Long time lurker, thought I had a little more understanding of the idea of HRT and the systems involved but now that I am directly involved things are much less clear, so here we go:
-45 yr old male
-describe body and facial hair average?
-describe where you carry fat and how changed - have carried fat in love handles since early teens if not before, stayed with me even when near 10 percent BF with abs showing in early 20s. Now additional fat on pot belly and chest, very little on arms and legs, have been as heavy as 260 a year ago
-health conditions, symptoms [history] -history of high bp and cholesterol (both these are good right now-see meds below), clogged arteries, multiple traumas ie, car accidents, dizziness, blurred vision, trouble with focus, low energy, zero libido
-Rx and OTC drugs, -Bisopropal 2.5mg/day, Trandolapril(Mavik) 2mg/day, Lipidil EZ 145mg/day, Lipitor 20mg/day Aiming to get off all,these are reduced since resuming exercise and weight loss.
-any hair loss drugs or prostate drugs ever - No
-diet - 800- 1400cal,150-200 g protein / day usually keto style diet
- training - cardio 20-40 min/E2D at 140 bpm, light whole body weight workout E2D ( tying to heal all old injuries before going heavier)
-testes ache, ever, with a fever? No
-how have morning wood and nocturnal erections changed Ã¢?? very infrequent for a few years
Due to low test symptoms and supporting bloodwork in Nov. Dr put me on 100mg test E EW for about 8 weeks. Libido increased and I felt overall maybe %30 better energy and less brain fog after the first month then seemed to fade again. Then we did bloodwork again, Test and SHBG were both a bit lower. At that point ceased shots for 5-6 weeks and redid bloodwork with some new tests I requested that were not previously done (new tests * below)
Blood work pre treatment and after 8 weeks (from memory) was approximately :
FreeTest Calculated = 220-415 pmol/L (range 200-800)
Test = 9-14 nmol/L (range 8.4-28.7)
SHBG = 20-22 nmol/L (range 13-71)
Bloodwork after 6 weeks no shots was:
*E2 = 81 pmol/L (range <156 ) [ 22pg/mL (<42.5) ]
FreeTest Calculated = 188 pmol/L (200-800)
Test = 7.6 nmol/L (8.4-28.7) [ 219 ng/dL (242-827)]
SHBG = 19 nmol/L (13-71)
*Free T4 = 18 nmol/L (11-22) [1.3986 ng/dL (.855-1.71)]
*FSH = 4 U/L (2-18)
*LH = 4.3 U/L (2-18)
*Cortisol = 197 nmol/L (171-536) [7.14 ug/dL (6.2-19.43)]
So I am confused as to whether I am primary or secondary and does it really matter as far as treatment?
Had a shot of 200 mg Test E and the plan is to go 150mg/week for a few weeks then do bloods, any and all comments and perspective appreciated.