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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: 96203" data-attributes="member: 16042"><p>Notes from consultation with Dr Saya Feb 5:</p><p></p><p></p><p>New dosage for T cyp: </p><p>-42mg (.21ml 200mg/ml solution) E3D for 96.6mg/week</p><p></p><p></p><p>other stuff remains the same: </p><p>-HCG 500iu E3D, </p><p>-NDT 1 grain every morning, </p><p>-DHEA and Pregnenelone 25mg each evenings, </p><p>-the usual OTC supplements daily, though will start dropping a few things (see below)</p><p></p><p></p><p>Reduce T cyp from 48 mg to 42mg E3D, a 12.5% reduction. Mainly to bring down hematocrit which is at 52%. This is more important than my current symptomatic concerns. Also to decrease E2 down into normal range which may help reduce possible estrogen provocation of the prostate. I remain asymptomatic otherwise regarding estrogen.</p><p></p><p></p><p>“Walking a tightrope” with the hematocrit at 52%. I live mainly at altitude (9300') so there is a little more leeway before donating, and platelets are OK. Last donation was last October at about 50.5% which brought it down to around 47, but I had ferritin drawn this time, and it is at 27. Dr Saya wants to see it at 50 or higher for safe donation, so we are deferring phlebotomy until hematocrit reaches 54%. May be in a tough spot if reducing T does not also reduce hematocrit, and/or ferritin does not come up.</p><p></p><p></p><p>We will do a full iron panel including ferritin again with next labs. Don't know why I have low feritin; blood loss is unlikely, no signs of GI bleeding, ulcers etc. Possibly malabsorption. I eat red met every 3-4 days, chicken, fish, and lots of dark leafy greens etc so should be getting enough from regular food intake. Jury is out until further testing.</p><p></p><p></p><p>Ratbag will be happy to hear that along with an iron panel, a full thyroid panel will be pulled next time as well. It will be the first time in about 3 years for comprehensive thyroid lab with iron panel at one time. Otherwise, there are no specific changes in terms of thyroid symptoms or treatment this time around. Still on 1 gr NDT each morning.</p><p></p><p></p><p>Prostate: PSA down a couple points but still at 6.9. The Free PSA test at 26 for age 59 puts me at a 5% possibility for cancer. I will be headed home to find a primary care doc and/or Urologist for digital rectal exam, and then go from there for possible prostate diagnosis. I expect the average uro would love to jump right to needle biopsy, but I'll do everything else I can within reason before submitting to that in order to get a good diagnosis. (which may be a particular challenge since our fine state system put us on medicaid.) </p><p></p><p></p><p>However, things going for me: The rapid onset of high PSA is not typical with cancer, and points more likely to some kind of prostatitis. We caught the increase in PSA right away, so if it is cancer, we've caught it early. And most prostate cancer is slow growing, so it is no dire rush. </p><p></p><p></p><p>We will continue to travel for a few more weeks while I try to track down a more progressive doc to work with on this rather than grasp at the first needle happy uro with an open appointment.</p><p></p><p></p><p>With the lab consult cycle having been at every 8 weeks, costs have been more than anticipated for me. Luckily, Dr Saya recommended next labs at 3 months, not 6 weeks. I think since we have reached the desired range for T hormone levels. I am stabilizing in that regard. The other aspect to costs has been ordering HCG from overseas which reduces my cost by a little more than half, and shopping for best bang for the buck supplelents from good companies, but not bottom of the barrel.</p><p></p><p></p><p>We reviewed all the supplements I've been taking on the recommendation of a previous doc (the one who initially put me on a bad TRT protocol). and I'll judiciously do self study and possibly cut the following from my daily supps.</p><p>-L glutathione in favor of NAC 1000mg/day</p><p>-Alpha lipoic acid</p><p>-PQQ</p><p>-A balanced amino acid formula which is costly, but possibly continue glycine, taurine and glutamine which are cheap in bulk. </p><p>-Seek cheaper but stiff effective protein supplements for my needs. Currently using undenatured grass fed whey, pea protein isolate and great lakes gelatin.</p></blockquote><p></p>
[QUOTE="Blackhawk, post: 96203, member: 16042"] Notes from consultation with Dr Saya Feb 5: New dosage for T cyp: -42mg (.21ml 200mg/ml solution) E3D for 96.6mg/week other stuff remains the same: -HCG 500iu E3D, -NDT 1 grain every morning, -DHEA and Pregnenelone 25mg each evenings, -the usual OTC supplements daily, though will start dropping a few things (see below) Reduce T cyp from 48 mg to 42mg E3D, a 12.5% reduction. Mainly to bring down hematocrit which is at 52%. This is more important than my current symptomatic concerns. Also to decrease E2 down into normal range which may help reduce possible estrogen provocation of the prostate. I remain asymptomatic otherwise regarding estrogen. “Walking a tightrope” with the hematocrit at 52%. I live mainly at altitude (9300') so there is a little more leeway before donating, and platelets are OK. Last donation was last October at about 50.5% which brought it down to around 47, but I had ferritin drawn this time, and it is at 27. Dr Saya wants to see it at 50 or higher for safe donation, so we are deferring phlebotomy until hematocrit reaches 54%. May be in a tough spot if reducing T does not also reduce hematocrit, and/or ferritin does not come up. We will do a full iron panel including ferritin again with next labs. Don't know why I have low feritin; blood loss is unlikely, no signs of GI bleeding, ulcers etc. Possibly malabsorption. I eat red met every 3-4 days, chicken, fish, and lots of dark leafy greens etc so should be getting enough from regular food intake. Jury is out until further testing. Ratbag will be happy to hear that along with an iron panel, a full thyroid panel will be pulled next time as well. It will be the first time in about 3 years for comprehensive thyroid lab with iron panel at one time. Otherwise, there are no specific changes in terms of thyroid symptoms or treatment this time around. Still on 1 gr NDT each morning. Prostate: PSA down a couple points but still at 6.9. The Free PSA test at 26 for age 59 puts me at a 5% possibility for cancer. I will be headed home to find a primary care doc and/or Urologist for digital rectal exam, and then go from there for possible prostate diagnosis. I expect the average uro would love to jump right to needle biopsy, but I'll do everything else I can within reason before submitting to that in order to get a good diagnosis. (which may be a particular challenge since our fine state system put us on medicaid.) However, things going for me: The rapid onset of high PSA is not typical with cancer, and points more likely to some kind of prostatitis. We caught the increase in PSA right away, so if it is cancer, we've caught it early. And most prostate cancer is slow growing, so it is no dire rush. We will continue to travel for a few more weeks while I try to track down a more progressive doc to work with on this rather than grasp at the first needle happy uro with an open appointment. With the lab consult cycle having been at every 8 weeks, costs have been more than anticipated for me. Luckily, Dr Saya recommended next labs at 3 months, not 6 weeks. I think since we have reached the desired range for T hormone levels. I am stabilizing in that regard. The other aspect to costs has been ordering HCG from overseas which reduces my cost by a little more than half, and shopping for best bang for the buck supplelents from good companies, but not bottom of the barrel. We reviewed all the supplements I've been taking on the recommendation of a previous doc (the one who initially put me on a bad TRT protocol). and I'll judiciously do self study and possibly cut the following from my daily supps. -L glutathione in favor of NAC 1000mg/day -Alpha lipoic acid -PQQ -A balanced amino acid formula which is costly, but possibly continue glycine, taurine and glutamine which are cheap in bulk. -Seek cheaper but stiff effective protein supplements for my needs. Currently using undenatured grass fed whey, pea protein isolate and great lakes gelatin. [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Basics & Questions
Blackhawk's journey with TRT
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