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Been posting for about a week. Great source of info here.

I am a 62 year old guy that has been training in some manner since 1967. Worked through all kinds of injuries from football, running, weights and martial arts, all things I have done consistently during stages of my life. Foot and knee surgeries, hip replacement and rotator cuff surgeries are all on the resume.

Last year I had rotator cuff surgery. six weeks of no upper body exercise and I lost so much I looked like a skeleton. At my age I thought I'd never get it back. After age 45 I was on a holding pattern as far as muscle mass was concerned. After 60 it seemed no matter what I did I was losing it, and the loss of muscle from the shoulder surgery was frightening.

I have always prided myself on my ability to rehab from these surgeries. After my physical last year, I convinced my PCP to refer me to a specialist. My testosterone was "in range" at 372. Fortunately, my PCP didn't know too much about what was normal for a guy in his 60's and I talked him into a referral to a clinic in Boston that is well renowned for TRT replacement. Been on it since June 1, 2016 and I can't believe the positive changes.

At 62, I look and feel better than I have since my late 30's. I've always worked hard when I train, but now I am getting visible results.It's a good feeling to be able to work without your shirt on and not feel like Mack, the skinny guy on the beach in the Charles Atlas commercial. Energy is up, libido like when I got married (wife likes that most of the time,,,) recover from work faster, clearer thinking. I believe all guys my age could benefit from TRT, especially those who still work out. Why wouldn't you? The latest research shows that, with proper medical monitoring, the sides are very minimal to nonexistent.Certainly the side effects of giving up to aging are far worse.

Hope to learn as much as I can here.
 
Defy Medical TRT clinic doctor
MM welcome, I've been reading your postings. How about posting your protocol and labs. It would be interesting to see.
I'm happy you joined and that your doing good.
 
Most recent labs:

Total test 720
Estradiol 71.9 range 20.0-75.0
SHBG 52.1 range20.0-60.0
Hematocrit 48.9
Free Test 1.28 MD want this around 1.5

My clinic uses Quest Diagnostics. These most recent numbers were a little low.They had cut my dose down to .45 from .5 because my numbers for total and free test were too high, although everything else was fine.

Current dosing protocols:

[TD="align: left"]Testosterone Cypionate 200 MG/ML[/TD]
[TD="align: left"]Intramuscular weekly[/TD]
[TD="align: left"]0.48 ml[/TD]
[TD="align: left"][/TD]



The MD said I can go back to .5 if I want to, so I dose at about that.

I guess this about the minimum I need? Only other supps are Vtiamin D3 and Omega3s.

Was thinking of creatine, but am doing well on this.
 
Your doctor has ordered the wrong estradiol test - the range is a dead giveaway. You want to measure your e2 with the sensitive lab test, LC, MS/MS. In men the standard test, which was ordered for you, is inaccurate. It typically reports higher than actual values, but we see on rare occasions lower than actual values. The bottom line: it can't be relied on.
 
Your doctor has ordered the wrong estradiol test - the range is a dead giveaway. You want to measure your e2 with the sensitive lab test, LC, MS/MS. In men the standard test, which was ordered for you, is inaccurate. It typically reports higher than actual values, but we see on rare occasions lower than actual values. The bottom line: it can't be relied on.

Thanks. I'll ask about that next time I go. I'm curious as to why my doctor would not use this. He is a well-known expert in the field, Dr. Morganthaler. Is the E2 test something that is commonly practiced? I would assume that my doctor would know the latest and best practices. Can I asked coast watcher who your prescriber is?

I'd like to do a little more research on this. I do feel great however, but I am concerned about estradiol. Thanks for the heads up.
 
Thanks. I'll ask about that next time I go. I'm curious as to why my doctor would not use this. He is a well-known expert in the field, Dr. Morganthaler. Is the E2 test something that is commonly practiced? I would assume that my doctor would know the latest and best practices. Can I asked coast watcher who your prescriber is?

