About to start TRT after initial blood work showed the following:
Total T - 22 nmol/l (10.3 - 29.5)
Free T - 349 pmol/l (175 - 700)
Free T3 - 4.6 pmol/l (3.5 - 6.5)
Free T4 16.4 pmol/l (9 - 23)
TSH 1.51 mU/l (0.2 - 4)
Cortisol AM - 285 nmol/l (120 - 620)
SHBG - 52 nmol/l (6 - 65)
Estradiol - 43 pmol/l (<200)
DHEAS - 8.9 umol/l (<14)
There are other results like lipid and glucose and they are “best iv seen” according to TRT doctor as I do intermittent fasting, eat low carb/keto, lift 3X a week and maintain 11-13% bodyfat and a good amount of muscle.
The Total T and possibly free T readings are higher then normal due to running high amounts of clomid (100mg for 2 weeks, then 50mg for 4 weeks) with blood work taken 4 weeks after last dose of 50mg clomid. I used clomid after advice from a friend to help boost natural levels, I guess it kinda worked but i felt like crap/pissed off all the time and still had low libido. I had Total T tested in the past by family doctor after complaining of libido, mood, energy issues and was always in the 10-12 nmol/l range which was low but not low enough for him to justify TRT. Now seeing a clinic and they are willing to start me on a trial after i told them total T high due to clomid and usually its low. They have given me 100mg/week to be injected 50mg every 3.5 days. Its only been 2 weeks and I haven’t noticed much but am hopeful for positive results. Do you think my protocol is adequate given my labs? I hear that low SHBG requires frequent injection but does my level mean multiple injections a week or possibly just one? Wondering if my low E2 is cause of low libido and if 100mg/week is enough to bring it up to a good range without overshooting.
Your feedback is appreciated.