Hi all and thanks for this forum…it is a great learning tool.
I am 48 years old and started TRT at the start of the year. My Pre-TRT baseline was through LifeExtension using Labcore (many more results are available but these seem to be the ones most are interested in…strangely my baseline did not include LH and FSH):
T: 576 (348-1197)
Free T: 11.5 (6.8-21.5)
DHT: 48 (30-85)
DHEA: 180 (71.6-375.4)
E2: 26.9 (7.6-42.6)
Hematocrit: 43.4 (37.5-51)
My doctor started me with 100mg/week of Test-cyp. Injection just once per week. I was concerned with testicular shrinkage…just due to cosmetic reasons since there are no plans to have additional children. Thus, he also prescribed 50mg per day of Clomid. No AI was prescribed and he would rather not use any if control can be maintained without. Thus, this has been my regiment since Jan 3rd, 2014.
I just had my first set of blood tests taken since starting. Unfortunately, I am on work assignment in China and only get back to the US around Christmas time. I had a very difficult time finding a hospital in China to do the testing and once I found one, the male panel of tests were very limited and not very useful. However, since this is all I have available I hope it can be of some use.
China test results (March 7): (These results were 36 hours after my weekly injection, thus should be close to the high.)
T: Just reported as >1000
Free T: They could not test for this
DHT: They could not test for this
E2: 43 (7.6-42.6)
Hematocrit: 49.8 (37.5-51)
I know it is not ideal information. However, based on this my doctor’s advise is to continue the program unchanged. He rightfully says it is hard to know if the T was actually 1200 or 2000 since neither it nor Free T could be determined. However, he says that since my E2 is not sky high and my Hematocrit die not increase significantly, then this indicates that nothing major needs to be adjusted. Note: He firmly believes that E2 should always be at the very high side of the range because he believes there is little downside and also some studies that show this is better for stroke and heart disease long term. I know many on this board may disagree with this, but this is his beliefs.
Sorry for the long background. My real question is: How much clomid is really needed to prevent testicular shrinkage? I would prefer for my E2 to come down a bit and am wondering if it would be beneficial to reducing clomid to 50mg EOD? I suppose it could also be helpful to change the 100mg/week into 50mg E3.5D. I am open to this but do not relish the thought of more injections and also have a bit of a concern if I have a full year’s worth of needles since this was not the original plan…I would have to see. Perhaps it is possible to get gear in China, but I don’t know how easy it would be and I don’t want to draw any more attention than necessary.
Thanks for taking time to read, and for all of the great advice that is given on this forum.