Seems like upping the clomid to 25mg ED isn’t an option as my estrogen is already bad. Sort of stuck here as far as that goes. I need to preserve fertility so unless test + HCG is a viable option I’m stuck.
As far as cancer in concerned. scary. I self check periodically and I don’t feel any lumps nor do I have any aching. I’ve also been screened by the endo. I will get checked again at my next appointment which is in a couple weeks.
I was in a fasted state during these labs and it was early morning if that makes any sort of difference one way or the other.
Not feeling that great with the armour… felt very tired today even with some caffeine. Perhaps T3 would be better, I will discuss with my doctor.
No appetite, are two meals today and had to force myself, probably will get around 1000-1200 Cals (I weigh 260lbs)
Do you think I should explore test & HCG? Seems like all roads lead to that.
Thanks again for all the information, I really appreciate it!
How long have you been on the armour? You’ll need to be on it for 4-6 weeks and then repeat labs. Armour has T4 and T3 in it… if for some reason you are a high Reverse T3 converter, adding T4 (the fuel for T3 and rT3) can cause hypothyroid symptoms.
Test and HCG can be a good option - but finish your current path. This stuff requires patience but will be worth it in the end when you get it figured out.
Is there any other explanation for the weird LH/FSH? Scheduling a doc appointment asap regardless, should I go to my endo or should I go to a specialist.
Values from previous labs:
Feb:
FSH 10.8 (1.5-168)
LH2 4.2 (0.5-68)
July:
FSH 17.5 (1.5-168.8)
LH2 7.9 (0.5-68)
Keep in mind my dosage of clomid was changing at these times, since settle at 25mg EOD.
Waiting on new round of labs but I have little faith anything has changed since the addition of Armour (30mg) and T3 (5mcg).
Weight is still relatively steady with a caloric deficit to the culprit still seems to be my high E2.
Assuming the logical next step is to move to T, HCG and Arimidex. I understand the best protocol from the stickies but I’m curious if there is any trick to making the transition smoothly.
Should I lay of HCG until the clomid has mostly cleared my system? I down want to risk any issues with my LH receptors nor do I want to increase my already high E2. SERM + HCG would be a problem.
Planning on 100mg of T twice per week with 1mg of arimidex at time of each injection.
also, 250iu HCG eod.
Can anybody shed some light on making this a smooth transition?
If I’m not mistaken high fT3 equals hyperthyroid, some believe TSH should be under 2.5. Your protocol of 200mg weekly will be disastrous, your SHBG is low and larger doses will drive SHBG even lower! You’re trying to kill a fly with a bazooka, you need to start out on small injections EOD, SHBG will decrease once you start TRT and you will struggle with TRT as a result. TRT may do nothing for you if your SHBG gets low enough.
Google “TRT and low SHBG”.
Factors That Decrease Sex Hormone Binding Globulin
There are also certain factors that can decrease SHBG. When SHBG is decreased, this means that less testosterone is bound to this protein, and so free testosterone is likely to be higher. Low levels of thyroid hormone (i.e. hypothyroidism) will cause a decrease in SHBG. When viewing the list below you’ll notice that some other factors which can decrease SHBG include obesity and insulin. In fact, low SHBG can be used as a marker of insulin resistance, and the research also shows it’s a predictor of type 2 diabetes.
Here is a list of some of the factors that decrease SHBG