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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: 90017" data-attributes="member: 16042"><p>Appointment summary:</p><p></p><p>Dr Saya is concerned, but not worried about the PSA number&#8230; yet. Because it rose so fast he suspects prostatitis from inflammation or infection, perhaps exacerbated by having had high DHT and/or high E2. For now, we'll just work on getting sex hormones back down and retest PSA with a more sensitive test at next 6 week lab interval. And indeed, no sex/ejaculation or significant exercise 48hrs before next blood draw. Also, will increase taking NAC to 1000mg/day which could possibly help reduce inflammation.</p><p></p><p>So, aiming to bring Total T free T and E2 down together, main thing is to target for Free T in 20-35 range. With my high-ish SHBG that may result in still pretty high total T. Also with the PSA issue, wanting to see DHT in the 60's. So Reduce T cyp to 48mg E3d, so 112mg/week</p><p></p><p>My testicles don't seem to be responding to the HCG, so increase to 500iu E3D, I'm hoping this and reducing T cyp will bring my balls back around!</p><p></p><p>Keep DHEA at same level. Current blood level is great.</p><p></p><p>Thyroid: T3 level is good, and supplemental amount of T3 in 1gr/day of NDT is not enough to produce that blood level without my body converting T4 to T3. And, RT3 is OK in relation to T3 level. So I am converting well in the context of taking NDT. Based on lack of relevant symptoms, the relatively lower T4 level seems not terribly important at this time. We'll let this ride for now until sex hormones are more in target range, then re-assess.</p><p></p><p>Next round of tests:</p><p>-PSA free/total ratio</p><p>-Urinalysis for prostate issue, I am assuming checking for UTI ( I might request this now anyway)</p><p>-Total T</p><p>-Free T</p><p>-E2</p><p><span style="font-family: 'Tahoma'"></span></p><p><span style="font-family: 'Tahoma'"></span></p></blockquote><p></p>
[QUOTE="Blackhawk, post: 90017, member: 16042"] Appointment summary: Dr Saya is concerned, but not worried about the PSA number… yet. Because it rose so fast he suspects prostatitis from inflammation or infection, perhaps exacerbated by having had high DHT and/or high E2. For now, we'll just work on getting sex hormones back down and retest PSA with a more sensitive test at next 6 week lab interval. And indeed, no sex/ejaculation or significant exercise 48hrs before next blood draw. Also, will increase taking NAC to 1000mg/day which could possibly help reduce inflammation. So, aiming to bring Total T free T and E2 down together, main thing is to target for Free T in 20-35 range. With my high-ish SHBG that may result in still pretty high total T. Also with the PSA issue, wanting to see DHT in the 60's. So Reduce T cyp to 48mg E3d, so 112mg/week My testicles don't seem to be responding to the HCG, so increase to 500iu E3D, I'm hoping this and reducing T cyp will bring my balls back around! Keep DHEA at same level. Current blood level is great. Thyroid: T3 level is good, and supplemental amount of T3 in 1gr/day of NDT is not enough to produce that blood level without my body converting T4 to T3. And, RT3 is OK in relation to T3 level. So I am converting well in the context of taking NDT. Based on lack of relevant symptoms, the relatively lower T4 level seems not terribly important at this time. We'll let this ride for now until sex hormones are more in target range, then re-assess. Next round of tests: -PSA free/total ratio -Urinalysis for prostate issue, I am assuming checking for UTI ( I might request this now anyway) -Total T -Free T -E2 [FONT=Tahoma] [/FONT] [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Basics & Questions
Blackhawk's journey with TRT
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