Need advice on starting TRT

brendangaz

New Member
Hi Guys. Considering starting TRT. I'm 38 with low libido, low energy, and lack of focus. Total T has gone from a low of about 160 ng/dL back in 2013 up to 351 ng/dL last week. HCG monotherapy seemed to move the needle a bit and got me to where I am today (I discontinued HCG about 3 months ago). Just want input as to if TRT is likely to help me. I am going to post my labs for your references. Thanks in advance for any advice.
Testosterone lab.webp


Thyroid Labs.webp
 
Your Total T is low and Free T not the best, SHBG is on the lower end, estrogen healthy and pretty much dictates the type of protocol going forward. Once you double your Total T I expect to see estrogen climb, smaller frequent injections will be the best way to balance levels.

Thyroid looks well balanced, Free T3 about mid-range and Reverse T3 <15 ng/dL.
 
Last edited:
At that level I would try other options first.

Are you getting enough sleep?
Are you getting enough sunshine?
Are you over weight how’s your diet?
Do you do lift?
Do you do a lot of cardio? (Kills T)
 

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TRT Hormone Predictor Widget

TRT Hormone Predictor

Predict estradiol, DHT, and free testosterone levels based on total testosterone

⚠️ Medical Disclaimer

This tool provides predictions based on statistical models and should NOT replace professional medical advice. Always consult with your healthcare provider before making any changes to your TRT protocol.

ℹ️ Input Parameters

Normal range: 300-1000 ng/dL

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Results will appear here after calculation

Understanding Your Hormones

Estradiol (E2)

A form of estrogen produced from testosterone. Important for bone health, mood, and libido. Too high can cause side effects; too low can affect well-being.

DHT

Dihydrotestosterone is a potent androgen derived from testosterone. Affects hair growth, prostate health, and masculinization effects.

Free Testosterone

The biologically active form of testosterone not bound to proteins. Directly available for cellular uptake and biological effects.

Scientific Reference

Lakshman KM, Kaplan B, Travison TG, Basaria S, Knapp PE, Singh AB, LaValley MP, Mazer NA, Bhasin S. The effects of injected testosterone dose and age on the conversion of testosterone to estradiol and dihydrotestosterone in young and older men. J Clin Endocrinol Metab. 2010 Aug;95(8):3955-64.

DOI: 10.1210/jc.2010-0102 | PMID: 20534765 | PMCID: PMC2913038

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