Hi
Brief intro.
Been on TRT since July 2017 under the NHS UK after finding out I was low T as the following numbers show:
Collected: 19 Apr 2017
HORMONE PROFILE
Serum testosterone level 11.9 nmol/L
Serum sex hormone binding globulin level 57 nmol/L
DERIVED FREE TESTOSTERONE 217.00 pmol/L [230.0 - 1000.0]
Collected: 15 May 2017
Serum LH level 4.9 iu/L
Serum follicle stimulating hormone level 12.5 iu/L
Serum prolactin level 113 mIU/L
Serum testosterone level 12.2 nmol/L
Serum sex hormone binding globulin level 59 nmol/L
DERIVED FREE TESTOSTERONE 218.00 pmol/L [230.0 - 1000.0]
Was the put on Sustanon 250 once every 2 weeks - 250mg every 14 days.
I was on that schedule until Dec 2017 when I’d done enough research to know better.
Since Jan-2018 I’ve been on the following schedule:
100mg Enanthate 250 per week divided into two 50mg doses every 3.5 days. Monday PM and Friday AM. Sub-Q.
450iu HCG every 3.5 days along with T shot. Sub-Q.
No AI.
52 years old
6ft
88Kg - 194 pounds.
16% BF
Active - weights, squash, cycling.
General feeling Ok - gym is productive, mood is good maybe bit emotional sometimes. Can make decisions, no brain fog to speak of. Sleeps like a log, about 7 hours nightly. Libido more or less zero and ED issues.
Given the high SHBG I have I need some advice on direction with protocol. Should I stick with it or try a higher/lower dosing as seems to be the case with other high SHBG cases I’ve read?
Seems libido is not coming online as I expected - very disappointing.
The following are labs I’ve had done so far.
Advice/comments very welcome.
05-Feb2018
D.H.E.A. SULPHATE 3.470 umol/L 0.44 - 13.40
FOLLICLE STIM. HORMONE *0.631 IU/L 1.50 - 12.40
LUTEINISING HORMONE *<0.3 IU/L 1.70 - 8.60
TESTOSTERONE *33.2 nmol/L 7.60 - 31.40
FREE-TESTOSTERONE(CALCULATED) 0.402 nmol/L 0.30 - 1.00
SEX HORMONE BINDING GLOB *83.1 nmol/L 19.00 - 83.00
FREE ANDROGEN INDEX 39.95 Ratio 24.00 - 104.00
17-BETA OESTRADIOL 43.2 pmol/L 0.00 - 191.99
27-Feb-2018
HAEMOGLOBIN (G/L) 156 g/L 130.00 - 170.00
HCT 0.459 L/L 0.37 - 0.50
RED CELL COUNT 4.65 x10^12/L 4.40 - 5.80
MCV 99 fl 80.00 - 99.00
MCH *33.6 pg 26.00 - 33.50
MCHC (G/L) 340 g/L 300.00 - 350.00
RDW 12.2 % 11.50 - 15.00
WHITE CELL COUNT 5.8 x10^9/L 3.00 - 10.00
NEUTROPHILS 3.68 x10^9/L 2.00 - 7.50
LYMPHOCYTES 1.42 x10^9/L 1.20 - 3.65
MONOCYTES 0.53 x10^9/L 0.20 - 1.00
EOSINOPHILS 0.12 x10^9/L 0.00 - 0.40
BASOPHILS 0.03 x10^9/L 0.00 - 0.10
PLATELET COUNT 185 x10^9/L 150.00 - 400.00
