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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Basics & Questions
Is my doctor being too cautious?
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<blockquote data-quote="divismal10" data-source="post: 146226" data-attributes="member: 18460"><p>Hi all,</p><p>Hoping to gain some insight with this question as I have plowed through these forums and several others and I’m suffering “paralysis by analysis” so here it goes. </p><p></p><p>Is my doctor being too cautious?</p><p></p><p>I’m 42 yrs old and have been on weekly injections for about 9 months. I had my testosterone tested after having part of my thyroid removed with a cancerous growth. I was on thyroid replacement for about 6 months and my energy and recovery were worse than ever. We worked together to get my TSH at about 2.5. I had suspected low T in my late 30’s but had never thought to test it, Even though my primary ran me through a bunch of tests for fatigue and I even did a sleep study for sleep apnea. No other life factors came back as a reason for my fatigue and inability to grow muscle or push through cardiovascular workouts. Testosterone never came up because I wasn’t having any bedroom symptoms. Once I finally begged the thyroid surgeon for a T test, The results of my first test came in at 242 Total Testosterone. I had follow up labs that looked like this :</p><p>Albumin: 4.1</p><p>T Total: 261</p><p>SHBG: 34.5</p><p>T Free 50.4</p><p>T Bioavailable: 112.9</p><p>FSH: 5.0</p><p>LH: 3.0</p><p>Estradiol: 26.8</p><p>Hematocrit: 44.1</p><p>Platelets: 305</p><p>TSH 3.33</p><p></p><p>I started T gel the next week but quickly wanted to switch to injections with 2 toddler aged daughters at home. </p><p> I did 3 months of 200 mg injections every 2 weeks to lead up to doing my own home injections. When I transitioned to weekly injections we started at 100 mg (.5 ml)a week for the first 3 months. I had my blood work done and here’s what came out: </p><p>Albumin: 4.3</p><p>T Total: 800</p><p>SHBG: 32</p><p>T Free 186.6</p><p>T Bioavailable: 437.4</p><p>Hematocrit: 48.8</p><p>TSH 2.65 on 100mg levothyroxine</p><p>(Continued to dial this in trying to get down to 2.0)</p><p></p><p>I felt great! Not only physically but emotionally. It was a fresh start for me after a year of trauma post surgery, plus both of my parents were very ill and I was trying to be a good father to my two children under the age of 3. </p><p></p><p>After those results my doctor lowered my dose to 80mg a week (.4 ml)and I’m still better but still somewhat symptomatic. A day and a half before my next injection my energy is really low and I’m extra cranky and if I push hard at the gym it takes twice as long to recover. Emotionally I’m not with it either. I also seem to have a tough time the day after my shot and I’ve communicated with my doctor about that but he doesn’t seem to have a response. Days 2-5.5 are fantastic and I’ve put all of my hard training days around that window of time. </p><p></p><p>We looked at my labs again 3 months later after dropping my dose and here’s what came up. </p><p>Albumin: 4.4</p><p>T Total: 523</p><p>SHBG: 30.6</p><p>T Free 113.7</p><p>T Bioavailable: 272.4</p><p>LH: 0.1</p><p>Hematocrit: 45.8</p><p>Platelets: 295</p><p>TSH 3.27 (on 112mg of levothyroxine)</p><p></p><p>Is he being too cautious? Are we missing something?</p><p>He talked about trying me on Aveed and it scared me when I read up on it. </p><p>Thanks for any and all insights</p></blockquote><p></p>
[QUOTE="divismal10, post: 146226, member: 18460"] Hi all, Hoping to gain some insight with this question as I have plowed through these forums and several others and I’m suffering “paralysis by analysis” so here it goes. Is my doctor being too cautious? I’m 42 yrs old and have been on weekly injections for about 9 months. I had my testosterone tested after having part of my thyroid removed with a cancerous growth. I was on thyroid replacement for about 6 months and my energy and recovery were worse than ever. We worked together to get my TSH at about 2.5. I had suspected low T in my late 30’s but had never thought to test it, Even though my primary ran me through a bunch of tests for fatigue and I even did a sleep study for sleep apnea. No other life factors came back as a reason for my fatigue and inability to grow muscle or push through cardiovascular workouts. Testosterone never came up because I wasn’t having any bedroom symptoms. Once I finally begged the thyroid surgeon for a T test, The results of my first test came in at 242 Total Testosterone. I had follow up labs that looked like this : Albumin: 4.1 T Total: 261 SHBG: 34.5 T Free 50.4 T Bioavailable: 112.9 FSH: 5.0 LH: 3.0 Estradiol: 26.8 Hematocrit: 44.1 Platelets: 305 TSH 3.33 I started T gel the next week but quickly wanted to switch to injections with 2 toddler aged daughters at home. I did 3 months of 200 mg injections every 2 weeks to lead up to doing my own home injections. When I transitioned to weekly injections we started at 100 mg (.5 ml)a week for the first 3 months. I had my blood work done and here’s what came out: Albumin: 4.3 T Total: 800 SHBG: 32 T Free 186.6 T Bioavailable: 437.4 Hematocrit: 48.8 TSH 2.65 on 100mg levothyroxine (Continued to dial this in trying to get down to 2.0) I felt great! Not only physically but emotionally. It was a fresh start for me after a year of trauma post surgery, plus both of my parents were very ill and I was trying to be a good father to my two children under the age of 3. After those results my doctor lowered my dose to 80mg a week (.4 ml)and I’m still better but still somewhat symptomatic. A day and a half before my next injection my energy is really low and I’m extra cranky and if I push hard at the gym it takes twice as long to recover. Emotionally I’m not with it either. I also seem to have a tough time the day after my shot and I’ve communicated with my doctor about that but he doesn’t seem to have a response. Days 2-5.5 are fantastic and I’ve put all of my hard training days around that window of time. We looked at my labs again 3 months later after dropping my dose and here’s what came up. Albumin: 4.4 T Total: 523 SHBG: 30.6 T Free 113.7 T Bioavailable: 272.4 LH: 0.1 Hematocrit: 45.8 Platelets: 295 TSH 3.27 (on 112mg of levothyroxine) Is he being too cautious? Are we missing something? He talked about trying me on Aveed and it scared me when I read up on it. Thanks for any and all insights [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Basics & Questions
Is my doctor being too cautious?
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