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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Basics & Questions
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<blockquote data-quote="Cataceous" data-source="post: 240731" data-attributes="member: 38109"><p>It would be useful to have measurements of SHBG and LH. The latter would give an indication as to whether you do have testicular insufficiency. The former can be used to calculate a better estimate of free testosterone than that inaccurate direct test you had. In any case, you appear to be hypogonadal and probably would benefit from some form of testosterone therapy.</p><p></p><p>What's frequently underappreciated about TRT are the widespread effects on many other hormones, which sometimes create additional problems. One way to mitigate this issue is to use a short-acting form of testosterone, such as testosterone nasal gel or troches. These forms of TRT aren't the most convenient, but they're a good place to start; they can help you determine if higher testosterone is beneficial with less of a long-term commitment.</p><p></p><p>If you are diagnosed with testicular insufficiency—primary hypogonadism—then be aware that it may be possible to dose your TRT in a way that minimizes the impact on other hormones. The technique involves starting with a low dose and increasing slowly while monitoring LH. In primary hypogonadism your LH is expected to initially be either high in-range or above. As the dose of testosterone is increased, LH should decrease. The idea is to find the dose that puts LH around the middle of the normal range. In this way you avoid the possible problems that occur when the HPTA is entirely suppressed.</p></blockquote><p></p>
[QUOTE="Cataceous, post: 240731, member: 38109"] It would be useful to have measurements of SHBG and LH. The latter would give an indication as to whether you do have testicular insufficiency. The former can be used to calculate a better estimate of free testosterone than that inaccurate direct test you had. In any case, you appear to be hypogonadal and probably would benefit from some form of testosterone therapy. What's frequently underappreciated about TRT are the widespread effects on many other hormones, which sometimes create additional problems. One way to mitigate this issue is to use a short-acting form of testosterone, such as testosterone nasal gel or troches. These forms of TRT aren't the most convenient, but they're a good place to start; they can help you determine if higher testosterone is beneficial with less of a long-term commitment. If you are diagnosed with testicular insufficiency—primary hypogonadism—then be aware that it may be possible to dose your TRT in a way that minimizes the impact on other hormones. The technique involves starting with a low dose and increasing slowly while monitoring LH. In primary hypogonadism your LH is expected to initially be either high in-range or above. As the dose of testosterone is increased, LH should decrease. The idea is to find the dose that puts LH around the middle of the normal range. In this way you avoid the possible problems that occur when the HPTA is entirely suppressed. [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Basics & Questions
Looking for some advice...
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