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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Basics & Questions
High SHBG and appropriate dose/schedule
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<blockquote data-quote="deBooza" data-source="post: 100749" data-attributes="member: 17224"><p>Hi</p><p></p><p></p><p>The NHS put me on TRT since 20-June-2017 after being diagnosed with low T, as can be seen from the below testosterone results dated 19-Apr-2017 and 15-May-2017. </p><p>Initially was put on 1 ml shot Sustanon 250 every 3 weeks but I argued my case and got it to every 2 weeks. While it did alleviate most of my issues(concentration, moodiness, not libibo, etc)they would always be fluctuating - good first week or so then back to feeling low again.</p><p></p><p></p><p>I've since gone private from 20-Nov-2017. My current dosage and schedule is Testosterone Enanthate 250mg/ml, 125mg PW, split into 2 shots 62.5mg / 0.25ml every 3.5 days and HCG 450iu every 3.5 days.</p><p></p><p></p><p>I do feel much more consistent with this schedule, the lows are almost non-existent. However, almost</p><p>zero libido and bad ED even using 20mg Cialis.</p><p></p><p></p><p>I keep reading about low and high SHBG. In particular guys with high SHBG like me seem to do</p><p>better in larger less frequent dosing. </p><p></p><p></p><p>I've been on this schedule now for at least 14 weeks and while most things are good some are not. I really want my libido to be a little better and get rid of the ED as much as possible.</p><p></p><p></p><p>Not running any AI. I recently added but since dropped Boron 3mg and Calcium Glucarate in order to drop my E2 a little. However, think it done the job too well. See 13-Mar-2018 results.</p><p></p><p></p><p>Any advice on schedule/dose changes, AI would be very much appreciated.</p><p></p><p></p><p>Thanks,</p><p>deBooza</p><p></p><p></p><p>Initial investigation:</p><p><u><strong>19 Apr 2017</strong></u></p><p>Serum T level 11.9 nmol/L 343.2198 ng/dL</p><p>SHBG 57 nmol/L</p><p>DERIVED FREE TESTOSTERONE 217.00 pmol/L [230.0 - 1000.0] 59.1 pg/mL </p><p></p><p></p><p><strong><u>15 May 2017</u></strong></p><p>LH 4.9 iu/L</p><p>FSH 12.5 iu/L</p><p>Prolactin 113 mIU/L</p><p>Serum T level 12.2 nmol/L 351 ng/dL</p><p>SHBG 59 nmol/L </p><p>DERIVED FREE TESTOSTERONE 218.00 pmol/L [230.0 - 1000.0] 59.4 pg/mL</p><p></p><p></p><p> TT E2</p><p> <strong><u>nmol/L - ng/dl</u></strong> <strong><u>pmol/L - pg/ml</u></strong></p><p><strong><u></u></strong></p><p><strong><u></u></strong><table class='post-table width: 500' style='width: 100%'><tr><td></td><td ><p>TT</p></td><td ><p>E2</p></td><td></td></tr><tr><td ><p><strong><u>20-Sep-2017</u></strong></p></td><td ><p>97.3 nmol/L - 2804 ng/dl</p></td><td ><p>18 pmol/L - 5 pg/ml</p></td><td></td></tr><tr><td ><p><u><strong>11-Oct-201</strong></u>7</p></td><td ><p>49.2 nmol/L - 1417 ng/dl</p></td><td ><p>143 pmol/L - 39 pg/ml</p></td><td></td></tr><tr><td ><p><strong><u>23-Oct-2017</u></strong></p></td><td ><p>65.4 nmol/L - 1884.7 ng/dl</p></td><td ><p>162 pmol/L - 44.1 pg/ml</p></td><td></td></tr><tr><td ><p><u><strong>02-Nov-2017</strong></u></p></td><td ><p>36.6 nmol/L - 1054 ng/dl</p></td><td ><p>98.8 pmol/L - 26.9 pg/ml</p></td><td></td></tr><tr><td ><p><u><strong>1<strong>4-</strong>Nov-2017</strong></u></p></td><td ><p>25.0 nmol/L - 721 ng/dl</p></td><td ><p>192 pmol/L - 52 pg/ml</p></td><td></td></tr></table> </p><p><strong><u>20-Nov-2017</u></strong></p><p>LH <0.1* iu/l (1.0 - 10.0)</p><p>FSH 0.2* iu/l (1.0 - 12.0)</p><p>Oestrodiol 186 pmol/l (95 - 223)</p><p>Testosterone 40.9 nmo/l (12.0 - 29.0)</p><p>PSA 0.6 ug/l (<2.5)</p><p>Full Blood Count</p><p>Haemoglobin (Hb) 150 g/l (130 - 170)</p><p>Haematocrit (HCT) 0.487 (0.400 - 0.540)</p><p>White Cell Count (WCC) 6.3 10*9/l (4.0 - 11.0)</p><p>Platelets (Plt) 198 10*9/l (150 - 400)</p><table class='post-table width: 500' style='width: 100%'><tr><td ><p><strong><u>20-Dec-2017</u></strong></p></td><td ><p>40.9 nmol/L - 1178.7 ng/dl</p></td><td ><p>186pmol/L - 50.7 pg/ml</p></td><td></td></tr><tr><td ><p><u><strong>24-Jan-2018</strong></u></p></td><td ><p>20 nmol/L - 576 ng/dl</p></td><td ><p>Missing</p></td><td></td></tr><tr><td ><p><u><strong>02-Feb-2018</strong></u></p></td><td ><p>33.2 nmol/L - 957.5544 ng/dl</p></td><td ><p>158 pmol/L - 43.2 pg/ml</p></td><td></td></tr></table> </p><p> </p><p> </p><p> </p><p></p><p></p><p><strong><u>27-Feb-2018</u></strong> </p><p>Thyroid Function</p><p>FREE T3 5.01 pmol/L 3.10 - 6.80</p><p>FREE THYROXINE 15 pmol/L 12.00 - 22.00</p><p>THYROID STIMULATING HORMONE 2.49 mIU/L 0.27 - 4.20</p><p>Hormones</p><p>TESTOSTERONE *42.8 nmol/L 7.60 - 31.40</p><p>FREE-TESTOSTERONE(CALCULATED) 0.583 nmol/L 0.30 - 1.00</p><p>17-BETA OESTRADIOL 125 pmol/L 0.00 - 191.99</p><p>SHBG 78.5 nmol/L 19.00 - 83.00</p><p>PROLACTIN 208 mIU/L 86.00 - 324.00</p><p>Prostate Screen</p><p>PROSTATE SPECIFIC AG(TOTAL) 0 .697 ug/L 0.00 - 3.10</p><p></p><p></p><p><strong><u>13-Mar-2018</u></strong> 37.4 nmol/L - 1078.6908 ng/dl 34.6 pmol/L - 9.4</p></blockquote><p></p>
[QUOTE="deBooza, post: 100749, member: 17224"] Hi The NHS put me on TRT since 20-June-2017 after being diagnosed with low T, as can be seen from the below testosterone results dated 19-Apr-2017 and 15-May-2017. Initially was put on 1 ml shot Sustanon 250 every 3 weeks but I argued my case and got it to every 2 weeks. While it did alleviate most of my issues(concentration, moodiness, not libibo, etc)they would always be fluctuating - good first week or so then back to feeling low again. I've since gone private from 20-Nov-2017. My current dosage and schedule is Testosterone Enanthate 250mg/ml, 125mg PW, split into 2 shots 62.5mg / 0.25ml every 3.5 days and HCG 450iu every 3.5 days. I do feel much more consistent with this schedule, the lows are almost non-existent. However, almost zero libido and bad ED even using 20mg Cialis. I keep reading about low and high SHBG. In particular guys with high SHBG like me seem to do better in larger less frequent