Was hoping to get some input...
As a reminder I was having issues on TRT (decreased libido, high estrogen, increased bp, high hematocrit etc). Because of this I stopped injectable testosterone (after close to 2 years) on April 2, 2022 and began this restart protocol:
* 5 weeks of HCG 1500-2000 iu/week, followed by enclomiphene 25mg daily, M-F for 5 weeks; last dose June 23
*Since June 23 I've been taking 12.5mg of enclomiphene daily, as well as Natesto around 2x/day (1 spray in each nostril twice a day)
Here is my latest labwork from July 28th, 2022:
Testosterone
|
425 ng/dL
|
123 - 814 ng/dL
|
Sex Hormone Binding Globulin
|
58.8 nmol/L
|
14.6 - 94.7 nmol/L
|
Testosterone, Free
|
5.88 ng/dL
|
3.06 - 15.20 ng/dL
|
Testosterone, % Free
|
1.4 %
|
1.0 - 2.8 %
|
Testosterone, Bioavailable
|
137.8 ng/dL
|
72.0 - 355.0 ng/dL
|
Testosterone, % Bioavailable
|
32.4 %
|
23.6 - 65.8 %
|
Dihydrotestosterone
|
54 ng/dL
|
|
Estradiol
|
26.7 pg/mL
|
<52.5 pg/mL
|
FSH
|
3.5 mIU/mL
|
<=10.8 mIU/mL
|
LH
|
5.8 mIU/mL
|
1.2 - 10.6 mIU/mL
|
These numbers don't look great to me, especially free T, and I'm trying to figure out what to do next...I was hoping with a restart and while on enclomiphene I could get back to values that I had prior to TRT. I'm wondering if close to 2 yrs on TRT permanently blunted my endogenous production. I've regained a bit of libido, but it's not comparable to what it was prior to starting injectable TRT (and for the first year+ on TRT).
Some thoughts:
*Maybe my labs don't looks so hot given the short half life of Natesto, and when the Natesto is in my system the labs would look better? When are you supposed to run labs when on Natesto?
*One consideration is getting back on TRT but at a reduced dose, say 7.5 mg/day rather than 10, and see how I feel on that, as suggested by [USER=38109]@Cataceous[/USER]
*Also tempted to cycle injectable TRT with HCG 8 weeks on, and HCG or enclomiphene (potentially with Natesto) for the other 8 weeks in an attempt to help maintain production of my upstream hormones
*Another option is to continue with the current protocol (enclomiphene + natesto) for a bit and see where I land...
Any thoughts would be greatly appreciated. [USER=3]@Nelson Vergel[/USER] [USER=38109]@Cataceous[/USER] [USER=15832]@Systemlord[/USER]
