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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Basics & Questions
Considering starting TRT. My blood work is attached.
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<blockquote data-quote="Gman86" data-source="post: 268238" data-attributes="member: 15043"><p>all I can do is give u advice that I would want someone to give to me in ur position. Which is to find a good clinic, like Defy medical, and get on TRT. I would personally skip HCG and/ or Clomid monotherapy, if I were u, but it wouldn’t be a horrible idea to trial either, to see if raising ur test levels made u feel better. Problem is ur E2 is very high proportional to ur test levels, especially ur free T level. And Clomid and HCG are both notorious for raising E2, usually more so than straight test would. It looks like ur getting plenty of LH signaling from ur pituitary. Ur testicles just aren’t producing enough testosterone to overcome ur high SHBG level. So actually now that I think about it, I’m not sure if something like HCG mono would even work, since it’s just gonna send the LH signal directly to ur testicles. If ur naturally higher LH levels aren’t doing the trick to have ur testicles produce enough test, I don’t see how having HCG send that same signal is going to help much. Same goes for Clomid. It’s just going to send more LH and FSH to ur testicles, which isn’t really ur issue. Ur getting enough signal. Plus, Clomid can raise SHBG even further. So in ur situation, I think both HCG mono, and/ or Clomid mono would not be smart.</p><p></p><p>I’m a pretty good person to advise u, simply because my labs prior to TRT were somewhat similar to urs, plus I’ve personally tried HCG and Clomid monotherapy. Here are my pre-TRT labs, as well as my labs on HCG mono, and Clomid mono </p><p></p><p>PRE TRT LABS:</p><p></p><p>8-5-15 </p><p>ON NOTHING </p><p></p><p>Total T - 584 (348-1197 ng/dL) </p><p>Free T - 7.3 (9.3-26.5) </p><p>SHBG - 57.1 ( 16.5 - 55.9). </p><p>E2 NOT sensitive - 14.6 (7.6-42.6) </p><p>Prolactin - 9 (2.0-18.0)</p><p>LH - 3.5 (1.7-8.6)</p><p>FSH - 2.3 (1.5-12.4)</p><p>TSH - 1.2 (0.450-4.500)</p><p>T4 free - 1.15 (0.82-1.77)</p><p>T3 free 3.4 ( 2.0-4.4)</p><p>DHEA-S 486.0 (138.5-475.2)</p><p></p><p></p><p>11-2-15 </p><p>ON NOTHING </p><p>Total T - 691 (250-1100 ng/dL) </p><p>Free T - 73.9 (46.0-224.0) </p><p>Bio T - 161.6 (110.0-575.0 ng/dL) </p><p>SHBG 45 (10-50) </p><p>E2 Sensitive- 25</p><p>IGF 1 - 294 (63-373)</p><p>DHEA-S - 411 (106-464)</p><p>Albumin - 4.7 (3.6-5.1)</p><p></p><p>HCG MONO LABS:</p><p></p><p>12-30-15 </p><p>HCG - 2000IU/ week split into EOD dosing (Pregnyl HCG)</p><p>Anastrozole 0.25mg 2x/ week (0.5mg total per week)</p><p></p><p>Total T - 1185 (250-1100 ng/dL) </p><p>Free T - 171.7 (46.0-224.0) </p><p>Bio T - 345.6 (110.0-575.0 ng/dL) SHBG 39 (10-50) </p><p>E2 Sensitive - 43</p><p>DHEA-S - 615 (106-464)</p><p>Albumin - 4.4 (3.6-5.1)</p><p></p><p></p><p></p><p>2-11-16 </p><p>HCG - 2000IU/ week split into EOD dosing (Pregnyl HCG)</p><p>Anastrozole 0.25mg 2x/ week (0.5mg total/ week)</p><p></p><p>Total T - 1193 (250-1100 ng/dL) </p><p>Free T - 168.9 (46.0-224.0) </p><p>Bio T - 362.1 (110.0-575.0 ng/dL) </p><p>SHBG 39 (10-50) </p><p>E2 Sensitive - 55</p><p>DHEA-S - 729 (106-464)</p><p>Albumin - 4.7 (3.6-5.1)</p><p></p><p></p><p></p><p></p><p></p><p>4-12-16 </p><p></p><p>HCG - 1000IU/ week split into EOD dosing (Pregnyl HCG)</p><p>Anastrozole 0.25mg 2x/ week (0.5mg total per week)</p><p></p><p>Total T - 579 (250-1100 ng/dL) </p><p>Free T - 71.4 (46.0-224.0) </p><p>Bio T - 143.8 (110.0-575.0 ng/dL) </p><p>SHBG 38 (10-50) </p><p>E2 Sensitive - 11</p><p>DHEA-S - 452 (106-464)</p><p>Albumin - 4.4 (3.6-5.1)</p><p></p><p></p><p>CLOMID MONO:</p><p></p><p>6-27-16 </p><p>CLOMID 50mg/ day</p><p>Anastrozole 0.25mg 2x/ week (0.5mg total per week)</p><p></p><p>Total T - 1535 (250-1100 ng/dL) </p><p>Free T - 98.5 (46.0-224.0) </p><p>Bio T - 198.4 (110.0-575.0 ng/dL) </p><p>SHBG 91 (10-50) </p><p>E2 Sensitive - 51</p><p>DHT - 78 (16-79)</p><p>HCT - 46.5 (38.5-50.0)</p><p>Prolactin - 3.9 (2.0-18.0)</p><p>DHEA-S - 550 (106-464)</p><p>Albumin - 4.4 (3.6-5.1)</p><p>LH - 11.3 (1.5-9.3)</p><p>FSH - 3.1 (1.6-8.0)</p><p></p><p>POST CLOMID MONO WHILE ON NOTHING:</p><p></p><p>8-31-16 labs were while on this protocol</p><p></p><p>Total T - 601 (250-1100 ng/dL) </p><p>Free T - 54.3 (46.0-224.0) </p><p>Bio T - 116.4 (110.0-575.0 ng/dL) </p><p>SHBG 53 (10-50) </p><p>E2 NOT Sensitive - 23</p><p>IGF 1 - 204 (53-331)</p><p>DHEA, LC/MS/MS 324 (61-1636)</p><p>B12 - 1434 (200-1100)</p></blockquote><p></p>
