Testosterone, Free,Bio and total LC/MS/MS Testosterone, Total
In range 551 Reference Range: 250-1100ng/dL
SPACE
Testosterone, Free
In range 64.7 Reference Range: 46.0-224.0 pg/mL
SPACE
Testosterone, Bioavailable
In range 138.7 Reference Range: 110.0-575.0 ng/dL
SPACE
SHBG In Range 39 Reference Range: 8-48 nmo I/L
SPACE
Albumin,Serum In Range 4.7 Reference Range: 3.6-5.1 g/dL
Space
T3 FREE In Range 290 Reference Range 230-420 pg/dL
SPACE
DHEA Sulfate In Range 188 Reference Range 110-370 mcg/dL
SPACE LH In Range 4.7 Reference Range 1.5-9.3 mIU/mL
SPACE
Estradiol In Range 30 Reference Range 13-54 pg/mL
SPACE
PSA Total In Range 0.3 Reference Range <OR=4.0 ng/mL (I was prescribed Test Eth Injections 2xPer week 50mg each injecton Total-100mg. HCG 600iu 2x per week. Armour Thyroid 60mg. daily. Clomid 25mg. daily. This is for six weeks till next blood test. Male 36, 155 athletic 5’9. Cialis works for me, but no sex drive, low motivation in gym, weak erections w/o cialis, never cycled ever.
[quote]christopher36 wrote:
Testosterone, Free,Bio and total LC/MS/MS Testosterone, Total
In range 551 Reference Range: 250-1100ng/dL
SPACE
Testosterone, Free
In range 64.7 Reference Range: 46.0-224.0 pg/mL
SPACE
Testosterone, Bioavailable
In range 138.7 Reference Range: 110.0-575.0 ng/dL
SPACE
SHBG In Range 39 Reference Range: 8-48 nmo I/L
SPACE
Albumin,Serum In Range 4.7 Reference Range: 3.6-5.1 g/dL
Space
T3 FREE In Range 290 Reference Range 230-420 pg/dL
SPACE
DHEA Sulfate In Range 188 Reference Range 110-370 mcg/dL
SPACE LH In Range 4.7 Reference Range 1.5-9.3 mIU/mL
SPACE
Estradiol In Range 30 Reference Range 13-54 pg/mL
SPACE
PSA Total In Range 0.3 Reference Range <OR=4.0 ng/mL (I was prescribed Test Eth Injections 2xPer week 50mg each injecton Total-100mg. HCG 600iu 2x per week. Armour Thyroid 60mg. daily. Clomid 25mg. daily. This is for six weeks till next blood test. Male 36, 155 athletic 5’9. Cialis works for me, but no sex drive, low motivation in gym, weak erections w/o cialis, never cycled ever. [/quote]
You got lucky man. Your doctor based your HRT on what was “bio available” instead of saying “too bad, you’re in range” like most HRT uneducated doctors. Your SHBG is a little high but that may settle down soon. The HCG dose is higher than most, but may not be too bad. Without an AI, the extra Test, and the HCG may make your Estrogen levels sky high, and then sex will REALLY be a problem.
I hope your doc will test you for E2 next time, and prescribe an AI for you too. Good luck, we’re here for you…
I asked about the AI but I will be retested six weeks after I start. So if E goes high then it will be prescribed. Wouldn’t the daily 25mg. Clomid help that? (and I may just use 500iu HCG 2x per week as per Dr. Johns readings.)
[quote]christopher36 wrote:
I asked about the AI but I will be retested six weeks after I start. So if E goes high then it will be prescribed. Wouldn’t the daily 25mg. Clomid help that? (and I may just use 500iu HCG 2x per week as per Dr. Johns readings.)[/quote]
Here’s one for ya:
“Clomiphene works by increasing FSH and LH, the hormones that stimulate the gonads. If the levels of these hormones are normal or elevated, Clomid will provide no benefit. To decide when to use this medication, I measure levels of the hormones LH, FSH and testosterone. If they are low, the man may benefit with a three-month trial. Frequently, men with these low levels complain of loss of libido and impotence and note that they are shaving less often. If I notice during a physical exam that the testicles are smaller and less firm than normal, clomiphene may help.”
