I read the stickies, and although new to the forum I have what my doc and many would say is a solid protocol, and I’ve had great results except in the area of libido and sexual health. Current labs are below.
I’ll be 37 this month… I started TRT in January 2016 at a dose of 200mg per week injected once… anyway long story short I’ve learned a considerable amount since then of how bad of a protocol for me that was. Current protocol:
• Test cypionate per week in EOD injections. (38 mg EOD, .19 on the syringe)
• 0.18 mg arimidex per week divided into 2 doses (see below regarding this)
My protocol has come a long way since the beginning. I used HCG for a time being but as it has done to me before, after about 6 weeks my libido dipped, erections were lessened, and I had a big increase in acne. Lab results at the time showed my estradiol sensitive at 43. I had symptoms of bph as well.
Doc suggested I come off of HCG. Felt amazing after about 10 days.
I did EOD injections equaling approx 160-172 mg per week, after several weeks, the high E symptoms returned, not as pronounced as on HCG, but noticeable. E sensitive was at 37 at the time.
Currently, my mental well being feels good, muscle mass and bodyfat composition still good. My libido and sexual health is still hit and miss. It seems as though at this low and infrequent dose of arimidex I still get affected by it. Penis shrinks up, lack of blood flow.
Here are my labs as of Sept 10 2016, so just less than a month ago. Symptoms were the same at that time:
Please Note at the time of these labs my T dosing was 44mg EOD
These are labcorp results…
Hematocrit 15.3, range 37.5 - 51
Cholesterol, Total 169 mg/dl
HDL Cholesterol 42
LDL Cholesterol Calc 108
Testosterone, Serum (Total) 1035 , range 348 - 1197
Free Testosterone, Serum 279, range 52 - 280
Bioavailable Testosterone, S 720, range 128 - 430
PSA, 0.3 ng/ml
Dihydrotestosterone 76, range: 30 - 85
DHEA-Sulfate 436.2, range: 102.6 - 416.3
Estradiol Sensitive 25.2, range 7.6 - 42.6
SHBG 21, range 16.4 - 55.9
TSH 1.53 range 0.450 - 4.5
A couple points regarding this:
My provider felt my TT is too high as my bioavailable is above range. This is why I am now on 38mg EOD, coming down from 44mg EOD
Since I was out of range on DHEA, he advised I discontinue DHEA supplementation which I have
So I can’t say for sure what is happening here. It appears I am very sensitive one way or another regarding E. When my E was at its highest (42ish), in addition to excess sweating and waking up randomly at night for urinating and otherwise, I seemed to get “worse” premature ejaculation.
I did a neurotransmitter test back in July to see if that was causing any of this, here are the results:
The only thing I haven’t really done is using HCG in conjunction with an AI.
I was microdosing arimidex EOD (between injections) for a total of 0.22-0.3mg per week, and again without fail my balls shrunk, penis went into hiding. When I come off, after a few days I feel great again, morning wood comes back, erections are harder. This goes on for a couple weeks and then starts to dissipate.
During actual sex and erections, I’m “ok” most of the time. But not really an improvement from before TRT.
EVERY other aspect of my life, including the vast majority of my labs and health markers has improved dramatically since on TRT. It’s just this one thing being a pain.
My provider feels I’m very close to being dialed in, I think we’re close and at the same time far away.
Thank you in advance.