I started TRT 6 months ago via a "mens clinic" after testing with 600 level Test but super high SHBG. I'm 40, with about 12% body fat, 5'10" 170lbs.
Here was the protocol:
200 mg test C weekly, 1.0 mg AI weekly.
I saw good results with the first few months, increase lean mass, mood, drive, etc.
Months 2-4 started to see some sides of cystic acne on my forehead, balls shriveled to peanuts, moody at times. The PCP at the mens clinic also advised me to check my liver as the liver enzymes came back double the norm. (Blood work every 3 months)
Months 5-6 started Clomid to help with the nut shrinkage (cant remember the dosage) (Same sides as months 2-4 but overall still happy with things) Liver enzymes came back again high and the PCP took me off all TRT cold turkey. He asked I resolve my liver enzyme problems before continuing to treat. My lab results came in at TT=627, E2 = 12.9, LH = almost 0, SHBG = 56
Doesn't the almost zero LH mean that Im completely shutdown at that point, testes are producing nothing? hCg would be used to offset this by increasing LH correct? This would allow my testes to still produce some of their own natural test? Also seems like Im taking this only to be in the same place I was before 600 TT before vs. 600 TT after, the only difference being one is natural without sides and the other is not natural with some sides. I thought the point was to get your test high enough to overwhelm the high SHGB? But adding 200mg of test weekly really just eventually replaced what my body was already doing. How would you get to the 1000 TT range? Increase the test?
Its now been 1 month, increased some body fat, lost some lean mass, mood has been poor, acne is gone and my babies are back to normal.
My liver enzymes I believe are due to possibly a few things, 1) I took a shit load of pre workout supps before working out very early in the morning 2) Possibly working out hard before all lab tests 3) Possibly nonalcoholic fatty liver - which you don't do much about. I don't drink hardly, I don't have Hep, I'm completely healthy.
Anyone concerned about the higher liver enzymes? I stopped the pre workouts and had blood done and liver enzymes were still higher but not double the normal like before. I have a GI apt in a month.
Im considering starting self treatment but trying to be educated. I've read the newbie stickies, wrote down the protocols from Ksman. Is that where you'd restart? 100mg test with 250 hCg and 1mg of AI?
Appreciate the help