EDIT: As of December 3rd, I am now in week 6 of the new TRT protocol (80mg SubQ injections with 29 gauge, 1/2" insulin syringes twice a week; 160mg weekly along with 0.25mg Arimidex per injection; 0.5mg Arimidex per week).
Main issue is that I am still having issues sleeping at night (wake up 1-2 times and need to pee, and can’t fall back asleep after 3-4am) and fatigue during the day. Anxiety and depression are somewhat better overall, but still not 100% - depression has been MUCH improved compared to anxiety. Sex drive is still somewhat low, but I can have sex with my girlfriend a few times a day (assuming I am not too tired/fatigued).
I discontinued the Flomax a month or so ago due to persistent side effects and not resolving my nighttime urination/sleep issues.
Current blood tests for the 160mg weekly protocol below in post 33.
ORIGINAL FIRST POST BELOW:
My name is Jeff and I am considering going on TRT. Any advice/additional information on the blood test or MRI results? Is there anything else I should check or do? Or is TRT the way to go at this point? I have a follow up appointment on Wednesday (8/15/2018).
Specifically, I am considering starting with a 20% compounded cream/gel (200mg/mL) from a compounding pharmacy. I do not think that I need HCG as I do not plan on having kids (had a vasectomy). After starting TRT I’m thinking of doing 2 blood tests the first month, 1 at two months, 1 at three months, and then twice a year from that point in order to get the levels balanced. I will add 0.25mg of Arimidex (twice weekly) to keep Estradiol balanced if E2 starts to get too high.
I am a 27-year-old Caucasian male, height 5’11", weight 170 pounds, 14% Body Fat, 32-inch waist. I have a full head of hair and can grow a full beard and mustache. I also have hairy legs and lower stomach but have almost no upper body hair. I carry most of my visible fat on my abdomen - it has always been like this.
I feel consistently and excessively fatigued, depressed a fair amount, high stress/anxiety, low sex drive, trouble getting and maintaining erections (occasional), trouble gaining muscle mass (even with proper diet and training), and I also have trouble sleeping. I recently had a night time sleep study completed and no sleep disorders were found. Also have trouble concentrating and thinking at times. I used to get morning wood when I was younger - I have not gotten morning wood in years (don’t remember when it stopped). Testes ache slightly, but it’s very random when it happens.
I do not take any prescription drugs, but I have used a lot of recreational drugs in the past (nothing in the past year, except occasional alcohol). Supplement wise I take creatine and beta-alanine along with a whole food multivitamin. No hair loss or prostate drugs.
I eat a 2500 calorie diet (50% Carbs, 30% Protein, 20% Fat) with approximately 180 Grams of Protein. This is split between 2 meal replacement shakes (Athletes Fuel), 3 protein shakes, and servings of carbs and protein with olive oil (noodles and salmon; mashed potatoes and lunch meat; etc.). Between the 2 servings of Athletes Fuel and multivitamin, I am certain all my vitamin and mineral (micro-nutrients) needs are being met, including iodine and selenium.
Training wise I work out 3 times a week for 30 minutes with a Personal Trainer, alternating between weight lifting and boxing. In the past 4 months of training, I have gained no visible muscle mass (the first 2 months of training I was with a different Personal Trainer, who had me weight lifting for 60 minutes, 3 times a week).
I had a colonoscopy recently (July 2018) and “everything looked normal”. Blood test and Pituitary MRI results are below: