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Maybe your diet is too strict, not enough calories in the long term. Overtraining or not enough recovery time could also play a role

Imo the problem is overeating. Tracking macros and body fat is annoying but I believe that's the way to gain muscle mass while minimizing fat accumulation. How much more calories per day or week can one consume without getting fat. How easy can you lose fat with minimal muscle lost? For me it's...

Deepseek Symptoms of Too High Hematocrit Symptoms often come on gradually. Some men may have no obvious symptoms until a problem occurs, which is why regular monitoring via bloodwork is non-negotiable. Common Early/Mild Symptoms: · Headaches: Often described as a persistent, dull, or...

https://pmc.ncbi.nlm.nih.gov/articles/PMC9024809/ More details below.

Well, you also gain your weight back if you cannot adhere to a strict diet. It's just true that for some of us it is much harder to stay lean. I'm doing again a keto diet to lose fat and will afterwards use a micro dose of reta when transitioning to a regular carb diet to damp the carb food noise.

For me the T gel on scrotum is not working to get a clean dht boost. As you mentioned, I feel like getting a T and E2 boost. With injectable T longer esters it seems that it converts less to dht measured on blood serum.

That would be smart but I think it is rare.

https://www.excelmale.com/threads/why-some-men-on-trt-experience-anxiety-and-brain-fog-despite-optimal-testosterone-levels.33575/

https://www.excelmale.com/threads/why-some-men-on-trt-experience-anxiety-and-brain-fog-despite-optimal-testosterone-levels.33575/

For some men it seems that high estrogen or low dht to estrogen ratio causes brain fog.

Hi @Nelson Vergel, is it possible to link the references to the statements/paragraphs of the text?

You could try a higher weekly dose increasing gradually from 80 to 120 mg

What did you expect to feel?

I felt the T gel almost immediately while having had total T of 150. Wait for the second appointment when he has your lab values. They should have tested free testosterone. Probably they tested shbg and albumin from which one can calculate an estimate of free testosterone. The full effects of...

SHBG in single digit is not good. Free T is high. You could try a lower weekly dose; 3x30mg per week. Edit: your free testosterone test is probably not correct. The calculated fT is around 13 thus not high. Prolactin seems elevated maybe from psych meds. Some CBC markers are out of range...

What is then the optimal TRT Dose for muscle growth for older adults? 125mg?

0.5mcgs e3d is more than 1mg per week. My advice on dosing: inject at least twice per week and increase dosis until you feel the food noise/appetite suppression.

Too bad. Since you are sort of lean, you should increase to at least maintenance calories and track your subcutaneous fat.

I think you need to add more calories and just do TRT plus Reta. Have you tried that?

We were talking about achieving a peak thus no stable proviron levels. Works like a modulator to obtain quasi circadian level variations. That's how it feels for me.

Also from Germany. Have the Testogel 1.62%. I need 37mg proviron to feel an effect. Gonna try the gel again.

What is the T gel you are using? I tried androgel on scrotum but I don't feel it like you do. How did you dose proviron?

Your calculated free testosterone is 330pg/ml. Far above range instead of low. Maybe your high T levels are negatively impacting your sleep

Melatonin for better sleep?

E2 follows T. Adjustment of aromatization might take a while. You could skip a week of injections, this might give your body more time for clearance of E2. I would then continue with 60-70mg split into two sc injections per week. If you feel better with eod or ed, then do that.

It's possible that your body slowly adjusts the aromatization of T to E. Now your fT as well as your E is high. That's normal. Also sometimes the E lab test overestimates. My suggestion: reduce the dose and bring your fT in range (around 20pg, maybe you can get there with 60-70mg T per week)...

After how many months on TRT was the July test?

I think you should also focus on your free levels. You listed free T being high. Don't know how to convert your dht to free dht but with low shgb is should move from low to at least middle. My theory on SC injections: different sites, different metabolism. If you injected into the belly region...

Testosterone undecanoate with the nebido protocol injecting 4ml deep IM at once has the POME risk warning. Versus small volumes (0.3ml) and shallow IM injection... With SC injection there is even less risk. That are parameters I would keep track off if wanted to study the risk of POME with TRT...

For an average of 500 normally less than 100mg per week is needed! You could also try testosterone undecanoate if you benefit from a stable T level.

I would say cortisol is related to stress (good and bad stress), wakes one up in the morning. A cold shower should give you cortisol release. Haven't used TP so far. With androgel applied in the morning, I experienced a significant mood change in the afternoon, similar to when I was T deficient...