- I'm at the end of my rope and am here to try and get a handle on my TRT
- Lost my job about a year ago due to how I'm feeling.
- Can't focus, concentrate, memory is bad, very tired and hard to get up in the morning, temper is very short and unpredictable, I've turned anti-social and hate going outside the house.
I was not getting results from my last doctor of over 2 years, so I switched. Lab wise, I've always had metabolic syndrome, hypo type thyroid numbers, insulin resistance and I'm told, some type of internal inflammation due to my CRP number being over .1 (1.4).
My protocol when these labs were taken was, 50mg test cyp 2x weekly. I was on HCG in the past, but not for these labs.
Based on these labs, below is what the doctor prescribed.
1) Thyroid - Prescribed NP Thyroid 60mg, once daily
2) Adrenal - DHEA 25mg, once daily
3) Hormone - Stop test and start 1,000mg HCG 3x weekly, 1mg a-dex 2x weekly
4) He says I have metabolic syndrome and that the above will help straighten it out.
Any feedback on my labs and his treatment plan would be greatly appreciated.
Describe Body and Facial Hair: Easy to grow facial hair, but since starting TRT it's become thicker and coarse/stiff. Only had some chest, belly and mild back hair before TRT. Now all of the mentioned areas are thicker and blacker. My upper arms, shoulders and mid-back now have hair.
Describe Where You Carry Fat and How Changed: I carry everything in my gut. My new TRT doctor did a body scan (dex?) and it yielded 15% in arms, 14.8% in legs and 29.6% in Trunk. My body has not changed the way it's carried fat since I can remember.
Health Conditions, Symptoms [History]: High Blood Pressure, High Anxiety, Depression and Migraines.
Rx and OTC Drugs: No hair loss drugs. Lexapro - Depression, NP Thyroid 60mg, Verapamil - Reduce migrains and symptoms, Lisinopril - Blood Pressure
Vitamin D - 15,000iu, DHEA 25mg, Niacin, TMG
Cholesterol, Total, 220 mg/dL (125 - 200)
HDL Cholesterol, 31 mg/dL > or = 40
LDL-Cholesterol, 142 mg/dL <130
Triglycerides, 237 mg/dL <150
Cardio CRP (R), 1.4 mg/L -- Range for this is 1.0-3.0 average cardio risk -- I've been told it means inflammation and could be the start of something bad.
Homocysteine, 10 umol/L <11.4
Glucose, 74 mg/dL (65 - 99)
Vitamin D, 25-OH, Total, 44 ng/mL (30 - 100)
TSH, 3rd Generation, 2.24 mIU /L (0.40 - 4.50)
T4, Free, 1.1 ng/dL (0.8 - 1.8)
T3, Free, 3.7 pg/mL (2.3 - 4.2)
Testosterone, Total, 871 ng/dL (250 - 1100)
Free Testosterone, 204.7 pg/mL (35.0 - 155.0)
SHBG, 15 nmol /L (8 - 48)
Estrogen, Total, Serum, 111 pg/mL (130 or Less) -- Never had this type of E test done, but doctor says he likes it around 7?
C-Peptide - Insulin, 3.49 ng/mL (0.80 - 3.10) -- Doctor said this shows insulin resistance
Adrenal Stress Profile
Morning (6:00-8:00 AM), 13.7 (13.0 - 24.0)
Noon (12:00-1:00 PM), 4.3 (5.0 - 8.0)
Afternoon (4:00-5:00 PM), 5.7 (4.0 - 7.0)
Night (10:00 PM-12:00 AM), 0.4 (1.0 - 3.0)
Describe Diet: Nothing special. Last 3 years I've just been a breakfast, lunch and dinner person. Oats and protein in the morning. Lunch varies, but I try to stick to sandwiches. Dinner is always a protein, carb and fat.
Describe Training: I've felt so bad the past 3 years that I haven't lifted at all. In the past, I would do a typical body split over 5 days.
Testes Ache: Never
How Have Morning Wood and Nocturnal Erections Changed: Almost non existent. No libido or sex drive to speak of.