HELP! Adjusting TRT Protocol-Acne, Libido, Low Free T

[DAbears]

Other things I’ve read is maybe it’s from a tight pelvic floor and not hormones? Or something is up with my prostate? Those levels have always been normal and recently I’d a full urine test all normal.

 

[sammmy]

Cialis and viagra help with erection but are known to paradoxically numb the penis.

The statin does not explain the reduced Alkaline Phospatase. Statins usually increase liver enzymes, do not suppress them. So that should be explored. Your thyroid should also be fully checked:

Low levels of ALP are less common. They may be a sign of a lack of zinc, malnutrition, pernicious anemia, thyroid disease, Wilson disease or hypophosphatasia, a rare genetic disease that affects bones and teeth.

 

[aneuman]

Cialis and viagra help with erection but are known to paradoxically numb the penis.

The statin does not explain the reduced Alkaline Phospatase. Statins usually increase liver enzymes, do not suppress them. So that should be explored. Your thyroid should also be fully checked:

I was going to say exactly this. I’m on 5mg Cialis daily for BPH/LUTS for many years and I think that this may be the reason of my sensitivity issues. At least the correlation is very strong. Unfortunately, when I stop using it, LUTS gets worse.

HOWEVER, when I first started with hCG, all those symptoms went away for a couple of weeks, even while taking Cialis. They came back soon after and are still present (and still on Cialis)

 

[madman]

Your Albumin is at the top end at 4.9 g/dL.

cFTV has your FT 11.5ng/dL.

Again were your labs done at the true trough (Monday AM)?

 

[DAbears]

Your Albumin is at the top end at 4.9 g/dL.

cFTV has your FT 11.5ng/dL.

Again were your labs done at the true trough (Monday AM)?

View attachment 33971

Yes labs were taken Monday on trough. My albumin fluctuates over the last 2 years of being on TRT between high and normal. What’s the significance of it?

 

[RickB]

Your calculated free testosterone at trough is 12.4 ng/dL and is healthy in the middle of the normal range, where it should be. It should not be in the upper normal or above the normal range. Normal range for calculated testosterone for young males is 5-25 ng/dL.

Free & Bioavailable Testosterone calculator

View attachment 33966

I believe when classifying a result as low, middle, high, and every subcategory of each, the result has to be judged in its relation to max-normal and min-normal, rather than max-normal and zero. Using max-normal and zero would put 12.4 almost perfectly in the middle of the range (with 12.5 being the absolute perfect middle). However using max-normal and min-normal, 12.4 is 37% of the max-normal, meaning it's in the low part of the middle range.