T Nation

1.5 Years on TRT


#1

Hey folks. Great site, and many thanks to KSMan for his posts.

-44 y/o
-5'9"
-33"
-177 lbs
-generally hairy, face and body; chest, back legs, arms
-fat: gut, back, chest
-No health conditions but high LDL
-did hcg diet, dropped 35lbs, now eat generally paleo
-not workign out consistently
-no ache in testes
-how have morning wood and nocturnal erections changed
-morning wood: always

BeforeTRT:

TT 454 ng/dl (292-867)
FT 9.6 ng/dl (4.8-25.0
T3 2.8 pg/ml (2.3-4.2)
E2 23 pg/ml (<63)

Sex Hormone Bind Glob 9.6 ng/dl (4.8-25)


TRT regime: 200 mg (100 mg 2x/week), hcg 300 iu (150 iu 2x/week), and SR Thyroid every morning


Today

TT: 1323
FT: 37.6
DHT: 401 pg/ml (106-719)
E2: 57
T3: 3.4
Lots of back acne
Strong libido


Moving forward:

Plan to add adex at 1 to 1.5 mg dosage
Drop T Cyp down to 150 mg weekly, divided Mon Wed Thurs
Take 500 iu hcg divided Mon Wed Thurs

Doctor also prescribed Avodart due to acne, which he says is from the DHT levels. I'm thinking I will skip this for now and see how things go with a lower dosage of Test Cyp and use of an AI. avodart sorta scares me; I don't want to lose libido and perhaps the heavy dosing of T and elevated E levels has contributed to the issue.

Thoughts on how best to move forward?

Thanks!


#2

Tried to edit post but changes wouldn't stick. Just wanted to add the E numbers are E2, and my stats are as follows

Hey folks. Great site, and many thanks to KSMan for his posts.

-44 y/o
-5'9"
-33"
-177 lbs
-generally hairy, face and body; chest, back legs, arms
-fat: gut, back, chest
-No health conditions but high LDL
-did hcg diet, dropped 35lbs, now eat generally paleo
-not workign out consistently
-no ache in testes
-how have morning wood and nocturnal erections changed
-morning wood: always


#3

Welcome! I'm new here too.


#4

I like your changes except for hCG. Do 250iu EOD or 3/week.


#5

Thanks ksman.

So 750 iu/week, divided, correct?

As for Avodart, would you stay away as well? Do you think the acne isn't from DHT based on my levels?


#6

Avodart is dangerous. You are making other substantial changes. See what comes of that.

You do not need hCG to make T, injections provide that. Might make E2 worse. You need to support the heath of your testes, more is not good.


#7

OK maybe I'm a little slow, so 250iu per week of hcg?

From the stickies I was confused on 250 iu per dose or per week.


#8

250 iu EOD

That means 4 a week


#9

I'll give it a whirl. Thanks.

Need ask for liquid adex next time so I'm not a slave to pill cutting.


#10

Keep an eye on the e2 and the amount of HCG you are using.
Blood work is the best way, but you can learn the symptoms of high and low t
by your mood, and amount of water you are holding etc.

I use HCG only once per week, sometimes every other week (250iu).
The only real benefit I have observed is maintenance of testicle size,
and the removal of an aching that occurred after a year of test without it.

YMMV