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Defy Medical TRT clinic doctor
  1. J

    Telmisartan impact on TRT

    Well, a couple weeks later now, and a decent amount of the side effects have worn off. My libido is still mediocre, but I’m getting pretty decent nocturnal erections again. I’ve been somewhat fatigued since I started Telmisartin, but it’s not every day that I feel it. I’m also starting to get...
  2. J

    Telmisartan impact on TRT

    His nurse responded today and said that we could look into other medication’s, but it might take a stronger dose of something else to keep my blood pressure low. I also know that 50 mg of losartan is equivalent to 40 mg of Telmisartin. I’m gonna give this another week, I don’t think things will...
  3. J

    Telmisartan impact on TRT

    That makes sense and was what I was thinking. Unfortunately, my primary care physician doesn’t feel the same way. I sent him a message through my chart yesterday, telling him my symptoms. His response was that Telmisartin doesn’t cause ED, and another drug would only make it worse. So there’s no...
  4. J

    Telmisartan impact on TRT

    Curious, if losaran is also an ARB, how would it not affect me the same as Temisartin?
  5. J

    Telmisartan impact on TRT

    Libido is starting to come back around over the past couple of days, but erections are not. My flaccid state is also greatly reduced. Would an ACE inhibitor like lisinopril possibly be better?
  6. J

    Telmisartan impact on TRT

    Sleep study is on my list of things to address. Unfortunately it keeps getting longer. All this smacked me out of nowhere. I was feeling good for over a month after getting over Covid, and then my body started to fail on me out of nowhere. Thanks for support, it’s appreciated.
  7. J

    Telmisartan impact on TRT

    I normally take 6 g of citrulline powder a day. I was off of it for a few days because I traveled out of town. I started back up today.
  8. J

    Telmisartan impact on TRT

    I’m not sure either. It’s a real struggle right now for me. My sleep is getting worse as well. Waking up after three hours and wired. I stopped my microdose of AI a couple of weeks ago, which may be contributing. I don’t want to take it, but my estrogen elevates and hurts libido and erections...
  9. J

    Telmisartan impact on TRT

    I take 5 mg cialis daily. Usually works nicely, it isn’t right now.
  10. J

    Telmisartan impact on TRT

    I recently started taking 40 mg of Telmisartin 2 1/2 weeks ago. My blood pressure has been extremely high since I got Covid at the end of July. It topped out at 170/100 on my doctors visit three weeks ago, and it was time to start some meds as always, I come here because the people on here seem...
  11. J

    Telmisartan and side effects

    Just that you have to be careful with magnesium lowering blood pressure with the meds. Just wondering if anyone has had any issues. I haven’t so far
  12. J

    First set of Follow Up Labs since Starting TRT. Looking for Feedback

    Thanks. Me too.
  13. J

    First set of Follow Up Labs since Starting TRT. Looking for Feedback

    Bumping down 10 and going from there. My 48 hour trough for free testosterone was over 24 on my last labs in July. I don’t feel like I need to be quite that high, but I was also feeling really good for about the past 4-5 weeks before my blood pressure spiked again. Talking to my PCP yesterday...
  14. J

    Telmisartan and side effects

    Does anyone know if Telmisartan can be taken along with magnesium at night? I’ve seen some conflicting things but nothing too bad online.
  15. J

    First set of Follow Up Labs since Starting TRT. Looking for Feedback

    My guess is 90 or 100 a week
  16. J

    First set of Follow Up Labs since Starting TRT. Looking for Feedback

    I am contemplating going down to 90 a week. My doc prescribed telmisartan 40 mg to me today. I chose it over losartan for the longer half life and other benifits I researched. I am also going to check into my cortisol levels. My BP has been slowly creeping up for years, even before TRT. It is...
  17. J

    First set of Follow Up Labs since Starting TRT. Looking for Feedback

    My sleep has now gone to absolute crap the last few days as well. High BP and I am waking up every hour regardless of what I do. Wired and awake right now at 3 AM. My sleep had gotten somewhat better, but since my BP has spiked, it has gone to garbage.
  18. J

    First set of Follow Up Labs since Starting TRT. Looking for Feedback

    Thanks. Took 6 readings 1-2 minutes apart this morning and averaged 132/77. I’m feeling better, but body still feels somewhat tight and fatigued, but nowhere near how it felt the previous two days. It may very well just be residual from the previous two days of stress. Gonna hydrate, took my...
  19. J

    First set of Follow Up Labs since Starting TRT. Looking for Feedback

    How much potassium do you supplement daily?
  20. J

    First set of Follow Up Labs since Starting TRT. Looking for Feedback

    It’s been a while since I updated so I figured I would post and talk about how the changes Defy suggested worked and other issues that are now coming up. The micro dosing of half a .125 pill with each shot worked very well for a few weeks, but it’s kind of lost its effectiveness for libido...
  21. J

