Need some of the more informed opinions on TRT. I know from being here years ago, that some of the beast nutrition,supplementation, hormone and training advice on earth is here at T-Nation.
I am 41 years old. About 5’10 and a regular sized 215 lbs - meaning fairly fit with some fat around my mid section. I’m an ex wrestler so I have thick neck, traps and wide back but I am not overly muscular or jacked looking. I want to get back into lifting and even training BJJ again after a long lay off. At this point (Which I’ll explain below) I am in a serious funk.
I had tried TRT for a year (post back injury, surgery, meds, phys rehab etc) and it started well, but in retrospect the Dr. just threw me on injections, made me practically beg for HCG and beg even more when my E2 was up and I requested AI’s. I eventually ditched this Dr as I think he was in it for the money and not my overall health.
At 40 y/o I started with 200Mg Cyp a week , with nothing else added. In my mind this seemed a reasonably mild dose (comparing with what I had seen guys do before…but of course they’d cycle) The first few months were great, I was back to old pre surgery me. My test was around 1000-1100 and I was getting stronger , sleeping very well, and overall just feeling great.
Around the 6 month mark in, due to atrophy of the huevos and my wife asking about that - I asked to introduce HCG. The Dr almost tried to talk me out of it and when he finally relented it cost me another $200 for a month supply (the price we pay for doing things the lawful way I reasoned)
So still running 200 a week, I started HCG. I jumped right in and at first felt awesome, but then it turned out that 200 a week + HCG made my test around 1350-1400 and before I could recognize it, my estradiol levels were up. Enter the night sweats, hot/cold flashes and lack of quality sleep…I felt very bad during that time. Dr. then puts me on AI and it helps.
Last straw was simply that my E2 was up and down, I wasn’t feeling good and worse, my hematocrit was so high I could not even donate blood as I was instructed to. Without being able to donate, my BP was high and blood getting thicker. Around this time I moved for work and just stopped treatment once my last shot ran out. This was probably not the best move, but I was very frustrated with the back and forth I had with the Doc as well as I was just feeing like shit (sweating, high BP, E2 levels were up and down) so I partially blame my rash decision on being fed up + the estrogen levels didn’t help
My natural test for most of life was fairly high range with me being at 970 at age 34 (last test I took before starting treatment at 40)
I am now 41 and about 2.5 months w.out having any cyp shots. Of course, now I am feeling weak, lacking in concentration, feel more sluggish and generally just sad overall. I looked at this time as me allowing my blood to re adjust and letting things get back to normal (which are now low of course). I have some chlomid, which I tried for a week but for whatever reason it makes me feel absolutely terrible. I would rather just have low T than take Chlomid, as an Example - I feel like crying when I see puppy dog in a commercial while on Chlomid. Terrible.
At 41 would it be worth it to try and restore my natural T or get on an improvement protocol, where I add in HCG, AI and T injections, slowly lowering the T dosage over the course of a year until I get back to feeling normal? OR should I just get back into a new TRT program , obviously with a reasonable dose and the regular use of HCG and AI’s?
High Hematocrit - Could it be that I am just prone to this? Or is it more likely that my higher dose, with nothing else added to counterbalance could have created this? I do realize giving blood will help and also staying very hydrated, but I don’t want to risk a stroke in my 40’s.
HCG and AI’s - It seems from my research that I should start with these items and remain on them. Is that the case? Should I use HCG alone now, to recharge my testes and then start on a new TRT protocol?
Finally - sorry for such a long post, but I wanted to be thorough as possible. I hope maybe one of you guys can give some good feedback.