So my appointment went well with my TRT doctor and I have been prescribed the following:
40mg Test Cyp 3 times a week IM (120 mg per week)
333 iu HCG 3 times a week (1000 iu per week)
.25 mg Anastrozole 2 times a week (.5 mg per week)
I appreciate this site as a resource as my doctor originally wanted to put me on shots once a week. I expressed my concern about peaks in T levels and was able to persuade him to get on board at 3 times per week. Come to find out that he does E3D as well.
Regarding the doctor I visited, I am very happy. They have a few offices in the Seattle are and accept insurance. Excluding blood-work co-pays, my treatment will cost less than $200 a year including HCG.
I am going to attempt to dissolve the Anastrozole in vodka and dose more frequently. Hope .5 mg is enough as the stickies recommend 1 mg per week; I'll find out in 6 weeks when I have my follow up blood-work done.
Pituitary scan came back normal besides a "2 mm focus of relatively decreased enhancement in the left central aspect of the pituitary gland. Pituitary microadenoma is not excluded." My understanding is that microadenoma's are not uncommon and many times benign. I'm going to follow up with an endocrinologist to play its safe, especially now that I have started TRT that may cause it to grow(?). A bit worrisome, has anyone else had similar results on their MRI scans?
Bone density scan came back normal per the lab and my TRT doctor said they looked good. I'm not sure how to interpret the report or what numbers would be relevant to post, but if there is anything the gurus here would like to see I can post it.
In addition to the D3 which I loaded up on the first week and now taking 10,000 iu daily, I have started taking an Iodine supplement. The iodine is by Zen Haus at 12.5 mg iodine and 50 mcg selenium daily. No noticed increase in body temps yet, still holding at 98.4-98.6 in the morning.
I'm going to email my doctor about SQ injections of the T as the general consensus her seems to believe that it works as well if not better than IM. Trying to find copies of the studies from Canada to forward my doctor. I figure if my intent is to go SQ, then might as well start now so the blood-work will reflect the delivery method I would prefer moving forward.
Thanks again for all the feedback and support. Let me know if anyone sees any issues with my treatment, has any experience with pituitary microadenoma, or any other general feedback. I'll be sure to continue to follow up with treatment results.