T Nation

First Month of TRT Levels, Questions


#1

29 years old. Pre TRT was in low 300s of T levels. Felt incredibly weak and tired all the time and could not gain muscle despite proper exercise and diet.

Got prescribed 160MG of Test Cyp 1 shot per week.Feel slightly better now but not terrific.

Levels 1 month after:
Testosterone, Serum-915
Estradiol-45
Testosterone, Free, Direct 28
TSH-2.21

2 Questions/concerns:

the high estradiol…this isn’t critically high so wondering if i should think about an AI or maybe lowering my Test dose?

Also I am about to be married and we want kids. I have HCG on hand but read this increases estradiol. My doc said when the time comes we will stop TRT and go on HCG to get the sperm working again and my TSH levels are still fine. I have noticed zero ball shrinkage or aching that some report. Wondering if i should consider taking this in conjunction with test now or following my docs advise.


#2

What was estradiol pre TRT?
did you try HPTA restart with a SERM before going TRT?
I would give it a bit more time to see more of an improvement in quality of life from TRT
t level looks good but how long after injection was this taken
Keep an eye on estradiol for now but follow your doc’s advice on AI.

If children are around the corner then it migh tbe worth dropping TRT until after having your first child.

If HPTa restart didn’t work you could try HCG monotherapy. This might give you decent t levels and then after having a child go on TRT


#3

Hint you are on the wrong forum. You want the testosterone replacement forum. Estradiol Of 41 is far from normal. While you didn’t give ranges most of the time a man wants it to come in the 20s. You are simply not going to feel right at 41. Their is a lot wrong with your prodigal. Lets take this to the right forum where a lot of guys know a lot more about maintaining normal hormon ranges than they do here. You are not going on a steroid cycle. What you are doing is very long term. When done right you can get pregnant while on Trt replacement therapy. Done wronge without HCG it can sterilize you.

Go here read the stickies. They will tell you what you need to know. Then post your details and questions


#4

Did this get moved by a moderator or was I hallucinating about this one being posted in the pharma forum?


#5

Post other lab work with ranges. Not just hormones please.

You need to be near E2=22pg/ml to function properly.
Get a script for 0.5mg anastrozole 3 times per week.

TSH should be near 1.0
Thyroid lab ranges are mostly useless. You are not OK.
Thyroid problem might be caused by not using iodized salt and everyone in a household can be affected.
Thyroid can have a huge effect on energy and vitality.

Inject 250iu hCG subq EOD to preserve testes and fertility.

Inject 80mg T subq twice a week or 53mg three times per week.

It is very important that you supply oral body temperatures as requested below to evaluate your thyroid. TSH is a small part of the puzzle.

Please read the stickies found here: About the T Replacement Category

  • advice for new guys - need more info about you
  • things that damage your hormones
  • protocol for injections
  • finding a TRT doc

Evaluate your overall thyroid function by checking oral body temperatures as per the thyroid basics sticky. Thyroid hormone fT3 is what gets the job done and it regulates mitochondrial activity, the source of ATP which is the universal currency of cellular energy. This is part of the body’s temperature control loop. This can get messed up if you are iodine deficient. In many countries, you need to be using iodized salt. Other countries add iodine to dairy or bread.

KSman is simply a regular member on this site. Nothing more other than highly active.

I can be a bit abrupt in my replies and recommendations. I have a lot of ground to cover as this forum has become much more active in the last two years. I can’t follow threads that go deep over time. You need to respond to all of my points and requests as soon as possible before you fall off of my radar. The worse problems are guys who ignore issues re thyroid, body temperatures, history of iodized salt. Please do not piss people off saying that lab results are normal, we need lab number and ranges.

The value that you get out of this process and forum depends on your effort and performance. The bulk of your learning is reading/studying the suggested stickies.