First, thanks to everyone on the forum. Your insight has been extremely helpful. TRT feels like the wild west of man-medicine to me. You guys have been a big help.
I have been on TRT for about 2.5 months now. It has NOT been great (at all). Several times I just wished that I had never started down this path.
I had about a week where energy levels, libido, and mental clarity were improved. I am an extremely athletic guy (endurance sports and weight training) with a BF of <10% pre-TRT, and now I’d bet I’m at the 16% mark. Belly fat has gone through the roof since starting (with diet/exercise remaining largely unchanged). I’ve been on gels, now compounded creams. Gels shut me down completely after about 2 weeks. Cream (200mg/day) seems a lot better in terms of strength, but I never did have the overall “life boost” like I did with the gels. Dr. added AI after 1 month after E2 levels were very high and Total Test had gone to 65. (Initially at 261). **BW is below.
So, let me say that I think I’m a high aromatizer of Test to E2. Addition of the AI seemed to help a bit, but nothing great.
Ok, so 1.5 weeks ago I started low dosage of HCG due to testicular atrophy. On day 3 of HCG, I felt like I was going to croak. Dizzy, confused, extreme fatigue, mental fog x 1000, zero libido, etc. I read other posts that introduction of HCG can cause E2 aromatization which an AI doesn’t really do much for. Welcome panic attacks! Bazinga.
Ok, here are my labs (again, I’ve only got what I’ve posted):
1-7-13: Pre TRT BW
White blood cells – 4.9 (3.3-10.5)
Red blood cells – 5.36 (4.15-5.75)
Hemo – 15.9 (12.8-16.9)
Hemato – 46.7 (38.8-50.2)
MCV – 87.2 (78-100)
MCH – 29.6 (27-31)
MCHC – 33.9 (32-36)
RDW – 12.9 (11.5-14.5)
Platelet – 175 (150-450)
MPV – 8.1 (6-9.5)
Neutrophils – 55 (44-74)
Lymphocytes – 35 (20-50
Monocytes – 8 (2-13)
Eosinophils 1 (0-7)
Basophils 1 (0-2)
TOTAL TEST: 261 (240-827 ng/dL)
TSH: 1.14 (.35-4.94 uIU/mL)
PSA: .4 ng/mL (0-4.00)
1-29-13 Bloodwork: nearly one month on TRT (60 mg Axiron applied daily).
DHEA – 156 (110-370)
Estradiol – 49.5 (0-39 pg/mL) (Feels like #*$&#).
Total Test: 65 ng/dL (Shutdown.)
2-5-13 Bloodwork: (120 mg Axiron applied daily)
Total Test: 261 (240-827).
Dr at the time did not run E2, but I’d bet my left nut it’s out of the park now. Symptoms all match high E2.
100 IU HCG daily
50,000 IU Vitamin D 1x/week (prescription…doc said I was low)
Compounded cream: 200 mg/day, ED
50 mg DHEA
50 mg Preg
high-end fish oil
.25 Arimidex 4 times/week
2-22-13 Bloodwork (Protocol is listed immediately above)
DHEA: 452 (110-370 mcg/dL)
Estradiol (sensitive) 9 pg/mL (<29)
FSH: 1.2 mIU/mL (.9-11.9)
T4: free: 1.3 (.7-1.5 ng/dL)
TSH: 1.32 (.35-4.94 uIU/mL)
T3: free: 3.6 (1.7-3.7 pg/mL)
Total TEST: 386 (241-827 ng/dL)
Subjectively, I feel like #*$(&#. I have since beginning TRT (save about 7 days in). I have always suspected based on the way I feel and symptoms that I am a high aromatizer to E2. Dosage of the AI confirms this (in my mind) the following day. I always feel slightly better on the day after taking the AI.
I think the worst thing has been the panic attacks. I’m having them very frequently. I did not take the HCG yesterday and I have not had an attack today. Anxious, yes. Feeling like I need to run out of the building? No.
Thoughts? Obviously I cannot wait to see the Estradiol level. Is there any other clues in the other numbers? I defer to the experts…