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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Basics & Questions
Had consult with Defy, meds arrived, afraid to take the plunge.
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<blockquote data-quote="sanelb" data-source="post: 141935" data-attributes="member: 18489"><p>About me: 28 year old male, soon to be 29. 6'1" 182lbs, low body fat, moderate exercise (4 times a week), low carb diet, eat healthy fats and proteins for the most of the part.</p><p></p><p>My problem: I don't have morning erections anymore, I probably haven't had one in 4 years, if I do, it's maybe once a month. I'm not as energetic as I used to be, I also tire much quicker at the gym. I've also lost motivation and confidence, that "manly" drive seems lessened. I probably have more anxiety than most people, stuff doesn't roll off of as much as it used to. At times I feel like I'm much older for my age. I also had pubertal gynocomastia which I finally had surgically removed 2 years ago.</p><p></p><p>So, I decided to have a consult with DefyMedical, I spoke to a Dr. Calkins and he approved me for TRT, medication ordered. I currently had the medicine/syringes sitting in my room, unopened, for 4 days now.</p><p></p><p>I had my labs drawn on 2/21/2019 at 2:22pm. I didn't do them in the morning because I was too tired. So keep in the mind these are T results that are during the day. Testosterone was 578 (264-916), which is still quite low for my age. Free T was 17.6 (9.3-26.5).</p><p></p><p>Now, here's what's giving me second thoughts, my RBC was 5.57 (4.14-5.80), Hemoglobin 17.1 (13.0-17.7), and hematocrit 50.4 (37.5-51.0). This is something he pointed out, but wouldn't be a problem with donating blood every 3 months. He also asked me if I had sleep apnea, smoke, live in high altitude, or was dehydrated, I said no. I even have old lab results of a CBC that had extremely similar values, so it wasn't a lab error.</p><p></p><p>I'm just honestly worried starting TRT due to the blood values, and how TRT can rise the levels, which I'm already on the high end. And donating every 3 months seems absurd, I feel lie that would destroy my iron.</p><p></p><p>I've also added full thyroid panel results from a different doctor, which shows my thyroid is normal. And it shows my testosterone at 459! This one was drawn in the morning. Obviously my testosterone isn't right, and I'm feeling crappy because of it. I remember posting a thread here about being suckered into a T-mill, they gave me 200mg of test, which I only did for 2 weeks, because they had no idea what they were doing, but I certainly felt much better. After hearing about Defy, and them treating over 10,000 patients I figure I actually try them, I feel like they can help.</p><p></p><p>Here is the protocol I was given.</p><p></p><p><strong>"Plan: </strong></p><p><strong>Begin T Cyp</strong> 200 mg/ml – 0.35 ml inject IM/SQ twice weekly (25G, 5/8” needle/ (1cc syringe Luer only)</p><p><strong>Begin HCG</strong> 500 iu inject SQ twice weekly to reverse/prevent testicular atrophy</p><p><strong>Begin Anastrozole</strong> 0.125mg twice weekly– h/o elevated E2, titrate on follow-up</p><p><strong>Begin Vitamin D3 </strong>5000 iu daily</p><p><strong>Begin Fish oil </strong>3-4 g daily for HDL support</p><p></p><p><strong>F/U in 3 months with full labs</strong></p><p></p><p></p><p>Dr Calkins"</p><p></p><p></p><p>Any advice?</p><p></p><p>Also, how did my shbg go from 23 to 36.1?</p></blockquote><p></p>
[QUOTE="sanelb, post: 141935, member: 18489"] About me: 28 year old male, soon to be 29. 6'1" 182lbs, low body fat, moderate exercise (4 times a week), low carb diet, eat healthy fats and proteins for the most of the part. My problem: I don't have morning erections anymore, I probably haven't had one in 4 years, if I do, it's maybe once a month. I'm not as energetic as I used to be, I also tire much quicker at the gym. I've also lost motivation and confidence, that "manly" drive seems lessened. I probably have more anxiety than most people, stuff doesn't roll off of as much as it used to. At times I feel like I'm much older for my age. I also had pubertal gynocomastia which I finally had surgically removed 2 years ago. So, I decided to have a consult with DefyMedical, I spoke to a Dr. Calkins and he approved me for TRT, medication ordered. I currently had the medicine/syringes sitting in my room, unopened, for 4 days now. I had my labs drawn on 2/21/2019 at 2:22pm. I didn't do them in the morning because I was too tired. So keep in the mind these are T results that are during the day. Testosterone was 578 (264-916), which is still quite low for my age. Free T was 17.6 (9.3-26.5). Now, here's what's giving me second thoughts, my RBC was 5.57 (4.14-5.80), Hemoglobin 17.1 (13.0-17.7), and hematocrit 50.4 (37.5-51.0). This is something he pointed out, but wouldn't be a problem with donating blood every 3 months. He also asked me if I had sleep apnea, smoke, live in high altitude, or was dehydrated, I said no. I even have old lab results of a CBC that had extremely similar values, so it wasn't a lab error. I'm just honestly worried starting TRT due to the blood values, and how TRT can rise the levels, which I'm already on the high end. And donating every 3 months seems absurd, I feel lie that would destroy my iron. I've also added full thyroid panel results from a different doctor, which shows my thyroid is normal. And it shows my testosterone at 459! This one was drawn in the morning. Obviously my testosterone isn't right, and I'm feeling crappy because of it. I remember posting a thread here about being suckered into a T-mill, they gave me 200mg of test, which I only did for 2 weeks, because they had no idea what they were doing, but I certainly felt much better. After hearing about Defy, and them treating over 10,000 patients I figure I actually try them, I feel like they can help. Here is the protocol I was given. [B]"Plan: Begin T Cyp[/B] 200 mg/ml – 0.35 ml inject IM/SQ twice weekly (25G, 5/8” needle/ (1cc syringe Luer only) [B]Begin HCG[/B] 500 iu inject SQ twice weekly to reverse/prevent testicular atrophy [B]Begin Anastrozole[/B] 0.125mg twice weekly– h/o elevated E2, titrate on follow-up [B]Begin Vitamin D3 [/B]5000 iu daily [B]Begin Fish oil [/B]3-4 g daily for HDL support [B]F/U in 3 months with full labs[/B] Dr Calkins" Any advice? Also, how did my shbg go from 23 to 36.1? [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Basics & Questions
Had consult with Defy, meds arrived, afraid to take the plunge.
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