T Nation

51 Year Old Starting TRT

I’m a 51 year old guy that’s just started TRT. I went in for a physical and told my doc I suspected low T. I had the general symptoms… lower libido, poor sleep, general malaise, and loss of muscle mass. We had my blood work done (10AM after overnight fasting) and the results were:

TT 293 (2241-827)
Free T 46.0 (30-170)
Free T% 1.6 (1.0-2.7)
Bioavailable T 39.3L (110-575)
SHBG 45 (13-71)
Estrogens Total 170 (Reference range for total estrogens (E1+E2) less than 200) Note I didn’t know that I had to specify for my doc’s blood work order that I wanted specific estrogen markers. NEXT TIME.
Lab work attached

Doc’s oked Fortesta Gel @ 4 total pumps (40mg / day). I started on 10/31. Don’t feel any difference yet.