Re-visiting TRT after 1 year off

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ridedivefx

New Member
Hello good people need your advice slight long read

I have struggled with TRT trying to get control on my estrogen and other markers and failed/got frustrated, had ED and dropped TRT and I thought i will recover recover after 1 year. Within this time i did much more education

Quick BG: 38yrs, very active lifestyle, 5"7, did steroid cycle in early 30s. Fairly lean except abdomen. U can see veins on my shoulder and traps but have love handles and tummy.
Current situation on no TRT for 1 yr: I can't complain that i have very pressing immediate symptoms but Compared to when i was in 20s Quality of erections is not there. recovery from gym takes time, I try to avoid social gatherings though when i am there I am fine but to just go is a hassle. Tired, i am fine at work but can do with extra energy. I realize this is natural process of aging but I am looking for
1. Prevention from now
2. increasing quality of life instead of waiting till I feel miserable.

During education i realized from articles/videos on Low dose trt, HCG and no AI (always had issues with this/estro control)

My current Blood work after 1 yr off (this is from a local lab (outside usa) which has a different test range) - my previous was from orlando but don't have access to that lab now. I will be in August this year when i travel back

Test total: 278ng/dl, (range 168 - 781) converted ng/ml to ng/dl
LH: 4.2 mIU/ml (0.7-12 range)
FSH: 2.3 mIU/ml (1-14 range)
GH: 0.11 ng/ml (0-8 range)
PSA: 0.8 mg/ml
Estradiol: 18 pg/ml (11-40) non sensitive - lab did not have sensitive
SHBG 2.7 nmol/L
Progesterone: 2 ng/dl (1 - 2)
prolactin: 7ng/ml (3.5 - 20)

Total cholesterol: 161 mg/dl
Tri: 100 mg/dl
LDL:98 mg/dl
HDL: 38 mg dl

AST: 22
ALT: 63
ALK phosphate: 84
Albumin: 3.7

1. Are my markers of some one that can go on trt based only on numbers? Keeping the "how i feel" aspect out

2. I am planning 20mg testE E3D (50mg weekly) with 250iu HCG twice a week together with Test. Want to try to do the lowest dose that will get me from my symptoms i describe above and increase quality of life/health in long term. i have done many cycles and i dont want to do super human levels to feel like a superman for a few weeks before every marker is out of whack and i feel crap.

3. Once i start I will have another blood test around 2 months and go from there.

After all the videos and articles (Dr.Gordon, Dr. Crisler) I want to go up from low dose rather than down from High dose.

Other comments, suggestions, Opinion?

Many thanks
 
Defy Medical TRT clinic doctor
My best advice, especially for someone like yourself that is very sensitive to E2/gyno is to go with a TRT specialist like Defy Medical rather than your everyday GP or Endo. I am not affiliated with them, but I am a patient as are many of us here on the forum. They are easy to work with, no contracts or monthly fees, and most importantly, they listen to you and customize a protocol based upon your unique needs instead of putting all their guys on a 'one size fits all' protocol that is so very common elsewhere.
 
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thank you guys appreciate the input.

From others on TRT and knowledgeable members what woudl be your opinion, WIll i be a candidate for TRT.
 
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