37, 5’10", 30" waist, 140 lb, thin and sparse body hair, fat around waist and butt, 10 years chronic illness with Lyme Complex
Plaquenil 400 mg
Liothyronine 15 mcg
Levothyroxine 25 mcg
CoQ10 100 mg
Iron 5 mg
DHEA 6.25 mg
Zinc 12.5 mg, Copper 1 mg
Numerous other supps and herbs
Estradiol 31.1 (ref 7.6-42.6) [was on 12.5mg clomid E3D]
T 290-390 (ref 264-916)
FT 11.5-12.56 (ref 5-21)
%FT 2.95 (ref 1.5-4.2)
DHEA 189.6-362 (ref 138.5-475.2)
Lh 3.4 (ref 1.7-8.6)
FSH 2.7 (ref 1.5-12.4)
Prolactin 5.3 (ref 4.0-15.2)
Acth 40.1 (ref 7.2-63.3)
TSH 2.3 (ref 0.45-4.5)
FT3 2.6 (ref 2-4.4)
FT4 1.3 (ref 0.82-1.77)
T4 7.6 (ref 4.5-12)
Cortisol 25.2-28.5 (ref 6.2-19.4)
Clomid at 50mg/day brought my T to 899 with morning wood and firmer erections. It caused afterimages, depression, and psychotic symptoms that forced me to stop. I tried taking doses as low as 12.5 mg E3D, this brought my T to 519, FT 17, %FT 3.28, Lh 6.8 - good results compared to my baseline in the labs above, but the side effects were still present.
A urologist prescribed 100 mg T. cyp IM, weekly; HCG 500U biweekly. Due to an insurance delay I used T alone for 4 weeks and then had labs 48 hours after the injection: T 1210, Lh <0.2, FSH 0.3. I felt great the first week, there was improvement in ability to sustain an erection, but no morning wood; after 5 weeks impotency was worse and mood deteriorated.
HCG was started at the end of the 6th week. 100U caused mild muscle cramps about 15 mins after administration, I tried supplementing magnesium and potassium and this helped somewhat. Strangely, the cramps start around 3pm even on days after the shot, maybe because the minerals are taken in the morning.
After reading through the site, I’m planning to switch to a 31G 5/8" syringe for HCG, and 29G 1/2" syringe for biweekly 40mg T. I’m looking for another doctor who can manage my hormones under one roof - the treatment for FT3 is very hard to find, and the doc who did it was unwilling to do TRT.
- 100mg T appears to be too high a dose for me (1210), would 40mg biweekly still be too much?
- Will higher doses of HCG cause more intense muscle cramps? I haven’t taken more than 100U.
- What is a good starting protocol for HCG + T? I plan on T twice a week, I’m less sure about the HCG.
- I see varying effects on cortisol levels from TRT, mine are high, should I just hope for the best?