@ksman please help!
I’ve been secondary hypo for the past 5-6 years and have tried various hpta restarts to no avail. Finally saw a reputable doc in Connecticut for trt only after originally going to my endo who gave me natesto Intranasal testosterone spray after he heard my symptoms of depression anxiety panic attacks and OCD. After around 2 weeks of use I then went to Connecticut as I wanted im trt and was given 0.5ml e5d (140mg) per week.
I’m now in week 3 (4 shots deep) and I noticed I feel extremely good immediately after injecting on injection day but the feeling almost feels as if it is tapering the next day and further the days after, I don’t know if it’s too soon as it’s not the 6 week marker yet, but is this a sign of aromatization and elevated e2?
I’ve also been told I have leaky gut so I’m trying to make gut health a bigger priority, and have experienced extreme burnout and inability to handle stress and life stress that have led me down the path of embracing trt
Here are threads with past blood work 27 Year Old HPTA Restart
I can post labs from before I started trt if you want to see those for further input but I really need help as lately it’s not even day to day stress but it’s like past stress that had been bothering me as well
I know cortisol thyroid and adrenal health are all factors
Lab Test Results
Phosphorus, Serum
Test Low Normal High Reference Range Units
Phosphorus, Serum 5.0 2.5-4.5 mg/dL
Magnesium, Serum
Test Low Normal High Reference Range Units
Magnesium, Serum 2.2 1.6-2.3 mg/dL
Tsh
Test Low Normal High Reference Range Units
Tsh 3.440 0.450-4.500 uIU/mL
Luteinizing Hormone(Lh), S
Test Low Normal High Reference Range Units
Lh 3.5 1.7-8.6 mIU/mL
Fsh, Serum
Test Low Normal High Reference Range Units
Fsh 1.2 1.5-12.4 mIU/mL
Cbc With Differential/Platelet
Test Low Normal High Reference Range Units
Immature Grans (Abs) 0.0 0.0-0.1 x10E3/uL
Immature Granulocytes 0 Not Estab. %
Baso (Absolute) 0.0 0.0-0.2 x10E3/uL
Eos (Absolute) 0.1 0.0-0.4 x10E3/uL
Monocytes(Absolute) 0.6 0.1-0.9 x10E3/uL
Lymphs (Absolute) 2.1 0.7-3.1 x10E3/uL
Neutrophils (Absolute) 2.4 1.4-7.0 x10E3/uL
Basos 1 Not Estab. %
Eos 2 Not Estab. %
Monocytes 12 Not Estab. %
Lymphs 40 Not Estab. %
Neutrophils 45 Not Estab. %
Platelets 218 150-379 x10E3/uL
Rdw 13.7 12.3-15.4 %
Mchc 34.1 31.5-35.7 g/dL
Mch 31.5 26.6-33.0 pg
Mcv 93 79-97 fL
Hematocrit 44.9 37.5-51.0 %
Hemoglobin 15.3 13.0-17.7 g/dL
Rbc 4.85 4.14-5.80 x10E6/uL
Wbc 5.3 3.4-10.8 x10E3/uL
Vitamin D, 25-Hydroxy
Test Low Normal High Reference Range Units
Vitamin D, 25-Hydroxy 61.1 30.0-100.0 ng/mL
Comp. Metabolic Panel (14)
Test Low Normal High Reference Range Units
Glucose, Serum 72 65-99 mg/dL
Bun 10 6-20 mg/dL
Creatinine, Serum 1.02 0.76-1.27 mg/dL
Egfr If Nonafricn Am 99 >59 mL/min/1.73
Egfr If Africn Am 114 >59 mL/min/1.73
Bun/Creatinine Ratio 10 9-20
Sodium, Serum 142 134-144 mmol/L
Potassium, Serum 3.7 3.5-5.2 mmol/L
Chloride, Serum 102 96-106 mmol/L
Carbon Dioxide, Total 23 18-29 mmol/L
Calcium, Serum 9.2 8.7-10.2 mg/dL
Protein, Total, Serum 6.6 6.0-8.5 g/dL
Albumin, Serum 4.5 3.5-5.5 g/dL
Globulin, Total 2.1 1.5-4.5 g/dL
A/G Ratio 2.1 1.2-2.2
Bilirubin, Total 0.3 0.0-1.2 mg/dL
Alkaline Phosphatase, S 78 39-117 IU/L
Ast (Sgot) 22 0-40 IU/L
Alt (Sgpt) 24 0-44 IU/L
Lipid Panel With Ldl/Hdl Ratio
Test Low Normal High Reference Range Units
Cholesterol, Total 133 100-199 mg/dL
Triglycerides 69 0-149 mg/dL
Hdl Cholesterol 53 >39 mg/dL
Vldl Cholesterol Cal 14 5-40 mg/dL
Ldl Cholesterol Calc 66 0-99 mg/dL
Ldl/Hdl Ratio 1.2 0.0-3.6 ratio units
Testosterone Free Ms/Dialysis
Test Low Normal High Reference Range Units
Testosterone, Serum (Total) 291 ng/dL
% Free Testosterone (Dialysis) 1.6 %
Free Testosterone, Serum 47 pg/mL
Estradiol, Lcms, Endo Sci
Test Low Normal High Reference Range Units
Estradiol, Serum, Ms 12 pg/mL
Cortisol, Serum Lcms, Endo Sci
Test Low Normal High Reference Range Units
Cortisol, Serum Lcms 14 ug/dL
Dhea-Sulfate, Serum
Test Low Normal High Reference Range Units
Dhea-Sulfate, Lcms 205 ug/dL
Igf-1
Test Low Normal High Reference Range Units
Igf-1(Bl) 246 ng/mL
Prolactin, Serum (Icma)
Test Low Normal High Reference Range Units
Prolactin, Serum (Icma) 13 ng/mL
Sex Hormone Binding Globulin
Test Low Normal High Reference Range Units
Sex Hormone Binding Globulin