A Little Background
I’m a 39 year old male. July 2018 I finally decided to get off my ass and join a gym. Knowing I’d need the accountability, I signed on with a Personal Trainer 3x per week. I’ve always been pretty active and in decent shape up until 2008/9-ish. Since joining the gym, I’ve gotten my diet under control (eating “clean”) as well as turning up my activity at the gym to weights 5x/week in the morning and cardio/HIIT 5x/week in the evenings. Lost some weight, got healthier overall, and still felt like I hit a wall early afternoon every day. After ruling out over training, I asked my doctor to check my testosterone after doing some research on my own.
First Lab - 3/21/19 @ 10:04am
Testosterone - 348 ng/dL (264-916)
T Free Percent - 2.7% (1.5-3.2)
T Free - 94 pg/ml (52-280)
SHBG - 25.6 nmol/L (16.5-55.9)
Second Lab - 3/26/19 @ 10:11am
Testosterone - 320 ng/dL (264-916)
T Free Percent - 2.3% (1.5-3.2)
T Free - 74 pg/ml (52-280)
SHBG - 22.9 nmol/L (16.5-55.9)
After both lab results, I received a comment from my PCP (who’s actually a good doc) that I had normal testosterone. I sent a message to him essentially asking him to refer me to a specialist if he won’t treat me because even if my T is “normal”, I don’t feel normal. Didn’t hear from him for a while so I researched and found a men’s clinic here locally. Went in for consult and another set of labs even though I provided my previous two…
Third Lab - 4/03/19 @ 10:10am
Testosterone - 210 ng/dL (264-916)
T Free (Direct) - 5.9 pg/ml (8.7-25.1)
Hemoglobin A1c - 5.2%
Cholesterol, Total - 157 mg/dL
SHBG - 26.8 nmol/L (16.5-55.9)
Three days after that lab at the men’s clinic I consulted with the doc there and started TRT. Got first T-Cyp and HCG injections in clinic on 4/05/19.
Doc Prescribed Protocol
120mg (0.6cc) T-Cyp 1x per week w/ IM Injection (25g 1" needle)
500IU (0.5cc) HCG 1x per week w/ SQ Injection (29g 1/2" needle)
T-Cyp & HCG taken at same time
After some research, I decided to change the protocol but haven’t decided if I want to up my dosages on my own or not.
60mg (0.3cc) T-Cyp E3.5D w/ SQ Injection (29g 1/2" needle)
250IU (0.25cc) HCG E3.5D w/ SQ Injection (29g 1/2" needle)
T-Cyp on Sunday AM and Wednesday PM
HCG 24hrs prior to T-Cyp
I just received my T-Cyp this last Thursday and gave myself a 60mg dose SQ on Thursday. In wanting to get on my protocol now, I gave myself my first HCG dose of 250IU this morning and will give myself 60mg of T-Cyp tomorrow morning.
Have 6 week follow up labs and doc consult scheduled for mid-May. I plan to keep this thread updated.
On another note, my PCP ended up referring me to a younger urologist who’s “clinical interests” include hypogonadism in addition to the other men’s type of issues (ED, vasectomy, etc.). I’ll keep that appointment w/ him in a couple weeks to see what he has to say.
I’m definitely open to suggestions, criticisms, and conversation.