Hi! need TRT/hypothyroid help

kspat

New Member
Hello, I'm 50 years old. TT is 222, FT is 4.4 so I have been hoping to start TRT. Another problem is that my TSH was 6.140. The urologist that I'm seeing would not start me on TRT until I saw a primary care doc to address my hypothyroid, not a bad idea. He said that all of my symptoms of fatigue, ED, low libido, loss of strength, slower reflexes could all be a result of being hypothyroid. He said that if I came back with my TSH "In range" (0.450-4.500), then he would start me on Test Cyp. He does not do Anastrozole or HcG. The only reason I wanted to use the urologist was because I could use my insurance. I have been thinking of just going with Defy though..Those of you that go to Defy, could you tell me approximately how much your meds cost broken down per MONTH? I just want an idea as to how much Defy patients are paying a month for their meds.

Thank you!

p
 
Lose the urologist & only stick with your PCP if he/she is willing to learn. The current clinical guidelines are terrible and following those protocols have been proven to cause wide fluctuations in Testosterone levels. Injection schedules of every 3.5 days reduces these wide fluctuations. Also consider using HCG in combination with TRT to prevent testicular atrophy.

Get full blood work & post it here - we will then give you feedback on issues/concerns.
Vitamin D (both thyroid & testosterone can be impacted by low Vitamin D)
Thyroid bloodwork: TSH, Free T3, Free T4, Reverse T3 & anti-TPO. Get all 5 to get full picture of thyroid issues.
Testosterone bloodwork: Estradiol Sensitive or Ultrasensitive (regular estradiol is for women and will not give complete picture). Also get Total Testosterone, Free Testosterone, FSH, LH, SHBG, DHEA-S & CBC which will include hematocrit levels.

https://www.excelmale.com/forum/sho...e-and-During-Testosterone-Replacement-Therapy

HCG
https://www.excelmale.com/forum/sho...-presents-two-case-studies&highlight=hcg+saya
And watch Nelson's video on the topic here:
https://www.youtube.com/watch?v=0uXoBb6mkys
 

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
2
Guests online
771
Total visitors
773

Latest posts

Back
Top