I’m fairly new to Testosterone treatment; about 1 year consistently after I was diagnosed with extremely low T. I was taking Cypionate; 1 injection every 3-4 days of 40mg or 0.4 ml. I was taking about 75mg twice a week but my T levels were really high and my mood was out of control (up down) so my Endo lowered the prescription dosage. I was up and down mood wise even on the lower dosage. The day of and day after my injections I felt like I was going nuts with anger / irritability / and anxiety no matter what my dosage of Cypionate was. Basically TRT hell. Which is all causing depression, fatigue, anxiety, etc… So my Endo wanted to switch me over to Testim. I agreed this should be trialled given my current circumstance. I started Testim 2 days ago.
My base level before starting Testim 2 days ago (and 4 days after my last Cypionate injection) are as follows. Be advised that I live in Canada and they don’t test for everything I probably need tested and I don’t really know who to contact or go to here in Ontario to see a TRT specialist.
TSH 2.04 (0.32 - 4.-00) MIU/L
FREE T4 13.0 (9-19) PMOL / L
FREE T3 4.1 (3.1-6.2) PMOL / L
FSH <0.1 IU/L
LH <0.1 I IU/L
ACTH 3.7 (<14.0) PMOL / L
PROLACTIN 5.6 (4-19) UG/L
CORTISOL AM 275 (135-537) NMOL/L (8AM - 9AM)
ESTRADIOL 71 (<162) PMOL/L
PROGESTERONE 1.1 (<1.7) NMOL/L
TESTOSTERONE 16.1 (8.4 - 28.8) NMOL/L
25-HYDROXYVITAMIN D 96 (75-250) NMOL/L
PARATHYROID HORMONE 3.2 (1.6 - 6.9) PMOL/L
There are a bunch of other blood markers but not related to hormones. Out of these, I will note what was flagged as low or high / outside of range here:
WBC LOW 3.7 (4 - 100) XE9/L **MY WBC HAS TRADITIONALLY BEEN ON THE LOW END
BUT GP DOESN’T SEEM CONCERNED AND SAYS IT NEEDS TO BE <1 TO SEE A BLOOD SPECIALIST.
CREATINE KINASE HIGH 322 (44-275) U/L
…so as I said there are a bunch of other tests (Glucose, Cholesterol, etc…) which I have but they all fall in range. I can reference them if need be.
Daily Temperature monitoring (2 days):
8am 36.4 C
10am 35.8 C
2pm 35.6 C
6pm 36.4 C
8am 36 C
10am 36 C
2pm 36.3 C
6pm 35.5 C
So this is the info I have. Not sure what else might be needed for someone to form an opinion about my current treatment but again, there’s only so much blood information I can get here in Ontario. My main symptoms are fatigue, depression, anxiety, hot flashes sometimes during the day and more often in the mornings, cold hands and feet, broken sleep, early morning awakenings (cannot fall back to sleep), can’t gain weight, tinnitus (this is from medication I was taking about a year and half a go which I’ve been off for 16 months now). My diet is good; no sugar, very little caffeine if any, very little gluten if any (I’ve been tested and I don’t have a gluten problem but I’ve cut it out anyway), no dairy, no nightshade vegetables, Vitamin B12 Hydroxy, Small amount of Methyl folate, Vitamin C, 1000 iu of D3, some Magnesium here and there but my levels are good and have been tested, multivitamin once in a while, IronVegan Gainer mostly every day.
So I have a few questions if there’s anyone who can answer…
- I’m not sure if my hormone levels look somewhat normal for my age - I’m 43
- It would be great to hear from anyone who has switched from injections to Testim and what your results were like
- Can I apply Testim at night / in the evening as opposed to the morning
- My Endo doesn’t want to give me any HCG or other types of hormones at this point. She says they are not needed but I’m not so sure
Thank you everyone who replies for your insights, suggestions, experiences, and opinions as I try to get out of this nightmare. I have no energy and sleep is horrible and not refreshing / regenerating. I don’t have apnea but snore through my nose… tried many things to get better over the past year but nothing seems to work… even AD’s (which I can’t really tolerate at all)
All the best, and good health…