-waist: 28-30 size pants
-weight: 158 lbs
-describe body and facial hair: facial hair okay, today noticed that my upper thighs have way less hair
-describe where you carry fat and how changed: was a fat kid growing up, but as i lost it, was most stubborn around waist
-health conditions, symptoms [history]: past 12 months have had a declining libido (12 mo ago might desire sex 2-4 times with wife, now seldom want it once a week), not getting turned on by attractive women like i used to, fatigue and tired most days of week, demotivated with career and life, lack of mental clarity— feel not as sharp as i used to. Much more irritable, at things that normally wouldn’t bother me. Sleep pattern disturbed, hard to fall asleep once a week. Also seem to be accumulating fat and losing muscle mass. Just feel off.
-Rx and OTC drugs, any hair loss drugs or prostate drugs ever: no
-lab results with ranges:
First Test @ 1 pm, 2/14/18
Testosterone = 196 (264-916)
TSH = 1.680 (0.450-4.5)
Second Test, Fasted 12 days after, @9 AM
Testosterone = 315 (264-916)
Free T = 9.17 (5.0-21.00)
Free T % = 2.91 (1.50-4.20)
LH = 2.0 (1.7-8.6)
FSH = 4.0 (1.5-12.4)
Prolactin = 5.4 (4.0-15.2)
Prostate Antigen= 0.4 (0.0-4.0)
Gonadotropin = <10 (no reference)
Metabolic and CBC panel normal range.
Currently targeting under 75 g of net carbs per day, rest is protein and healthy fats. Protein shake once a day with strawberries, berries 200g worth. 3-4 eggs a day. Spinach, broccoli, chicken salmon staple. 15 g of stevia based dark chocolate a day.
Supplement: 300 mg omega3, 5000mg d3
Caffeine: 5-6 grams of loose leaf green tea before 10 am
I do the workout for natural lifters posted on this site: https://www.t-nation.com/workouts/the-best-damn-workout-plan-for-natural-lifters-part-2
M-F walk my daughter to and from school, get about 10-12k steps every weekday
Sleep anywhere from 7-9 hours per night
-testes ache, ever, with a fever?
Past 3-4 weeks they started aching ever so slightly, no fever
-how have morning wood and nocturnal erections changed
I’m lucky to wake up with one semi boner per week.
My primary doctor has ruled out TRT since my second test came in the normal range. I hit up agelessmen in the bay area, gave them my labs and they immediately approved me for treatment, wanted to start me out with @150 mg injections per week. I requested lowering to 125 mg per week. They agreed but I have to get my shots there for at least one month before they’ll let me take it home.
After reading the sticky im concerned about starting without knowing my SHBG and E2 level, which my primary doctor did not check. But I’m going to be pretty honest I’m getting pretty desperate and currently scheduled for the first shot this coming Tuesday. It seems to be messing with my mood and had much more lately.
I’m also clueless as to how I’m supposed to get HCG? I know the sticky recommended combining T injections twice weekly, with hcg every other day, and the estrogen blocker… It’s pretty overwhelming…
Any thoughts and guidance would be much appreciated.