I am currently taking the following 2x per week:
40mg test cyp
500 iu HCG
.25mg Arimidex
I have been on test going on over 2 years now with this mix. It has been a hassle getting my dosages nailed down with E2 fluctuating constantly. I finally feel settled and don’t want to introduce something else to the equation to further complicate things. My doc (who is new, took over my old doc’s practice about 6 mo. ago) suggested I add on Clomid about 4 months ago but I never did…
I would be open to going off the test/HCG while I try to have children (if it’s necessary) but I figured HCG/TEST would be sufficient in the meantime.
Here is more background of myself if it’s helpful. Also, I added in my labs from several months ago - something to note is that I have since reduced my test dosage since those labs so I think my E2 is now lower and my test should be lower as well. I’m also about to start subq test injections so I will be interested to see if that changes anything.
I started TRT when I was just about to turn 26. I got sober from heroin and alcohol about 2.5 years ago and became more aware of my low energy levels, insomnia, zero libido, ED, depression, anxiety, etc. Not sure if the drug and alcohol abuse had any long term effect on hormone levels, but I definitely had low libido and all the above symptoms starting around 18 years old, I just didn’t care at the time.
I got my T levels tested and immediately began T injections, HCG and arimidex (can’t remember if this was added later but I’m on it now)
Here are my initial levels (I don’t have the full labs) about 2.5 years ago, prior to starting TRT:
Testosterone, Serum: 159 mg/dL Low (348 - 1197)
Free Testosterone: 4.0 pg/mL Low (9.3 - 26.5)
DHEA-Sulfate: 420.5 ug/dL (164.3 - 530.5)
Estradiol: 10.7 pg/mL (7.6 - 42.6)
After starting TRT, I noticed an improvement pretty quickly. Got my levels tested every 3 months and then just every 6 months the past year.
-27 y/o
-5’7
-30" waist
-168 lbs
-Muscular/lean build, stocky thighs/calves; full beard
-my body fat% is consistently low; no noticeable areas where I carry my fat
Diagnoses/history:
Hypogonadism
OCD, major depression, general anxiety disorder at age 21
Substance use disorder - daily alcohol/oxy/heroin use for several years; currently >3 years clean
Degenerative disk disease and spinal stenosis in my C4 vertebrae (result of head-head collisions in football I was told)
Compression fracture @ L2 vertebrae
ACL replacement surgery
Lateral meniscus tear
Fractured both elbows, both ankles
Rx and OTC drugs, any hair loss drugs or prostate drugs ever
*Wellbutrin (depression), Trazodone (insomnia) currently but trying to come off of these; I have been on/off AntiD’s for OCD/depression/anxiety over the past 5 or 6 years but often have relapse of symptoms when I try to come off - TRT has helped with anxiety/depression a little bit
*Have used Lexapro in the past but discontinued eventually due to ED and returned to normal functioning once discontinued
*Minoxidil/Rogaine 3-4x per week; Began losing my hair at age 16-17 and have continued slow balding since then; I tried propecia for like 2 or 3 days but discontinued after reading more about it - never got any side effects or changes in libido/sexual fx
Supplements
Morning: Fish oil, orange triad multivit, ginkgo biloba, , Vit D
Night: Magnesium citrate + agmatine
I sometimes take like 50 mg pycnogenol + arginine pre-sex which makes a pretty big difference in performance
*any thoughts on Maca powder? I have used it in the past but I’m unsure of the benefits if it was placebo or what.
Lab results with ranges (note these are 4 months old, getting labs done next week)
Diet
*Breakfast: Smoothie every day (kale, banana, cinnamon, chia, MCT oil, peanut butter, oatmeal, protein, yogurt, almond milk); I drink 2 - 3 cups of coffee/day but trying to decrease to 1 cup/day
*Lunch: homemade turkey or chicken wraps with spinach/kale with granola bar and yogurt
*Snacks: banana, pumpkin seeds, granola
*Dinner: Turkey/chicken/fish with vegetables (maybe caluiflower, carrots, broccoli, sweat potatoes, etc.) or eggs with ham and vegetables
*I drink a good bit of green tea everyday
Training: Has been modified as a result of C4 spinal stenosis; can no longer do much heavy lifting
Strength training 3-4x per week: low weight/high rep full body lifting; a lot of body weight exercises (push ups, pullups, etc.)
Cardio: 3x per week: running ~ 2 miles or stationary bike (never sit down on bike though longer than first 5 minutes); jump rope up to 20 minutes almost every work out
No symptoms related to testicles/aching genitals
Libido is pretty good
Morning wood and nocturnal erections:
Almost a nightly occurance, not always though
Trazodone taken at night sometimes induces erections I think