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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Basics & Questions
Need TRT?
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<blockquote data-quote="Vonko1988" data-source="post: 160565" data-attributes="member: 18809"><p>Hello, Im new in this forum however I've spent a lot of time reading in other TRT forums, reading books about it, watching some of the leading doctors' podcasts and so on. I've had two consultations with Defy and am proceeding as their plan. </p><p></p><p>However, I want to ask the opinion of some of the knowledgeable users here: Do I need TRT? </p><p></p><p>My story: I'm 30 years old and I never had excellent health or physique. However my physical and mental well being declined notably in the last two years together with my libido, energy, mental clarity and basically showing all agreed low T symptoms. My total testosterone now is in the range of 400-500s, free T around 8-9 ng/dl calculated. I know its not terrible, but its not great either. I also have subclinical hypothyroidism and non-cancerous thyroid nodule. I experience hypo symptoms as well. Currently I'm on 12.5 mg T3 as advised by Defy due to high Reverse T3, Im also taking cabergoline since April due to slightly elevated prolactine(no tumor, but empty sella present).</p><p></p><p>The idea of Defy is to see if the T3 and the caber dose we recently increased can increase my testosterone a bit and possible start feeling better without TRT. My personal opinion is the likely hood of this is very small. The last summer I also lost 10kg with strict diet and exercise, Im now maybe around 18-20 percent body fat. The results in gym come very slowly and difficult for me. In order to loose weight I need to train really hard and sustain strict caloric count. Im on metformin for a few months now and it greatly helps me control nutrition. These are my last blood results:</p><p></p><p><strong>TSHS 1.74 µIU/ml 0.27 - 4.20 ECLIA</strong></p><p><strong>Free Т4 (fT4) S 14.66 ng/ l9.30 - 17 ECLIA </strong></p><p><strong>Free T3 (fT3) S 2.79 ng/l 2 - 4.40 ECLIA</strong></p><p><strong>Reverse T3 S 232pg/ml 90 - 215 RIA</strong></p><p><strong>ТАТ (Tg Ат) S 10 IU/ml 0 - 115 ECLIA </strong></p><p><strong>A-TPO (MAT) S 5 IU/ml 0 - 34 ECLIA </strong></p><p><strong>Total Testosterone S18.06 nmol/l 9.90 - 27.80 ECLIA</strong></p><p><strong>SHBG S 43.97 nmol/l 18.30 - 54.10 ECLIA </strong></p><p><strong>LH S 4.54IU/L 1.70 - 8.60 ECLIA </strong></p><p><strong>FSH S 1.39IU/L 1.5 - 12.40 ECLIA</strong></p><p><strong>Prolactin S 265.4mIU/L 84.80 - 318ECLIA</strong></p><p><strong>Estradiol S 27.07ng/L 7.63 - 42.60 ECLIA</strong></p><p><strong>DHEA-s S 9.01 µmol/l 4.34 - 12.20 ECLIA</strong></p><p><strong>Cortisol (morning) S 363.6 nmol/l 133 - 537 ECLIA</strong></p><p><strong>Cortisol (afternoon) S 324.6 nmol/l 68.20 - 327 ECLIA</strong></p><p><strong> </strong></p><p>I have more blood values.</p><p></p><p>My plan is to wait 3-4 more months and to start daily testosterone injections, after 6 weeks to try to incorporate HCG. I've not decided only whether to start IM or sub-q. I will not risk with sub-q at the beginning because I know many people don't feel optimal there. I just need to find somebody to teach me shallow IM in the delt or other area.</p><p></p><p>In fact my main concern regarding TRT is fertility because I dont have kids. I will freeze sperm but I know it does not give 100 percent guarantee it will keep all its qualities especially after 5 years. I know many guys cannot handle HCG and I assume the worst case scenario I will not feel well on it as well. In fact I've tried 2 HCG injections spread in time, 500 and 100 units and I felt very slugish after them. I know its different when you do it regularly with test, but still.. </p><p></p><p>On the other side I really want to start feeling vigorous, energetic and to have my mental clarity back.</p><p></p><p>What do you think about my situation?</p></blockquote><p></p>
[QUOTE="Vonko1988, post: 160565, member: 18809"] Hello, Im new in this forum however I've spent a lot of time reading in other TRT forums, reading books about it, watching some of the leading doctors' podcasts and so on. I've had two consultations with Defy and am proceeding as their plan. However, I want to ask the opinion of some of the knowledgeable users here: Do I need TRT? My story: I'm 30 years old and I never had excellent health or physique. However my physical and mental well being declined notably in the last two years together with my libido, energy, mental clarity and basically showing all agreed low T symptoms. My total testosterone now is in the range of 400-500s, free T around 8-9 ng/dl calculated. I know its not terrible, but its not great either. I also have subclinical hypothyroidism and non-cancerous thyroid nodule. I experience hypo symptoms as well. Currently I'm on 12.5 mg T3 as advised by Defy due to high Reverse T3, Im also taking cabergoline since April due to slightly elevated prolactine(no tumor, but empty sella present). The idea of Defy is to see if the T3 and the caber dose we recently increased can increase my testosterone a bit and possible start feeling better without TRT. My personal opinion is the likely hood of this is very small. The last summer I also lost 10kg with strict diet and exercise, Im now maybe around 18-20 percent body fat. The results in gym come very slowly and difficult for me. In order to loose weight I need to train really hard and sustain strict caloric count. Im on metformin for a few months now and it greatly helps me control nutrition. These are my last blood results: [B]TSHS 1.74 µIU/ml 0.27 - 4.20 ECLIA Free Т4 (fT4) S 14.66 ng/ l9.30 - 17 ECLIA Free T3 (fT3) S 2.79 ng/l 2 - 4.40 ECLIA Reverse T3 S 232pg/ml 90 - 215 RIA ТАТ (Tg Ат) S 10 IU/ml 0 - 115 ECLIA A-TPO (MAT) S 5 IU/ml 0 - 34 ECLIA Total Testosterone S18.06 nmol/l 9.90 - 27.80 ECLIA SHBG S 43.97 nmol/l 18.30 - 54.10 ECLIA LH S 4.54IU/L 1.70 - 8.60 ECLIA FSH S 1.39IU/L 1.5 - 12.40 ECLIA Prolactin S 265.4mIU/L 84.80 - 318ECLIA Estradiol S 27.07ng/L 7.63 - 42.60 ECLIA DHEA-s S 9.01 µmol/l 4.34 - 12.20 ECLIA Cortisol (morning) S 363.6 nmol/l 133 - 537 ECLIA Cortisol (afternoon) S 324.6 nmol/l 68.20 - 327 ECLIA [/B] I have more blood values. My plan is to wait 3-4 more months and to start daily testosterone injections, after 6 weeks to try to incorporate HCG. I've not decided only whether to start IM or sub-q. I will not risk with sub-q at the beginning because I know many people don't feel optimal there. I just need to find somebody to teach me shallow IM in the delt or other area. In fact my main concern regarding TRT is fertility because I dont have kids. I will freeze sperm but I know it does not give 100 percent guarantee it will keep all its qualities especially after 5 years. I know many guys cannot handle HCG and I assume the worst case scenario I will not feel well on it as well. In fact I've tried 2 HCG injections spread in time, 500 and 100 units and I felt very slugish after them. I know its different when you do it regularly with test, but still.. On the other side I really want to start feeling vigorous, energetic and to have my mental clarity back. What do you think about my situation? [/QUOTE]
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