Sleep issues
On trt 5 yrs. Initially poorly managed on too much T (200 mg IM qweek) and too much AI (1 mg 2x/wk) with very little labwork. Past couple years have been essentially managing myself, 100 mg IM qweek, no AI, and 250iu HCG 3x/wk. Most recent labs total T=850, and free T=29 (upper limit normal=21), and E2 non-sensitive upper limit normal. Past couple months I have some new symptoms, waking up short of breath and heart racing. As I'm falling asleep feel like I sometimes lose respiratory drive, then suddenly gasp. Sleep study pending. 6'2" and 200 lbs, thin neck--not classic for obstructive apnea . My theory is I might have low shbg (based upon my elevated free T), and that this is making me sensitive to dht, which I read can induce/exacerbate central sleep apnea. I say this because I briefly switched to topical T (known to increase dht) and my symptoms got much worse. But it's a mystery. Full labs including shbg, tsh, and sensitive E2 also pending.
Curious if anyone else has experienced this.
On trt 5 yrs. Initially poorly managed on too much T (200 mg IM qweek) and too much AI (1 mg 2x/wk) with very little labwork. Past couple years have been essentially managing myself, 100 mg IM qweek, no AI, and 250iu HCG 3x/wk. Most recent labs total T=850, and free T=29 (upper limit normal=21), and E2 non-sensitive upper limit normal. Past couple months I have some new symptoms, waking up short of breath and heart racing. As I'm falling asleep feel like I sometimes lose respiratory drive, then suddenly gasp. Sleep study pending. 6'2" and 200 lbs, thin neck--not classic for obstructive apnea . My theory is I might have low shbg (based upon my elevated free T), and that this is making me sensitive to dht, which I read can induce/exacerbate central sleep apnea. I say this because I briefly switched to topical T (known to increase dht) and my symptoms got much worse. But it's a mystery. Full labs including shbg, tsh, and sensitive E2 also pending.
Curious if anyone else has experienced this.
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