Okay, so straight off the bat here, I'm going to admit that I've messed up. I've been receiving TRT for around 2 years, and had always assumed that I should just be leaving my treatment in the hands of my doctor, as he would know best. The past couple of years have been particularly streseful for me, and if I'm honest, I neglected actively following my treatment in order to prioritize my other issues (largely because I assumed the doc's would be able to sort it.) During the 2 years, I have seen my T levels rise to normal levels, at which point I was taken off, only then to see them plummet again and thus have my treatment resumed. Having read around these forums and the stickies, I now know how foolish I've been, and that I've really only got myself to blame. With an appointment scheduled later this week with my doc, I want to be able to go back there and ask him questions based off my newfound knowledge; however, I would like some feedback as to whether my questions are suitable and whether I'm missing something...
Firstly, regarding bloodwork, I have thus far only ever received readings for Total T, prolactin, FSH and LH (even when on treatment- eeeesh...) I would like to request readings for Total T, Free T, E2 (particularly due to bodyfat storage tendencies) and for my Thyroid levels (TSH/fT3/FT4.) I would also like to ask about getting a results for DHEA, largely to rule out any possibility of adrenal fatigue (of which I have also been researching and seem to be displaying symptoms of.)
I would like to talk about the possibility of being prescribed a branded Aromatase inhibitor (if they are available in the UK?) Although I, as yet, have no bloodwork to back it up, I would be inclined to say that my E2 levels are increased, based off physical factors (e.g. bodyfat distribution.)
I have thus far been receiving a Testosterone undecanoate injection under the brand name Nebido, with an intramuscular shot every 12 weeks. I would like to ask about receiving subcutaneous injections in the form of a lighter ester (cypionate/ethanate) on a more regular basis, to avoid the fucking awful highs and lows from the undecanoate shots, as well as having a needle jammed deep into my asscheek.
I would like to enquire further about hCG shots, in conjunction with the Test. Although I'm a younger guy (22), I would like to be able to maintain a possibility of having kids in the future, and this (if I'm correct?) may help me counteract an increased liklihood of infertility.
I'm just basically looking for feedback as to whether or not I'm on the right track with things I should be approaching my doc with. I'm fed up with things not having been sorted, and furious with myself for my own lack of input into my treatment. If any of the more knowledgable posters around here have any pointers for me, whether I'm missing something or have too soon jumped the gun with something in particular, please help set me right!
Many thanks to those who have taken the time to read this!