Frustrated by latest results

LTChris

Member
Total Test (384-1197) - 1161
Free Test (8.7-25.1) - 29.4
Estradiol Sensitive (8-35) - 29.7
T4 direct (.82-1.77) .92
T3 free (2.0 - 4.4) 3.3

As I understand it, on paper these numbers are great. I still feel fatigued most days. My libido is down. I don't have a problem getting an erection, but they are not very strong. All around little ambition or passion about anything. I am just not sure what to adjust or if I should try to manipulate my estradiol levels? Or am I completely missing something else. I am just frustrated and concerned if I don't get this going in the right direction it will cost me my job....and/or my marriage.

I do have a consult with defy in 3 weeks.
 
You didn't mention your protocol. If libido is the concern I'd focus on e2. If it needs to be lower it's surely just a hair. I'd probably try just slightly higher.
 
I was at 50mg. Test cyp e3.5d
That set total t in the 900's. Free T in lower 20's. E2 at 26.
Current labs at 54mg, i bumped up to see effect on symptoms. I will drop back down.
I had tried 46mg prior to that, un fortunatly i felt the same and wasn't able to get labs done at that level. Thanks for responses.

Other meds:
25mg dhea daily (unchanged)
350iu hcg e3.5d (unchanged)
1.5 gr. Westhyroid daily
 
Are these trough?

Fatigue can often be completely unrelated to hormones. For example, I have narcolepsy, so TRT has done nothing for my sleepiness and fatigue.
 
Could it be the HCG? According to WEB MD, side effects are headaches, tiredness, restlessness are the common ones with swelling in ankles/feet, mental/mood changes i.e. depression are listed as serious side effects.

I too have had good numbers but, just didn't feel right with fatigue, moodiness, etc. I stopped my EOD 250 iu's 3 weeks ago to see if that may have been causing it.

So far, so good so, I'm off the HCG for the time being. When the boys start disappearing, I may try it again. You can always try dropping for a while. There have been other post here where some just never realized any benefits from HCG.
 
I am leaning towards adjusting HCG. I just read Dr. Crislers book. I am thinking of trying daily HCG injection. Same total weekly dosage. If i do, i will start a new post to update. Thanks everyone
 

hCG Mixing Calculator

HCG Mixing Protocol Calculator

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

Beyond Testosterone Podcast

Online statistics

Members online
8
Guests online
486
Total visitors
494

Latest posts

Back
Top