First, this site has been a wealth of knowledge after I found out I had Low T! Thank you for this wonderful resource.
48YO diagnosed with Low T back in March during my annual physical. I was complaining of poor sleep, day time lethargy, decreased libido, poor erections, increased abdominal fat, even though I exercise and watch the diet. I asked to have my T levels checked (had never had it tested previously). My PCP doesn’t do any TRT therapy so was referred to an endo. On April 2 I saw the endo and received the following test results:
Total T was 210 ng/dL (264-916 RR);
Free T was 33 pg/mL (33-227 RR);
Bioavailable T was 77 ng/dL (131-682 RR);
SHBG was 46.8 nmol/L (19.3-76.4 RR);
FSH was 8.10 IU/L (1.4-18.1 RR)
LH was 4.80 mIU/mL (1.5-9.3 RR)
TSH was 2.50 mIU/L (0.35-5.50 RR);
Prolactin was 5.50 ng/mL (2.0-18.0 RR)
E2 was 33 pg/mL (12-56 RR).
I wanted to try conservative therapy, rather than full TRT, and was put on a protocol of 12.5 mg clomiphene EOD and 500 iu hCG EOD.
After one month I was retested and the following lab results were:
Total T was 597 ng/dL (264-916 RR);
Free T was 93 pg/mL (33-227 RR);
Bioavailable T was 220 ng/dL (131-682 RR);
SHBG was 49.8 nmol/L (19.3-76.4 RR);
E2 was 41 pg/mL (11-43 RR)
Overall, libido and erections have returned to a very good state, workouts are more productive and much less daytime lethargy. Sleep duration and quality have improved, but only slightly.
My questions are:
1.) Is that a reasonable level to get from one month on the the Clomid/hCG protocol?
2.) Do I need to be concerned about the E2 level?
3.) Could I benefit from a “booster” mini dose of testosterone cypionate?