So, if you are on HCG to stimulate LH, and FSH already, and on Clomid and libido is still low (more LH and more FSH, make more T that may become E) the problem may be high E2 already, and you’re putting in more to convert, you get the idea…
I hope I’m wrong, but if I’m not you only have six weeks of hell left, before the doc gets up to speed and gives you an AI like adex.
This is why I have not started yet. I am going to a new Doc for another opinion first. There are so many diff outlooks on this. I won’t touch clomid. I wanted to start the Test and HCG but I’ll wait till I see the new Doc.
Yes, Clomid and hCG are doubling up something that does not make sense. Clomid is never for long term use. Clomid will drive your own LH production, but hCG is HRT for LH.
250iu hCG EOD will maintain baseline testicular function when TRT shuts down the HPTA. 1200iu per week is overkill. You want to maintain the testes, the T will do the heavy lifting and the hCG is for other needs.
Glad to see a doc wanting two injections per week.
The TRT will increase your E2 levels and hCG will restore the normal E2 production levels of your testes.
I think that guys on TRT should start off with 1mg anastrozole per week. Then the next blood work for E2 will be driving an adjustment [if needed] instead of showing the expected E2 increase. Aim for serum E2 levels in the lower 20’s [0-53pg/ml].
[quote]KSman wrote:
Yes, Clomid and hCG are doubling up something that does not make sense. Clomid is never for long term use. Clomid will drive your own LH production, but hCG is HRT for LH.
250iu hCG EOD will maintain baseline testicular function when TRT shuts down the HPTA. 1200iu per week is overkill. You want to maintain the testes, the T will do the heavy lifting and the hCG is for other needs.
Glad to see a doc wanting two injections per week.
The TRT will increase your E2 levels and hCG will restore the normal E2 production levels of your testes.
I think that guys on TRT should start off with 1mg anastrozole per week. Then the next blood work for E2 will be driving an adjustment [if needed] instead of showing the expected E2 increase. Aim for serum E2 levels in the lower 20’s [0-53pg/ml].[/quote]
I asked about 1mg anastrozole per week but the DR. said no. So if my E levels skyrocket I am left the worse until the next bloodtest. I do not want to self medicate as I have said, so I will get my 2nd opinion and go from there. I agree with the HCG dose being overkill, there are so many opinions, I just want to feel good again. What does anyone here think of my Thyroid and prescribed 60mg. daily Armour??
[quote]KNB wrote:
christopher36 wrote:
I asked about the AI but I will be retested six weeks after I start. So if E goes high then it will be prescribed. Wouldn’t the daily 25mg. Clomid help that? (and I may just use 500iu HCG 2x per week as per Dr. Johns readings.)
Here’s one for ya:
“Clomiphene works by increasing FSH and LH, the hormones that stimulate the gonads. If the levels of these hormones are normal or elevated, Clomid will provide no benefit. To decide when to use this medication, I measure levels of the hormones LH, FSH and testosterone. If they are low, the man may benefit with a three-month trial. Frequently, men with these low levels complain of loss of libido and impotence and note that they are shaving less often. If I notice during a physical exam that the testicles are smaller and less firm than normal, clomiphene may help.”
So, if you are on HCG to stimulate LH, and FSH already, and on Clomid and libido is still low (more LH and more FSH, make more T that may become E) the problem may be high E2 already, and you’re putting in more to convert, you get the idea…
I hope I’m wrong, but if I’m not you only have six weeks of hell left, before the doc gets up to speed and gives you an AI like adex.
[/quote]
The Doc said to use the clomid to stay fertile since I have yet to father children. It’s an option for me.