Hi All, I have been trying to get the proper advice for quite some time now regarding TRT. I have been to an endo and a TRT and they are at both end of the spectrum. I have been reading a lot on TRT and I think I came to the right place for some real advice Recently, I went to another TRT doctor and he wants me to take 15mg ED of Test Cyp, HCG ED, DHEA 75mg pills ED. Here’s my info below: please let me know if you need anything else.
-age: 31
-height: 5ft 10in
-waist: 36 in
-weight: 217 lbs
-describe body and facial hair: slender body, fat at midsection. Pretty hairy, getting more and more as I age; facial hair grows back very quick. I do have a wide back, strong thighs but I think I have chicken legs.
-describe where you carry fat and how changed: I carry most of my fat at the midsection which I think is from sitting down at work for a long time and then in class at night. I have some fat also on the face. I usually bloat sometimes for a reason I am trying to figure out and sometimes I can get my ring off my finger.
-health conditions, symptoms [history]: I developed sleep apnea out of no where on Jan 2012. Before that I never had problems sleeping. I believe it is linked to the weight gain and the cycle listed below. I have been using the CPAP machine since then. Other then that no other medical problems Thank GOD!
-Rx and OTC drugs, any hair loss drugs or prostate drugs ever: I was on a cycle from 9/11 to 3/12, where a HRT/TRT doc put me on HCG, HGH, Test Cream, DHEA (it was all low dose) but I swelled up a lot and then I developed problems sleeping at night. Once I was diagnosed with sleep apnea, I stopped everything. Currently, I am seeing an endo for 2 months now but he is giving me 50mg of Test ONCE A MONTH! Obviously it is not really doing anything major but I was just curious. I have lab results from last year and from 6 months ago.
-lab results with ranges (1 week old)
Free thyroxine: 1.29 (0.65-2.3)
TSH, Sensitive: 1.39 (0.4-4.0)
Free T3: 4.1 (2.1-4.9)
DHEA-Sulfate: 300 (350-430)
E2: 30
TEST, TOTAL: 396 (262-1593)
FREE TEST: 10.84 (3.8-34.17)
PSA (PROSTATIC ANTIGEN): 0.3 (0-0.4)
PSA, FREE: 0.1 (0.0-0.7)
PSA,%,FREE: 33 (> 20)
IGF-1, LC/MS: 230 (53-331)
IGFBP-3: 5.24 (3.50-7.60)
FSH: 3.4 (1.5-12.4) - taken on 9/2012
LH: 2.2 (1.7-8.6) - taken on 9/2012
Lipid Panel/Cardiac Risk
Cholesterol: 149 (<200)
Triglycerides: 125 (<150)
HDL Cholesterol: 39 (>40)
VLDL Cholesterol: 25 (<30)
LDL Cholesterol: 85 (<130)
Cholesterol/HDL Ration: 3.82 (<4.97)
LDL Cholesterol,direct: 92 (<100)
-describe diet [some create substantial damage with starvation diets]: I followed leangains diet (16hr fast, 8hr eating window) but it did not really help me loose weight. I currently have been eating egg white with veggies for breakfast, for lunch I would eat a chicken salad and for dinner I would have the same. On workout days, I add a protein shake and more chicken or red meat. I don’t eat bread, rice and don’t take any sugar in coffee. Typically I get around 2000-2200 calories.
-describe training [some ruin there hormones by over training]: I workout 3 times a week. Legs/back, Chest/Arms, Shoulders/triceps. Here’s my typical routine:
Wednesday:
Chin Ups: 9,8,7
Squat: 155lbx10x3
Body Row: 10, 10, 10
Cable Row: 120lbx10,130lbx10,140lbx10
Wide Grip Pull Down: 120lbx10x3
Upright Cable Row: 60lbx8x3
Deadlift: 155lbx10x3
Rear Delt Row with Barbell: 155lbx10x3
Friday:
Wide Grip Push Ups: 24,14,10
Bench Press: 115lbx8x3
Pushdown with Rope: 40lbx10x3
Flys: 30lbx12x3
Incline Barbell Bench Press: 115lbx8x3
Bent Arm Dumbell Pullover: 45lbx8x3
Lying Cable Triceps Extension: 30lbx10x3
Dips: 8x3
Sunday:
Chinups: 15,11,7
Reverse Grip Pull Down: 110lbx10x3
Close Grip Barbell Curl: 55lbx8x3
Shurgs with Barbell: 95lbx8x5
Hammer Cable Curl: 40lbx10x4
-testes ache, ever, with a fever? No
-how have morning wood and nocturnal erections changed: I have morning wood but no wood during the day that I used to have. Libido is very very low.