I'd like to do a little more research on this. I do feel great however, but I am concerned about estradiol. Thanks for the heads up.

You'll find some excellent material here on the Forum on estradiol - plenty of sticky posts in the appropriate folder for you to come to grips with this critically import element of androgen management.

I live in Canada, and manage my protocol with the assistance of an excellent Toronto-based physician. On occasion, I have consulted doctors in the States; I travel across the border regularly, and have lab work performed there because the sensitive estradiol test is not available outside the US.

You're injecting once weekly? Any thought given to splitting your dose and injecting every 3.5 days? Not necessarily urging that, just wondering. No HCG?
 
No, I don't notice any dip it all on day seven. I'm just wondering what I need to be aware of down the road.

i'm also wondering what the benefits of HCG would be for somebody at my age?
 
Weird that 720 total T is "too high" for your doc? Glad that TRT is working so well for you. Many of us don't have nearly as many positive results.
 
No, The 721s after it was adjusted. I came in at 1175 which they felt was too high. I felt better at that dose so ever.

Ah, that makes sense. the "normal range" can vary with different test labs. on some the upper limit is 1200 so you would have been technically fine in that case.
 
Most recent labs:

Total test 720
Estradiol 71.9 range 20.0-75.0
SHBG 52.1 range20.0-60.0
Hematocrit 48.9
Free Test 1.28 MD want this around 1.5

My clinic uses Quest Diagnostics. These most recent numbers were a little low.They had cut my dose down to .45 from .5 because my numbers for total and free test were too high, although everything else was fine.

Current dosing protocols:

[TD="align: left"]Testosterone Cypionate 200 MG/ML[/TD]
[TD="align: left"]Intramuscular weekly[/TD]
[TD="align: left"]0.48 ml[/TD]
[TD="align: left"][/TD]



The MD said I can go back to .5 if I want to, so I dose at about that.

I guess this about the minimum I need? Only other supps are Vtiamin D3 and Omega3s.

Was thinking of creatine, but am doing well on this.

When were these taken relative to injection?

I imagine you have more results than just these, as HCT is rarely ordered without a CBC, it's always best to post full results in the form of a screenshot or picture. This way ranges aren't left out.
 
When were these taken relative to injection?

I imagine you have more results than just these, as HCT is rarely ordered without a CBC, it's always best to post full results in the form of a screenshot or picture. This way ranges aren't left out.

These are my full test results, Finally figured out how to do it:

RESULTS

[TH="class: tableHead txtm, align: left"]Name[/TH]
[TH="class: tableHead txtm, align: left"]Result[/TH]
[TH="class: tableHead txtm, align: left"]Date[/TH]
[TH="class: tableHead txtm, align: left"]Reference Range[/TH]

[TD="align: left"]TOTAL TESTOSTERONE[/TD]
[TD="align: left"][/TD]
[TD="align: left"]2016-09-28[/TD]
[TD="align: left"][/TD]

[TD="align: left"]TESTOSTERONE[/TD]
[TD="align: left"]720[/TD]
[TD="align: left"][/TD]
[TD="align: left"]375-1000[/TD]

[TD="align: left"]LH[/TD]
[TD="align: left"][/TD]
[TD="align: left"]2016-09-28[/TD]
[TD="align: left"][/TD]

[TD="align: left"]LH[/TD]
[TD="align: left"]<0.2[/TD]
[TD="align: left"][/TD]
[TD="align: left"]1.7-11.2[/TD]

[TD="align: left"]FSH[/TD]
[TD="align: left"][/TD]
[TD="align: left"]2016-09-28[/TD]
[TD="align: left"][/TD]

[TD="align: left"]FSH[/TD]
[TD="align: left"]<1.0[/TD]
[TD="align: left"][/TD]
[TD="align: left"]1.7-11.2[/TD]

[TD="align: left"]ESTRADIOL[/TD]
[TD="align: left"][/TD]
[TD="align: left"]2016-09-28[/TD]
[TD="align: left"][/TD]

