Testosterone replacement therapy (TRT) Advice - ( Blood Test Results incl)

[paulera]

I could be wrong but I'll make my best guesses:

You are not in the US so your labs are different and they are showing your total and free test levels over the top of the reference ranges...I'd dial back your test dose to 100mg per week but I'd dose it 50mg every 3.5 days so it's easy to remember what days to pin and twice per week will help keep E2 down which is above it's reference range.

I'd take .25mg of your Aromatase inhibitor (AI) twice per week and try to get that oestradiol to around 92 which is the center of that range and try that.

Your lh and fsh are acting normal on TRT and are needless to test anymore but it by no means is saying you are shooting blanks, if you are real concerned about that get a sperm test but in the meantime take precautions if you don't want to impregnate.

You are relating your free test of 797 to US labs total test top range of 1000 which you can't do, you should get your free test below 571 so you don't cause yourself problems with high hematocrit ect.

If you get your E2 down by your next blood test you might consider then lowering your Aromatase inhibitor (AI) dose or eliminating it so you don't crash your E2 too low. (which is all too common)

Thanks 1693. Ill follow that exact protocol for next month.then report back with blood test results.
How long after an injection should i wait to have blood test? 3.5 days?

 

[paulera]

Thanks 1693. Ill follow that exact protocol for next month.then report back with blood test results.
How long after an injection should i wait to have blood test? 3.5 days?

Ps. Your correct i live in the uk : )

 

[1693]

Thanks 1693. Ill follow that exact protocol for next month.then report back with blood test results.
How long after an injection should i wait to have blood test? 3.5 days?

Yes, most want their lowest (trough) total test level, so I'd do the blood draw 3.5 days after your last pin but right before the next one.

 

[paulera]

Yes, most want their lowest (trough) total test level, so I'd do the blood draw 3.5 days after your last pin but right before the next one.

Yesterday I injected 125 so im going to wait a week then go to 50 every 3.5 day with 0.25 antrazole both times as of 11/07/2013

Ill do another blood test 4 weeks after that and then report back. Hopefully by then test will be more in range and estrogen balanced so I can ditch AI.
Its a real art getting this right!

 

[paulera]

Hi all, I haven't been on here for a while as I tried a massive pct to get me off trt but in all honesty I still feel awful

Can you have a look at these and see if anything stands out to you as why. The doc just said im now within normal range but I cant be as I feel pretty low all the time ie. no sex drive, memory issues and low energy : (. As you can see from above tests the numbers are different but i feel no different

Serum Albumin level - 47 g/l (35.0 - 52)
Serum Test Level - 19.0 nmol/l (no range given)
Sex sex hormone binding globulin level - 63 nmol/l (no range given)
Free Test level - 250 pmol/l (no range given)
LH level - 8.4 (no range given)
FSH LEVEL - 4.9 (no range given)
Oestradiol - 81 (46 - 607)

Its really starting to get me down so any help or advice from anyone would be massively appreciated. I cant go on feeling like this. The doc said I should concern myself with free test level and that my serum test being 19 means im only just below average but everything I have read on internet says free test is important and it seems 250 is v low for a 35 year old man. If it wasn't for my supportive wife then i don't know how i would be surviving this but i really need to sort it now and with the Uk NHS seemingly not giving a shit because i confessed to using steroids i really need as much other help and advice that i can get

Thanks in advance

 

[Megatron28]

You are at 547 ng/dL for TT. That is pretty close to the normal range for someone your age. How long after your PCT was this lab result taken?

I don't know the conversion calc for taking Free T in pmol to ng/dL. In ng/dL, the normal range is 5-21. So if you are someone else can convert it you will have your answer. You also want to look at it as a percentage of TT. 1.5% to 4.2% is the normal range. Having said all that, don't put too much stock into Free T.

What units is estradiol in? That may be part of your problem if it is too low.

Have you run thyroid panels?

Have you had a sleep study done to check for sleep apnea or other conditions?

Don't tell them you used AAS. Nothing good comes from that.

 

[Megatron28]

Why don't you go back on TRT of you still feel like crap? From what you said before, you seemed to be responding well to TRT.

 

[paulera]

Why don't you go back on TRT of you still feel like crap? From what you said before, you seemed to be responding well to TRT.

Hi Megatron

Thanks for getting back to me. Im have decided im
Going back on trt. I wanted to give a lengthy PCT
Course a shot but I just feel awful. Didnt always
Feel great on trt but much much better than this

I have done research and im going to do dr crislers
Trt which is 100mg test cyp once a week (sat) and then
Two 250iu injections of hcg on the thurs and fri. Need
To try and maintain some fertility as wife wants kids
At some point. I would just be happy to be able to have
Sex without worrying about ED first

To late about not telling docs About previous steroid abuse.
That was a major major mistake

Thanks again

P

 

[Megatron28]

Hi Megatron

Thanks for getting back to me. Im have decided im
Going back on trt. I wanted to give a lengthy PCT
Course a shot but I just feel awful. Didnt always
Feel great on trt but much much better than this

I have done research and im going to do dr crislers
Trt which is 100mg test cyp once a week (sat) and then
Two 250iu injections of hcg on the thurs and fri. Need
To try and maintain some fertility as wife wants kids
At some point. I would just be happy to be able to have
Sex without worrying about ED first

To late about not telling docs About previous steroid abuse.
That was a major major mistake

Thanks again

P

Why HCG two days in a row?

Donate some sperm at the sperm bank just to be safe. Do that now -- assuming you are currently fertile.

Get some cialis if you are not getting full erections. Take 10mg daily. It is good for other things too!

