Advice and next steps. 38 years old with 305 total t

BillyPilgrim

New Member
Im 38 years old with an active lifestyle and after experiencing the usual symptoms and talking to some others who have gone through the TRT route I decided to have my levels checked through an online clinic. They only ordered total T which came back at 305, it was just a finger prick that got mailed off, not a blood draw. Previously I asked a doctor to do a blood draw several months ago which cam back at 329, this was unfasted and after a morning workout, whether that makes a difference or not. This doc told me it was normal so I brushed it off, and hadn't thought about it until recently when I began searching deeper for answers to my symptoms so I reached out to the online clinic. They came back and recommended a 3 times per week injection of test cypionate and an AI.

Im not concerned about fertility, my wife and I have 3 kids and cannot possibly have more. A big concern is hairloss because I do not have a good bald head, but there is no way I would take finasteride and I understand the risks with test. I also do not want my testes to shrink but Ive read there is something I can take along with the test to prevent that so I need to do more digging there. Finally I do not want to destroy by bodys ability to produce natural test, but it sounds like it will rebound back to baseline of what im producing now if I did decide to start and then stop?

My wife and I have a good sex life when we aren't interrupted by work and kids but my erections don't feel as strong as they used to and sometimes im just too worn out for it. This coupled with other symptoms is what is making me pursue options with test injections.

Assuming a full test panel is recommended, even with low (for 38) total T numbers?
Is test cypiomate and AI the most recommended stack or are there other things I can take to minimize negative side effects?

Thanks for reading
 

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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.

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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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