To start, I've been on TRT since 2011:
100 Ng Test-Cyp Weekly
250 IU HCG 2x weekly
.25 Arimidex every 4 days.
Before I started TRT, I had: No Libido, no energy, had not had morning erections in years, no motivation or drive, poor erection quality, no exercise recovery.
One day I got a bottle of DHEA to try it out, took a 50mg tablet and about an hour later it felt like I had taken the pill from the movie Limitless. My energy came surging back, felt like a 20yr old.
That lasted 4-5 hours, the next day I tried 50mg again, no effect. Tried 100mg, energy came flooding back. Next day it took 200mg to get that effect.
After that I went to see my Primary Care, he checked Testosterone, it was borderline low so he started me on TRT. I felt good for about a month.
Every since then I basically have gone back to all my old Low-T symptoms. Complete exhaustion, listless/no motivation, no libido, no morning erections, poor erection quality.
What is odd though, is that even now, if I don't take DHEA for a while and then take 50Mg, all my Low-T symptoms resolve for a few hours, and then the next day the DHEA does nothing and I am back to exhaustion.
7-Keto DHEA never provides relief, just regular DHEA, and only randomly.
I've talked to 3 docs about this, and all I get is a confused look and an "I don't know, your labs look good"
So I was hoping to get some of the knowledgeable folks here to see if they can provide insight. I am thinking that the DHEA is initially converting to another hormone that is the one I am really low in and providing temp relief, then converting to something else on subsequent doses.
Any help would be appreciated, I am at a loss and can't seem to make any progress, and am getting 0 help from doctors.
Labs below: (Note, the Total T, Free T, E2 was taken on the last day before my next dose to see the lowest that I drop)
Testosterone: 650 (Range: 292-1052)
Free T: 17.2 (Range: 4.8 - 25)
Estradiol: 19 (range <=63)
DHEA-S: 224 (Range: 104-446)
IGF-1: 207 (Range: 65-210)
DHT: 395 (Range: 106-719)
SHBG: 23 (Range: 16-94)
PSA: .6 (Range: <= 4.0)
TSH: 2.66 (Range: .4 - 4.5)
T4, Free: 1.5 (Range: .8 - 1.8)
T3, Free: 3.7 (Range: 2.3 - 4.2)
Reverse T3: 19.2 (Range: 9-27)
Cortisol AM: 13 (Range: 7-25)
ACTH Stim Test: Normal result
24Hr Saliva Cortisol:
Morning: 1.88 (Range: 5.1 - 40.2)
Noon: 1.65 (Range: 2.1 - 15.7)
Evening: < .33 (Range: 1.8 - 12)
Night: .35 (Range: 0.9 - 9.2)