Hi everyone, new TRT patient here. I sought out a clinic because I've been having several symptoms for the last several years ever since I had severe complications from a vasectomy, but what finally spurred me to action is the extreme difficulty I've faced with attaining/maintaining gains, and fat gain. Poor sleep, lack of well-being, decreased libido, soft erections have all become pretty normal for me. I just assumed I was getting old (I'm only 30, about to turn 31). Testes ache a lot, ever since my vasectomy. Ejaculation is very painful, and gives me a kicked-in-the-nuts feeling.
I'm 5'10", 208lbs, about 22% BF, 38in waist at the love handles (I've always very been thick around the middle, even when I had very visible abs). I was at 26% by BodPod, and lost 8lbs recently. I just had a major shoulder surgery, and started watching my diet better to counteract the lack of exercise. My training history has been intermittent for about the last 15 years, with countless changes in priority mostly due to military service. Through it all I've always considered myself a powerlifter, but more recently have taken an interest in "looking like I lift" so I'm interested in more hypertrophy training and wanting to lose some fat. To be clear, I won't be able to do any upper body training for the next 5 months.
Anyway, I saw a clinic, got some tests done, which I'll post below, and was prescribed what seems to be a very high dose of everything:
adex - 2mg/wk
hCG - 2000iu/wk
Apparently the high dose of hCG is also supposed to help me with fat loss initially, but the other two seem to be high as well, which honestly I don't mind. 210mg test-c per week and 2mg of adex. I know most will say that is very high by TRT standards, but I feel really good so far, and barring and complications (which as of now are zero) I might plan to stay on this dose indefinitely, especially if it will make a desirable body comp. a little more attainable.
I've been on for nearly two weeks now. Things I've noticed so far:
a) Sleep is better. I still have trouble falling asleep, but once asleep I sleep like the dead and wake up like flipping a light switch. No more groggy laying around feeling sorry for myself for an hour trying to wake up.
b) Boners completely ceased for about the first week. Now they are back with a vengeance and I can get hard like it's my f$#@ing job.
c) Appetite has decreased slightly. Hunger pangs don't happen until much later in the morning than before if I go without breakfast. I still need to adjust my food intake and break the habit and/or mental addiction to eating when not hungry.
So far I've experienced no side effects. I've never taken hair loss drugs, though I have had thinning hair in the front for years; don't care. I never get acne. No issues with aggression or mental instability. I take blood pressure meds, for what i can only assume is hereditary hypertension. I say assume because I was adopted and don't have a family medical history, but I've had hypertension since I was very young. Back when I was single digit bodyfat and played sports year round.
I just wanted to start this thread to document my condition and progress, to get advice, and hopefully help someone in the future who has a similar situation. I know the "clinics" are known for prescribing high doses, and to be honest that's exactly what a lot of people want, including myself. I've considered AAS for years, but never wanted to break the law and put my career or family's financial well being in jeopardy. Personally I think they should be legal for grown a$$ people to decide what to do with their own bodies, but a high dose TRT prescription may just be the next best thing for me. Who knows, maybe I will try 100mg/wk someday and see how I feel but for now I'm doing as prescribed and giving it at least 6 months before I reassess.
I know I need to get LH, FSH, a sensitive E2 assay, prolactin, etc. but here are my initial bloods. Followup will be in 6-7 weeks.
TESTS RESULT FLAG UNITS REFERENCE INTERVAL LAB
CBC With Differential/Platelet
WBC 6.1 x10E3/uL 3.4 - 10.8 01
RBC 4.80 x10E6/uL 4.14 - 5.80 01
Hemoglobin 15.2 g/dL 12.6 - 17.7 01
Hematocrit 44.3 % 37.5 - 51.0 01
MCV 92 fL 79 - 97 01
MCH 31.7 pg 26.6 - 33.0 01
MCHC 34.3 g/dL 31.5 - 35.7 01
RDW 12.8 % 12.3 - 15.4 01
Platelets 289 x10E3/uL 150 - 379 01
Neutrophils 45 % 01
Lymphs 44 % 01
Monocytes 8 % 01
Eos 2 % 01
Basos 1 % 01
Neutrophils (Absolute) 2.7 x10E3/uL 1.4 - 7.0 01
Lymphs (Absolute) 2.7 x10E3/uL 0.7 - 3.1 01
Monocytes(Absolute) 0.5 x10E3/uL 0.1 - 0.9 01
Eos (Absolute) 0.1 x10E3/uL 0.0 - 0.4 01
Baso (Absolute) 0.0 x10E3/uL 0.0 - 0.2 01
Immature Granulocytes 0 % 01
Immature Grans (Abs) 0.0 x10E3/uL 0.0 - 0.1 01
Comp. Metabolic Panel (14)
Glucose, Serum 86 mg/dL 65 - 99 01
BUN 9 mg/dL 6 - 20 01
Creatinine, Serum 1.00 mg/dL 0.76 - 1.27 01
eGFR If NonAfricn Am 101 mL/min/1.73 >59
eGFR If Africn Am 116 mL/min/1.73 >59
BUN/Creatinine Ratio 9 8 - 19
Sodium, Serum 139 mmol/L 134 - 144 01
Potassium, Serum 4.4 mmol/L 3.5 - 5.2 01
Chloride, Serum 98 mmol/L 97 - 108 01
Carbon Dioxide, Total 24 mmol/L 18 - 29 01
Calcium, Serum 9.5 mg/dL 8.7 - 10.2 01
Protein, Total, Serum 7.3 g/dL 6.0 - 8.5 01
Albumin, Serum 4.6 g/dL 3.5 - 5.5 01
Globulin, Total 2.7 g/dL 1.5 - 4.5
A/G Ratio 1.7 1.1 - 2.5
Bilirubin, Total 0.5 mg/dL 0.0 - 1.2 01
Alkaline Phosphatase, S 55 IU/L 39 - 117 01
AST (SGOT) 34 IU/L 0 - 40 01
ALT (SGPT) 60 High IU/L 0 - 44 01
Lipid Panel With LDL/HDL Ratio
Cholesterol, Total 175 mg/dL 100 - 199 01
Triglycerides 73 mg/dL 0 - 149 01
HDL Cholesterol 55 mg/dL >39 01
According to ATP-III Guidelines, HDL-C >59 mg/dL is considered a
negative risk factor for CHD.
VLDL Cholesterol Cal 15 mg/dL 5 - 40
LDL Cholesterol Calc 105 High mg/dL 0 - 99
LDL/HDL Ratio 1.9 ratio units 0.0 - 3.6
Please Note: 01
1/2 Avg.Risk 1.0 1.5
Avg.Risk 3.6 3.2
2X Avg.Risk 6.2 5.0
3X Avg.Risk 8.0 6.1
Thyroid Panel With TSH
TSH 1.010 uIU/mL 0.450 - 4.500 01
Thyroxine (T4) 9.4 ug/dL 4.5 - 12.0 01
T3 Uptake 30 % 24 - 39 01
Free Thyroxine Index 2.8 1.2 - 4.9
Testosterone ,Free and Total
Testosterone, Serum 302 Low ng/dL 348 - 1197 01
Adult male reference interval is based on a population of lean males
up to 40 years old.
Free Testosterone(Direct) 12.5 pg/mL 8.7 - 25.1 01
Estradiol 19.6 pg/mL 7.6 - 42.6 01