly large testicles, but they have reduced in size over the past 18 months, with the left one being far smaller than the right.
I am looking for advice on suggested dosing of Test-E, and whether subcutaneous injections would be better. Also looking for dosing advice on HCG if recommended. My other concern is my DHT level, since it is above normal. My doctor didnt seem to concerned about this, but from some of what I read, high DHT can also be a libido killer.
Here are the blood results.
Estradiol 20pg/nl (0-52)
LH 4.1mIU/ml (1.5-9.3)
Prolactin 5ng/ml (2.1-17.7)
TT 390ng/dl (250-1100)
Free Test 62pg/ml (46-224)
Test Bioavail 124.9ng/dl (110-575)
Test SHBG 26 nmol/l (10-50)
Test Albumin 4.4 g/dl (3.6-5.1)
Thyroid stim 2.34 uiu/ml (0.35-5.5)
DHT 119ng/dl (16-79)
