Setting Expectations

[Ribeye]

I am approximately 2 months post starting T replacement therapy. My testosterone, was typically, in the low 300 range, having been tested 4 times prior to starting therapy. I am also hypo thyroid (Hashimoto's) and was taking Synthroid with corresponding levels that were "supposedly" in the middle of the therapeutic range, although I was very symptomatic of low thyroid and low T. I was switched over to NP thyroid 120 mg, at the same time I started the testosterone bio identical cream with 200 MG/gram compounded, taking 1/2 gram or 100 MG T twice a day. I was instructed to apply the cream directly to my scrotum. My understanding was, that would give me the best shot at boosting DHT which should help alleviate some of the low T symptoms more quickly (low libido for example). I was just given an increased dose of the T cream, again to apply to the scrotum. so, I am now taking for the last 4-5 days 3/4 gram twice a day, or about 150 MG T twice a day. In the first week, 4-5 days post starting treatment, I felt an incredible difference!! Nearly all my symptoms were gone. Libido was great, erections were great, energy was great, sleep was good, mood was good, I was superman. But since then, I noticed a gradual decline in some of the benefits, still being better than before, especially energy and mood, but libido comes and goes at times. So, what I am wondering, is do I need rechecked for T levels? is it likely my levels are fluctuating and that is giving me inconsistent symptom control? Is it just taking my body time to adjust to the new T level? I throw myself at the mercy of the court!

 

[Nelson Vergel]

Libido comes and goes even with optimized TRT/Thyroid.

I would rerun lab tests. Something like this:

Testosterone, Estradiol and DHT Panel

Testosterone, Estradiol and DHT Panel This panel contains testosterone and its downstream metabolites: Estradiol and DHT. All three hormones are measured using Liquid Chromatography/Mass Spectrometry (LC/MS), the most accurate assay for hormones. No inter

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Thyroid Panel Comprehensive

This thyroid test panel includes most tests needed to more deeply explore the possibility of hypothyroidism and/or Hashimoto's disease diagnosis. It includes: TSH, Free T3, Free T4, Reverse T3, Thyroglobulin Antibody and Thyroid Peroxidase Antibody (Anti-

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