MPV 10.8 fl 7.00 - 13.00
CREATININE 103 umol/L 66.00 - 112.00
ALKALINE PHOSPHATASE 75 IU/L 40.00 - 129.00
ALANINE TRANSFERASE 25.2 IU/L 10.00 - 50.00
CK *423 IU/L 38.00 - 204.00
GAMMA GT 20 IU/L 10.00 - 71.00
TOTAL PROTEIN 74.9 g/L 63.00 - 83.00
ALBUMIN 44.8 g/L 34.00 - 50.00
GLOBULIN 30.1 g/L 19.00 - 35.00
FERRITIN 174 ug/L 30.00 - 400.00
TRIGLYCERIDES 0.8 mmol/L 0.00 - 2.30
CHOLESTEROL 4.52 mmol/L 0.00 - 4.99
HDL CHOLESTEROL *1.92 mmol/L 0.90 - 1.50
LDL CHOLESTEROL 2.24 mmol/L 0.00 - 3.00
NON-HDL CHOLESTEROL 2.6 mmol/L 0.00 - 3.89
FREE T3 5.01 pmol/L 3.10 - 6.80
FREE THYROXINE 15 pmol/L 12.00 - 22.00
THYROID STIMULATING HORMONE 2.49 mIU/L 0.27 - 4.20
TESTOSTERONE *42.8 nmol/L 7.60 - 31.40
FREE-TESTOSTERONE(CALCULATED) 0.583 nmol/L 0.30 - 1.00
17-BETA OESTRADIOL 125 pmol/L 0.00 - 191.99
SEX HORMONE BINDING GLOB 78.5 nmol/L 19.00 - 83.00
PROLACTIN 208 mIU/L 86.00 - 324.00
PROSTATE SPECIFIC AG(TOTAL) 0.697 ug/L 0.00 - 3.10
08-Apr-2018
HAEMOGLOBIN (G/L) 159 g/L 130.00 - 170.00
HCT 0.468 L/L 0.37 - 0.50
RED CELL COUNT 4.78 x10^12/L 4.40 - 5.80
MCV 98 fl 80.00 - 99.00
MCH 33.3 pg 26.00 - 33.50
MCHC (G/L) 340 g/L 300.00 - 350.00
RDW 12.3 % 11.50 - 15.00
WHITE CELL COUNT 7.2 x10^9/L 3.00 - 10.00
NEUTROPHILS 4.51 x10^9/L 2.00 - 7.50
LYMPHOCYTES 1.72 x10^9/L 1.20 - 3.65
MONOCYTES 0.73 x10^9/L 0.20 - 1.00
EOSINOPHILS 0.11 x10^9/L 0.00 - 0.40
BASOPHILS 0.09 x10^9/L 0.00 - 0.10
PLATELET COUNT 184 x10^9/L 150.00 - 400.00
MPV 11.0 fl 7.00 - 13.00
CREATININE 102 umol/L 66.00 - 112.00
ESTIMATED GFR 70.71 60.00 - 250.00
ALKALINE PHOSPHATASE 66 IU/L 40.00 - 129.00
ALANINE TRANSFERASE 26 IU/L 10.00 - 50.00
CK *524 IU/L 38.00 - 204.00
GAMMA GT 15 IU/L 10.00 - 71.00
TOTAL PROTEIN 65.6 g/L 63.00 - 83.00
ALBUMIN 42.3 g/L 34.00 - 50.00
GLOBULIN 23.3 g/L 19.00 - 35.00
FERRITIN 110 ug/L 30.00 - 400.00
TRIGLYCERIDES 0.76 mmol/L 0.00 - 2.30
CHOLESTEROL 4.73 mmol/L 0.00 - 4.99
HDL CHOLESTEROL *1.63 mmol/L 0.90 - 1.50
LDL CHOLESTEROL 2.75 mmol/L 0.00 - 3.00
NON-HDL CHOLESTEROL 3.1 mmol/L 0.00 - 3.89
HDL % OF TOTAL 34.46 % 20.00 - 100.00
FREE T3 5.1 pmol/L 3.10 - 6.80
FREE THYROXINE 14.4 pmol/L 12.00 - 22.00
THYROID STIMULATING HORMONE 2.86 mIU/L 0.27 - 4.20
TESTOSTERONE *33.4 nmol/L 7.60 - 31.40
FREE-TESTOSTERONE(CALCULATED) 0.407 nmol/L 0.30 - 1.00
17-BETA OESTRADIOL 112 pmol/L 0.00 - 191.99
SEX HORMONE BINDING GLOB *83.8 nmol/L 19.00 - 83.00
PROLACTIN 221 mIU/L 86.00 - 324.00
PROSTATE SPECIFIC AG(TOTAL) 0.966 ug/L 0.00 - 3.10