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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: 84990" data-attributes="member: 16042"><p>Just had the consultation w/ Dr Saya this morning:</p><p></p><p>-Switching from gel to T cyp 64mg E3D (150/wk) to try and prioritize anabolic effect. My main ongoing problem is exercise tolerance and recovery. Seems I convert a lot of gel to DHT, so seeking a better balance of anabolic/androgenic is desirable.</p><p></p><p>-Regarding whether to be concerned over DHT being too high, Dr Saya said that hematocrit does tend to be higher with higher DHT. He's prescribing donating blood due to hematocrit, and hoping it's a one time thing if reducing DHT also brings down HCT level. I didn't remember Vettester Chris's post about this, iron and thyroid above&#8230; Hope losing a pint is a non issue for Thyroid uptake.</p><p></p><p>-Reducing DHEA to 25mg/day in combo with 25mg pregnenelone evening dosage.</p><p></p><p>-Starting 1/2 grain NDT first thing in the morning with possible increase to 1gr after 2 weeks, monitoring for positive effects on energy vs hyper-thyroid symptoms.</p><p></p><p>-ACTH is signalling at a good level, and cortisol diurnal curve profile is looking good except the test shows overall low cortisol. Could be related to thyroid, hopefully supplementing Thyroid will also boost cortisol. I also was a bit ill the day of the cortisol test, which may have affected results either way, so jury is still out.</p><p></p><p>-Re-assess at 6 weeks.</p><p></p><p>-With the thyroid issue and elevated thyroglobulin antibodies I forgot to ask about iodine intake.</p><p></p><p>-IGF-1 is in quite good range for my age, but if T cyp doesn't provide the needed anabolic help, semorelin is a consideration. I doubt I'll go there.</p></blockquote><p></p>
[QUOTE="Blackhawk, post: 84990, member: 16042"] Just had the consultation w/ Dr Saya this morning: -Switching from gel to T cyp 64mg E3D (150/wk) to try and prioritize anabolic effect. My main ongoing problem is exercise tolerance and recovery. Seems I convert a lot of gel to DHT, so seeking a better balance of anabolic/androgenic is desirable. -Regarding whether to be concerned over DHT being too high, Dr Saya said that hematocrit does tend to be higher with higher DHT. He's prescribing donating blood due to hematocrit, and hoping it's a one time thing if reducing DHT also brings down HCT level. I didn't remember Vettester Chris's post about this, iron and thyroid above… Hope losing a pint is a non issue for Thyroid uptake. -Reducing DHEA to 25mg/day in combo with 25mg pregnenelone evening dosage. -Starting 1/2 grain NDT first thing in the morning with possible increase to 1gr after 2 weeks, monitoring for positive effects on energy vs hyper-thyroid symptoms. -ACTH is signalling at a good level, and cortisol diurnal curve profile is looking good except the test shows overall low cortisol. Could be related to thyroid, hopefully supplementing Thyroid will also boost cortisol. I also was a bit ill the day of the cortisol test, which may have affected results either way, so jury is still out. -Re-assess at 6 weeks. -With the thyroid issue and elevated thyroglobulin antibodies I forgot to ask about iodine intake. -IGF-1 is in quite good range for my age, but if T cyp doesn't provide the needed anabolic help, semorelin is a consideration. I doubt I'll go there. [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Basics & Questions
Blackhawk's journey with TRT
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