I started TRT about 2 weeks ago. My prescribed dosage is 250mg every 10 days of test enantat. I self inject, so after doing some research I’ve changed to 125e5d. No HCG, no AI (AI could be introduced later if we face severe estrogen sides according to my doc, but he doesn’t expect that due to my low BF). So far I got the first injection of 250mg in my doctor’s office and five days later did my own first one with 125mg, tomorrow I’ll do the second one.
The first 3 days (after the 250mg shot) were amazing, I was bursting with energy and in my best mood for several years. Unfortunately only the first 3 days - then my sleep got worse, I’m tired and I’ve experienced ED (which I never had before - I still have (low) libido, but my erection is not as hard as before TRT and not as consistent) - the second injection didn’t change anything, tomorrow is my third one.
The reason for that has to be a surge in estrogen, correct? Can’t be the test, and I’ll figure my endogenous production hasn’t been shut down so far either (no shrinkage of balls).
My first bloodtest on TRT is scheduled after 8 weeks (6 from now)… So now I’m thinking of taking a little arimidex myself (a friend could supply my a couple of 1mg arimidex pills, I’d do 0,25 e3d) for a couple of weeks. Downside would be, if I go to the doc in 6 weeks he won’t prescribe an AI because my estrogen will be not that high I guess… So I might also just ride it out… He said an earlier bloodtest wouldn’t make sense because it takes a couple of weeks for the body to adjust to TRT.
What would you recommend?
Here are my stats:
-height: 180cm (5’11)
-waist: 80cm (I wear waist 31 jeans, abs are visible, I have a very athletic figure - but got worse over the last years, from eightpack to sixpack)
-weight: 77kg (170lbs)
-body and facial hair: slightly below average
-describe where you carry fat and how changed: belly, glutes
-health conditions, symptoms [history]: no health conditions, symptoms see below
-Rx and OTC drugs, any hair loss drugs or prostate drugs ever: no drugs (neither medical nor recreational), no alcohol/tobacco, weed occasionally
-diet: CBL oriented (no/very little junk food, enough fat and I’d say very healthy)
-training: 4 times a week about 1 hour heavy lifting, rep ranges 5-12
-testes ache, ever, with a fever?: Nope
-how have morning wood and nocturnal erections changed: never had/have morning wood
lab results: I’ve had 3 tests done within the last month
- 4 weeks ago (at 6PM); 2. 2 weeks ago (at 8AM immediatly upon wakening); 3. 2 days ago (1PM)
Total Testosterone: range: 2.49-8.36 ng/ml: 1. result 0.578; 2. result 4.7; 3. result 2.47
E2: 27.1-52.2 pg/ml: 1. 16.6; 2. 10.9; 3. 14.2
SHBG: 16.00-60.00 nmol/l: 1. 56.86; 2. N/A 3. 56.60
Free Testosterone: range: 1.26-4.11 ng/ml: 1. 0.172; 2. N/A; 3. 0.78
LH: 1.7-8.6 mU/ml: 1. 1.7; 2. 3.3; 3. N/A
FSH: 1.5-12.4 mU/ml: 1. 8.11; 2. 8.62 3. N/A
Prolactin: 4.6-21.4 ng/ml: 1. 6.59 2. 6.72 3. N/A
TSH: 0.3-4.0 mU/ml: 1. 1.47 2. N/A 3. N/A
Vitamin D: 30-70 ng/mol: 1. 52 2.N/A 3. N/A
The first blood work was horrible (in terms of total test), I can’t explain the result (it was taken in the evening but still), the second was okay and the third still slightly below reference. SHBG is pretty high as well.
Symptoms - why did I get my hormons checked in the first place?
- Poor sleep quality, concentration issues in work - can’t stay focused in meetings and have problems processing complex issues (was always my strong suit), less “drive”
- Sports/gym: muscle&strength loss while adding fat (weight unchanged, waist significantly bigger and abs almost disappeared - I’ve been relatively lean (<12%BF) and now can’t get back to my old stats (I’ve dropped a few pounds in a short cut but almost all muscle loss so stopped), although my nutrition&training is as disciplined as ever
- Libido: Just a slight difference luckily, I’ve noticed I’m less horny but erections are still hard and 98% no problems, about 2-3 times sex/week (long-term relationship), a few years ago i wanted more than that, now it doesn’t bother me anymore, so yes, slight decline