Back story: Started TRT in Feb 2014 for low T symptoms. Mostly fatigue, inability to shed weight or make muscle gains despite busting my butt in gym and diet. Came across this site in Mar 2014. My pre TRT labs were as follows:
FSH 3.1 mU/mL (1 - 10 mU/mL)
LH 8.6 mU/mL (1.0 - 7.0 mU/mL)
Testosterone 321 ng/dL (220 - 1000 ng/dL)
Testosterone Free % 2.4 % (0.5 - 3.2 % )
Testosterone Free 78.0 pg/mL (40 - 240 pg/mL)
Prolactin 11.3 ng/mL (2.0 - 14.0 ng/mL)
TSH 4.100 uU/mL (0.400 - 5.500 uU/mL)
Thyroglobulin Ab 1.7 IU/mL( <14.4 IU/mL)
Based on these labs my endocrinologist started me on 100mg Test Cyp weekly. My next visit in May 14 (after reading this site), I suggested an Estradiol level. These were my results 5/27/14
Estradiol 17B 45 pg/mL (10 - 60 pg/mL)
Testosterone 502 ng/dL( 220 - 1000 ng/dL)
Arimidex was added per my insistence. Then things went south. My next labwork was not until October 2014. I over responded to the arimidex and got to the point where I was fed up/depressed and quit everything cold turkey for 16-20 weeks!!
Obviously was back to square one. Started back on TRT in 2/15 after Total Test levels came back lower than pre TRT levels. Have had up and downs over past 2 years. I did add HCG for 2015 at recommended dose of 250 iu/EOD but in 2016 got a job traveling overseas and while I could bring my testosterone and adex, could not bring and store HCG.
My current regimen for 2016 looked like this. Test Cyp 50mg twice a week IM with 0.5 mg Adex with each dose.
Here are my labs in 2016. (Doc tests my levels every 3 months and includes Total Testosterone, Estradiol, Hematocrit, Vitamin D (I am on supplementation), and PSA.)
Total testosterone (193 - 824 ng/dL)
Estradiol (10-60 pg/ml) (same draw dates as above)
So I went off arimidex for awhile then restarted at 0.5 mg every 2 weeks and I started donating blood. I still was injecting test cyp 50mg 2x/wk
My latest lab draw was on 01/18/17 with the following results:
Testosterone 240 ng/dL
Estradiol 25 pg/mL
Hematocrit 48.9 %
Vitamin D 25 Hydroxy 38.2 ng/mL (31.0 - 80.0 ng/mL)
My next appointment is not until 04/20/17. I emailed my Dr. asking if my Test Cyp should be increased. What frequency should I adhere to for Adex, and should I try and add HCG while I am stateside 6 months out of the year. I am getting to the point where I am contemplating stopping TRT but obviously following an HPTA restart with HCG and Clomid/Nolvadex (while I am home). Any suggestions from veteran TRT people would be appreciated. Sorry for the long post. A few more details.
I workout 3-5 x/wk mostly weight training and some treadmill work
I am nearing 45 y.o. in March
I have noticed my blood pressure climbing from my baseline of 120/80's to 140s/90's
My cholesterol is slowly climbed to 220's with LDL in 150's
I am on no other routine medications other than supplements and vitamin D: multivitamin, co-q 10, fish oil
Thanks for reading this far.