I want to report back on my TRT results to date. I started mid December 2018, so i’ve been on treatment for about 3 months. As far as symptoms, I’ve had depression, anxiety, low energy, poor physical performance and low libido. I spent a couple of years working on my thyroid through various medications and finally landed on a combination of T4/T3 and 600 mg of iodine daily. That helped the depression and anxiety to some degree but I still had plenty of symptoms. I went to defy and started on 160 mg test split into 3 shots subq per week. I was also told to take DHEA and anastrozol at .125 2x per week. I admit I have been irregular with the AI. I’ve been trying to avoid taking it. Long story short, I did not have much symptom relief and at 6 weeks bumped up my dose to 200 mg per week and also started taking l-tyrosine. This has helped a great deal with energy, motivation, physical activity, depression and anxiety. My libido has improved a little but not much. I’ve only taken the AI when I felt high estrogen symptoms, mostly when I got irritable for no reason. My questions are as follows:
Should I measure lab progress by tracking free test or bioavailable? I tried an online calc and apparently I need to input my total which is unknown.
How can I reduce my reverse T3?
Would HCG help libido?
Would increasing my test dose help?
Should I look into danazol to lower SHBG further? Or stinging nettle/boron?
Should I even care about my SHBG since my free test is almost 20 points above range?
Is my high level of estrogen causing low libido?
Starting pre TRT:
Total Testosterone - 827 ng/dl (264-916 ng/dl)
Free Direct - 16.5 pg/ml (8.7-25.1 pg/ml)
DHEA - 259.0 ug/dL (102.6-416.3 ug/dL)
SHBG - 63.9 nmol/L (16.5 - 55.9 nmol/L)
% Free Testosterone (Dialysis) - 1.4%
Post TRT 3 months:
Total Testosterone - over 1500ng/dl but test did not show actual number (264-916 ng/dl)
Free Testosterone (direct) - 48.4 pg/ml (8.7-25.1 pg/ml)
DHEA - 600.6 ug/dL (102.6-416.3 ug/dL)
Estradiol, Sensative - 77.3 pg/ml (8.0-35.0 pg/ml)
Free T3 - 5.2 pg/mL (2.0-4.4 pg/mL) (labs drawn after taking my meds)
Reverse T3 - 21.8 ng/dL (9.2-24.1 ng/dL)
SHBG - 56 nmol/L (16.5 - 55.9 nmol/L)
Calculated % Free Testosterone - not sure how to calculate this since i dont know my exact total.