Hi everyone, I'm very happy to have come across this site. I'm a 29 year old male that has been experiencing depression, anxiety, fatigue, concentration/memory issues, reduced libido and erectile dysfunction for the past decade. I have had 12 blood tests showing Total Testosterone between 300-400 ng/dl dating back to 2007. After trying 8 different psychiatric medications, with little success and major side effects, I decided to try a TRT protocol. My Urologist insisted that my levels were normal, but my research taught me that they were fairly low for my age and might be causing or contributing to my symptoms. I sought out an Anti-anging doctor and was put on Testosterone, HCG and Anastrozole. I have been on this protocol for 9 weeks and my feelings are mixed.
Positives: increased energy, slight libido increase, morning wood, increased muscle mass.
Negatives: Acne, facial bloating, facial flushing, reduced penile sensitivity, sensitive nipples, and testicular atrophy/decreased ejaculate (despite being on HCG), aching joints.
I'm not sure what I should do. I don't believe the benefits I've experienced outweigh the adverse effects. Do you believe my levels were low enough to be causing symptoms? If so, what can I do to optimize my protocol? Do I just need to give it more time?
Thank you, any advice is greatly appreciated.
Weight: 173 lbs
Body/Facial Hair: Moderate amount of hair on legs, no hair on chest or stomach, sparse hair on chin, upper lip and cheeks.
Fat Distribution: Fat tends to accumulate on thighs and hips. Stomach remains fairly lean. This has not changed.
Health conditions: hypertension, pectus excavatum, scioliosis, atrial septal defect, varicocele, recurring lower respiratory tract infections, depression, social anxiety.
Symptoms: fatigue, difficulty concentrating, poor memory, poor libido, erectile dysfunction, depression, social anxiety.
Rx/OTC Drugs: Testosterone Cypionate (50 mg/every 3.5 days), HCG (200 IU/daily), Anastrozole (.25 mg/every 3.5 days), Adderall (30 mg/daily), Vitamin D (3,000 IU/daily).
1/10/2017- Before beginning Testosterone, HCG and Anastrozole
LH: 4.8 (1.5-9.3)
FSH: 13.2 (1.6-8)
Estradiol: 54 (<39)
TSH: 1.28 (0.40-4.50)
T4 Free: 1.3 (0.8-1.8)
T3 Reverse: 18 (8-25)
Testosterone Total: 376 (250-1100)
Testosterone Free: 63.1 (35.0-155.0)
DHEA: 469 (85-690)
3/10/2017 6 weeks on Testosterone, HCG and Arimidex
Estradiol: 46 (<39)
Testosterone Total: 725 (250-110)
Testosterone Free: 141.1 (35.0-155.0)
IGF 1: 257 (63-373)
DHT: 41 (16-79)
DHT Free: 3.63 (1.00-6.2)
Doctor increased Anastrozole to 0.5 mg/every 3.5 days after the 3/10 labs.
Testes have never ached with or without a fever. They are and have always been about 40% below average in volume (according to my urologist)
Before beginning Testosterone, HCG and Anastrozole, I very rarely( a few times a year) experienced morning wood. After beginning, I've noticed weak morning wood 3/4 times per week, after the first two weeks on the protocol.
Again, any advice is greatly appreciated. Thanks for reading.