I am new to the forum and wanted to post my info and ask for some advice on moving forward.
-describe body and facial hair: normal distribution body hair; light beard
-describe where you carry fat and how changed: over the past 5 years have progressively developed abdominal fat and loss of muscle tone.
-health conditions, symptoms [history]: Treated for past 7 years for depression with various antidepressants, none of which has had remarkable results. Typical symptoms include low energy, lack of enjoyment, loss of interest, decreased sex drive.
-Rx and OTC drugs, any hair loss drugs or prostate drugs ever : Took Propecia for about 2 years when I was in early 30's. Currently prescribed Nardil 30 mg (an antidepressant).
-lab results with range: see below
-describe diet: not as great as it could be recently, but generally try to stick to low fat, high protein diets.
-describe training: when my energy level allows, I try to exercise 3-4 times a week; generally cardio and weight training. Certainly nothing excessive at this point.
-testes ache, ever, with a fever? No
-how have morning wood and nocturnal erections changed: decreased in frequency and intensity
As a result of this, I decided to see an Anti-aging MD. She performed lab tests, the results of which are below (normal values in parentheses):
TSH 1.34 (.45 -4.5)
T3, Free 2.8 (2.0-4.4)
T4, Free 1.03 (0.82-1.77)
Normal Metabolic panel: glucose 90.
Cholesterol, Total 188 (100-199)
Triglycerides 67 (0-149)
HDL Cholesterol 60 (.39)
LDL cholesterol 115 (0-99)
LH 6.0 (1.7 - 8.6)
FSH 4.4 (1.5-12.4)
Testosterone, Serum 435 (348-1197)
Free Testosterone (Direct) 10.4 (6.8 - 21.5)
Sex Horm binding Glob, Serum 28.6 (16.5 - 55.9)
Estradiol, Sensitive 12 (3 - 70)
Pregnenolone, MS 72
DHEA-Sulfate: 212.6 (44.3-331.0)
Prostate-Specific AG, Serum 0.9 (0.0 - 4.0)
IGF-1 175 (94-252)
Vitamin D, 25-Hydroxy 22.7 (30.0 - 100.0)
As a result of these labs, she started me on the following treatment:
Compounded testosterone cream 150mg/ml, 1 ml per day
Arimidex 0.25 mg per WEEK
DHEA 25 mg per day
Armour Thyroid 0.25 mg per day
Pregnenolone 10 mg per day
I tried this regimen for 2 months with only minimal results. Sex drive and performance improved only minimally. Energy level unchanged. Mood unchanged.
I've decided to switch to injectable testosterone cypionate (because I'm not sure I was absorbing the topical cream). My doc suggested starting with a 200 mg dose for the first injection, then 100 mg weekly thereafter. I've taken the second injection just today (all of this happened before I discovered this forum). I'm in the process of getting the synringes/needles suggested by KSMan to dose the test cypionate twice weekly. After the first injection of 200 mg, I have had a rebound of my sex drive and started to have morning erections and a better energy level. My questions revolve around what to do moving forward.
Questions I have:
1) when should I have new lab tests done?
2) Should I increase the arimidex to 1 mg per week (as recommended here) until next lab draw?
3) Thoughts about continuing other meds: DHEA, pregnenolone, thyroid supplementation
4) Since I travel for work and typically leave on Monday mornings and return on Thursday evenings, would a schedule of test cyp injections every Monday (50 mg) and Thursday (50 mg) be a reasonable starting dose/schedule?
5) Thoughts about adding hCG? Not planning to have any children, but I have noticed that my testicles are retracting.
Thanks in advance for any advice you guys may have.