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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Basics & Questions
Blackhawk's journey with TRT
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<blockquote data-quote="Blackhawk" data-source="post: 131315" data-attributes="member: 16042"><p>This may be my final update to this thread. Basically, I've reached a reasonably stable state and will probably be sticking with this protocol for the longer term. I have Dr Saya's blessing to adjust T, HCG and Thyroid dose within a certain range depending on how I am feeling.</p><p></p><p></p><p>Other things are now of more concern, but also I have gotten way past any kind of freak out. Sooner or later one of these things or something else will kill me. In the meantime, I am just going to try to live life to the fullest. These are long term issues that will play out as they will pretty much regardless of what I do (It is a given I'll continue to do my best to live as healthily as I can within my ability), or depending on future cures for uncurable diseases being discovered if I do end up with prostate cancer or CLL</p><p></p><p></p><p>In the last period between labs, I adjusted T dosage up to 28mg EOD, and Thyroid morning dose down 0.25 gr to 0.75 due to feeling hyper in the mornings.</p><p></p><p>But I am trying again lowering T dose back to 24mg EOD. It's alittle bumpy, but I am doing OK with it. Reason being, my PSA is up to 4.4 after a low of 3.0 90 days ago, so this remains a concern, but the PSA level change pattern is not defined by any trend and not characteristic of cancer. That said, I probably have at least some cancer cells as do the majority of men at age 60. Whether this progresses to anything life altering remains to be seen. Dr Saya said he believes that the prostate androgen receptors are already saturated at a dose of 24mg EOD anyway so he does not expect to see a change based on T dosage, but I figure I'll try and see. I am considering seeing a urologist, but I am not going down the road of biopsies or jumping to surgery if something is found. At this point I know too much to accept that kind of treatment.</p><p></p><p>And, I have monoclonal B cell lymphocytosis which may or may not progress to CLL. Time will tell. Absolute Lymphs are continuing to climb but I won't have an actual CLL diagnosis until B cell population reaches a considerably higher level. Could be months, years or never.</p><p></p><p>So in the meantime my protocol:</p><p></p><p>T cyp 24-28mg EOD I am still experimenting with the lower dose to see if I adjust over a longer period</p><p>HCG 240-350 EOD, adjust based on how testicles feel</p><p>Anastrozole 0.625mg EOD</p><p>NDT-Thyroid 0.75gr morning, 0.5 gr afternoons. I can bump morning dose to 1 gr when living in cold environments and being more physically active due to increased metabolic need.</p><p>DHEA-12.5 mg evenings</p><p>Pregnenelone 25 mg evenings</p><p>And my laundry list of vitamins/ OTC supplements.</p><p></p><p>Oh, and in retrospect, I deduce if I had been started on T cyp ~80mg/week EOD I may have felt better from the get go on TRT for the long term, that even with lower levels of T than I have now I would have felt better due to increasing levels from my abyssmal endogenous level rather than having to withdraw from supra physiological to the kind of level I have now. As things happened over time, the transdermal treatments didn't work and starting me on 150mg/week T cyp was very much the wrong treatment.</p><p></p><p>Cheers Fellas, and thanks for all the help along the way. I'll still be lurking and chiming in from time to time.</p></blockquote><p></p>
[QUOTE="Blackhawk, post: 131315, member: 16042"] This may be my final update to this thread. Basically, I've reached a reasonably stable state and will probably be sticking with this protocol for the longer term. I have Dr Saya's blessing to adjust T, HCG and Thyroid dose within a certain range depending on how I am feeling. Other things are now of more concern, but also I have gotten way past any kind of freak out. Sooner or later one of these things or something else will kill me. In the meantime, I am just going to try to live life to the fullest. These are long term issues that will play out as they will pretty much regardless of what I do (It is a given I'll continue to do my best to live as healthily as I can within my ability), or depending on future cures for uncurable diseases being discovered if I do end up with prostate cancer or CLL In the last period between labs, I adjusted T dosage up to 28mg EOD, and Thyroid morning dose down 0.25 gr to 0.75 due to feeling hyper in the mornings. But I am trying again lowering T dose back to 24mg EOD. It's alittle bumpy, but I am doing OK with it. Reason being, my PSA is up to 4.4 after a low of 3.0 90 days ago, so this remains a concern, but the PSA level change pattern is not defined by any trend and not characteristic of cancer. That said, I probably have at least some cancer cells as do the majority of men at age 60. Whether this progresses to anything life altering remains to be seen. Dr Saya said he believes that the prostate androgen receptors are already saturated at a dose of 24mg EOD anyway so he does not expect to see a change based on T dosage, but I figure I'll try and see. I am considering seeing a urologist, but I am not going down the road of biopsies or jumping to surgery if something is found. At this point I know too much to accept that kind of treatment. And, I have monoclonal B cell lymphocytosis which may or may not progress to CLL. Time will tell. Absolute Lymphs are continuing to climb but I won't have an actual CLL diagnosis until B cell population reaches a considerably higher level. Could be months, years or never. So in the meantime my protocol: T cyp 24-28mg EOD I am still experimenting with the lower dose to see if I adjust over a longer period HCG 240-350 EOD, adjust based on how testicles feel Anastrozole 0.625mg EOD NDT-Thyroid 0.75gr morning, 0.5 gr afternoons. I can bump morning dose to 1 gr when living in cold environments and being more physically active due to increased metabolic need. DHEA-12.5 mg evenings Pregnenelone 25 mg evenings And my laundry list of vitamins/ OTC supplements. Oh, and in retrospect, I deduce if I had been started on T cyp ~80mg/week EOD I may have felt better from the get go on TRT for the long term, that even with lower levels of T than I have now I would have felt better due to increasing levels from my abyssmal endogenous level rather than having to withdraw from supra physiological to the kind of level I have now. As things happened over time, the transdermal treatments didn't work and starting me on 150mg/week T cyp was very much the wrong treatment. Cheers Fellas, and thanks for all the help along the way. I'll still be lurking and chiming in from time to time. [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Basics & Questions
Blackhawk's journey with TRT
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