Blood Work and DR RX

[TRT16]

Hey Guys I have my blood work back.
I am 32 never done AAS havent been on any supps besides protein for the last 2 years.
Test serum 664 (348-1197)
% Free Test 2.15 (1.50-4.20)
Estradiol 21.2 (7.6-42.6)
Total Estrogens 76 (40-115)
Test 737 (350-1200)
SHBG 56.96 (10-80)
Test Free Index 116 (150-350)
So the Doc said he would like to get my Free test up since its low and bring my estrogen down a little bit.
His RX was HCG 500IU ED and Letrozol 1000mg EOD.
I would like some of your opinions. I also do not think this is a long term solution so my main questions is when I come off this would there be a big rebound because I am sure you can not just stop this once you start it? Some of you hormonal experts if you think this is a good protocol then I am down to start it, just dont want this to screw things up long term.

I am also looking for some suggestions if you think there may be some other options since my levels arent really bad. Maybe some supplements on the market you guys would suggest.
Thanks guys

 

[CoastWatcher]

Welcome to EM. What caused you to have a workup for hypogonadism? Your levels aren't "bad" (certainly nothing like we typically see). Were you dealing with ED and libido issues? Fatigue or concentration issues? You'd be a borderline case for TRT in many clinics. What are your LH, FSH, DHT, and thyroid values?

Your doctor ordered the incorrect estradiol test, you - as a man - always want to have the sensitive, LC,MS,MS, test performed. I would NOT lower your estradiol - particularly since the wrong test was used. What in the world prompted that decision? And total estrogens isn't needed. It gives no actionable information.

 

[TRT16]

I was dealing with decreased energy and mental fog also a weakness about half way through my workouts, night sweats and horrible sleeping patterns. As well as hair loss and thinning!
Sexually I am fine except the ability to get up and go right into after just finishing a session. I just assumed that I am not 22 anymore and thats what happens when you get older.

The labs he ordered did not include all of the above I will post what I have though:
T4 Free 1.15
TSH 3.500
Triiodothyronine Free Serum 3.1
Glucose Serum 88

Thats all the ones besides normal Labs test I think you would be interested in seeing.

I really dont want to take the letrozol he gave it to me beacuse I have a little fat around the lower part of my chest and he told me we needed to zap that away(haha). That wasnt even a huge concern of mine. I have been lifting for over 15 years and I work in the fitness industry for just as long.
I havent taken any supplements besides plant based protein for over 2 years.
I am just curious I a DAA supp would work just as well as me taking the HCG.
Really concerned I dont want to mess anything up long term for myself. He also ordered B12 injectable as well as fina. I thought it was all a little over kill myself.

Just reaching out for a second opinion.

 

[ERO]

Honestly, what you need before anything else is a new doctor that understands modern TRT protocols.

 

[CoastWatcher]

You need a second opinion- a genuine second opinion from a doctor with knowledge of androgen replacement in men. It is not at all clear that you need any sort of hormonal therapy. Incomplete labs were run, and they featured the incorrect estradiol test. A protocol was prescribed that made you wonder (with good cause). Take time and locate a doctor who can, and will dig deeper. You owe that to yourself.

 

[Vince Carter]

^ what they said.

In and of itself I don't know that there's anything bad from a HCG monotherapy but as my friends said, wrong Estradiol test.

 

[johndoesmith]

You do NOT have high E2. That's also the wrong test. I might even think you have LOW E2 somewhat, due to your high SHBG.

Absolutely do not take the letrozole, you will be in a world of hurt.

You need to seek a qualified TRT physician, and while your numbers aren't that bad, part of it is due to your highish SHBG making your total higher, but not really doing all that much for you.

Take a look at this, and see if you fit high, or low better http://dosagemayvary.com/high-estrogen-vs-low-estrogen-symptoms-for-men/