I'm starting this thread because I need opinions and suggestions to what I have discovered in this one year journey. I'd like to hear from others with similar experiences and some of their solutions or ideas I can apply.
To do a quick recap of my story I suspected and later discovered low T at age 19 with a total level of 236. A test a year later revealed 330 total T with 16 pg/ml free with low SBGH. Digging further, I narrowed it down to secondary hypogonadism and then with willing doctors after 3 years of hassling for tests and treatment, to a microprolactinoma. I became a regular here in the TRT section, but haven't been here much during this time.
My first experiment with an open minded doctor was to try 300 iu HCG EOD and Cabergoline.
Result: This increased mood, libido, and, aggression hugely, but then began to taper off.
Labs: Prolactin 0.4 E2 25.6 Free T 15.1 SBGH 19.3
Here I realized my T did not improve much with HCG alone.
Step two we added 140mg of T per week divided in EOD dosing and 1 mg Anastrozole to the HCG Cabergoline regimen.
Result: Not much of a change, but noticed increased confidence and finally for the first time in my life, good muscle gain, I went from 180 at 6'3 to 205 in about 6 months.
Labs: Testosterone 761 348-1197 ng/dL Free Testosterone 29.1 E2 not detectable.
I begin noticing body acne, and hair loss which does not run on either side of the family and I had never had before. I dropped T dose to 80 mg a week and stopped anastrozole. Additionally, I begin to get severe depression after taking cabergoline so I also stopped that.
Protocol 80mg of T divided in EOD dosing, 300 IU HCG
Result: Hair loss stops, muscle gains slow, severe depression stops.
Labs: Prolactin 14.8 E2 36 Total 548 free T 20.0 pg/ml 9.3 - 26.5
DHT 41 ng/dl 30-85
Attempt Cabergoline again, but severe depression begins again. Had to stop.
Donated blood no HCG until mid January experience atrophy.
209 pounds starting to get big.
Partially tear my rotator cuffs.
Protocol continues as 300 iu HCG EOD 80 mg of T in EOD dosing.
Testosterone 475 348-1197 ng/dL Free Testosterone 11.5 9.3-26.5 pg/mL
Prolactin 8.3 E2 9.7
June 2014 upped dose to 140 mg of T
Result serious hair loss.
Gave my scalp a chance to recover and I am attempting HCG monotherapy 150 IU per day.
Result: Hair is regrowing and shedding stopped. Able to hit high singing notes again, enjoy people's company and socializing. Bloated cheeks is fixed. Fordyce dots are not expanding. BP is 115/75.
The bad, Muscle and weight loss, high cortisol and wrinkles, less energy and concentration. Low libido and no morning wood.