your TRT protocol:
- 50mg EOD, 175mg/week
- lab timing re prior injection
- AI=12.5mg EOD Arimidex <<<<<<<< does not make any sense at all
- hCG 250iu EOD
HDL:
fish oil
Might easily need 25mg DHEA at your age labs would be for DHEA-S
high potency B-complex multi-vit with trace elements including 150mcg iodine and 150-200mcg selenium. MUST be without iron! Natural source Vit-E, Vit-C 1000-2000mg per day, healthy fats and oils.
Avoid iron fortified: vitamins, bread, flour, rice
RBC is too high
Hematocrit to way too high - many health risks
take mini aspirin to assist blood flow
donate blood
Hematocrit: T levels may need to be reduced. Inject more often to avoid peaks, suggest twice a week.
Deeper and deeper: If hematocrit is liming flow in vascular organs [brain, penis etc], lack of O2 in kidneys increase EPO leading to more blood cells, making blood thicker - self worsening. Erythropoietin - Wikipedia
Do you every feel short of breath, dizzy or light headed? Feel pulse pounding in you ears? Headaches?
TSH looks good, but there can be problems nonetheless. Please check overall thyroid function via last paragraph in this post.
Have you ever not used iodized salt?
SHBG is very low. Sometimes guys are simply like that. However, low SHBG is also the calling card of diabetes. I do not see A1C or fasting glucose. Your low SHBG is increasing FT and reducing SHBG+T which means that your T status is higher than TT indicates.
Prostate:
Cialis can help with urine flow and ED.
PSA looks good.
Is urine flow good? Post peeing dribble is a different concern.
Task list:
- If you are able to donate blood, note any changes in how you feel after that. Or ask for therapeutic blood removal.
- Get suggested supplements and list what using already
- Post the two sets of requested oral body temperatures.
- Respond to SHBG diabetes and glucose issue.
Please read the stickies found here: About the T Replacement Category - #2 by KSman
- advice for new guys - need more info about you
- things that damage your hormones
- protocol for injections
- finding a TRT doc
Evaluate your overall thyroid function by checking oral body temperatures as per the thyroid basics sticky. Thyroid hormone fT3 is what gets the job done and it regulates mitochondrial activity, the source of ATP which is the universal currency of cellular energy. This is part of the body’s temperature control loop. This can get messed up if you are iodine deficient. In many countries, you need to be using iodized salt. Other countries add iodine to dairy or bread.