15 nmol - not suitable for TRT

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Hi, I'm a 40 year old man, 178cm, 75kg. I do 4-5 sports a week.

For the last 4-5 years my libido and interest in women has decreased, I have a problem to maintain muscle mass and I can't build new one.

If I compare the libido 10 years ago, it's a drastic reduction.

My energy intake is 2500 - 3000 calories, 140-160 grams of protein, 100 grams of healthy fats and the rest carbohydrates.

I take zinc 50mg, magnesium 600-100mg, vitamin D 5000 UI.

I have tried tongakt ali, turkesterone, fadogia agrestis.

I have improved the quality of sleep, I sleep 7-7.5 hours, I get up without an alarm clock.

Problems persist.

I have had blood tests every month for the last 6 months and these are the average values.

Total Testosterone 15 nmol/l

Free Testosterone 36 pmol/l

Bioavailable Testosterone 72%

Estradiol 136 pmol/l

SHGB 23 nmol/l

Progesterone 1.1 nmol/l

Prolactin 6.7 ug/l

FSH 3 UI/l

LH 5 UI/l

S-DHEA 9 umol/l

According to the blood results I am OK and it is not for the indication of TRT. In my country it is not possible to get TRT at these testosterone values, I would have to have testosterone less than 8 nmol/l.

I tried 28 days of enclomiphene citrate 25mg in the evening.

Here are the results after a course with enclomiphene citrate.

Total Testosterone 37,65 nmol/l

Free Testosterone 87,17 pmol/l

Bioavailable Testosterone 97.77%

Estradiol 253pmol/l

FSH 8 UI/l

LH 12,75 UI/l

Regeneration, libido and strength have improved. I am aware that estradiol has been elevated.

Taking enclomiphene citrate long term and regularly is probably not the solution, e.g. 3 times a week 12.5 mg.

The only solution for TRT is to take UGL testosterone if I had to.

Everyone in my area discourages me from starting TRT on my own without a doctor's approval.

I would like to hear your opinion, comments. Has anyone had similar blood results and decided for TRT?

Thank you
Defy Medical TRT clinic doctor
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Defy Medical TRT clinic


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