    First set of Follow Up Labs since Starting TRT. Looking for Feedback

    Thanks for the feedback. I’m willing to try what the doc laid out for me. He feels the same way about my target E2 number. I don’t use HCG. I would say my natural production has completely shut down. I have been injecting for almost 3 months.
  22. J

    First set of Follow Up Labs since Starting TRT. Looking for Feedback

    I took another Covid test and it came back positive. I knew it couldn’t be hormonal. Wish me luck that recovery is short. My symptoms are mild besides headaches and my blood pressure going up a little.
  23. J

    First set of Follow Up Labs since Starting TRT. Looking for Feedback

    Thanks. It may not be a bad idea to try that. My blood pressure has gone down a decent amount today. It averaged 127/79 this morning at about 930, did a good cardio workout and had a sauna at the gym. After that I took a few more readings and it averaged 133/77. Body still not feeling great and...
  24. J

    First set of Follow Up Labs since Starting TRT. Looking for Feedback

    I had my follow up with Dr. Calkins on Wednesday afternoon. He did a really good job of listening to me and how I was feeling, not just my lab numbers. He did like how my labs looked overall. He actually said they were really good for being just over two months in. I agree with that sentiment as...
  25. J

    First set of Follow Up Labs since Starting TRT. Looking for Feedback

    On Thursday around dinner, I decided to take a .125 anastrozole to see if it would relieve any of my fatigue, anxiety, and libido issues. I injected Friday like I normally do, and had a pretty good day. Both Thursday and Friday evening I did have some OK nocturnal erections and morning wood...
  26. J

    First set of Follow Up Labs since Starting TRT. Looking for Feedback

    Thanks for the in-depth reply. There’s a lot to digest there. A couple things to give a little more context. My PA told me it didn’t matter when I pulled labs as long as I did it before my next injection. I asked him if he wanted me to wait until Monday to be at a 72 hour trough, and he said it...
  27. J

    First set of Follow Up Labs since Starting TRT. Looking for Feedback

    I don’t cut the pills, that’s what empower compound them at. When I say my libido was good I mean my mental desire to want to have sex, physically there was nothing there. Struggled with ED and maintaining your erection without Cialis. I guess we all kind of define libido differently. My free T...
  28. J

    First set of Follow Up Labs since Starting TRT. Looking for Feedback

    5 mg daily cialis. Started 6 grams of citrine a day this week. It’s libido as much as arousal. That’s the concerning part. Even before therapy, my libido was strong, arousal and erection quality was up and down.
  29. J

    First set of Follow Up Labs since Starting TRT. Looking for Feedback

    Well, I can tell you I have no intentions on dropping my dosage down to 50 mg a week. The lowest I would even think about going right now would be 80, and I’m not even sure I’m going to do that. My biggest concern really is the sexual side effects. They are as bad if not a little worse than when...
  30. J

    First set of Follow Up Labs since Starting TRT. Looking for Feedback

    First off, I want to thank everybody giving feedback on this thread. I appreciate it all of your views, and I agree with a lot of what all of you were saying. I know I’m definitely overmedicated on some level for me, but it might not be for other people. Having all the sexual side effects...
  31. J

    First set of Follow Up Labs since Starting TRT. Looking for Feedback

    I am not taking any other meds except for 5 mg daily cialis in the mornings and a low dose atorvistatin. I know you are a big advocate of keeping estrogen higher, but it does not treat me well. I do appreciate your feedback and thoughts on what might be causing my issues.
TRT Hormone Predictor Widget

TRT Hormone Predictor

Predict estradiol, DHT, and free testosterone levels based on total testosterone

⚠️ Medical Disclaimer

This tool provides predictions based on statistical models and should NOT replace professional medical advice. Always consult with your healthcare provider before making any changes to your TRT protocol.

ℹ️ Input Parameters

Normal range: 300-1000 ng/dL

Predicted Hormone Levels

Enter your total testosterone value to see predictions

Results will appear here after calculation

Understanding Your Hormones

Estradiol (E2)

A form of estrogen produced from testosterone. Important for bone health, mood, and libido. Too high can cause side effects; too low can affect well-being.

DHT

Dihydrotestosterone is a potent androgen derived from testosterone. Affects hair growth, prostate health, and masculinization effects.

Free Testosterone

The biologically active form of testosterone not bound to proteins. Directly available for cellular uptake and biological effects.

Scientific Reference

Lakshman KM, Kaplan B, Travison TG, Basaria S, Knapp PE, Singh AB, LaValley MP, Mazer NA, Bhasin S. The effects of injected testosterone dose and age on the conversion of testosterone to estradiol and dihydrotestosterone in young and older men. J Clin Endocrinol Metab. 2010 Aug;95(8):3955-64.

DOI: 10.1210/jc.2010-0102 | PMID: 20534765 | PMCID: PMC2913038

Defy Medical TRT clinic doctor
Defy Medical TRT clinic

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