Thanks in advance for any help any of you can provide. I’ve been on TRT for a few months. I just got my first labs done since I started. My doctor just had the nurse call me to let me know the highlights and to tell me he wants me to keep things steady for another few months before tweaking, but I think I need some tweaks now, so I’m looking for help to prepare for that conversation.
-Age: 39 years old
-weight: 238 (up about 10 lbs since starting TRT)
-Body and facial hair never really changed noticeably
-Fat tends to distribute everywhere but my arms pretty evenly
-Symptoms prior to TRT ran the gamut of the usual–low libido, low energy, weak erections, less frequent morning wood, difficulty recovering from workouts or building strength or muscle
-Not much history of meds. I took ADD meds for a few years but haven’t for at least 4 years. Zero alcohol consumption. Very high stress career.
-Diet generally consists of about 200 grams protein, good amount of fruits and veges, and variable amount of carb intake. I’d say it’s generally cleaner than most, but my success at staving off the sweet tooth varies.
-Training before and after TRT is weights 3x/week with occasional bike ride on off days. I gave up on training more frequently when I realized recovery wasn’t like it used to be.
-No noticeable aching of testes, perhaps occasional discomfort.
-morning wood much more pronounced since starting TRT
Looks like initial labs were done by Pathology Associates Medical Laboratories in Spokane WA, but second labs look like a company called Cleveland Heart Lab.
TT Initial: 378 ng/dL (range 332-896);
3 months in: 1188 (250-1100)
FT Initial: 7.9 (4.3-30.4)
3 months in: 28.52 (35-155)
E2 Initial: 20 pg/mL (range 0-40) Lab done by local hospital
3 months in: 42 (20-56) (by different lab than initial)
3 months in: 34.6 (no range given)
PSA initial: 0.21 ng/mL
3 months in: 0.203
Cholesterol initial: 174
3 months: 142
HDL initial: 39
3 months: 36
3 months: 93
Triglycerides initial: 90
3 months: 64
TSH initial: 2.47 (0.450-5.1)
3 months in: did not test
TRT Protocol consists of 200mg cyp 1x/week and 250iu HCG E3D. Doc said he’d add AI when E2 goes up enough, but despite it doubling, he said to continue as is for now. Based on what I’ve read here, I’ll cut the dose and begin injecting 2x/week. Should I go to EOD for HCG?
Improvement in symptoms was noticeable within a couple weeks of starting. Sex drive was improved, and erections much better. My bench and deadlift both went up by 50 lbs or so within a few months (and the starting points were less than impressive, so in percentage terms, 50 lbs was significant). Since then, I’ve developed some acne, and libido and erection quality has tapered off.
My primary question: do you think adding AI will improve libido, erections, and skin?
What else should I be considering?