T Nation

53 y/o. Appreciate Feedback: Test Results, TRT Protocol


#1

Facts:

-53 yo male. lifting and competitive sports since high school. Played college rugby and in men’s leagues after.
-Hung up the boots about 6 yrs ago. Now play competitive ultimate Frisbee
-Married 27 years, teen sons, VP in a large organization on the east coast- lots of domestic travel
-Lift 5x week, sports on Saturday.
-5’-9" 190 lbs, 32" waist, 16.5" bi, hover between 10% and 12% bf
-Full head of hair/slight thinning, no other body hair loss (ie legs or under arms)
-2500 to 3000 cal +/- daily. little to no sugar. 200g - 300g protein/day
-Alcohol 2x a month at most
-Creatine, BCAA, and run cycles of micro-PA/indigo/mag-10, REV

I’ve research on a variety of forums and web sites. The stickies on here have been invaluable and I truly appreciate the effort it took to get it all complied and organized. KSman, thank you. I suspect there are a lot guys out here you will never know that you help. I am working with a doctor out of state. I’m up north, he’s down south.

I have not settled on a TRT protocol yet. I want to have as “light a footprint” as needed to get back to what I would consider a completed sense of well being. I’m leaning toward long ester 250mg 2x week. 12 weeks or 15 weeks?..not sure on SERM at this point. Concerned about the potential never ending need to be on TRT once i start…along with hair loss concern, affects on prostatitis

Why am I considering TRT- I feel I’ve lost my edge, results in the gym are not what I’m used to, my sex drive has diminished greatly, my mental sharpness and energy has dropped over the years, muscle hardness reduced, gyno seems to be happening. This all really started about 2 years ago. Most of all, I want to be in control over my quality of life as I get older.

Labcorp blood work: done with approx 12 hr fast, no sex. Had the full blood work done; CBC, metobolic panel, libid panel, thyroid panel with TSH, Test free & total, etc.


#2

Post the lab ranges for each test. Stand alone numbers are meaningless because lab ranges are variable depending on the company and diagnostic technique.


#3

Thanks for the appreciation!

list supplements and meds, Rx and OTC.

Thyroid panel?
Oral body temperatures also required, see last paragraph.
History of using iodized salt and/or vitamins listing iodine+selenium.

Please show AST/ALT, RBC, hemoglobin, serum iron, ferritin as available.

You have age related decline of T levels and it can only move in one direction.

You seem to be secondary, its the testes.

Any pain or ache in the testes?
High FSH can be a sign of testicular cancer, but this typically shows up as a young man’s disease. Given prostatitis, it would be a good idea to have everything checked out, including your colon.

When you do TRT, LH/FSH–>zero. If FSH does not, then there is a major concern. So TRT does have that diagnostic window.

FSH secreting pituitary adinomas are rare. You can also test for hCG as that can be produced by a cancer, so you cannot start TRT with hCG if you want that diagnostic opportunity. However, you could screen for hCG now.

Have you had a recent DRE?

Time of day is very important for cortisol. AM cortisol should be 8AM or 1 hour after waking up.

TRT+hCG could present some issues for you as it needs to be kept cool and not be agitated. Does not travel well. T+SERM is a possibility. But you can’t start with T+SERM because you are needing to see if FSH–>zero.

Gyno with E2=16.8 does not make sense. You will need to manage E2 for sure. You could test for prolactin which could contribute, but this does not typically show up at you age, but that may be a limitation of my experience.

Find 5000iu Vit-D3 tiny oil based capsules, take 25,000iu for first 5 days, 5,000iu thereafter.

Please read the stickies found here: About the T Replacement Category

  • advice for new guys - need more info about you
  • things that damage your hormones
  • protocol for injections
  • finding a TRT doc

Evaluate your overall thyroid function by checking oral body temperatures as per the thyroid basics sticky. Thyroid hormone fT3 is what gets the job done and it regulates mitochondrial activity, the source of ATP which is the universal currency of cellular energy. This is part of the body’s temperature control loop. This can get messed up if you are iodine deficient. In many countries, you need to be using iodized salt. Other countries add iodine to dairy or bread.

KSman is simply a regular member on this site. Nothing more other than highly active.