I started on TRT nearly two months ago. I initially went to the doctor because I felt like a wreck with no energy, no libido, no passion, etc.
My initial blood work is as follows (my endo at the time would not order an estradiol test):
T3 uptake 33 22-35%
TSH 2.20 0.40-4.5 mIU/L
T4(thyroxine), total 6.1 4.5-12.0 mcg/dL
free T4 index (T7) 2.0 1.4-3.8 N/A
testosterone, total, LC/MS/MS 210 250-1100ng/dL
testosterone, free 28 46.0-224 pg/mL
testosterone, bioavailable 60.5 110.0-575.0 ng/dL
SHBG 29 10-50 nmol/L
albumin, serum 4.7 3.6-5.1 g/dL
LH 2.9 1.5-9.3 mIU/mL
FSH 4.7 1.6-8.0 mIU/mL
PSA, total 0.1 <= 4.0 ng/mL
prolactin 5.8 2.0-18.0 ng/mL
I was put on 100mg testosterone enanthate / week 7-8 weeks ago by the endo. I got prescriptions for HCG and anastrozole separately from my GP nearly a month ago. I dosed 33mg testosterone enanthate, 100IU HCG and ~.33mg anastrozole three times a week.
I got lab work done the day after I took my dosages. These are as follows:
testosterone, total, LC/MS/MS 925 250-1100 ng/dL
testosterone, free 185.5 46.0-224 pg/mL
testosterone, bioavailable 405.7 110.0-575.0 ng/dL
SHBG 23 10-50 nmol/L
albumin, serum 4.8 3.6-5.1 g/dL
estradiol <15 <= 39 pg/mL
LH <0.2 1.5-9.3 mIU/mL
FSH <0.7 1.6-8.0 mIU/mL
PSA, total 0.1 <= 4.0 ng/mL
prolactin 4.8 2.0-18.0 ng/mL
My interpretation: it looks like I do not have a cancer from these results. However, my estradiol is low. I do feel a lot better, but my libido is still gone. Erections occur during sleep and upon awaking, however. I do recall a couple of days where I felt amazing and had sexual desire and then came done steadily after that. This was sometime after starting the AI and HCG.
I do believe I am close to getting this dialed in, which is fortunate being that I am so new to TRT. How would you recommend I proceed? I am thinking of decreasing anastrozole, increasing HCG or the testosterone. It seems like any of those would lead to more estradiol, though increasing HCG or TE would sate my curiosity about what more testosterone would make me feel like. I appreciate any guidance.