Hello, I'm new here. How do I get my T restarted. I'm secondary hypogonadism due to pituitary complications. I'm 35 and 2 years ago I had a brain bleed leading to a diagnosis of a pituitary mass(cyst or tumor). No plans to have it taken out with sugery. On TRT. Wanna come off and regain my natural T and then try and boost it with AIs SERMS etc.
I've been studying for the last month about testosterone all over the web. I've read the stickys and specifically the one about restarting here on T nation. It's very reassuring to read.
I want to come of my Testosterone replacement Therapy and recover my natural testosterone with PCT first before experimenting with other drugs to help naturally boost my T to normal levels. I'm only on my second injection of Reandron 1000. You take it every 10-14 weeks. Coming to the end of the second injection.
Before TRT my T was 230 ng/dl
On TRT my T is 400 ng/dl psossibly higher (not enough blood tests done)
It is really stressful because my endo wont help. I don't know where to get blood tests and medication. They just say go cold turkey. I've read about the horrible withdrawal from stopping TRT and it takes up to a year just to get back to the low T level you had before starting.
I haven't worked out where to get blood tests. I'm going to have to get the HCG Nolavadex and AI(aromasin) from canadian drug websites. I think the drugs come from india and such places.
I feel sort of abandoned by doctors and am on my own to self manage.
My plan at the moment is to use some HCG for 2 weeks and then go to either nolvadex or low dose aromasin to get my T up. I'm worried about too much estrogen and the T/estrogen ratio and loosing libido.
From my research , I only need HCG if I have testicular atrophy / shrunken balls. And I think I could just skip the HCG and go to nolvadex or aromataze inhibitors.
I'm thinking of using AIs to get T up, and then taper off them slowly and hopefully my T will be higher than 200...my normal level. Thinking maybe I can jump start the body into settling at a higher natural T level with no drugs in the end. Or just take low dose nolvadex and low dose AIs forever... switching between the 2 from time to time.
2 years ago it all started. I had headaches for a week due to a pocket of blood around my pituitary gland. Almost died. After it all settled down after about 8 weeks, I was told I needed to go on cortisol and thyroid replacement and eventually ended up on testosterone replacement.
My cortisoll and thyroid are sorted out now and I'm on low doses. But I want to get off the TRT testosterone replacement therapy.
And recently looking at getting some HCG and reading that you could get hepatitis or HIV. I don't know anything right now. How to mix and inject HCG, how long, when to take bloods, where to take bloods. Feeling really hopeless and depressed looking at the task ahead.
Just 2 years ago I was really healthy.
So I suppose what I'm asking is for some advice and comments about my plan of restarting my HPTA.
And, what would be the best long term therapy for replacing T. Which would you use:
I've read a lot about doctors using clomid for long term T replacement with possible AIs to manage estrogen.
I've read Nolvadex has less side effects, is cheaper due to smaller dosage needed. I've also read that they are both horrible heavy drugs used since like 1940s in woman and should not be used long term in in men at small doses.
Armidex has more side effects than aromasin, including vision changes and...
Aromasin make your joints dry. I'm leaning towards aromasin lose dosing.