[TD="align: left"]ESTRADIOL[/TD]
[TD="align: left"]71.9[/TD]
[TD="align: left"][/TD]
[TD="align: left"]20.0-75.0[/TD]

[TD="align: left"]SHBG[/TD]
[TD="align: left"][/TD]
[TD="align: left"]2016-09-28[/TD]
[TD="align: left"][/TD]

[TD="align: left"]SHBG[/TD]
[TD="align: left"]52.1[/TD]
[TD="align: left"][/TD]
[TD="align: left"]20.0-60.0[/TD]

[TD="align: left"]*HEMATOCRIT-509[/TD]
[TD="align: left"][/TD]
[TD="align: left"]2016-09-28[/TD]
[TD="align: left"][/TD]

[TD="align: left"]HEMATOCRIT[/TD]
[TD="align: left"]48.9[/TD]
[TD="align: left"][/TD]
[TD="align: left"]38.5-50.0[/TD]

[TD="align: left"]*TESTOSTERONE, FREE-58958[/TD]
[TD="align: left"][/TD]
[TD="align: left"]2016-09-28[/TD]
[TD="align: left"][/TD]

[TD="align: left"]TESTOSTERONE, FREE[/TD]
[TD="align: left"]1.28[/TD]
[TD="align: left"][/TD]
[TD="align: left"][/TD]

[TD="align: left"]PSA[/TD]
[TD="align: left"][/TD]
[TD="align: left"]2016-07-06[/TD]
[TD="align: left"][/TD]

[TD="align: left"]PSA[/TD]
[TD="align: left"]1.9[/TD]
[TD="align: left"][/TD]
[TD="align: left"]0.0-4.0[/TD]

[TD="align: left"]TOTAL TESTOSTERONE[/TD]
[TD="align: left"][/TD]
[TD="align: left"]2016-07-06[/TD]
[TD="align: left"][/TD]

[TD="align: left"]TESTOSTERONE[/TD]
[TD="align: left"]1174[/TD]
[TD="align: left"][/TD]
[TD="align: left"]375-1000[/TD]

[TD="align: left"]LH[/TD]
[TD="align: left"][/TD]
[TD="align: left"]2016-07-06[/TD]
[TD="align: left"][/TD]

[TD="align: left"]LH[/TD]
[TD="align: left"]<0.2[/TD]
[TD="align: left"][/TD]
[TD="align: left"]1.7-11.2[/TD]

[TD="align: left"]ESTRADIOL[/TD]
[TD="align: left"][/TD]
[TD="align: left"]2016-07-06[/TD]
[TD="align: left"][/TD]

[TD="align: left"]ESTRADIOL[/TD]
[TD="align: left"]70.4[/TD]
[TD="align: left"][/TD]
[TD="align: left"]20.0-75.0[/TD]

[TD="align: left"]SHBG-30740[/TD]
[TD="align: left"][/TD]
[TD="align: left"]2016-07-06[/TD]
[TD="align: left"][/TD]

[TD="align: left"]SEX HORMONE BINDING GLOBULIN[/TD]
[TD="align: left"]50[/TD]
[TD="align: left"][/TD]
[TD="align: left"]22-77[/TD]

[TD="align: left"]*HEMATOCRIT-509[/TD]
[TD="align: left"][/TD]
[TD="align: left"]2016-07-06[/TD]
[TD="align: left"][/TD]

[TD="align: left"]HEMATOCRIT[/TD]
[TD="align: left"]44.0[/TD]
[TD="align: left"][/TD]
[TD="align: left"]38.5-50.0[/TD]

[TD="align: left"]*TESTOSTERONE, FREE-58958[/TD]
[TD="align: left"][/TD]
[TD="align: left"]2016-07-06[/TD]
[TD="align: left"][/TD]

[TD="align: left"]TESTOSTERONE, FREE[/TD]
[TD="align: left"]1.70[/TD]
[TD="align: left"][/TD]
[TD="align: left"][/TD]

