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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Basics & Questions
Discontinuation/ PCT discussion with doctor
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<blockquote data-quote="Gbucks18" data-source="post: 178709" data-attributes="member: 40600"><p>Hi everyone, I am new here but I frequent some subreddits regarding TRT and testosterone. (24M, on TRT for 1 year)</p><p></p><p>I recently discontinued TRT due to some health concerns and because I was most likely put on TRT improperly without proper testing. My doctor only did a saliva test for testosterone and never inquired to the cause. (ridiculous, I know. I feel stupid for listening to her). My protocol was 150mg split twice a week (75mg each), 500iu of HCG once a week. Everything always came back normal, HCT sometimes got a tad high.</p><p></p><p>Fast forward to today, I am dealing with some funky, unexplained health concerns. Now with the virus and everyone at home, I thought it would be best to eliminate Test from the equation and start from scratch and see what my natural body can produce and see if I need TRT after that.</p><p></p><p>I sought help from a urologist who seemed to be very well versed in test, hormones etc. I had talked to him and wanted to do something like the PCT described by Dr. Saya (spelling?), with 2 weeks of HCG and then clomid.</p><p></p><p>We agreed to do do 2 weeks of HCG, test levels and then see about clomid.</p><p></p><p>HCG protocol: 500iu MWF for 2 weeks</p><p></p><p>labs (5/16/20) taken 1 day after last hcg injection at 9am:</p><p></p><p>Albumin: 4.7 g/dL (3.6-5.1)</p><p>Testosterone, Total: 441 ng/dL (250-1100)</p><p>Free Testosterone: 60.7 pg/mL (46-224)</p><p>Testosterone, Bio-available: 130.1 ng/dL (110-575)</p><p>SHBG: 31 nmol/L (10-50)</p><p>Estradiol (E2): 31 pg/mL (6-54)</p><p>FSH: <.3 mIU/mL (0-18.2)</p><p>LH: .5 mIU/mL (0-13.8)</p><p></p><p>Here is his response:</p><p></p><p>"Your T levels look pretty good at 440. Your LH is 0.5 which means the body is making some despite the previous suppression, so that's great. Let's have you go to 2 days a week of HCG for 2 weeks then 1 day a week for 2 weeks and then stop completely. That should give us a reasonable taper Then I'd like for you to recheck labs 2 weeks after that. That panel will include testosterone, estrogen, LH and then another blood count."</p><p></p><p>My thoughts:</p><p></p><p>Why taper off HCG? my HPTA would still be suppressed and would just prolong the restart.</p><p>I really just want to start clomid or nolvadex now and ease the process.</p><p></p><p>I should ask him to start the clomid or nolvadex now, right? Is it ok that I am starting it almost a week after my last HCG injection?</p><p></p><p>I would really appreciate your guys help with this. Im starting a new job in 1 week and I really dont want to be feeling crappy to start it.</p><p></p><p>((Edit: also if anyone has any thoughts on my weird symptoms, please let me know. ))</p><p>-overall leg pain all over and in knees and hips, stretching or massaging doesnt help.</p><p>-some lower back pain</p><p>-overall fatigue and tiredness (recently started using a CPAP but dont notice any difference yet)</p><p>-weakness</p><p>-depression</p><p>-visual snow, light tracers</p><p>-headaches</p><p>-low to no sex drive, even on T</p><p>-only other thing I have tested for that was off was that I had low ferritin. I assume its worse now because my red meat intake has been lower recently.</p></blockquote><p></p>
[QUOTE="Gbucks18, post: 178709, member: 40600"] Hi everyone, I am new here but I frequent some subreddits regarding TRT and testosterone. (24M, on TRT for 1 year) I recently discontinued TRT due to some health concerns and because I was most likely put on TRT improperly without proper testing. My doctor only did a saliva test for testosterone and never inquired to the cause. (ridiculous, I know. I feel stupid for listening to her). My protocol was 150mg split twice a week (75mg each), 500iu of HCG once a week. Everything always came back normal, HCT sometimes got a tad high. Fast forward to today, I am dealing with some funky, unexplained health concerns. Now with the virus and everyone at home, I thought it would be best to eliminate Test from the equation and start from scratch and see what my natural body can produce and see if I need TRT after that. I sought help from a urologist who seemed to be very well versed in test, hormones etc. I had talked to him and wanted to do something like the PCT described by Dr. Saya (spelling?), with 2 weeks of HCG and then clomid. We agreed to do do 2 weeks of HCG, test levels and then see about clomid. HCG protocol: 500iu MWF for 2 weeks labs (5/16/20) taken 1 day after last hcg injection at 9am: Albumin: 4.7 g/dL (3.6-5.1) Testosterone, Total: 441 ng/dL (250-1100) Free Testosterone: 60.7 pg/mL (46-224) Testosterone, Bio-available: 130.1 ng/dL (110-575) SHBG: 31 nmol/L (10-50) Estradiol (E2): 31 pg/mL (6-54) FSH: <.3 mIU/mL (0-18.2) LH: .5 mIU/mL (0-13.8) Here is his response: "Your T levels look pretty good at 440. Your LH is 0.5 which means the body is making some despite the previous suppression, so that's great. Let's have you go to 2 days a week of HCG for 2 weeks then 1 day a week for 2 weeks and then stop completely. That should give us a reasonable taper Then I'd like for you to recheck labs 2 weeks after that. That panel will include testosterone, estrogen, LH and then another blood count." My thoughts: Why taper off HCG? my HPTA would still be suppressed and would just prolong the restart. I really just want to start clomid or nolvadex now and ease the process. I should ask him to start the clomid or nolvadex now, right? Is it ok that I am starting it almost a week after my last HCG injection? I would really appreciate your guys help with this. Im starting a new job in 1 week and I really dont want to be feeling crappy to start it. ((Edit: also if anyone has any thoughts on my weird symptoms, please let me know. )) -overall leg pain all over and in knees and hips, stretching or massaging doesnt help. -some lower back pain -overall fatigue and tiredness (recently started using a CPAP but dont notice any difference yet) -weakness -depression -visual snow, light tracers -headaches -low to no sex drive, even on T -only other thing I have tested for that was off was that I had low ferritin. I assume its worse now because my red meat intake has been lower recently. [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Basics & Questions
Discontinuation/ PCT discussion with doctor
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