Hello guys, I decided to start TRT next week as I can’t solve my libido and erection problems for a very long time now.
I will post my diet, supplementation here and what I tried so far and it didnt help. If you have any other suggestion before I pull the trigger next week I’m willing to hear. Pllease excuse my long post!
PDE5 inhibitors couldn’t help, I tried pt 141 (bremelanotide) as well with no effect. I supplement regularly high doses of aswagandha, yohimbine, vitamin D, magnesium oxide, l citruline, vit b complex and vit c, eat a calorie surplus diet with lots of fat (less pufa), don’t smoke/drink and don’t do drugs.
My protein and fat sources are whole eggs, whey protein, beef, chicken fillet, tuna fish, cottage cheese, avocados, whole coconut, olive oil, pumpkin and sesame seeds, peanut butter, my carb sources are fruits in the morning and around the gym (orange, apple, ginger, bananas), I eat a lot of fiber (broccoli, spinach, carrots, cabbage), brown rice, whole grains.
I’m 30y old, natty all my life, I train since my 16’s. 6"2 (190cm) and about 230lb (104kg) atm. I train 6 times weekly and do HIIT cardio (boxing and rope jumping) on my rest days.
I don’t feel any fatigue or lack of motivation, I pack muscle and loose weight easily, literally I have no signs of low T except for libido and poor erections.
This is my form atm, I’m few pounds above my ideal weight but not obese definitely.
This is why I delayed TRT for so long, but it looks impossible for me to fix it naturally.
I think my problems with libido/erections started few years ago when I was on keto diet for far too long - entire summer. I literally didn’t eat any carbs at all, except on cheat meals days, every 10 days.
My form was amazing back then, but I was extremely fatigued, there was no life or joy in me. I was like a skeleton.
Might be wrong, but think it was the time when everything started. Guess I fecked up my hormones big time then forever.
These are my latest results:
Testosterone : 12,70 nmol/L (5.54-25.20)
Free Testosterone: 12.10 pg/mL (7-22.7)
Estradiol : 36.4 pg/ml (0-56)
SHBG : 22 (13-71)
FSH : 5.7 (0.7 - 11)
LH : 2.69 (0.8 - 7.6)
Albumin : 47 (35-50)
Prolactin : 284 (53-360)
T3 total : 1.4 (1.3-2.6)
s-TSH : 3.670 (0.400 - 4000)
T3 total : 1.4
Cholesterol and lipids are in range so I didn’t post them here.
I intend to check DHT as well as I never done it and I read on this very forum DHT can be responsible for weak erections and low libido in general.
My thyroid hormones and prolactin were much lower at one point (TSH close to 1.000) and prolactin around 60 when I was on T4 hormone and bromocriptine, but I didn’t feel any relief with with better ranges so I dropped them (In fact, I felt worse back then).
Of course, I will repeat my blood work before I start TRT.
I already mentioned that I live in one south-eastern shithole country in the Europe - So far I have changed 4 endocrinologists and 3 or 4 urologists and none of them wanted even to discuss my reasons for TRT. They all glance at my results, telling me ‘They are in range or within the range’ and that I’m in fantastic shape and the problem is in my head.
I have also visited cardiologist to check my heart and it is good.
Did my pituitary and thyroid screening 2 or 3 times and they are fine.
My prostate, kidneys and testicle screening showing they are fine as well.
My latest urologist urged me to visit psychiatrist so I went there as well.
He prescribed me SSRI (Wellbutrin) which is not supposed to cause further ED problems, but I don’t feel much better on it after 2 weeks, I feel even more lethargic.
On my own, I took 1/4 of arimidex twice weekly and I think I felt better for a moment - At least my erections were better and my mood improved. After a while I dropped an AI, as it would only worsen my situation long-term.
2 weeks ago, I introduced 12.5mg of clomid EOD and recently I upped a dose to 25mg each day but I don’t feel any difference.
I also bought proviron as I read it can boost libido and erections significantly but I decided against it as I’m afraid it will supress my hpta even further.
Now, I’m not very familiar with TRT and only recently I started reading about it.
If I decide to go with it, I would really like to maintain my fertility.
I’v been thinking to go with HCG 2x250iu twice weekly.
As for testosterone, I will need to go underground for it as I won’t get it in the pharmacy but source is quite reliable, as it is good friend of mine.
I have a choice of cypionate and enenanthate.
I was thinking to start with lowest dosage of 80-100 mg of testosterone weekly.
Anyway, the biggest doubt I have is the way I want to administer injections -
I would opt for daily subq injections, as I read testosterone is the most stable this way and I would probably need no AI this way?
So, 15mg daily.
The other solution is 40-50mg twice weekly.
What would be your pick for starters?
As I mentioned, I cannot discuss this with any endo as they would think I’m crazy for wanting TRT.