Hey all, first post around here.
Had my labs done 2-3 weeks ago and was diagnosed with hypogonadism. Labs below:
TT: 333 (280-800)
FT: 6.6 (7-28)
Estradiol: 19.6 (8.0-35.0)
SHBG: 69 (16.5-55.9)
LH: 5.6 (1.7-8.6)
So my total t is low, my free T is very low. My SHBG is very high. The proposed TRT protocol is as follows:
Test Cyp: 80mg x2 per week (Monday morning and Thursday evening)
HCG: 400IU same times as test cyp
Arimidex: 0.15 same times as test cyp and HCG
A little about me, I’ 30 (almost 31), suspected low T for a while but the past 1-2 years has been a steady decline to where I’m at now: exhausted all the time, very low sex drive, mental fog, zero motivation, zero assertiveness.
I’m an active guy (lifted weights 3-4 times per week for the past 10 years) and for the past 3-4 months, getting off the couch to go on a walk with my kids has been a challenge. Most days, it’s all I can do to make it through a day at work without breaking down from mental and physical fatigue.
I’m pretty lean (10-12% bodyfat), 5’10" and around 170 pounds. Used to be strong until fatigue zapped me and have seen drastic drop in strength/endurance over past year. Still have been maintaining 1-2 strength training workouts per week despite feeling like total crap.
I am supposed to start this protocol next week, but have a few concerns:
Is it wise to start on an AI immediately, even though my current Estradiol is below 20? I had a guy warn me that he was in similar situation and even a small dose of AI “crashed” his estrogen and it took a few weeks to recover from what he described as a “physical hell he had never experienced.” That freaked me out and made me wonder whether I should first wait and see where my estradiol goes in a few months and adjust as needed?
Is starting at 160mg Test Cyp per week too much? This dose was justified due to my high SHBG, but would it be smarter to start lower (around 100mg per week) and increase if/as needed?
Since I have a few days before starting, was hoping to get some feedback to determine if I should just trust protocol and go for it, or if I should further question AI inclusion and high Test Cyp dosing.