About me:
-35 years old
-188 Lbs
-5 ft 7in
-BF (measured via tape test) : 22%
I went into my primary care doc back in November because I felt like crap for almost a year, had rapid weight gain after a came back from a deployment to Afghanistan (25 Lbs in 8 months), very irritable, no libido. Anyway she took a total and free T test and came back at 188 total (range 240-950) and free came back at 5 (range 4.6-18.1). After that she referred me to a urologist that tried me on Clomid at 50mg/day. After about day 4 of that I about had an emotional meltdown that then triggered a bit of anxiety, my guess was that my E2 was sky high. Came off the Clomid for a few days after that and the following week went to 25mg EOD and actually started feeling much better. I did not want to stay on Clomid long term and had too many disagreements with the urologist so found a doctor that does HRT and he got my full blood ran:
1/8/2018(while still on Clomid 25mg EOD)
CBC and CMP according to HRT doctor were great
Total T: 698 (range 264-916)
Free T: 19 (range 8.7-25.1)
DHT: 47 (range 30-85)
DHEA: 248 (range 102-416)
SHBG: 26 (range 16.5-55.9)
Cortisol: 11.9 (range 2.3-11.9, afternoon test)
TSH: 8.6 (range .45-4.5)
LH 4.3 (range 1.7-8.6)
IGF-1: 126 (range 88-246)
VitD: 43 (range 30-100)
Insulin: 8.6 (range 2.6-24.9)
Total Cholesterol: 200
VitB: 812 (range 232-1245)
So after meeting with the new HRT doctor he recommended that I come off the Clomid and start taking 50mg test Cyp every 3.5 days and 250IU HCG at the same time to keep my testes working somewhat. Took my first injection on 1/25 and felt great immediately, the minor aches I have had for a year disappeared and I just generally felt so much better and less irritable. My workout intensity skyrocketed and I finally felt like my old self again. As I was curious to keep track of my progress and correlate how I felt to my actual blood hormone levels I went in for blood a few times after starting injections:
1/29:
Total T: 1273 (range 264-916)
Free T: 32 (range 8.7-25.1)
Estradiol Sensitive: 45.4 (range 8-35)
2/12
Total Test: 894 (range 264-916)
Free Test: 35 (range 8.7-25.1)
Estradiol Sensitive: 51.8 (range 8-35)
TSH: 8.7 (range .45-4.5)
T4: 5 (range 4.5-12)
T3 Uptake: 30% (range 24-39%)
Free Thyroxine Index: 1.5 (range 1.2-4.9)
After the test on 2/12 doc wants me to move down to 35mg of test every 3.5 days which I just started. So fast forward to today (2/25). I feel like I am sliding backwards now. I am tired again, not as motivated, and generally feel like crap, and am more anxious. No libido still, feel bloated more, feel like I am probably retaining water. Gained anywhere from 4-6 lbs since starting TRT, feet and hands are a bit more swollen, especially after long walking or running, sensitive nipples. I suspect this high E2 is what is doing this but am also concerned with my thyroid levels. Read the stickies here and have been checking body temp, which in the AM has been 98.2 and goes up a little bit throughout the day so I am not overly concerned from the temp side, but don’t get why the TSH is so high. I feel like I should try a low dose AI so get the E2 back under control while also digging deeper into the thyroid levels. Think iodine can help get this straightened back out?
Think the new test dose will help bring the E2 down at all? I don’t really think it will which is why I tend to want to get on an AI. Before I reach back out to my doc figured to get a few opinions from those more experienced with this stuff. Since my free T is pretty high I am not sure if the high E2 is a direct result of that and maybe it really will lower due to lowering dosage??