Pantalones
New member
5 weeks into 200 mg a week of test cyp, reasons as to why I haven't noticed anything strength or weight wise?
500 is nuts for testosterone replacement therapy (TRT) purposes, even 200 is a little high compared to what most docs will give. I'm wondering why the scales won't budge and I don't feel like I'm running high. Blood work came back TT: 1,300 ng/dL and free T 32 ng/dL so I don't understand. What could be wrong? I've considered the possibility that running high in the past messed with my thyroid and now I'm either hypo or hyper and that's making it difficult for me to put on mass.
I have been on HRT for 10 months and it never kicked in for me, either. I found out that I have low SHBG, which means that when I try to up my dose of T, nothing good comes of it. This is totally diffeent from Estrogen levels or total T levels, as I have been great with those all along. According to my blood work (except for the low SHBG) I should feel ike superman....But I don't feel much of anything.
I am tapering down now and may stop HRT altogether in another month. I hope you have better luck, man!
5 weeks into 200 mg a week of test cyp, reasons as to why I haven't noticed anything strength or weight wise?
Hold up, what does low SHBG have to do with anything negative? Doesn't that mean you'd have more free T and as long as E2 is under control you should be feeling great, right? Were you making gains? How big were you to start with? You're trying a restart? 20 questions lol.
You think I'm not eating enough? I was 175ish in the avatar, I'm like 163ish now..If thats you in your avatar your a tank already.
If your not gaining weight or strength i would say 99% sure your diet. Diet is 70% of te battle, with 30% training.
It sounds great on paper, right? With low SHBG you have a TON of free Testosterone - But as I have learned, its all about the ratio of SHBG to free T. Too high is not good, too low is not good. There is a lot of good info at this link: Paper: Male PCOS, Low SHBG & their genetic components
and this link: TRT in men with low SHBG - Page 11
I have had low to no libido and no gains in the gym on 200 mg of T a week (100 E3D) and I even took a month where I went to 400 a week with no change. I am now tapering down to try to get the ratio of SHBG to free T to a better space. We'll see. The thing is my SHBG, while low, is techinically in range (at the bottom) so I doubt that any doctor will be willing or able to look at it.
The more I learn about injections, the more I hate them. You're certain it boils down to your SHBG? On the premise that not enough leads to too much free t which converts to too much estrogen and DHT? My SHBG can't be that out of range if my free T is 32 (9-26) right?
How would you interrpret my labs on androgel about a year ago:
1,292 ng/dL (285-950)
Free T- 289 pg/mL
SHBG-40 nmol/L 0-80
Estradiol 47.8 pg/mL (3-35)
E2 was high all the while, but I made huge gains. SHBG looks okay. Does that mean I don't have a problem now?
The most common cause of low SHBG is excessive insulin - i.e. insulin resistance. Insulin resistance in turn leads to a cascade of events which results other hormone imbalances such as low testosterone production, suboptimal thyroid hormone activity, adrenal fatigue, etc.
Factors which together in a balance determine SHBG are:
1. Anabolic hormones generally reduce SHBG. These include testosterone, DHEA, insulin, DHT, and growth hormone.
2. Thyroid hormone, Estrogens, and Progesterone (by increasing estrogen receptors/sensitivity), increase SHBG.
In the absence of insulin resistance, the most common other cause of low SHBG is a very high level of other anabolic hormones - most frequency high testosterone from TRT. Those who use anabolic steroids at high doses often drive their SHBG to near zero.
When total testosterone is between 650 to 1000 ng/dl, and a person still has zero sex drive, I would look for other causes for sexual dysfunction - e.g. other hormone, neurotransmitter, or immune system problems.
Raising SHBG does not necessarily increase the risk for Alzheimer's disease. It is important to keep in mind the factors which lead to the risk of Alzheimer's disease.
Insulin resistance (i.e. excessive insulin levels) causes low SHBG. It also greatly increases the risk of Alzheimer's disease because it results in a higher level of inflammatory cytokine production (Cytokines are the chemical messengers of the immune system). It is the inflammation which is one of the underlying factors which leads to Alzheimer's disease.
SHBG level is most often a signal of the overall status of multiple hormone levels. The balance may give an indication of whether one is in an pro-inflammatory state or anti-inflammatory state - with inflammation leading to disease such as Alzheimer's disease, heart disease, strokes, cancer, etc. Some hormones such as some estrogens and insulin can lead to inflammation leading to illness. And other hormones such as the androgens (except DHT), growth hormone, and thyroid hormone, can lead to an antiinflammatory state, reducing the risk for illness. The balance determines the person's risk for illness.
What estradiol level is best for any individual often needs to be determined by trial and error. It is unique for each individual. Most do best around 30 pg/ml. But some do best at lower and higher levels. For example, I have a 65 y.o. patient with a total testosterone of 840 ng/dl and an estradiol of 47 pg/ml. He's having the time of his life - able to make love numerous times each night - after more than a decade of having no sex. The estradiol level works for him without side effects. Some may do better with much loser levels of estradiol - the response is highly individualistic.
Even with low SHBG - which is difficult to correct since it depends on the balance of so many hormones - when the other hormones and neurotransmitters are optimized, sex drive and the ability to have an erection can often return.
When total testosterone is supraphysiologic - i.e. over 1000 ng/dl - problems with libido and erections may occur. Testosterone increases dopamine in the brain in order to increase sex drive, reduce depression, give pleasure to activities. The problem is that dopamine is a very fragile neurotransmitter/hormone in its effects. Too high a dopamine level can cause tolerance to dopamine. This is similar to how one can develop tolerance to drugs such as cocaine and amphetamines which increase dopamine levels in the brain to cause their high. This can lead to the loss of libido when high testosterone levels are maintained for long periods of time.
Conversely, when one is deprived of testosterone (and hence dopamine) for long periods of time due to hypogonadism, one can get a high during the first few weeks of testosterone treatment since the brain becomes supersensitive to dopamine when it has been deprived of it (e.g. making more dopamine receptors to pick up the weaker dopamine signals). Unfortunately, as the brain then gets use to the higher dopamine levels, it will develop some tolerance, and libido will drop off - though we often wish that hopefully a good amount remains.
Well the logic would be that since the SHBG is low, and it is the carrier protein, there is not enough to carry the testosterone to its target tissues. It def makes sense but there is little if anything out there on it that fixes it directly. With SHBG low, or very low in comparison to the TT level, insulin resistant symptoms can and will occur. He needs a more optimal balance and I think he should check for adrenal fatigue, since i believe thats the last missing thing that wasn't tested for.
Here is Dr. Marianco on the subject, he is not one of our doctors buts has written some very interesting things.
[ I have been great with those all along. According to my blood work (except for the low SHBG)
Shbg binds test and keeps it local. It's good to have that number low. Do some research. All shbg usually does is bind test so it stays close to nuts to make sperm. If its bound to shbg, then it can't be free to act on other tissue...