I finally found a new physician to help me manage my low T levels.
I am 48 years old and have had the following results pre-TRT:
FSH: 8.69 mlU/mL (range 2-9)
LH: 5.4 (up to 4.0)
Estradiol: 31.4 pg/mL (up to 40)
Testosterone: 279.1 (300-900)
Free T: 4.06 (20-40)
SHBG: 48.7 (13-71)
After bouncing between a couple of uninformed MDs, I located a new doctor who has started me on 100 mg of Depo-Testosterone weekly taken subcu in 2 divided doses (50 cc per dose). I have been on this for just under 3 weeks and feel much better. I will have blood drawn in a week and at that point, the doctor and I will discuss adding in HCG.
My question is that I am still feeling a bit of a “crash” when I am 3 days out from my last injection. The doctor said he would consider going up on the dosage, and I think doing 50 cc eod will create a much more “even” feeling. Does this make sense?
In addition, while he and I discussed managing my estradiol level if it went too high and I started feeling poorly (i.e. low libido or reduced energy), he suggested he might back down the T level instead of adding an AI. He was comfortable with my E level going as high as 40, provided I felt ok. I am thinking I might take matters on my own hands and try adding in my own AI course. I have read most of the stuff on this forum in this regard, but would still like some opinions on this subject. It sounds like there is a good option in buying liquid arimidex and dosing EOD. I have also heard that use of zinc picolinate can produce good results.
I have read about keeping E levels at 22 is optimal, but again, would like to hear more about personal experience in this area. What are the risks of taking on this aspect of TRT?
I feel like I am moving in the right direction with the injections and now just want to fine tune and get it right. I can post my new results once I have them in a week. Thanks in advance for all help and opinions.