Hello everyone, new to the forum. I just started TRT with a specialist about 6 weeks ago.
I am 31 years old, 6’ 190 lbs. No recreational drug use, stopped drinking a year ago. Used some serious AAS when I was 23 for about a year and a half, now suffer from signs of primary hypogonadism. Suffered from the typical symptoms, loss of muscle, low sex drive, libido, mood etc… Primary doctor ran blood work on multiple occasions and did not see the need to provide treatment, was always hovering around 300 pmol/L free T.
I started seeing signs of a gynecomastia flare up last year, despite being off of anything for over 5 years. Again primary doctor ran bloodwork, had imagery done, confirmed was gynecomastia. Estradiol was 95 pmol/L.
Still feeling the symptoms of low T, I went to see a doctor specializing in TRT in November. He put me on 0.25 mg Anastrozole 2 x week, which stopped my gynecomastia. And we tried supplements for the first 3 months (zinc, magnesium, D3, B12, DHEA, thyroid) but my test did not respond. The next 3 months we added 500iu HCG (2 x week). Again no response to the HCG.
We finally started TRT in July. Had a great honeymoon phase about 3 weeks in which lasted about a week and a half, morning erections came back strong, muscle tone, strength, libido, sex drive like I was in my early 20s. Then within the last 10 days, it feels like I have fallen off the cliff again and i’m back at square one.
I have told my trt doc, and he has bumped my next lab up from December to next month. As well as I am curious what my prolactin is doing, so we will run that next my next lab as well.
My current prescribed plan:
Test Cypionate 50mg e3.5d, sub Q
HCG 250iu e3.5d, sub Q
Anastrozole 0.25mg e3.5d
Thyroid 30mg ed
DHEA 75mg ed
Last bloodwork before start of testosterone:
Any insight is appreciated, thanks guys!