Got these labs back and don’t know what to do next. Any advice from you guys would be much appreciated. Here goes:
testosterone, serum 548 (264 - 916)
free tesosterone (direct) 10.5 (8.7 - 25.1)
DHT 139 high (30 - 85)
SHBG 50.6 (16.5 - 55.9)
Estradiol 24.3 (7.6 - 42.6)
DHEA 232.6 (138.5 - 475.2)
T4 Free 1.00 (.82 - 1.77)
TSH 4.98 high (.45 - 4.5)
T3 Free 2.6 (2.0 - 4.4)
I am prescribed a 15% compounded testosterone cream, .25 grams per day (1 click from dispenser). Anyone know how many mgs that is per day? Me not good with numbers. I am also prescribed 25 mcg of synthroid per day, which I should probably increase given my high TSH.
As far as my symptoms, the testosterone lately has been giving me some anxiety, and also a lot of brain fog. I feel dumber, kinda slow, and just not all there. Like my neurons aren’t firing as quick. I notice this particularly right after I apply it in the AM. Libido not great either. Could this be due to the high DHT?
I’ve had some benefits from the TRT, mainly better sleep, weight loss, and increase lean muscle mass, which has been nice.
Ideally, I’d like to increase my free testosterone to see if that gives me the kick in the ass I need. I read that that Proviron could bind to SHBG and thereby increase free T levels, so I bought some of that online and should be getting that in the mail soon. My plan is to reduce my TRT dose when I add the Proviron, so my DHT doesn’t go crazy. Hoping that boosts the free testosterone up, because my level of 10.5 is garbage.
Anyway, does anyone have any advice for me on this? Best route to go? I need to feel better. Thanks guys