Started noticing major irritability, lack of motivation, tiredness in late 2017 and asked my GP for a Test lab. She looked at me like I was ridiculous, but she ordered them anyway. In Feb 2018 my levels were:
TT-494 Reference Range: 250-1100 ng/dL
FT-63.2 Reference Range: 35.0-155.0 pg/mL
SHBG-33 Reference Range: 10-50 nmol/L
TSH-1.45 Reference Range: 0.40-4.50 mIU/L
I guess her (and I) not knowing much about this, she didn’t order a test for E2, FSH, LH, etc. Fast forward to June 2019 and I’ve been having more moodiness, irritability, less libido, lack of motivation. Thought it was just marriage and kids taking its toll. Went to a longevity clinic and got some tests ordered:
TT-230 Reference Range: 250-827 ng/dL
IGF1-113 Reference Range: 53-331 ng/mL
FSH-5.8 Reference Range: 1.6-8.0 mIU/mL
LH-4.1 Reference Range: 1.5-9.3 mIU/mL
Prolactin-7.1 Reference Range: 2.0-18.0 ng/mL
E2-18 Reference Range: < OR = 39 pg/mL (sensitive test)
PSA-1.2 Reference Range: < OR = 4.0 ng/mL
He didn’t order FT or t3 and not sure why, i’ll ask for those next time. Dr suggested I start 150mg t-cyp, 0.375mg Anastrozole per week along with hcg (dosage still unknown until i receive it). The t-cyp and AI are compounded together (200mg/0.5mg/ml @ 0.75ml dose) so i can’t really tweak the t-cyp/AI ratio until my next 10 week round. He suggested once a week injection, but I’m thinking of splitting it into twice weekly after lurking around the forum.
After doing some reading, I was wondering if I should start at 100mg/wk t-cyp and hence 0.1875mg/wk of AI and then adjust per feel/labs from there? Which protocol seems better to start out on? I’ll probably start here in the next few days when I receive all the meds, so let me know your thoughts.
As a side note, at the clinic i’m paying $440 every 10 weeks for t-cyp, AI, hcg, syringes, drawing needles and alcohol wipes. Seems much, but I have unlimited access to the dr for questions and he’s very responsive, so seems good starting out.