46M, 160lbs, 5’10", Test Cyp 26-27mg EOD IM, no AI, no HCG, no other prescribed drugs, no alcohol, 1.5g of alkalyne creatine per day / before workout or exercise, small amounts of Marijuana at night, no smoking but I used to and I do take a nicotine supplement for now which I am slowly weaning myself off of, diet is clean / no sugar whole foods 90% of the time.
Pretty lost on what to do at this point. Still experiencing fatigue and headaches 7 months out. Still haven’t dialled in. From the looks of it I need to lower my dose again but I feel like I’m pretty low already.
Where to go from here; stay on EOD and lower to maybe 20mg or move back to E3D with the same dose I’m using now at 26mg?
I feel like maybe TRT isn’t going to work for this guy. I do have muscle gains but the head stuff, the temp changes in my body (high and low), the lethargy unless I’m doing something physical, and the general lack of feeling good most days is driving me absolutely nuts. I’m lucky I’m working from home but I only have another couple of months to get this right.
I am going to try a men’s clinic next week where they specialize in HRT but man, I was really hoping to get things close to where I need to be to function like a normal human being by this point.
All opinions / insights are always welcome. Thank you in advance for your reply.
Historical blood work (4 instances) starting with oldest:
Feb 6th 2020 (before Testosterone)
Total T 11.7 (8.4 - 28.8)
Free T 139 (196 - 636)
Estradiol <40 (<162)
SHGB No Data
TSH 1.41 (0.32 - 4.00)
T4 13 (9 - 19)
T3 4.2 (2.6 - 5.8)
Hematocrit 0.449 (0.400 - 0.500)
April 21 2020 (first blood test 8 weeks 40mg EOD)
Total T 50.7 (8.4 - 28.8)
Free T 1103 (196 - 636)
Estradiol 329 (<162)
SHGB 47.4 (10 - 70)
TSH 1.49 (0.32 - 4.00)
T4 10 (9 - 19)
T3 5.7 (2.6 - 5.8)
Hematocrit 0.465 (0.400 - 0.500)
June 22 2020 (second blood test 8 weeks 32mg EOD)
Total T 43.0 (8.4 - 28.8)
Free T 974 (196 - 636)
Estradiol 277 (<162)
SHGB 40.9 (10 - 70)
TSH 1.89 (0.32 - 4.00)
T4 10 (9 - 19)
T3 4.8 (2.6 - 5.8)
Hematocrit 0.490 (0.400 - 0.500)
Aug 26 2020 (third blood test 8 weeks 26mg EOD)
Total T 40 (8.4 - 28.8) nmol/L
Free T 884 (196 - 636) pmol/L
Estradiol 220 (<162) pmol/L
SHGB 41.1 (10 - 70) nmol/L
TSH 2.1 (0.32 - 4.00) mIUL
T4 not tested
T3 not tested
Hematocrit 0.508 (0.400 - 0.500) L/L
Edit: Something strange is going on with my Ferritin so I’m adding it below. Hematocrit (I could have been dehydrated so I won’t really know here until next workup when I conciously hydrate before the test) is up but I seem to be losing Iron or the ability to store Iron (Ferritin) since I started TRT. Diet hasn’t changed; still eat whole foods and red meat a few times a week.
Ferritin
JAN 2019: 227 (22-275) ug/L
SEP 2019: 234
FEB 2020: 196 start TRT
AUG 2020: 80