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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Basics & Questions
Is My Doctor Right?
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<blockquote data-quote="Varner" data-source="post: 52571" data-attributes="member: 13722"><p>I went in to see my urologist yesterday. 8 months into Clomid monotherapy. Labs:</p><p></p><p><strong>Pre-TRT </strong></p><p>Total T: 362 ng/dl (250-1100)</p><p>Free T: 79 pg/ml (35 - 155)</p><p>LH: 2.5 mIU/mL (1.5-9.3)</p><p>FSH: 1.9 mIU/mL (1.6-8.0)</p><p>E2: 14 pg/ml (< or = 29)</p><p>[SHBG: 28 nmol/L] (Calculated from Test + 5.2 albumin]</p><p>TSH: 4.7</p><p></p><p><strong>Began Clomid @ 50mg/day late February</strong></p><p></p><p><strong>April </strong></p><p>Total T: 518 ng/dl (250-827 ng/dL)</p><p>Free T: 170 pg/ml (46-224)</p><p>[SHBG: 10 nmol/L] (calculated from Test + 4.4 albumin)</p><p></p><p><strong>June</strong> </p><p>Total T: 522</p><p>Free T: 148</p><p>LH: 3.5</p><p>[SHBG: 17 nmol/L] (calculated as above)</p><p></p><p><strong>Dropped to Clomid @ 50mg/day at end of July</strong></p><p><strong></strong></p><p><strong>August</strong></p><p>Total T: 420</p><p>Free T: 105</p><p>LH: 4.7</p><p>[SHBG: 23 nmol/L] (calculated as above) </p><p><strong>Back up to Clomid @ 50mg/day right after August Test</strong></p><p><strong></strong></p><p><strong>October</strong></p><p>Total T: 550</p><p>Free T: 130</p><p>LH: 6.0</p><p>[SHBG: 24.5 nmol/L] (calculated as above)</p><p></p><p>I went in because I didn't feel good. My sex drive is back to my pre-Clomid days; which is to say nonexistent. Doctor looked at August and October results I brought and said "Looks like you're averaging around 500. 500 is great. You don't like being at 500?"</p><p></p><p>I told him that it wasn't the numbers themselves that brought me in - it was that I did not feel anywhere near like I felt in the beginning of clomid (though I'm also concerned about the fact that the trend is mostly downward since April for my Free T).</p><p></p><p>He said there was nothing he could do, because he wasn't going to prescribe TRT because I want more kids. I asked about a combination of HCG + Clomid and he said HCG (which he repeatedly referred to as "BCG" - not sure why) was too expensive and I wouldn't be able to afford it. He also told me that Clomid takes 100 days to work, and switching up my dosage (50 to 25 to 5) delayed that further. </p><p></p><p>I asked for a referral to an endo, so I could look into thyroid issues. He gave it to me - but the endo won't be able to see me for 6-8 months. </p><p></p><p>1) Is my doctor right about my numbers being "great"? I know 500 is decidedly not great for total t, but I'm not sure how my free t measures up. I know I felt better at 170 free t than at 79, 105, or 130.</p><p></p><p>2) Is HCG cost-prohibitive? I'm really feeling tempted to just buying some and experimenting with it. </p><p></p><p>3) Why would my doctor call HCG "BCG"? </p><p></p><p>4) Does Clomid really need 100 days to get to full strength? Subjectively (sex drive, alertness) and objectively (Free T), it appears I peaked at a little over a month in.</p></blockquote><p></p>
[QUOTE="Varner, post: 52571, member: 13722"] I went in to see my urologist yesterday. 8 months into Clomid monotherapy. Labs: [B]Pre-TRT [/B] Total T: 362 ng/dl (250-1100) Free T: 79 pg/ml (35 - 155) LH: 2.5 mIU/mL (1.5-9.3) FSH: 1.9 mIU/mL (1.6-8.0) E2: 14 pg/ml (< or = 29) [SHBG: 28 nmol/L] (Calculated from Test + 5.2 albumin] TSH: 4.7 [B]Began Clomid @ 50mg/day late February[/B] [B]April [/B] Total T: 518 ng/dl (250-827 ng/dL) Free T: 170 pg/ml (46-224) [SHBG: 10 nmol/L] (calculated from Test + 4.4 albumin) [B]June[/B] Total T: 522 Free T: 148 LH: 3.5 [SHBG: 17 nmol/L] (calculated as above) [B]Dropped to Clomid @ 50mg/day at end of July [/B] [B]August[/B] Total T: 420 Free T: 105 LH: 4.7 [SHBG: 23 nmol/L] (calculated as above) [B]Back up to Clomid @ 50mg/day right after August Test [/B] [B]October[/B] Total T: 550 Free T: 130 LH: 6.0 [SHBG: 24.5 nmol/L] (calculated as above) I went in because I didn't feel good. My sex drive is back to my pre-Clomid days; which is to say nonexistent. Doctor looked at August and October results I brought and said "Looks like you're averaging around 500. 500 is great. You don't like being at 500?" I told him that it wasn't the numbers themselves that brought me in - it was that I did not feel anywhere near like I felt in the beginning of clomid (though I'm also concerned about the fact that the trend is mostly downward since April for my Free T). He said there was nothing he could do, because he wasn't going to prescribe TRT because I want more kids. I asked about a combination of HCG + Clomid and he said HCG (which he repeatedly referred to as "BCG" - not sure why) was too expensive and I wouldn't be able to afford it. He also told me that Clomid takes 100 days to work, and switching up my dosage (50 to 25 to 5) delayed that further. I asked for a referral to an endo, so I could look into thyroid issues. He gave it to me - but the endo won't be able to see me for 6-8 months. 1) Is my doctor right about my numbers being "great"? I know 500 is decidedly not great for total t, but I'm not sure how my free t measures up. I know I felt better at 170 free t than at 79, 105, or 130. 2) Is HCG cost-prohibitive? I'm really feeling tempted to just buying some and experimenting with it. 3) Why would my doctor call HCG "BCG"? 4) Does Clomid really need 100 days to get to full strength? Subjectively (sex drive, alertness) and objectively (Free T), it appears I peaked at a little over a month in. [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Basics & Questions
Is My Doctor Right?
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