Thanks
3/27/13 - UPDATED BLOOD WORK
T4: 7.3 (4.5-12.5)
FREE THYROXINE: 1.39 (0.65-2.30)
TSH, SENSITIVE: 1.51 (0.40-4.00)
T3 UPTAKE: 32 (24-35)
T3, TOTAL: 94 (84-172)
FREE T3: 3.1 (2.1-4.9)
(FT4 INDEX) CALC.: 2.3 (1.1-4.6)
THYROID PEROXIDASE AB. <10.0 (0.0-35.0)
ANTI-THYROGLOBULIN ANTIBODIES: <20 (0-40)
THYROGLOBULIN: 5.8 (0-55)
CHOLESTEROL: 124 (<200)
TRIGLYCERIDES: 74 (<150)
HDL CHOLESTEROL: 33 (>40) LOW
VLDL CHOLESTEROL: 15 (<30)
LDL CHOLESTEROL: 76 (<130)
CHOLESTEROL/HDL RATIO: 3.76 (<4.97)
LDL CHOLESTEROL, DIRECT: 79 (<100)
VIT D-25: 46.25 (19.10-57.60)
DHEA SULFATE: 226 (35-430)
ESTRADIOL: 32
TESTOSTERONE, TOTAL: 1035 (262-1593)
FREE TESTOSTERONE: 16.74 (3.80-34.17)
PSA: 0.5 (0-4.0)
PSA, FREE: 0.1 (0-0.70)
PSA, % FREE: 20 (>20) LOW
IGF-1, LC/MS: 292 (53-331)
Z-SCORE: 1.5 (-2-2)
IGFBP-3: 5.4 (3.5-7)
Results 7/21 taken in the morning fasted.
T4: 1.77 (0.82-1.77)
CHOLESTEROL: 155 (100-199)
TRIGLYCERIDES: 65 (<149)
HDL CHOLESTEROL: 39 (>39) LOW
VLDL CHOLESTEROL: 13 (5-40)
LDL CHOLESTEROL: 103 (0-99) HIGH
DHEA SULFATE: 315 (160-449)
ESTRADIOL: 22 (7.6-42.6)
TESTOSTERONE, TOTAL: 1381 (348-1197)
FREE TESTOSTERONE: >50 (8.7-25.1)
LH: 0.1 (1.7-8.6)
FSH: 0.1 (1.5-12.4)
INSULIN: 6.4 (2.6-24.9)
TSH: 2.350 (0.450-4.5)
IGF-1, LC/MS: 296 (71-241)
IGF-2: 455
Results from test taken on 10/31/13 fasted
T4: 1.76 (0.82-1.77)
CHOLESTEROL: 143 (100-199)
TRIGLYCERIDES: 57 (<149)
HDL CHOLESTEROL: 39 (>39) LOW
VLDL CHOLESTEROL: 11 (5-40)
LDL CHOLESTEROL: 93 (0-99) HIGH
DHEA SULFATE: 291.1 (160-449)
ESTRADIOL: 23.8 (7.6-42.6)
TESTOSTERONE, TOTAL: 977 (348-1197)
FREE TESTOSTERONE: 43.8 (8.7-25.1)
INSULIN: 6.4 (2.6-24.9)
TSH: 1.350 (0.450-4.5)
IGF-1, LC/MS: 280 (71-241)
IGF-2: 514