I am 29 years old and my most recent Total T was 378 ng/dL with free T of 7.0 pg/mL (another test with a different company in same month/time of day showed 502 total and 9.63 free)
My symptoms have been low energy, lack of libido, lack of enthusiasm for life/depression, anxiety, and erectile dysfunction (but I think the ED is psychological because it’s only a problem when I have a girl with me. Works fine when I’m by myself, and I still get morning wood).
I recently had a consultation with Defy Medical and got prescribed 150mg Test C/week (over 3 injections), 350 iu HCG 3x a week, Anastrozole 0.125mg 3x a week, and DHEA 25mg by mouth every night.
I’ve been having some serious second thoughts about this based on the following reasons:
I work for the military in Korea, so while I can receive the medications at my military shipping address, the sensitive estradiol blood test is not available in Korea. This concerns me because I know balancing E2 is one of the most important aspects of TRT.
150mg/week sounds like a high starting dose and goes against the adage of “start low and start slow” that I’ve heard others like Dr. John Crisler advise. The reason for it I was told is that my SHBG is high (46.38 nmol/L) so I need more T to have an effect.
I’m not sure it’s a good idea to start on an anti-E off the bat. I’ve always read it’s something to use only when you see symptoms of high E.
I am currently leaning toward not starting TRT due to the reasons above, however I’m not fully decided either way. I am hoping to hear what other people think as well. Thank you for your help.
My historical blood test results through the military have been the following:
July 2018: 378 ng/dl; 7.0 pg/ml free
May 2017: 448 ng/dl; 6.6 pg/ml free
December 2016: 376.6 ng/dl
June 2016: 370 ng/dl; 6.0 pg/ml free
I also had a blood test done by a private clinic in Korea in July 2018, with the following results:
Total T: 502 ng/dl
Free T: 9.63 pg/ml (range 5.4 to 40)
Estradiol (E2) (not the sensitive test): 20.78 pg/ml
Total Estrogen: 119.88 pg/ml
DHEA-Sulfate: 205.34 ug/dl
SHBG: 46.38 nmol/L (range 18.30 to 54.10)
PSA: 0.60 ng/ml
TSH: 2.090 IU/ml
FSH: 2.69 mIU/ml
LH: 4.65 mIU/ml
Free T3: 3.22 pg/ml
Free T4: 1.57 ng/dl
Prolactin: 14.76 ng/ml
HDL: 61.6 mg/dl (H)
LDL: 63 mg/dl
Triglycerides: 42 mg/ml
BUN: 24.1 mg/dl (H)
Insulin: 3.39 mIU/L
Vitamin D: 46.18 ng/ml
Cortisol: 16.52 ug/dl
Albumin: 4.92 g/dl
Progesterone: 0.29 ng/ml
IGF-BP3: 2052.85 ng/ml
IGF-1: 143.96 ng/ml (L)
Hemoglobin: 14.5 g/dl
Hematocrit: 45.6 g/dl