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The most probable cause is diluted testosterone. Is your testosterone pharma or from a site? The total testosterone tests are reliable and the decrease in free T and estrogens is consistent with the total testosterone decrease. Elevated liver enzymes indicate something is going on with the...

Allegedly Crestor (water soluble Rosuvastatin) should give fewer side effects than Zocor (fat soluble Simvastatin) at the same potency dose. However, probably 10mg Crestor is more potent than 10mg Zocor. The best for your health is to reduce your cholesterol by improving your diet, like less...

This is loose skin due to aging, not a problem with fat. I see it often in exactly that area in aging males. You can try Exilis Ultra 360 treatments of the area to stimulate collagen in the skin and smooth it out. It uses radiofrequency and ultrasound. I've had similar skin in the upper abdomen...

1 teaspoon Guarana powder in a cup of water. Brew a tea or heat it in the microwave. Drink both the liquid and the powder in it. I'm not sure if heating it up into a tea is necessary (hot water extraction) - just drinking the liquid is not very effective. The stimulating and mood lifting...

Libido is controlled by the nervous system. Hormones are just one input for it. If hormones do not work, you will have to try stuff that works on the nervous system, the so called "aphrodisiacs", most of which are exaggerated stories. I would suggest Guarana powder - it is a mild stimulant and...

I'm still waiting for the "many" people "here and there" that allegedly had normal T levels and cured erection problems with TRT LOL Unfortunately, I agree in this case with all urologists and endocrinologists. It's not that they are "outdated" but they know the research, and have the real...

No responsible doctor will prescribe you TRT because you simply don't have the symptoms of hypogonadism (your energy and mood are good) and your testosterone is low normal. Erection problems are caused by a much wider group of diseases than just low T (and it must be much lower than yours). The...

Also you may want to get tested for gluten intolerance and celiac. They present with fatigue and depression.

Taking a mild stimulant, like Guarana powder, will help you be more active and optimistic during the day. It may not address the root cause, if it's not purely psychological like depression. Note: the effects of Guarana are not solely due to caffeine, it contains many other feel-good alkaloids...

No correlation between sexual functioning and testosterone level, as long as it is in the normal range, so "low normal" or "high normal" is the same sexually: https://pubmed.ncbi.nlm.nih.gov/8486184/

And I say it is rather improbable that TRT will help him simply because he does NOT have low free testosterone and I don't know a single case here of someone like him with normal testosterone before TRT that was helped by TRT sexually. Now, assuming someone with ED is necessarily low on...

I hope this is not too complicated for the broscience inclined here: https://health.clevelandclinic.org/low-testosterone-and-ed

You may have been here long enough but you haven't learned much ... Total testosterone does not matter. Free testosterone matters, and since the test used by him is probably unreliable with an unknown range, I calculated it with the calculator: it's about 10 ng/dL with a normal range for...

TRT does NOT improve sexual function, unless your FREE testosterone is very low (the OP's isn't). Most endocrinologists know that and that is why his doctor will not put him on TRT. The rest is lack of logical thinking, but again the quickest way to see that TRT is not that "magical" is to try...

In medicine you have to treat the root cause if you want success. If you have erectile problems, best is to take cialis/viagra. The free T calculator shows you have a normal free testosterone of 9.9 ng/dL so testosterone cannot be blamed for your sexual problems. You can try TRT of course for...

The red burn is probably from DMSO vehicle. Does the topical DHT improve any of the sexual components for you long term: libido (sexual thoughts long before sex), sexual excitability upon sex, erection, pleasant "electric" penis sensitivity during sex, ease to achieve orgasm, pleasure of orgasm?

Tested DHT 5 hours after you injected testosterone? Testosterone itself will spike it, so how do make difference between a DHT spike from testosterone or from the topical DHT?

What is your typical DHT level before Alphagels?

You can test if Alphagels spikes your DHT after applying it on balls.

That "buzzing" and the "chubby" sounds like a topical vasodilator, not a topical DHT.

There is a reddit claiming that the Russian Star Peptides DHT topicals are fake: The youtuber "CortexLabs" that supposedly used Andractim DHT gel that he got from somewhere, claims he got headaches from it. Headaches are not an expected side effect of a topical DHT, but are a well known...

So as I said, the OP elevation of Neutrophils suggest that his headaches are a sign of immune activation, most likely infection. It is also possible his immune system reacts to something in the injectable T formula, like an allergic reaction. I don't know though how common it is for an allergic...

Did you have elevated Neutrophils like the OP with your headaches?

The usual protocol I see here is usually 70-80mg Testosterone per week split in two doses. Use the search.

Drop the T3/T4 and Ecdysterone. They are clearly not working for your SHBG and can mess you up. Also, drop the fish oil. Someone posted it leads to ED. In general, with a good diet you do not need any of these supplements - they are clearly not helping you and are extra variables that...

Also list all drugs and supplements you are currently taking, as long as your current diet.

Measure prolactin to see if it's elevated. Try more moderate doses, like 2x40mg T weekly. The sexual response to T is not linear, more does not mean better and it takes only low normal levels of T to have a normal sexual response. The problem can be neurotransmitters. TRT influences those...

You can try to clear a sinusitis infection by nebulizing diluted 0.5% Hydrogen peroxide. It works for some because it kills bacteria. You can buy it from the store as 3% and dilute it 6 times: 1 part 3% Hydrogen peroxide mixed with 5 parts water. You will need a nebulizer too.

A few notes on proper measurement of blood pressure. Home monitors with a cuff seem to give the most correct values. Wrist monitors have the reputation of very imprecise. BP is often elevated at the doctor's office from the activation of the nervous system - the "white coat effect". Mine is...

Do a bacterial culture from the nose, if you suspect a sinus infection, to see what bacteria is growing there. Elevation of Neutrophils but not of Lymphocites typically means a bacterial infection.

Did the afternoon/evening headaches go away when you decreased the dose? Your Neutrophils are still elevated - bacterial infection most likely cause.