I am 42 yo, 5'10 195lbs. 36 waist, I run at least 2 times a week, weight train 3-4 times per week, I do yoga almost every day(got totally rid of ALL back problems), I usually weigh 180-185, been hitting the gym hard since starting hrt. My appetite is elevated since starting hrt, so I have put on some fat too. I look good and have been getting a lot of positive feedback about my musculature lately. I feel strong and confident, assertive and decisive. I think my problems have been around for a few years....I noticed lower libido and fatigue and fog...lots of fog and loss of memory.
I had diminished libido, overtook forever to orgasm,very tired all the time. Was not fat or out of shape....sort of pleasantly cloudy in my thoughts and now that I look back felt sort of female-ish. But something was wrong. Used a Florida clinic to start testosterone therapy here are my relevant numbers from that round of blood work.
TT,serum 390. 348-1197
Free 5.6. 6.8-21.5. Low
Estradiol 20.3. 7.6-42.6
TSH 6.9 0.450-4.500
WBC 7.4. 4.0-10.5
RBC 5.23. 4.14-5.80
Hemoglobin 16.6 12.6-17.7
Hematocrit 45.9 37.5-51.0
MCV 88 79-97
MCH 31.7 26.6-33.0
MCHC 36.2 31.5-35.7 High
RDW 13.2 12.2-15.4
Total cholesterol 190. 100-199
Triglycerides 167 0-149 High
HDL 66. >39
VLDL Cholesterol cal 33. 5-40
LDL Cholesterol cal 91 0-99
FSH 2.5 1.5-12.4
LH. 4.6 1.7-8.6
Hemoglobin alc 5.2 4.8-5.6
IGF-1 181 64-210
Alkaline phosphatase,S 63 25-150
AST (SGOT) 20 0-40
ALT (SGPT) 29 0-44
Started 120mg test in 60mg doses every 3.5 days. Started 250 hcg twice weekly as per protocol I learned here. Started Iodoral 50mg daily to try to improve thyroid function.
Decided to see local osteopath. She liked my Crisler protocol and agreed with taking charge of my own health. We continued iodine and tested again. I was aware that if Hashimotos is present iodine can accelerate the destruction of thyroid, not sure if she knew this however. I was prescribed adex but did not start to use it until week 5-6 as I didn't think I needed it yet. She also suggested I use chrysin TD daily instead of using adex. I had never heard of chrysin so I looked it up and did not feel great about what Crisler says about it. So I never used it.
Things really improved,sex was better, I really thought I was not "into" my girlfriend anymore and was questioning my relationship, that changed with my improved sex drive. I started to use adex, first .25mg every 3days.....sex drive waned, then tried every 5days....Things were better but not great so I thought .25mgs every 7 days. At about this point I went back in for labs. As follows
TT 1102(she likes this) 348-1197
Free 26.8(she wants this down into range) 6.8-21.5
Estradiol 11(of course higher)
TSH 8.9. 0.34-4.82
Thyroid perox ab H 96. 0-34. High
T3 107. 71-180
Thyroglobulin <20. 0-40
SHBG 29.3( she wants this up) 16.5-55.9
Ok, she was confused about the estrogen levels,I told her that I was not into using a transdermal and had not used the chrysin, I have full custody of my two young daughters,but did not mention(yet) Crislers statement about Chrysin being 'dead', I am open minded and want to see her wisdom and depth of knowledge. We talked all about my Thyroid,Hashimotos,etc. She thinks Hashimotos is frequently caused by Leaky Gut and we are doing stool samples and will attempt to stop my autoimmune response. Until then I am on 60mgs Armour.
I told her I would stop taking adex(not even sure I really need an AI), and try the Chrysin, at her urging. She also asked if I was at the 42nd day of HCG usage, if so I should stop for 30 days then resume, that HCG should be cycled on that schedule.
So I started chrysin, stopped my twice weekly hcg shots and ......felt bad. Depressed and unsexy. So today, a week and a half later, I gave myself a shot of HCG. Wow!! Feel great, and didn't rub myself with chrysin. Week and a half from today I am scheduled for new labs, I think I should take no AI and test myself with only testosterone and see where I am naturally. I also should say that the week of labs I took no hcg shots. Thoughts?
Here are some more relevant numbers again, from my last round
ANA reflex. Neg.
Free T3 3.05. 2.0-3.50
Free T4 .81. 0.45-1.63
Prolactin ,S 8 3-13
PSA-Screening 0.42 <4.0
So here are my concerns:
1) I do not want to use chrysin for these reasons: don't know if I even need AI, don't want to use it because it is a SERM and may give false Estradiol test results, and Dr. Crisler is hesitant to keep men on a SERM long term, dosing is not controlled enough, and finally it's transdermal.
2) Why get SHBG up? (she says it shuttles testosterone to tissues and receptor sites)
3)Why does she want my free T lower?
4)Why does she say to cycle HCG?
I am starting to think I may need to have that talk with her about...you know,..."Dr ____, how can I give you updated male hrt info and both of us feel great about it?"
I Take daily:
10,000iu vitamin D3
900mg Nettle root
Fish oil 1200mg(started as after those triglyceride numbers)
My diet is ok. Never eat total junk, no processed food or fast food.
I do own a bakery but don't over eat with white flour either. Lots of meat, fats, vegetables,salads. I am a single parent and so I do not eat like an elite athlete, sometimes my kids just need food, but we eat pretty well on the whole. Never drink soda, stopped diet soda.