Extreme Fatigue With a Few Clues in Blood Work. What am I Missing?

Defy Medical TRT clinic doctor
obesechess said:
Trintellix 10mg/day, Vyvanse 30mg/day, HCG 350iu/wk, Arimidex 0.5mg/wk, Tirzepatide 5mg/wk.
Click to expand...

I bet you are not sleeping well. Trintellix plus Vyvance can be stimulating. Stop the arimidex also.

Tirzepatide can cause fatigue in some people if your blood sugar goes into the hypoglycemic range.

Your thyroid seems OK.

If your bilirubin is high (how high?), I suspect that you are taking something else orally or that you should be checked for hepatitis.

What is your blood pressure? What's your T dose?

By the way, if someone can work out with heavy weights three times per week, I would not consider that person fatigued.
 

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TRT Hormone Predictor Widget

TRT Hormone Predictor

Predict estradiol, DHT, and free testosterone levels based on total testosterone

⚠️ Medical Disclaimer

This tool provides predictions based on statistical models and should NOT replace professional medical advice. Always consult with your healthcare provider before making any changes to your TRT protocol.

ℹ️ Input Parameters

Normal range: 300-1000 ng/dL

Predicted Hormone Levels

Enter your total testosterone value to see predictions

Results will appear here after calculation

Understanding Your Hormones

Estradiol (E2)

A form of estrogen produced from testosterone. Important for bone health, mood, and libido. Too high can cause side effects; too low can affect well-being.

DHT

Dihydrotestosterone is a potent androgen derived from testosterone. Affects hair growth, prostate health, and masculinization effects.

Free Testosterone

The biologically active form of testosterone not bound to proteins. Directly available for cellular uptake and biological effects.

Scientific Reference

Lakshman KM, Kaplan B, Travison TG, Basaria S, Knapp PE, Singh AB, LaValley MP, Mazer NA, Bhasin S. The effects of injected testosterone dose and age on the conversion of testosterone to estradiol and dihydrotestosterone in young and older men. J Clin Endocrinol Metab. 2010 Aug;95(8):3955-64.

DOI: 10.1210/jc.2010-0102 | PMID: 20534765 | PMCID: PMC2913038

Defy Medical TRT clinic doctor
Defy Medical TRT clinic

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