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Testosterone Replacement, Low T, HCG, & Beyond
Blood Test Discussion
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<blockquote data-quote="MarkM" data-source="post: 115793"><p>Welcome to the forum!</p><p></p><p>You mentioned that your doctor wasn't very knowledgeable and that shows to be honest with you. If his recommended protocol is 200 mg of Test Cypionate per week, 1 mg of Anastrozole every other day, and 20 units of HCG daily then he is setting you up for failure right from the beginning. </p><p></p><p>200 mg weekly of Test Cypionate is way to strong for the vast majority of people. It has the potential to create all sorts of unnecessary problems and side effects for you. You should begin with 100 mg per week and go from there. I did not see that he tested for SHBG (Sex Hormone Binding Globulin) which is critical to know as it will determine what type of injection schedule you should have. If your SHBG is very low, you will do better with small injections daily or every other day (EOD). If it is high, you would do better with one larger injection per week. If in the middle you would do best with injections every 3. days. So, in order to establish your best protocol you need to know the SHBG.</p><p></p><p>The Estradiol test he ran is the wrong test. He ran the test (Roche ECLIA) for women. The proper test for men is the Estradiol Sensitive test, LC/MS/MS assay. The test he ran normally estimates your estradiol too high. In our case, the test came back at just over 24 which means that your Estradiol Sensitive test will come back quite a bit lower. If you take 1 mg of anastrozole EOD you are going to crash your Estradiol. That is a huge does of anastrozole and you do not want to crash your estradiol. I would recommend that you fill the prescription to have on hand but that you not take it until you have symptoms of extremely high estradiol.</p><p></p><p>Without question your Total and Free Testosterone are low and you could benefit from TRT......unless you take 1 mg of anastrozole EOD with it which will remove any benefit you feel. </p><p></p><p>The recommended does of HCG of 20 iu per day is really low and quite honestly a does that is so low it won't do diddly squat. Now doses are anywhere from 150 to 500 iu from two to three times a week. I would recommend that you start off with Test Cypionate alone. However, if you are trying to remain fertile than HCG can be a good thing and if that is the case you will want a much higher dose than 20 is EOD.</p><p></p><p>You should also look more at your thyroid. Your doctor did not run enough test but it looks like you might have some thyroid issues. Your TSH, Thyroid Stimulating Hormone, at 3.74 is in range but still too high and could indicate Hypothyroidism. You really need to have a full thyroid panel ran to include the following: TSH, Free T3, Free T4, Reverse T3, and both thyroid antibodies (ATA and TPO). If you do you a thyroid that is under performing you will want to address that because it can give you many of the same symptoms of low testosterone. </p><p></p><p>B12 is a little low so you should probably take a Vitamin B12 supplement.</p><p></p><p>Did you have a CBC panel ad CMP panel ran too? Those are pretty standard. If you did, you should post those as well. </p><p></p><p>Again, welcome to ExcelMale!</p></blockquote><p></p>
[QUOTE="MarkM, post: 115793"] Welcome to the forum! You mentioned that your doctor wasn't very knowledgeable and that shows to be honest with you. If his recommended protocol is 200 mg of Test Cypionate per week, 1 mg of Anastrozole every other day, and 20 units of HCG daily then he is setting you up for failure right from the beginning. 200 mg weekly of Test Cypionate is way to strong for the vast majority of people. It has the potential to create all sorts of unnecessary problems and side effects for you. You should begin with 100 mg per week and go from there. I did not see that he tested for SHBG (Sex Hormone Binding Globulin) which is critical to know as it will determine what type of injection schedule you should have. If your SHBG is very low, you will do better with small injections daily or every other day (EOD). If it is high, you would do better with one larger injection per week. If in the middle you would do best with injections every 3. days. So, in order to establish your best protocol you need to know the SHBG. The Estradiol test he ran is the wrong test. He ran the test (Roche ECLIA) for women. The proper test for men is the Estradiol Sensitive test, LC/MS/MS assay. The test he ran normally estimates your estradiol too high. In our case, the test came back at just over 24 which means that your Estradiol Sensitive test will come back quite a bit lower. If you take 1 mg of anastrozole EOD you are going to crash your Estradiol. That is a huge does of anastrozole and you do not want to crash your estradiol. I would recommend that you fill the prescription to have on hand but that you not take it until you have symptoms of extremely high estradiol. Without question your Total and Free Testosterone are low and you could benefit from TRT......unless you take 1 mg of anastrozole EOD with it which will remove any benefit you feel. The recommended does of HCG of 20 iu per day is really low and quite honestly a does that is so low it won't do diddly squat. Now doses are anywhere from 150 to 500 iu from two to three times a week. I would recommend that you start off with Test Cypionate alone. However, if you are trying to remain fertile than HCG can be a good thing and if that is the case you will want a much higher dose than 20 is EOD. You should also look more at your thyroid. Your doctor did not run enough test but it looks like you might have some thyroid issues. Your TSH, Thyroid Stimulating Hormone, at 3.74 is in range but still too high and could indicate Hypothyroidism. You really need to have a full thyroid panel ran to include the following: TSH, Free T3, Free T4, Reverse T3, and both thyroid antibodies (ATA and TPO). If you do you a thyroid that is under performing you will want to address that because it can give you many of the same symptoms of low testosterone. B12 is a little low so you should probably take a Vitamin B12 supplement. Did you have a CBC panel ad CMP panel ran too? Those are pretty standard. If you did, you should post those as well. Again, welcome to ExcelMale! [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Blood Test Discussion
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