[TD="align: left"]TOTAL TESTOSTERONE[/TD]
[TD="align: left"][/TD]
[TD="align: left"]2016-05-17[/TD]
[TD="align: left"][/TD]

[TD="align: left"]TESTOSTERONE[/TD]
[TD="align: left"]377[/TD]
[TD="align: left"][/TD]
[TD="align: left"]375-1000[/TD]

[TD="align: left"]LH[/TD]
[TD="align: left"][/TD]
[TD="align: left"]2016-05-17[/TD]
[TD="align: left"][/TD]

[TD="align: left"]LH[/TD]
[TD="align: left"]2.8[/TD]
[TD="align: left"][/TD]
[TD="align: left"]1.7-11.2[/TD]

[TD="align: left"]FSH[/TD]
[TD="align: left"][/TD]
[TD="align: left"]2016-05-17[/TD]
[TD="align: left"][/TD]

[TD="align: left"]FSH[/TD]
[TD="align: left"]5.6[/TD]
[TD="align: left"][/TD]
[TD="align: left"]1.7-11.2[/TD]

[TD="align: left"]ESTRADIOL[/TD]
[TD="align: left"][/TD]
[TD="align: left"]2016-05-17[/TD]
[TD="align: left"][/TD]

[TD="align: left"]ESTRADIOL[/TD]
[TD="align: left"]49.0[/TD]
[TD="align: left"][/TD]
[TD="align: left"]20.0-75.0[/TD]

[TD="align: left"]PROLACTIN[/TD]
[TD="align: left"][/TD]
[TD="align: left"]2016-05-17[/TD]
[TD="align: left"][/TD]

[TD="align: left"]PROLACTIN[/TD]
[TD="align: left"]10.7[/TD]
[TD="align: left"][/TD]
[TD="align: left"]3.3-20.8[/TD]

[TD="align: left"]TSH[/TD]
[TD="align: left"][/TD]
[TD="align: left"]2016-05-17[/TD]
[TD="align: left"][/TD]

[TD="align: left"]TSH[/TD]
[TD="align: left"]3.3[/TD]
[TD="align: left"][/TD]
[TD="align: left"]0.5-6.0[/TD]

[TD="align: left"]HbA1C[/TD]
[TD="align: left"][/TD]
[TD="align: left"]2016-05-17[/TD]
[TD="align: left"][/TD]

[TD="align: left"]HbA1C[/TD]
[TD="align: left"]6.2[/TD]
[TD="align: left"][/TD]
[TD="align: left"]3.8-6.0[/TD]

[TD="align: left"]SHBG-30740[/TD]
[TD="align: left"][/TD]
[TD="align: left"]2016-05-17[/TD]
[TD="align: left"][/TD]

[TD="align: left"]SEX HORMONE BINDING GLOBULIN[/TD]
[TD="align: left"]59[/TD]
[TD="align: left"][/TD]
[TD="align: left"]22-77[/TD]

[TD="align: left"]*HEMATOCRIT-509[/TD]
[TD="align: left"][/TD]
[TD="align: left"]2016-05-17[/TD]
[TD="align: left"][/TD]

[TD="align: left"]HEMATOCRIT[/TD]
[TD="align: left"]45.7[/TD]
[TD="align: left"][/TD]
[TD="align: left"]38.5-50.0[/TD]

[TD="align: left"]*TESTOSTERONE, FREE-58958[/TD]
[TD="align: left"][/TD]
[TD="align: left"]2016-05-17[/TD]
[TD="align: left"][/TD]

[TD="align: left"]TESTOSTERONE, FREE[/TD]
[TD="align: left"]0.60[/TD]
[TD="align: left"][/TD]
[TD="align: left"][/TD]



Recently upped the dosage to .5 weekly. I appreciate the feedback from other's. This is the the test panel from Abraham Morganthaler'e clinic in Boston. He was one of the pioneers in TRT, but some have told me some of his methods are no loner cutting edge, or maybe conservative.

Either way, I've been satisfied.
 
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