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<blockquote data-quote="Kanger" data-source="post: 148237" data-attributes="member: 38837"><p>Sorry for the double post, I posted my first thread, but no one (including me) can see it:</p><p></p><p>50-year-old male. Before I got tested, I had all the symptoms except I really did not have complaints about libido. Lack of confidence, extremely weak in the weight room (gone from 205 for 3 reps on bench in my late 30s to 115 for 6 reps now), no zest, lowered performance in sports, etc. I have been working out for years and eating extremely clean (no sugar or bread since 2012, Keto, etc.) so I could not possibly see what else I could do lifestyle or diet wise. So I got tested and below are my numbers:</p><p></p><p>TSH .93uIU/ml (.45-4.9)</p><p>Total Testosterone: 732 ng/dL (264-916)</p><p>SHBG: 67.1 nmol/L (19.3 - 76.4)</p><p>Estradiol 26.1 pg/mL (7.6-42.6) (Roche ECLIA methodology)</p><p></p><p>The group I got tested with recommended testosterone cream applied to forearms twice a day. 200 mg/week and an AI once a week. After 3 weeks, I was feeling pretty good in the mornings. Noticed a lot more erections which was nice even though it is not why I sought out treatment. Weights had ticked up and feeling like I had hope to not continue to decline. But the afternoons have been a struggle - low energy, anxiety until yesterday when the anxiety went out of control - racing heartbeat, etc. I had not taken the AI so they suggested i take it and I did last night and today was much better. </p><p></p><p>My questions are twofold: Did I jump in too quick? Should I have first sought out natural ways to lower SHBG. Would it be reasonable to prescribe testosterone to a 50 year old with 732 number? If I do continue, in the future instead of taking the AI, should I instead lower the dose. </p><p></p><p>Thanks in advance for your help, folks.</p></blockquote><p></p>
[QUOTE="Kanger, post: 148237, member: 38837"] Sorry for the double post, I posted my first thread, but no one (including me) can see it: 50-year-old male. Before I got tested, I had all the symptoms except I really did not have complaints about libido. Lack of confidence, extremely weak in the weight room (gone from 205 for 3 reps on bench in my late 30s to 115 for 6 reps now), no zest, lowered performance in sports, etc. I have been working out for years and eating extremely clean (no sugar or bread since 2012, Keto, etc.) so I could not possibly see what else I could do lifestyle or diet wise. So I got tested and below are my numbers: TSH .93uIU/ml (.45-4.9) Total Testosterone: 732 ng/dL (264-916) SHBG: 67.1 nmol/L (19.3 - 76.4) Estradiol 26.1 pg/mL (7.6-42.6) (Roche ECLIA methodology) The group I got tested with recommended testosterone cream applied to forearms twice a day. 200 mg/week and an AI once a week. After 3 weeks, I was feeling pretty good in the mornings. Noticed a lot more erections which was nice even though it is not why I sought out treatment. Weights had ticked up and feeling like I had hope to not continue to decline. But the afternoons have been a struggle - low energy, anxiety until yesterday when the anxiety went out of control - racing heartbeat, etc. I had not taken the AI so they suggested i take it and I did last night and today was much better. My questions are twofold: Did I jump in too quick? Should I have first sought out natural ways to lower SHBG. Would it be reasonable to prescribe testosterone to a 50 year old with 732 number? If I do continue, in the future instead of taking the AI, should I instead lower the dose. Thanks in advance for your help, folks. [/QUOTE]
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