I have, like many here changed up my TRT protocol a few times. I am 66 years old, 145lbs, 5'7", stopped the gym with Covid, will return soon. I also have an auto immune disease: RA and use Humira. My current protocol is:
T Cream (200 mg diluted with Lubriderm to 25 mg) I apply this daily to scrotum ( I started using it straight from the compounding quik tube, but diluted it to bring my T levels down. Costs for 200 or 25 mg are the same, so I use a 200mg and dilute it 300% with Lubriderm, my Urologist thought that was a good idea)
DHEA 25 mg 3x wk
DIM 200 mg 3x wk
Pregnenolone 100mg 3 x wk
Progesterone cream (aprox 25mg dose ) applied to scrotum
Here are last weeks labs (thanks for the discount Nelson)
TT 529 (post T Cream 8 hours)
FT 122
E2 33
DHT 192 (12-65)
DHEA 234 (20 -217 for my age)
SHBG 15 (22-77, dropped last 2 were 17 and 19)
Prolactin 9.4 (2 -18)
I am feeling well, but libido still has room for improvement, I am unsure of which labs I should work to change. My E2 was slightly higher, but my SHBG is also very low, should I increase my DIM to daily? I have not used an AI in a few years. Is the DHT too high? I read levels in the thousand range, so assume I am only slightly elevated? Any other thoughts would be appreciated.
T Cream (200 mg diluted with Lubriderm to 25 mg) I apply this daily to scrotum ( I started using it straight from the compounding quik tube, but diluted it to bring my T levels down. Costs for 200 or 25 mg are the same, so I use a 200mg and dilute it 300% with Lubriderm, my Urologist thought that was a good idea)
DHEA 25 mg 3x wk
DIM 200 mg 3x wk
Pregnenolone 100mg 3 x wk
Progesterone cream (aprox 25mg dose ) applied to scrotum
Here are last weeks labs (thanks for the discount Nelson)
TT 529 (post T Cream 8 hours)
FT 122
E2 33
DHT 192 (12-65)
DHEA 234 (20 -217 for my age)
SHBG 15 (22-77, dropped last 2 were 17 and 19)
Prolactin 9.4 (2 -18)
I am feeling well, but libido still has room for improvement, I am unsure of which labs I should work to change. My E2 was slightly higher, but my SHBG is also very low, should I increase my DIM to daily? I have not used an AI in a few years. Is the DHT too high? I read levels in the thousand range, so assume I am only slightly elevated? Any other thoughts would be appreciated.