TRT 1 Year Update

Nice test numbers with 100mg dosing.

Sounds like you have your hands full with the gastric issues. Good luck with the HCL, worth a shot.

My belly does the same when I eat anything like white rice and bread. Anything refined sugary or higher on the glycemic index seems to do it.

I tried eating mostly meat and veggies and it was not near as bad.

Iā€™m taking some of the suggestions from Stan efferdin and going to optimize gut health .

100 gave you some serious bang for your buck. Right on man!

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Went to my uro visit Thursday. Took labs. Complained of bloat as usual. He says the total estrogens test my PCP took is useless.

Checking estradiol to see if bloat could be from e2. I doubt it.

Heā€™s also checking free t. Total t. Shbg. Went in there with 2 forms from insurance he gladly signed she my t renewal and Cialis renewal for another year. Also checking LH fsh. Not necessary but I think they check to make sure an using the testosterone he is prescribingā€¦

Rated r alert:
Showed him some spots on lower shaft. Decided to give me lotrisone cream (anti fungal/steroid). And have me oral antibiotics (keflex). It was funny him and the female PA were looking to see what the fuck it was. Dr says maybe herpes. No way! Then pa said do you shave. I said yes. So probably folliculitis. I think she got it right.

Iā€™ll post results tomorrow.
My TSH did come back at 1.9 with low end free t4. Called endo to increase my armour to 30. Am sure she will do. Started taking wifeā€™s 30 and I could feel my temperature rise. We see how it goes.

Also I did lower dose slightly to like 92 mg. So this lab will reflect the slight decrease but it wasnā€™t for long. Curious to the e2ā€¦

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Hey man you had a busy day.

Donā€™t take the antibiotics bro unless you are sure itā€™s the issue. It gives men fatigue for many days after use depending on the type. It sounds like the issue is from shaving. I have the same. If your itching and shit I get it, sure go for it. On the other hand It sounds visual and you have zero sides. Donā€™t be a Guinnea pig.

You know to check free t3 right? Are you just trying to fix the coldness in hands and etc or do you still have some fatigue? I wonder if more will increase metabolism and help the body digest and thus lower your bloating.

Hereā€™s more labs taken 4/11. Lowered dose from 100 to 92. Divided in 2.

Glucose 74. This a few hours after breakfast
Lipid panel never been better. Though total cholesterol only 137.
Triglycerides 151 suppose to be less than 150
Ldl 68. Best ever had. Maybe the sardines

Total t 583
Shbg 34.8
Calculated free t 111 (30-183)
PSA .7
Prolactin 12.8 (4-15.2)
Estradiol 22.6

Will probably go back to 100mg. Still feel good.
But the estradiol is great at this dosage. I believe I am less bloated. Still bloated though.

Also increase thyroid meds to 30mg can cause my shbg to climb a bit??

We see. Iā€™ll take more labs after a few weeks on the increased thyroid meds.

If you have a sec @physioLojik @highpull

I am on 15mg armour. Thyroid on this was TSH 1.92
Free t4 1.07 (.82-1.77)
T3 uptake 28 percent (24-39)

I did not get free t3.
You think itā€™s ok to increase to 30 mg armour? Or keep the same. ? Thx

Also you see any correlation with fixing thyroid and increase in hct?

Btw it appears on thyroid meds my prolactin is finally in range at 12.8. It always tested slightly above range. You did indicate that hypothyroidism can increase prolactin. :muscle:t3:

I do.

Yes, increasing thyroid levels can stimulate erythropoiesis.

@highpull I was reading about this. My hct came back at 49.2. highest ever
Hgb was good at 16.9
Platelet good too

I wouldnā€™t think increase to 30 would make it much worsE?

You just canā€™t win!

Thx

I wouldnā€™t worry about it, especially given your platelet level.

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So I did a mirilax cleanse. Clean out.

Belly still did not go down. Itā€™s not gas causing this. And I donā€™t think itā€™s digestive. Just that eating makes it look worse.
Remember I can grab a good chunk of fat.

Itā€™s either

  1. Fat
  2. Muscle that grew that pushed my fat out (is this possible?)
  3. Water retention around belly (is this possible because I donā€™t have any water retention anywhere else?)

Thx.
@highpull @bmbrady77 @NH_Watts @anon10035199 @jpt365

Could just be visceral fat in the abdominal cavity. Is it causing you discomfort?

This is my suspicion. The week long test I gave you a couple weeks back would have proven this right or wrong.

No. And yes it looks like visceral fat.

Just unattractive when I go to the beachā€¦

If it is my e2 was in the 20s. So i donā€™t think itā€™s e2. So if itā€™s what you think, how do you treat it?

Diet and water intake.

Have you looked into SIBO as your problem with the bloating?

Endscopy biopsies did not show any.

Dr willing to do a trial of Xifaxan to see if it helps.

I guess itā€™s no harm to try?

A change in diet would help with this problem as well lol

I will look into this. Thanks man.

Am not use to logging/restricting what I eat. So itā€™s difficult. I do certainly have self control and am able to maintain proper weight. And avoid junk.

Am 6ā€™1. Weigh about 190. From my history if I go to 185 my belly look so much better. But that may be different now.

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Charlie, did you increase your thyroid?