This forum has played such an important role informing me on my TRT journey. I’m about to begin T Cyp injections (more below) after a failed Clomid regimen, under the direction of a very well known Dr but before I do that I’d like some second opinions. I’m a bit bothered that the cause of my relatively low LH/FSH is unknown. Also confused if I’m primary or secondary (since the testes didn’t have much response to the increased LH/FSH from the Clomid).
Slightly concerned that the low LH could indicate pituitary issues (growth, etc), though the Prolactin from May didn’t raise any flags.
-describe body and facial hair
Fine body hair, patchy facial hair (can do goatee but not beard)
-describe where you carry fat and how changed
stomach (gut) upper arms, love handles. Hasn’t changed.
-health conditions, symptoms [history]
Hypertension, depression, gout (all treated)
-Rx and OTC drugs, any hair loss drugs or prostate drugs ever
Valsartan 160mg/day (Hypertension), Prozac 10 mg EOD (mild depression) - note have been on some form of SSRI for 25 years), Allopurinol 300mg/day (Gout). No hair loss/prostate drugs.
-lab results with ranges
First test 5/15/17 Non Fasting PM:
T - 268 (250-1100)
FT - 57 (35-155)
Prolactin (don’t recall but know 100% was low normal).
PSA - .9 (< or = 4)
Second Test (still no treatment, just new dr) 6/2/17 Fasting AM
Glucose - 94
AST - 18
ALT - 22
Total T - 334 (250-1100)
FT - 68.8 (35-155)
TSH - 2.16 (.4-4.5)
Hemoglobin - 14.4 (13.2-17.1)
Hematocrit - 41.3 (38.5-50)
DHEA -S - 308 (106-464)
LH - 3.4 (1.5-9.3)
SHBG - 12 (10-50)
E2 Sensitive - 22 (< or = 29)
Third Test (after 8 weeks clomid 12.5mg ED) - Fasting AM
T - 367 (250-1100)
FT - 89.5 (35.0-155)
LH - 5.5 (1.5-9.3)
FSH - 5.4 (1.6-8.0)
E2 Sensitive - 40 (< or = 29)
A1C - 4.9 (<5.7)
Insulin serum - 5.7 (2-19.6)
-describe diet [some create substantial damage with starvation diets]
Effective June, Low carb, high protein, high fat. Before and after June, heavy use of alcohol (30+ drinks per week mostly spirits…just being honest here). Trying to lose weight but even watching all macros, working out and reducing alcohol doesn’t help me lose any fat or weight.
-describe training [some ruin there hormones by over training]
Stronglifts 5x5 3x per week starting in June
-testes ache, ever, with a fever?
-how have morning wood and nocturnal erections changed
Since Fall 2016 increasingly low libido, less morning wood (though that was fairly infrequent anyway).
Recommended regimen (to begin next week) will be:
48mg T Cyp, MWF
250 IU HCG, MWF
.125 mg Anastrozole, MWF
Thanks for any insights, opinions, etc.