Hey all, new to the forum and looking forward to getting some informative answers from you all. I started TRT when I was just about to turn 26. I got sober from heroin and alcohol about 2.5 years ago and became more aware of my low energy levels, insomnia, zero libido, ED, depression, anxiety, etc. Not sure if the drug and alcohol abuse had any long term effect on hormone levels, but I definitely had low libido and all the above symptoms starting around 18 years old, I just didn’t care at the time.
I got my T levels tested and immediately began T injections, HCG and arimidex (can’t remember if this was added later but I’m on it now)
Here are my initial levels (I don’t have the full labs) about 2 years ago, prior to starting TRT:
Testosterone, Serum: 159 mg/dL Low (348 - 1197)
Free Testosterone: 4.0 pg/mL Low (9.3 - 26.5)
DHEA-Sulfate: 420.5 ug/dL (164.3 - 530.5)
Estradiol: 10.7 pg/mL (7.6 - 42.6)
I wish I had more for you all but I just got a hormone panel done last Thursday (see below) so I’m hoping to have that information in the next few days and I’ll update this post.
After starting TRT, I noticed an improvement pretty quickly. Got my levels tested every 3 months and then just every 6 months the past year.
About 4 months ago, I began having some symptoms of ED, insomnia and low energy (which I believe may be linked to my E2 being off - low or high, I’m not sure and of course, I may be wrong because I’m not too knowledgeable on TRT in general). My T levels have been pretty solid and a little high at one point so we lowered the T dose, but my E2 was fluctuating a little - It was a little high the first year but I was having no symptoms to complain about.
My current protocol:
Test injection 50mg twice weekly
HCG: I think it’s 600 iu twice weekly - here is what is says on the 5ML vial: HCG/B12 1,000IU/.5mg/mL; inject .6mL subq twice weekly
Arimidex .25 mg twice weekly
My next post will include updated labs where we tested:
CBC, CMP, DHEA-S, E2 (sensitive), FSH, Hgb A1C, LH, SHGB, Test free and total, TSH, T3 reverse, total and free, T4 total and free, aand Vit D3
She mentioned that she wants to add Clomid to my current protocol… EVERYTHING I have been reading is saying Clomid OR HCG with T injections, not both. I have also been seeing more mention of HCG being used instead of Clomid.
I know it’s hard to provide any input without updated labs but they will be here soon! Any thoughts on the clomid situation though?
Also - best time to dose AI? I have read some differing opinions, some leaning towards 24 hours post injection and others saying at the same time as injection. I have been doing all at the same time in the morning 2x weekly but was considering trying my AI 24 hours post-injection to see if I notice any difference. I have noticed I feel kind of flat on the day of my injections but that may just be in my head.
Thanks for the tips below @KSman I’ll update the post with my new lab results today or tomorrow as soon as I receive them. I don’t mind abruptness, I very much appreciate any insight/help provided from the board. Also - I will evaluate body temps in the next few days and update with that info.
History of iodized salt: I haven’t made an effort to consume iodized salt at any point as I was completely unaware of the benefit - any recommendations on how to increase consumption? Should I just start adding it to my food? I’ve actually avoided using salt in my diet but this changes things I would assume…
Body temps: will update in a few days
Here is some more info about myself:
-Muscular/lean build, stocky thighs/calves; full beard
-my body fat% is consistently low; no noticeable areas where I carry my fat, I guess it’s evenly spread out in my abdomen, thighs?
OCD, major depression, general anxiety disorder at age 21
Substance use disorder - daily alcohol/oxy/heroin use for several years; currently ~3 years clean
Degenerative disk disease and spinal stenosis in my C4 vertebrae (result of head-head collisions in football I was told)
Compression fracture @ L2 vertebrae
ACL replacement surgery
Fractured both elbows, both ankles
Rx and OTC drugs, any hair loss drugs or prostate drugs ever
*Wellbutrin (depression), Trazodone (insomnia) currently but trying to come off of these; I have been on/off AntiD’s for OCD/depression/anxiety over the past 5 or 6 years but often have relapse of symptoms when I try to come off - TRT has helped with anxiety/depression a little bit
*Have used Lexapro in the past but discontinued eventually due to ED and returned to normal functioning once discontinued
*Minoxidil/Rogaine 3-4x per week; Began losing my hair at age 16-17 and have continued slow balding since then; I tried propecia for like 2 or 3 days but discontinued after reading more about it - never got any side effects or changes in libido/sexual fx
*Sildenafil 20-30mg over past month due to decreased libido/ED; limit to twice/week and have been decreasing usage
Morning: Fish oil, multivitamin, B-complex, Ginkgo biloba, Ashwaghanda, Vit D; considering adding Zinc but have read mixed reports on dosages
Night: Magnesium citrate; sometimes 1.25 mg melatonin
*any thoughts on Maca powder? I have used it in the past but I’m unsure of the benefits if it was placebo or what.
Lab results with ranges
Will update ASAP when I recieve them either today (12/13) or tomorrow
*Breakfast: Smoothie every day (kale, banana, cinnamon, chia, MCT oil, peanut butter, oatmeal, protein, yogurt, almond milk); I drink 2 - 3 cups of coffee/day but trying to decrease to 1 cup/day
*Lunch: homemade turkey or chicken wraps with spinach/kale with granola bar and yogurt
*Snacks: banana, pumpkin seeds, granola
*Dinner: Turkey/chicken/fish with vegetables (maybe caluiflower, carrots, broccoli, sweat potatoes, etc.) or eggs with ham and vegetables
*I drink a good bit of green tea everyday
Training: Has been modified as a result of C4 spinal stenosis; can no longer do much heavy lifting
Strength training 3-4x per week: low weight/high rep full body lifting; a lot of body weight exercises (push ups, pullups, etc.)
Cardio: 3x per week: running ~ 2 miles or stationary bike (never sit down on bike though longer than first 5 minutes); jump rope up to 20 minutes almost every work out
No symptoms related to testicles/aching genitals
Morning wood and nocturnal erections:
Every morning/nightly occurrence since starting TRT about 1.5-2 years ago but have been greatly reduced over the past 3 months.
Trazodone taken at night sometimes induces erections I think
If there is any extra info please let me know and I will update this post. Looking forward to getting some good tips from you all.