I am about to start TRT and hormone therapy. I am 44 years old, 5’9 and 170lbs about 15% BF.
My lab results were not too bad (as far as I understand):
Testosterone, Total 712 ng/ml (range 348 -1197)
Testosterone, Free (direct) 12.6 pg/ml (range 6.8 - 21.5)
TSH 1.38 uIU/mL (range 0.450 - 4.500)
Triiodothyrine, free, serum 3.3 pg/mL (range 2.0 - 4.4)
T4, Free (direct) 1.21 ng/dL (0.82 - 1.77)
LH 7.6 miU/mL (1.7 -8.6)
FSH 14.5 miU/mL (1.5 - 12.4) HIGH
Estradiol (Roche ECLIA methodology) 36.3 pg/mL (7.6 - 42.6) High?
IGF-1 195 ng/mL (75 - 216)
DHEA sulfate 225.2 ug/dL (102.6 - 416.3)
I’m bit surprised that I was prescribed TRT but a little boost can’t be bad?
The therapy is as follows:
Testosterone cypionate: 200mg/week (I assume I should take it 100mcg E3D?)
HCG: 1000 units / week
B-12 metyhlcobalamin: 1.5ml E4D
Arimidex: 0.5mg E3D
(not sure about E3D or E4D yet)
My first question relates to FSH as it is out of range, I haven’t found a real explanation what high FSH means (as my t-levels seems to be quite ok). Any comment on it?
Also my IGF-1 seems to be ok according to range, but is it ok? Should it be btw 200-300 and higher is better? As I understand Sermorelin would mainly increase IGF-1 levels so it seems ok?
About testosterone, I cleaned up my diet and increased rest and by doing that my total T level rose from 550 to 712 (and was year ago 650) so it seems that good diet can influence t-levels significantly? With relatively low T-injection I understand my natural T production is reduced and HCG should fix that by emulating LH? Again my LH seems to be at higher end of the range already - would that make any impact?
Estradiol seems high, would I benefit on just estrogen blocker alone?
Also as I was able to increase my T levels with proper diet and rest, is there any natural ways (diet) to decrease estradiol levels?
As you can see I am complete novice in this TRT so all comments are welcome and appreciated.