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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Basics & Questions
Have T Prescription, Unsure if I should fill it
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<blockquote data-quote="wjl" data-source="post: 119725" data-attributes="member: 20861"><p>Hello everyone,</p><p></p><p>I am 29 years old and my most recent Total T was 378 ng/dL with free T of 7.0 pg/mL (another test with a different company in same month/time of day showed 502 total and 9.63 free)</p><p></p><p>My symptoms have been low energy, lack of libido, lack of enthusiasm for life/depression, anxiety, and erectile dysfunction (but I think the ED is psychological because it’s only a problem when I have a girl with me. Works fine when I’m by myself, and I still get morning wood).</p><p></p><p>I recently had a consultation with Defy Medical and got prescribed 150mg Test C/week (over 3 injections), 350 iu HCG 3x a week, Anastrozole 0.125mg 3x a week, and DHEA 25mg by mouth every night.</p><p></p><p>I’ve been having some serious second thoughts about this based on the following reasons:</p><p></p><p>#1: I work for the military in Korea, so while I can receive the medications at my military shipping address, the sensitive estradiol blood test is not available in Korea. This concerns me because I know balancing E2 is one of the most important aspects of TRT.</p><p></p><p>#2: 150mg/week sounds like a high starting dose and goes against the adage of “start low and start slow” that I’ve heard others like Dr. John Crisler advise. The reason for it I was told is that my SHBG is high (46.38 nmol/L) so I need more T to have an effect.</p><p></p><p>#3: I’m not sure it’s a good idea to start on an anti-E off the bat. I’ve always read it’s something to use only when you see symptoms of high E.</p><p></p><p>I am currently leaning toward not starting TRT due to the reasons above, however I’m not fully decided either way. I am hoping to hear what other people think as well. Thank you for your help.</p><p></p><p></p><p></p><p>My historical blood test results through the military have been the following:</p><p></p><p></p><p>July 2018: 378 ng/dl; 7.0 pg/ml free</p><p>May 2017: 448 ng/dl; 6.6 pg/ml free</p><p>December 2016: 376.6 ng/dl</p><p>June 2016: 370 ng/dl; 6.0 pg/ml free</p><p></p><p>I also had a blood test done by a private clinic in Korea in July 2018, with the following results:</p><p></p><p>Total T: 502 ng/dl</p><p>Free T: 9.63 pg/ml (range 5.4 to 40)</p><p>Estradiol (E2) (not the sensitive test): 20.78 pg/ml</p><p>Total Estrogen: 119.88 pg/ml</p><p>DHEA-Sulfate: 205.34 ug/dl</p><p>SHBG: 46.38 nmol/L (range 18.30 to 54.10)</p><p>PSA: 0.60 ng/ml</p><p>TSH: 2.090 IU/ml</p><p>FSH: 2.69 mIU/ml</p><p>LH: 4.65 mIU/ml</p><p>Free T3: 3.22 pg/ml</p><p>Free T4: 1.57 ng/dl</p><p>Prolactin: 14.76 ng/ml</p><p>HDL: 61.6 mg/dl (H)</p><p>LDL: 63 mg/dl</p><p>Triglycerides: 42 mg/ml</p><p>BUN: 24.1 mg/dl (H)</p><p>Insulin: 3.39 mIU/L</p><p>Vitamin D: 46.18 ng/ml</p><p>Cortisol: 16.52 ug/dl</p><p>Albumin: 4.92 g/dl</p><p>Progesterone: 0.29 ng/ml</p><p>IGF-BP3: 2052.85 ng/ml</p><p>IGF-1: 143.96 ng/ml (L)</p><p>Hemoglobin: 14.5 g/dl</p><p>Hematocrit: 45.6 g/dl</p><p>RBC: 4.73</p><p>WBC: 5.68</p></blockquote><p></p>
[QUOTE="wjl, post: 119725, member: 20861"] Hello everyone, I am 29 years old and my most recent Total T was 378 ng/dL with free T of 7.0 pg/mL (another test with a different company in same month/time of day showed 502 total and 9.63 free) My symptoms have been low energy, lack of libido, lack of enthusiasm for life/depression, anxiety, and erectile dysfunction (but I think the ED is psychological because it’s only a problem when I have a girl with me. Works fine when I’m by myself, and I still get morning wood). I recently had a consultation with Defy Medical and got prescribed 150mg Test C/week (over 3 injections), 350 iu HCG 3x a week, Anastrozole 0.125mg 3x a week, and DHEA 25mg by mouth every night. I’ve been having some serious second thoughts about this based on the following reasons: #1: I work for the military in Korea, so while I can receive the medications at my military shipping address, the sensitive estradiol blood test is not available in Korea. This concerns me because I know balancing E2 is one of the most important aspects of TRT. #2: 150mg/week sounds like a high starting dose and goes against the adage of “start low and start slow” that I’ve heard others like Dr. John Crisler advise. The reason for it I was told is that my SHBG is high (46.38 nmol/L) so I need more T to have an effect. #3: I’m not sure it’s a good idea to start on an anti-E off the bat. I’ve always read it’s something to use only when you see symptoms of high E. I am currently leaning toward not starting TRT due to the reasons above, however I’m not fully decided either way. I am hoping to hear what other people think as well. Thank you for your help. My historical blood test results through the military have been the following: July 2018: 378 ng/dl; 7.0 pg/ml free May 2017: 448 ng/dl; 6.6 pg/ml free December 2016: 376.6 ng/dl June 2016: 370 ng/dl; 6.0 pg/ml free I also had a blood test done by a private clinic in Korea in July 2018, with the following results: Total T: 502 ng/dl Free T: 9.63 pg/ml (range 5.4 to 40) Estradiol (E2) (not the sensitive test): 20.78 pg/ml Total Estrogen: 119.88 pg/ml DHEA-Sulfate: 205.34 ug/dl SHBG: 46.38 nmol/L (range 18.30 to 54.10) PSA: 0.60 ng/ml TSH: 2.090 IU/ml FSH: 2.69 mIU/ml LH: 4.65 mIU/ml Free T3: 3.22 pg/ml Free T4: 1.57 ng/dl Prolactin: 14.76 ng/ml HDL: 61.6 mg/dl (H) LDL: 63 mg/dl Triglycerides: 42 mg/ml BUN: 24.1 mg/dl (H) Insulin: 3.39 mIU/L Vitamin D: 46.18 ng/ml Cortisol: 16.52 ug/dl Albumin: 4.92 g/dl Progesterone: 0.29 ng/ml IGF-BP3: 2052.85 ng/ml IGF-1: 143.96 ng/ml (L) Hemoglobin: 14.5 g/dl Hematocrit: 45.6 g/dl RBC: 4.73 WBC: 5.68 [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Basics & Questions
Have T Prescription, Unsure if I should fill it
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