My husband(53) was on a bad regimen of TRT for many years. He was injecting 300mg (1.5ml) once every 3 weeks. No HCG, just TRT that was his regimen. When I came into the picture, I researched and told him to get a better regimen and add HCG.
His blood work for that regimen showed crappy results:
Testosterone serum was 67 [(range: 264-916)]
Free testosterone (direct) was 5.3 [(range: 7.2 - 24.0)]
Estradiol sensitive was 7.8 [(range: 8.0 - 35.0)]
(Im only including these items and not others since my questions are about these items only)
After bloodwork, our new doc confirmed that was a bad regimen and gave new dose:
Testosterone 200mg/ml - 0.32ml IM/SQ twice weekly
HCG 350iu SQ twice weekly
No anastrazole because doc wanted to see how estradiol would react to introducing HCG.
This new regimen of injecting twice a week both TRT and HCG seem good. No bad side effects, no nipple sensitivity, no signs of gyno. Testicles are still abit atrophied though, husband reported minor mood changes. Libido is good. I dont notice any mood changes though, but I dont live in his mind LoL.
After 3 months blood tests showed better results:
Testosterone serum 504
Free testosterone direct 15.4
Estradiol sensitive 57.8
Since estradiol went up and minor mood changes, doc now suggesting anastrazole. Since testicles still atrophied doctor suggesting upping HCG. And lastly doc says testosterone did improve but maybe it should be higher than 504 and get to better levels like 800 or 900.
Doctor suggested new regimen:
increase testosterone to - 0.35ml IM/SQ twice weekly
Increase to HCG 500iu SQ twice weekly
Add anastrazole 0.25mg twice a week.
***Repeat bloodwork in 3 months.
Should HCG increase from 350IU to 500IU for better testicular size or keep taking 350IU 2x weekly and watch and wait for better size? Hes been on 350IU for 3 months so far, not sure if testes need more time. Thoughts?
More important question: Is anastrazole going to cause any bad side effects? I know it will help estradiol levels not to get higher, but has anyone had any bad impact when it was introduced to their regimen? Doctor said anastra. will not cause any harm, but im worried about bad side effects. Any comfort you can give me?
Is it necessary to bring testosterone higher than 500? As you can see injecting twice weekly made it jump from 67 to 504. But do we really need it to be 800-900? The husband feels fine on current dose of .32ml 2x weekly, seems like doc wants to gradually raise levels slowly. But is it (really) necessary to bring levels higher?