Thanks KSman, really appreciate the response.
I read the stickies and much other stuff, not as ignorant as I may have come across, just wanted to ask a more hypothetical question rather than one which related specifically to me and my situation.
One sticky which I concentrated on was the HTPA restart, as I understand that to be my best alternative to trt. Managed to get Nolva, but not sure of the quality, or dosage as is not stated on the pack! Just says one a day. Therefore taking one every other day, as per your sticky. Is there anyway to know/feel of its legit? Also getting AI.
Also got new bloods, but they seem to have just used the old sample or readings as the tests that were also done previously (LH, FSH and Total T (only tests requested by doc)) have exactly the same result. I was hoping for some increase in T, but don’t seem to have a new reading. Anyway, let’s not get side tracked with that and use this as my baseline reading:
FSH: 2.13 mIU/mL
LH: 3.68 mIU/mL
Oestradiol: <18.4 pmol/L (Ref range: 0 - 160)
Test (total): 5.9 nmol/L (9.4 - 37)
SHBG: 35.0 nmol/L (10 - 55)
Free Androgen Index: 16.85 (32.2 - 136.1)
Free Test (calculated): 107 pmol/L (180 - 536)
If you don’t mind, I’d appreciate insights into the following:
Total and free T are low, yet E2 seems normal? LH and FSH not too low either? And SHBG is also in range?
- My understanding is that actually this E2 level is probably high for an adult male, and the range is for males and females? Also too high for this low T. Therefore, safe to assume conversion of T to E is high?
- Also SHBG is probably too active. Otherwise free androgen index wound not be so low?
Therfore, raising LH may lead to more E2. But does this mean an AI may be better than a SERM, in this case? I see you say in your sticky that Nolva causes E2 to rise, so use AI after. If LH and FSH normal and E2 high then maybe no need for SERM first, may avoid raising E2 further?
I note from your other post: ‘If E2 is high, LH may be high, cut SERM by 50%, anastrozole can be ineffective’.
In summary, do I need to raise LH more with SERM or just focus on lowering E2 and freeing up T: how long should I continue with SERM?
Will update with temps as suggested.
Finally just want to say I respect those who chose trt, but feel I’m not quite there yet. It’s not the right choice for me now but I understand it may be at some time in the future.