I dont post very often but I respect the opinions of the guys that post here and I am looking for some input on my lab work and my docs ideas. A little background…38 years old past history of testiclular cancer at age of 10, 1 remaining. 3 yeas of chemo. workout 3-4 times a week. My diet is clean. Have used TRIBEX and alphamale over the years cycling as directed with positive results.
Never had libido or ED problems until going through a bad marriage and divorce over this last year and a half. Had mental fogginess, memory wasnt as sharp as I usually am, horrible sleeping patterns, hard time dropping weight, and general fatigue, lack of morning wood. In January , it clicked that I was probably having low test and or adrenal fatigue.
I was able to procure 2 month supply of clomid and started with 25 mg of clomid EOD, within 4 days or so, I was feeling great, almost all symptoms dissapeared, good libido, no ED, morning wood every morning. Went to see a doctor ( first ime in 13 years I had seen a doc) in order to have labs run. These were the results:
lab performing test Quest
1/13/2010
DHEA- 29 mcg/dl (110-370)
Total Test- 1233 ng/dl (250-1100)
Free test- 84 pg/ml ( 46-224)
Bioavailable test- 165 (110-575)
SHBG- 82 ( 8-48)
Estradiol 89 ( < or =29 )
with these results, I started DHEA at 200mg per day and cut the clomid to 12.5 mg EOD, and DIM 400 mg per day
Follow up labs on 3/30
DHEA- 384
Total test- 1243
Free test- 108
Bioavailable Test- 203
SHBG- 66
Estradiol-60
By May , was still feeling good and opted to wean off Clomid and to back off the DHEA to 150 mg/day… so by mid June , not feeling horrible but not feeling as good as I was on the 25 mg of clomid or hte 200 of DHEA. Morning wood not nearly as often , maybe 2-3 times/week.
So finally, Just had last batch of tests ran, and here are the results:
7/29
DHEA-115
Total test- 681
Free Test- 35.6
Bioavilable test- 66.9
SHBG- 97
Estradiol-6
So my doc wants to start on Androderm 5 mg/day and keep the DHEA at 150 mg/ day ( he thinks maybe lab error). I have concerns that I am totally going to kill my HPTA since I am producing some test at this time. Should I recommend HCG to preserve natural production?
Also , should I be checking FSH and LH levels before starting the TRT ( he has not ordered these labs as of yet), Anyone with good results with androderm? Any other suggestions would be greatly apprectiated…Thanks in advance