15 nmol - not suitable for TRT

tomasska

New Member
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
 

hCG Mixing Calculator

HCG Mixing Protocol Calculator

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

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