You forgot to answer how much time had passed between ending your PCT and when you ran the labs. And how about the other questions?

 

[paulera]

See below

 

[paulera]

Why HCG two days in a row?

Donate some sperm at the sperm bank just to be safe. Do that now -- assuming you are currently fertile.

Get some cialis if you are not getting full erections. Take 10mg daily. It is good for other things too!

You forgot to answer how much time had passed between ending your PCT and when you ran the labs. And how about the other questions?

Ok thank you ill speak to sperm bank on Monday.
I did first test cyp shot today. Will it still be ok ? It surely
Cant completely sterilise me after one shot can it?

Yes got thyroid screened and it was ok. Sitting in middle
Of range. It was one month after pct end but I was still
Taking 25mg of clomid ed up to the week before the
Blood test but stopped as it was fucking with me mentally

Someone suggested I just do 25mg of clomid eod. If I get
Sperm tested and im low maybe ill do that for a few weeks
Then get back on trt

The protocol of hcg both two days before injection is
Recommended by dr crisler who seems to be a leading
Trt expert. What would u reccomend? Im also going to
Take 0.25 antrazole on day of test inj

 

[Megatron28]

Ok thank you ill speak to sperm bank on Monday.
I did first test cyp shot today. Will it still be ok ? It surely
Cant completely sterilise me after one shot can it?

Yes got thyroid screened and it was ok. Sitting in middle
Of range. It was one month after pct end but I was still
Taking 25mg of clomid ed up to the week before the
Blood test but stopped as it was fucking with me mentally

Someone suggested I just do 25mg of clomid eod. If I get
Sperm tested and im low maybe ill do that for a few weeks
Then get back on trt

You should go off the PCT completely and see if your natural test levels remain in the normal range. That is the true test to see if the restart worked. Don't take any test or anything else during this time.

It is common to not feel good on clomid. It is known for making guys feel like a girl.

One shot hopefully won't mess up your sperm counts.

Sounds like you aren't working with a doctor...

Oh, can you post your thyroid values? And what results did you get from your sleep study?

 

[paulera]

Thyroid T4 - 18.2 ( scale 12 - 22 )

TSH - 3.11 (0.3 - 4.2)

I havent had any sleep tests but I sleep terribly.
Fall asleep at 9 pm exhausted but then wake up
5/6 times on average

I have no doc to work with as my one has no interest
Due to me talking about steroid use in past. His mantra
Is that I have to wait a year with no steroids or pct
Supplements. That is not an option for me as feeling
Like this for a year is not worth contemplating. Like
I said I have libido, energy and memory issues that are
Effecting every area of my life and i have only the internet
To help me as the uk NHS wont

One other thing I shoild mention is that at moment alonh
With ed It takes alot of effort to come and then when I do
Its a small amount. Its more white that the water like semen
I had on trt but it has jelly like clear lumps in It

If you know of a doctor anywhere I could speak to please
Let me know. Its literally exhausting me

 

[Megatron28]

Thyroid T4 - 18.2 ( scale 12 - 22 )

TSH - 3.11 (0.3 - 4.2)

I havent had any sleep tests but I sleep terribly.
Fall asleep at 9 pm exhausted but then wake up
5/6 times on average

I have no doc to work with as my one has no interest
Due to me talking about steroid use in past. His mantra
Is that I have to wait a year with no steroids or pct
Supplements. That is not an option for me as feeling
Like this for a year is not worth contemplating. Like
I said I have libido, energy and memory issues that are
Effecting every area of my life and i have only the internet
To help me as the uk NHS wont

One other thing I shoild mention is that at moment alonh
With ed It takes alot of effort to come and then when I do
Its a small amount. Its more white that the water like semen
I had on trt but it has jelly like clear lumps in It

If you know of a doctor anywhere I could speak to please
Let me know. Its literally exhausting me

TSH above 3 puts you in hypothyroid territory. You should speak to an endo about that. It easily could be the cause of many of your problems.

Get a sleep study done to ASAP. Poor sleep is not good for your testosterone.

There are several guys that post on here from the UK. Bigben is one for example. Reach out to them for help.

 

[paulera]

Will do thank you

Couple more questions

1. Do I request from the doc that I need a sleep study or how do I do it?
2. Why do people always recommend Cialis over Viagra. Its only because I took Viagra
well kamagra that my mate gave me and it did give me an errection but I felt awful on
it. Banging headache etc. It didn't seem to work as well as it used to before all these
issues as well
3. Will hcg keep me more fertile than not taking it or does it just keep athrophy at bay?
Also would taking 25mg clomid every three days help the sperm count or is clomid something
that needs to be done off trt

Thanks

Paul

 

[Megatron28]

Will do thank you

Couple more questions

1. Do I request from the doc that I need a sleep study or how do I do it?
2. Why do people always recommend Cialis over Viagra. Its only because I took Viagra
well kamagra that my mate gave me and it did give me an errection but I felt awful on
it. Banging headache etc. It didn't seem to work as well as it used to before all these
issues as well
3. Will hcg keep me more fertile than not taking it or does it just keep athrophy at bay?
Also would taking 25mg clomid every three days help the sperm count or is clomid something
that needs to be done off trt

Thanks

Paul

1) tell the doc you snore and feel tired when you wake up even after sleeping eight hours. You would like to do a sleep study.

2) Here is a good link for more info on Cialis.

http://www.steroidology.com/forum/a...zing-drug-all-its-benefits-off-cycle-use.html

3) HCG will help keep you testicles plump and working. Don't take clomid while on TRT. Clomid is for restart attempts (PCT).