dosing. I've been on this schedule now for at least 14 weeks and while most things are good some are not. I really want my libido to be a little better and get rid of the ED as much as possible. Not running any AI. I recently added but since dropped Boron 3mg and Calcium Glucarate in order to drop my E2 a little. However, think it done the job too well. See 13-Mar-2018 results. Any advice on schedule/dose changes, AI would be very much appreciated. Thanks, deBooza Initial investigation: [U][B]19 Apr 2017[/B][/U] Serum T level 11.9 nmol/L 343.2198 ng/dL SHBG 57 nmol/L DERIVED FREE TESTOSTERONE 217.00 pmol/L [230.0 - 1000.0] 59.1 pg/mL [B][U]15 May 2017[/U][/B] LH 4.9 iu/L FSH 12.5 iu/L Prolactin 113 mIU/L Serum T level 12.2 nmol/L 351 ng/dL SHBG 59 nmol/L DERIVED FREE TESTOSTERONE 218.00 pmol/L [230.0 - 1000.0] 59.4 pg/mL TT E2 [B][U]nmol/L - ng/dl[/U][/B] [B][U]pmol/L - pg/ml [/U][/B][TABLE="width: 500"] [TR] [TD][/TD] [TD]TT[/TD] [TD]E2[/TD] [TD][/TD] [/TR] [TR] [TD][B][U]20-Sep-2017[/U][/B][/TD] [TD]97.3 nmol/L - 2804 ng/dl[/TD] [TD]18 pmol/L - 5 pg/ml[/TD] [TD][/TD] [/TR] [TR] [TD][U][B]11-Oct-201[/B][/U]7[/TD] [TD]49.2 nmol/L - 1417 ng/dl[/TD] [TD]143 pmol/L - 39 pg/ml[/TD] [TD][/TD] [/TR] [TR] [TD][B][U]23-Oct-2017[/U][/B][/TD] [TD]65.4 nmol/L - 1884.7 ng/dl[/TD] [TD] 162 pmol/L - 44.1 pg/ml[/TD] [TD][/TD] [/TR] [TR] [TD][U][B]02-Nov-2017[/B][/U][/TD] [TD]36.6 nmol/L - 1054 ng/dl[/TD] [TD]98.8 pmol/L - 26.9 pg/ml[/TD] [TD][/TD] [/TR] [TR] [TD][U][B]1[B]4-[/B]Nov-2017[/B][/U][/TD] [TD]25.0 nmol/L - 721 ng/dl[/TD] [TD]192 pmol/L - 52 pg/ml[/TD] [TD][/TD] [/TR] [/TABLE] [B][U]20-Nov-2017[/U][/B] LH <0.1* iu/l (1.0 - 10.0) FSH 0.2* iu/l (1.0 - 12.0) Oestrodiol 186 pmol/l (95 - 223) Testosterone 40.9 nmo/l (12.0 - 29.0) PSA 0.6 ug/l (<2.5) Full Blood Count Haemoglobin (Hb) 150 g/l (130 - 170) Haematocrit (HCT) 0.487 (0.400 - 0.540) White Cell Count (WCC) 6.3 10*9/l (4.0 - 11.0) Platelets (Plt) 198 10*9/l (150 - 400) [TABLE="width: 500"] [TR] [TD][B][U]20-Dec-2017[/U][/B][/TD] [TD]40.9 nmol/L - 1178.7 ng/dl[/TD] [TD]186pmol/L - 50.7 pg/ml[/TD] [TD][/TD] [/TR] [TR] [TD][U][B]24-Jan-2018[/B][/U][/TD] [TD]20 nmol/L - 576 ng/dl[/TD] [TD]Missing[/TD] [TD][/TD] [/TR] [TR] [TD][U][B]02-Feb-2018[/B][/U][/TD] [TD]33.2 nmol/L - 957.5544 ng/dl[/TD] [TD]158 pmol/L - 43.2 pg/ml[/TD] [TD][/TD] [/TR] [/TABLE] [B][U]27-Feb-2018[/U][/B] Thyroid Function FREE T3 5.01 pmol/L 3.10 - 6.80 FREE THYROXINE 15 pmol/L 12.00 - 22.00 THYROID STIMULATING HORMONE 2.49 mIU/L 0.27 - 4.20 Hormones TESTOSTERONE *42.8 nmol/L 7.60 - 31.40 FREE-TESTOSTERONE(CALCULATED) 0.583 nmol/L 0.30 - 1.00 17-BETA OESTRADIOL 125 pmol/L 0.00 - 191.99 SHBG 78.5 nmol/L 19.00 - 83.00 PROLACTIN 208 mIU/L 86.00 - 324.00 Prostate Screen PROSTATE SPECIFIC AG(TOTAL) 0 .697 ug/L 0.00 - 3.10 [B][U]13-Mar-2018[/U][/B] 37.4 nmol/L - 1078.6908 ng/dl 34.6 pmol/L - 9.4 [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Basics & Questions
High SHBG and appropriate dose/schedule
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