[QUOTE="Gman86, post: 268238, member: 15043"] all I can do is give u advice that I would want someone to give to me in ur position. Which is to find a good clinic, like Defy medical, and get on TRT. I would personally skip HCG and/ or Clomid monotherapy, if I were u, but it wouldn’t be a horrible idea to trial either, to see if raising ur test levels made u feel better. Problem is ur E2 is very high proportional to ur test levels, especially ur free T level. And Clomid and HCG are both notorious for raising E2, usually more so than straight test would. It looks like ur getting plenty of LH signaling from ur pituitary. Ur testicles just aren’t producing enough testosterone to overcome ur high SHBG level. So actually now that I think about it, I’m not sure if something like HCG mono would even work, since it’s just gonna send the LH signal directly to ur testicles. If ur naturally higher LH levels aren’t doing the trick to have ur testicles produce enough test, I don’t see how having HCG send that same signal is going to help much. Same goes for Clomid. It’s just going to send more LH and FSH to ur testicles, which isn’t really ur issue. Ur getting enough signal. Plus, Clomid can raise SHBG even further. So in ur situation, I think both HCG mono, and/ or Clomid mono would not be smart. I’m a pretty good person to advise u, simply because my labs prior to TRT were somewhat similar to urs, plus I’ve personally tried HCG and Clomid monotherapy. Here are my pre-TRT labs, as well as my labs on HCG mono, and Clomid mono PRE TRT LABS: 8-5-15 ON NOTHING Total T - 584 (348-1197 ng/dL) Free T - 7.3 (9.3-26.5) SHBG - 57.1 ( 16.5 - 55.9). E2 NOT sensitive - 14.6 (7.6-42.6) Prolactin - 9 (2.0-18.0) LH - 3.5 (1.7-8.6) FSH - 2.3 (1.5-12.4) TSH - 1.2 (0.450-4.500) T4 free - 1.15 (0.82-1.77) T3 free 3.4 ( 2.0-4.4) DHEA-S 486.0 (138.5-475.2) 11-2-15 ON NOTHING Total T - 691 (250-1100 ng/dL) Free T - 73.9 (46.0-224.0) Bio T - 161.6 (110.0-575.0 ng/dL) SHBG 45 (10-50) E2 Sensitive- 25 IGF 1 - 294 (63-373) DHEA-S - 411 (106-464) Albumin - 4.7 (3.6-5.1) HCG MONO LABS: 12-30-15 HCG - 2000IU/ week split into EOD dosing (Pregnyl HCG) Anastrozole 0.25mg 2x/ week (0.5mg total per week) Total T - 1185 (250-1100 ng/dL) Free T - 171.7 (46.0-224.0) Bio T - 345.6 (110.0-575.0 ng/dL) SHBG 39 (10-50) E2 Sensitive - 43 DHEA-S - 615 (106-464) Albumin - 4.4 (3.6-5.1) 2-11-16 HCG - 2000IU/ week split into EOD dosing (Pregnyl HCG) Anastrozole 0.25mg 2x/ week (0.5mg total/ week) Total T - 1193 (250-1100 ng/dL) Free T - 168.9 (46.0-224.0) Bio T - 362.1 (110.0-575.0 ng/dL) SHBG 39 (10-50) E2 Sensitive - 55 DHEA-S - 729 (106-464) Albumin - 4.7 (3.6-5.1) 4-12-16 HCG - 1000IU/ week split into EOD dosing (Pregnyl HCG) Anastrozole 0.25mg 2x/ week (0.5mg total per week) Total T - 579 (250-1100 ng/dL) Free T - 71.4 (46.0-224.0) Bio T - 143.8 (110.0-575.0 ng/dL) SHBG 38 (10-50) E2 Sensitive - 11 DHEA-S - 452 (106-464) Albumin - 4.4 (3.6-5.1) CLOMID MONO: 6-27-16 CLOMID 50mg/ day Anastrozole 0.25mg 2x/ week (0.5mg total per week) Total T - 1535 (250-1100 ng/dL) Free T - 98.5 (46.0-224.0) Bio T - 198.4 (110.0-575.0 ng/dL) SHBG 91 (10-50) E2 Sensitive - 51 DHT - 78 (16-79) HCT - 46.5 (38.5-50.0) Prolactin - 3.9 (2.0-18.0) DHEA-S - 550 (106-464) Albumin - 4.4 (3.6-5.1) LH - 11.3 (1.5-9.3) FSH - 3.1 (1.6-8.0) POST CLOMID MONO WHILE ON NOTHING: 8-31-16 labs were while on this protocol Total T - 601 (250-1100 ng/dL) Free T - 54.3 (46.0-224.0) Bio T - 116.4 (110.0-575.0 ng/dL) SHBG 53 (10-50) E2 NOT Sensitive - 23 IGF 1 - 204 (53-331) DHEA, LC/MS/MS 324 (61-1636) B12 - 1434 (200-1100) [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Basics & Questions
Considering starting TRT. My blood work is attached.
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