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Testosterone Replacement, Low T, HCG, & Beyond
Blood Test Discussion
First Lab Post! “Should I stay or should I go?”...would appreciate some guidance. Thank you!
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<blockquote data-quote="RP McMurphy" data-source="post: 221416" data-attributes="member: 43731"><p>I’m a 45 yo male, 150 lbs. Prior to starting any testosterone therapy my labs in January 2018 were in range (Total T 601 280-1100ng/dl, Free T 10.43 1.9-27ng/dl), but I wanted to see if increasing testosterone levels would help to improve fatigue. I always had a high sex drive, with decent erections but sometimes room for improvement re the erections...</p><p></p><p>I trialed clomid monotherapy starting from March 2018 until June 2020 (50mg every three days), with positive results –increased energy, stronger erections.</p><p></p><p>In the summer of 2020 I started an injectable <a href="https://www.empowerpharmacy.com/drugs/testosterone-cypionate-propionate-injection" target="_blank">cypionate/propionate blend</a> (160/40 mg/ml) from Empower. I switched from clomid monotherapy to testosterone injections mainly because clomid seemed to be dropping my IGF-1 into the 70’s, and I was also curious if I would see even better results with injectable testosterone. I also cycled in 22.5mg of clomid a few times a week, but very rarely because of my concerns regarding IGF-1 levels. I’ve also cycled in 1iu of HGH a decent amount of the time (but was not taking at the time or leadup to the most recent labwork).</p><p></p><p>I’ve experimented with different dosing regimens, mostly lowering my dose over time and decreasing the time between doses. I experienced great sexual function for the first year plus (and increased muscle mass), but the past 4-5 months I’ve had little to no sexual desire, and some ED. This is a complete 180 for me, as I mentioned I’ve always had a high sex drive. I realize that the arena of sexual desire and function is a complicated one, but I believe that this is a side effect of my TRT regimen. Systolic blood pressure also increased from 120 into 130’s on TRT, and at times felt a bit amped up, and possibly fatigued.</p><p></p><p>Here are my recent labs (trough) from Quest on April 4, 2022 after 8 weeks of dosing 20mg of the cypionate/propionate blend, every other day subq in the thigh. I was also taking my standard regimen of (alot of vitamins), 25mg DHEA, 150mg pregnenolone, 30mg armour thyroid, and I was not on HGH.</p><p></p><p>TESTOSTERONE, TOTAL, MS 806 250-1100 ng/dL</p><p>TESTOSTERONE, FREE (DIALYSIS) 151. 6 35.0-155.0 pg/mL</p><p>TSH 3.49 0.40-4.50 mIU/L</p><p>T4, FREE 1.2 0.8-1.8 ng/dL</p><p>T3, FREE 3.1 2.3-4.2 pg/mL</p><p>IGF 1, LC/MS 122 52-328 ng/mL</p><p></p><p>DHT,LC/MS/MS 56 12-65 ng/dL</p><p>HEMOGLOBIN 17 13.2-17.1 g/dL</p><p>HEMATOCRIT 50.3 38.5-50%</p><p>PROLACTIN 8.6 2.0-18.0 ng/mL</p><p>PSA 1.12 < or = 4.00 ng/mL</p><p>ESTRADIOL/ULTRASENSITIVE LC/MS 52 <OR=29pg/mL</p><p></p><p>I’m currently considering:</p><p>-Lowering my TRT dose</p><p>-HCG monotherapy</p><p>-Running a significantly lowered TRT dose with HCG</p><p>-Trying an AI</p><p></p><p>Any input would be much appreciated! And I’d love to hear any thoughts @Nelsonvergel may have<strong>.</strong> Thank you all in advance.</p></blockquote><p></p>
[QUOTE="RP McMurphy, post: 221416, member: 43731"] I’m a 45 yo male, 150 lbs. Prior to starting any testosterone therapy my labs in January 2018 were in range (Total T 601 280-1100ng/dl, Free T 10.43 1.9-27ng/dl), but I wanted to see if increasing testosterone levels would help to improve fatigue. I always had a high sex drive, with decent erections but sometimes room for improvement re the erections... I trialed clomid monotherapy starting from March 2018 until June 2020 (50mg every three days), with positive results –increased energy, stronger erections. In the summer of 2020 I started an injectable [URL='https://www.empowerpharmacy.com/drugs/testosterone-cypionate-propionate-injection']cypionate/propionate blend[/URL] (160/40 mg/ml) from Empower. I switched from clomid monotherapy to testosterone injections mainly because clomid seemed to be dropping my IGF-1 into the 70’s, and I was also curious if I would see even better results with injectable testosterone. I also cycled in 22.5mg of clomid a few times a week, but very rarely because of my concerns regarding IGF-1 levels. I’ve also cycled in 1iu of HGH a decent amount of the time (but was not taking at the time or leadup to the most recent labwork). I’ve experimented with different dosing regimens, mostly lowering my dose over time and decreasing the time between doses. I experienced great sexual function for the first year plus (and increased muscle mass), but the past 4-5 months I’ve had little to no sexual desire, and some ED. This is a complete 180 for me, as I mentioned I’ve always had a high sex drive. I realize that the arena of sexual desire and function is a complicated one, but I believe that this is a side effect of my TRT regimen. Systolic blood pressure also increased from 120 into 130’s on TRT, and at times felt a bit amped up, and possibly fatigued. Here are my recent labs (trough) from Quest on April 4, 2022 after 8 weeks of dosing 20mg of the cypionate/propionate blend, every other day subq in the thigh. I was also taking my standard regimen of (alot of vitamins), 25mg DHEA, 150mg pregnenolone, 30mg armour thyroid, and I was not on HGH. TESTOSTERONE, TOTAL, MS 806 250-1100 ng/dL TESTOSTERONE, FREE (DIALYSIS) 151. 6 35.0-155.0 pg/mL TSH 3.49 0.40-4.50 mIU/L T4, FREE 1.2 0.8-1.8 ng/dL T3, FREE 3.1 2.3-4.2 pg/mL IGF 1, LC/MS 122 52-328 ng/mL DHT,LC/MS/MS 56 12-65 ng/dL HEMOGLOBIN 17 13.2-17.1 g/dL HEMATOCRIT 50.3 38.5-50% PROLACTIN 8.6 2.0-18.0 ng/mL PSA 1.12 < or = 4.00 ng/mL ESTRADIOL/ULTRASENSITIVE LC/MS 52 <OR=29pg/mL I’m currently considering: -Lowering my TRT dose -HCG monotherapy -Running a significantly lowered TRT dose with HCG -Trying an AI Any input would be much appreciated! And I’d love to hear any thoughts @Nelsonvergel may have[B].[/B] Thank you all in advance. [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Blood Test Discussion
First Lab Post! “Should I stay or should I go?”...would appreciate some guidance. Thank you!
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