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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Side Effect Management
Looking for input: Considering protocol changes to discuss with Dr Saya, to resolve side effects
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<blockquote data-quote="Blackhawk" data-source="post: 103593" data-attributes="member: 16042"><p>Protocol:</p><p>-T cyp 42mg E3D for a total 97mg/week. </p><p>-HCG I have been reducing prescribed dose of 500, now at 440mg E3D feeling no ill effects on the boys</p><p>-DHEA 25mg/day</p><p>-Pregnenelone 25mg/day</p><p>-No AI</p><p></p><p>Latest labs at trough for total T and free T look good to me:</p><p></p><p><span style="color: #333333">-Testosterone 879 Range: 264-916 ng/dL</span></p><p><span style="color: #333333">-Free Testosterone(Direct) 20.9 Range: 7.2-24.0 pg/mL</span></p><p><span style="color: #333333"></span></p><p><span style="color: #333333">Symptomatically, feels like relative to T levels I am doing OK.</span></p><p><span style="color: #333333"></span></p><p><span style="color: #333333">However, I am having symptoms of high E2 and high HCT/HGB</span></p><p><span style="color: #333333"></span></p><p><span style="color: #333333"></span>High systolic BP</p><p>shortness of breath with exercise, feeling of fullness in chest</p><p>feeling warmer than usual, often flushed face</p><p>some bloating coming and going, hands feel puffy when I wake up in the morning</p><p></p><p>E2 at 45</p><p>HCT 52.5</p><p>HGB 18.2</p><p></p><p>And last check of ferritin was low at 27</p><p></p><p></p><p><span style="color: #333333">I don't have really up to date SHBG, will have it done next round in a few weeks, but previous tests were 43 Last June, and 46.7 last november when T levels were very high from starting T cyp at too high a dosage.</span></p><p><span style="color: #333333"></span></p><p><span style="color: #333333"></span></p><p>So my primary intended objective right now is bring E2 down and reduce exogenous T stimulation of higher HCT/HGB</p><p></p><p>More and more frequently guys are posting that lowering total dose and injecting more frequently is accomplishing these objectives. I am considering asking for a daily dosage protocol of both T cyp and HCG at reduced weekly totals. However with my SHBG at 46.7 and realtive half lives of the two, what are my trade offs?</p><p></p><p>Also wondering if I should go ahead and request phlebotomy anyway and deal with being low ferritin. I am feeling the HCT more strongly as time goes on.</p><p></p><p>My high PSA is a somewhat confounding factor as well, but is dropping. My belief is this is based in part on lowered T dose, but also other measures I am taking. Hopefully will continue that trend especially if total weekly T dosage is reduced further.</p><p></p><p>Really could use input thoughts here...</p></blockquote><p></p>
[QUOTE="Blackhawk, post: 103593, member: 16042"] Protocol: -T cyp 42mg E3D for a total 97mg/week. -HCG I have been reducing prescribed dose of 500, now at 440mg E3D feeling no ill effects on the boys -DHEA 25mg/day -Pregnenelone 25mg/day -No AI Latest labs at trough for total T and free T look good to me: [COLOR=#333333]-Testosterone 879 Range: 264-916 ng/dL[/COLOR] [COLOR=#333333]-Free Testosterone(Direct) 20.9 Range: 7.2-24.0 pg/mL Symptomatically, feels like relative to T levels I am doing OK. However, I am having symptoms of high E2 and high HCT/HGB [/COLOR]High systolic BP shortness of breath with exercise, feeling of fullness in chest feeling warmer than usual, often flushed face some bloating coming and going, hands feel puffy when I wake up in the morning E2 at 45 HCT 52.5 HGB 18.2 And last check of ferritin was low at 27 [COLOR=#333333]I don't have really up to date SHBG, will have it done next round in a few weeks, but previous tests were 43 Last June, and 46.7 last november when T levels were very high from starting T cyp at too high a dosage. [/COLOR] So my primary intended objective right now is bring E2 down and reduce exogenous T stimulation of higher HCT/HGB More and more frequently guys are posting that lowering total dose and injecting more frequently is accomplishing these objectives. I am considering asking for a daily dosage protocol of both T cyp and HCG at reduced weekly totals. However with my SHBG at 46.7 and realtive half lives of the two, what are my trade offs? Also wondering if I should go ahead and request phlebotomy anyway and deal with being low ferritin. I am feeling the HCT more strongly as time goes on. My high PSA is a somewhat confounding factor as well, but is dropping. My belief is this is based in part on lowered T dose, but also other measures I am taking. Hopefully will continue that trend especially if total weekly T dosage is reduced further. Really could use input thoughts here... [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Side Effect Management
Looking for input: Considering protocol changes to discuss with Dr Saya, to resolve side effects
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