New to the forum and to TRT and looking for some help with understanding my blood test results and prescription.
I am 48 and train 4-6 times per week, eat clean and am in good health - 72kg and 12% BF
I have been concerned over the past 12 months about low libido along with glacial progress in putting on muscle and losing belly fat. My coach suggested it was likely attributable to my age and suggested checking T levels. Fast forward and I have now had bloods and a consultation at a local urology clinic.
Blood results were;
Total test : 340 (249-836)
SHBG : 24.7 (19.3-54.1)
E2 : <5 (25.8-60.7)
Albumin : 4.6 (3.5-5.2)
FSH : 5.03 (1.5-12.4)
LH : 4.46 (1.7-8.6)
Prolactin : 8.21
PSA : 0.083 (0-1.04)
TSH : 1.35 (0.27-4.2)
After reviewing these the Dr decided he did not want to prescribe TRT just yet and instead wrote me a script for 1g/day of Adex for 3 months - then come back and get some more bloods.
On review and reading all I can I am now confused on a few levels;
Why would he prescribe Adex when my E2 level is already close to zero - is there any logic to this? (I have taken 3 days worth but have now decided to stop until I can get in front of him again as I don’t want to crash my E2 levels)
Apart from low libido I don’t seem to be showing any of the classic low E2 symptoms I have read about - could the test be a false result or could I simply not be symptomatic? (I dont have any erectile dysfunction or problems with sex - just don’t want it very much)
My feeling is that based on these results I would benefit from some decent TRT in some form or other to get both T and E2 up to the right levels?
Any insights much appreciated - this is a complex subject…