I think people that aren’t optimized on TRT are usually looking at wrong places like injection frequency or high E2. Sure daily injections offer more stable levels or E2 TT balance is important for health and such but underlying cause for not being optimized is mostly other hormones, mineral/vit. deficiencies or other health issues and not the TRT protocol itself. This may not be news to most of you but after seeing my 4 point cortisol saliva test results i now know what my actual cause for not being optimized at all and i need help. Results are as below ;
(07:00 - 09:00) 0.42 ug/dL 0.27 - 1.18 ug/dL
(11:00 - 13:00) 0.06 ug/dL 0.1 - 0.41 ug/dL
(15:00 - 17:00) <0.05 ug/dL 0.05 - 0.27 ug/dL
(22:00 - 24:00) <0.05 ug/dL < 0.14 ug/dL
After doing some research i stumbled upon this article : https://www.omicsonline.org/open-access/overtraining-exercise-and-adrenal-insufficiency-2165-7025.1000125.php?aid=11717
It suggests that overtraining can cause adrenal insufficiency… For the last 1,5 years i have been working out 4-5 days a week and this may further lowered my already low cortisol or it may be the root cause of my adrenal insufficiency. I guess we will never know that… Either way the damage is done and i have fatigue , unrefreshing sleep , no motivation , can’t build muscle , very slow recovery from illness or muscle/tendon damage and many other symptoms during my 7 months on TRT. Most importantly i have extremely elevated HR during mild exercise or walking at moderate speeds , like 135bpm at 3.5mph.(i think it’s also due to low cortisol not being capable of dealing with stress and thus increasing HR.) My FT3 is also not optimal and only midrange but that’s a topic for another day because first i have to treat my cortisol. My low SHBG of 13.5 (18.3 - 54.1) is worth mentioning too since it can also be related to adrenals somehow. Not sure.
My questions are ;
What does a man on TRT with low cortisol the whole day do to overcome this situation?
Can this be related to TRT shutting down LH? Can HCG fix this and increase my cortisol to normal levels?
Do i have to start hydrocortisone therapy? And if start taking HC , do i stress dose when i train?
Should i stop weightlifting altogether to not to further damage my adrenals?
I’m 36 and protocol is MWF total 150mg Enanthate weekly. (Was twice a week prior to this protocol).
I also just posted this on @dbossa 's FB group.