Your E2 range is very unusual. typo?
typically range is <43 or similar
Please note that doctors typically do TRT wrong, endos seem to make huge mistakes and say things that are totally wrong. Urologists have a rather narrow view of male hormone health factors. Doctors are the biggest problem in TRT.
Clomid 25mg ED may be too much. If LH/FSH levels get high, then T-->E2 inside the testes can get out of control. Ask for labs at 3-4 weeks for TT, FT, E2, LH/FSH. Clomid 25mg EOD is often enough, but at your age and history, your LH/FSH may be less and 25mg ED may not create a problem.
Some guys feel terrible with Clomid and Nolvadex does not do that. Most docs have no idea about this, not in the literature and they lack a fundamental understanding that a SERM is SERM.
At your age, a SERM may not lead to decent LH/FSH levels and if so, then the testes may not be very responsive. There is age related decline in these things.
If SERM does not lead to decent LH/FSH or if does and T levels are mediocre, then you need to go to TRT.
- self inject 50mg T cyp/eth twice a week with #29 1/2" 0.5ml insulin syringe, inject SC/SQ not IM
- 0.5mg anastrozole at time of injections
- 250iu hCG SC/SQ EOD to preserver testes, also many find good for mood
Inject SC/SQ over top of upper legs where you can see and avoid veins. Pinch up skin and inject into end of fold, needle parallel to tissue underneath. After injecting, press on injection site for 10-15 seconds to allow
You should have a known PSA history and a digital rectal prostate exam before and at 3-6 months.. Watching for changes.
Best thing to do is to read the suggested stickies below.
Self-eval over-thyroid function as per last paragraph is this post.
Most?many guys here have some thyroid issues. You cannot go on the thyroid lab ranges and many "normal" results involve serious quality of life issues.
Please read the stickies found here: https://forums.t-nation.com/t/about-the-t-replacement-category/38/2?u=ksman
- advice for new guys
- 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.