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Saying hi from NY. Time for some changes.
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<blockquote data-quote="Louis" data-source="post: 97506" data-attributes="member: 17695"><p>My E2 is low, Free T is low, SHBG is high, DHT is high, LDL is terrible, and RBC is up. At face value, I think I should address the low E2. My DHT is already high, so I don't think taking more Androgel is really an option. I could increase my HCG from 100iu to150iu daily and hope for some testicular aromatization, but is that really going to bring up my E2 enough? Maybe 500iu e3.5d? </p><p></p><p>Alternatively, my primary is not opposed to me going on Cypionate. Maybe the larger dose could bring up my T, increase aromatase activity and bring up my E2 while possibly raising free T by hopefully being a large enough dose to compensate for SHBG of 66? I am curious though, if I switch to injections would I lose any sexual benefit of the elevated DHT? I suppose I could add more DHEA later in hopes of raising DHT. So much to consider which is why I have just dealt with it.</p><p></p><p>This is quite a bit of information and may seem like I"m complaining. I certainly do not want that to be the undertone of this thread. I feel really good compared to where I was. I don't feel crappy all the time. The sexual issues and superficial things I've mentioned are persistent, but I generally feel pretty good. Having the migraines under control, I really do feel pretty good. It's just the sexual and joint issues that bother me regularly. </p><p></p><p>Not related to TRT, but to complete the migraine picture, I have been on a restricted diet for the last 2 months. I read a post by Nelson a while back regarding food sensitivities and his experience with ALCAT testing. As I looked further into it, I chose to pursue a similar avenue. Ultimately I chose the Mediator Release Testing from Oxford Biomedical. The results indicated that roughly 85% of what I was consuming regularly was something I was moderately or highly reactive to. I have since cut out basically everything and am only eating rice, fats, chicken, pork, and veggies but I am still hitting my 40/30/30 carb/protein/fat macros I always have, but I am just doing it 'intermittent fasting' style by skipping breakfast and eating my first meal at 11am. I am skipping breakfast because I am sensitive to eggs, oats, and wheat (what I basically lived on). This is the second journey I am on but cutting out everything I am sensitive to has cut down drastically on my inflammation and migraines. What I found very interesting is that although my diet has changed, my lab work has remained consistent. </p><p></p><p>I'm working with a Naturopath on this next journey. Somehow, I think there may be a correlation. I guess only time will tell.</p><p></p><p>Thanks for reading.</p></blockquote><p></p>
[QUOTE="Louis, post: 97506, member: 17695"] My E2 is low, Free T is low, SHBG is high, DHT is high, LDL is terrible, and RBC is up. At face value, I think I should address the low E2. My DHT is already high, so I don't think taking more Androgel is really an option. I could increase my HCG from 100iu to150iu daily and hope for some testicular aromatization, but is that really going to bring up my E2 enough? Maybe 500iu e3.5d? Alternatively, my primary is not opposed to me going on Cypionate. Maybe the larger dose could bring up my T, increase aromatase activity and bring up my E2 while possibly raising free T by hopefully being a large enough dose to compensate for SHBG of 66? I am curious though, if I switch to injections would I lose any sexual benefit of the elevated DHT? I suppose I could add more DHEA later in hopes of raising DHT. So much to consider which is why I have just dealt with it. This is quite a bit of information and may seem like I"m complaining. I certainly do not want that to be the undertone of this thread. I feel really good compared to where I was. I don't feel crappy all the time. The sexual issues and superficial things I've mentioned are persistent, but I generally feel pretty good. Having the migraines under control, I really do feel pretty good. It's just the sexual and joint issues that bother me regularly. Not related to TRT, but to complete the migraine picture, I have been on a restricted diet for the last 2 months. I read a post by Nelson a while back regarding food sensitivities and his experience with ALCAT testing. As I looked further into it, I chose to pursue a similar avenue. Ultimately I chose the Mediator Release Testing from Oxford Biomedical. The results indicated that roughly 85% of what I was consuming regularly was something I was moderately or highly reactive to. I have since cut out basically everything and am only eating rice, fats, chicken, pork, and veggies but I am still hitting my 40/30/30 carb/protein/fat macros I always have, but I am just doing it 'intermittent fasting' style by skipping breakfast and eating my first meal at 11am. I am skipping breakfast because I am sensitive to eggs, oats, and wheat (what I basically lived on). This is the second journey I am on but cutting out everything I am sensitive to has cut down drastically on my inflammation and migraines. What I found very interesting is that although my diet has changed, my lab work has remained consistent. I'm working with a Naturopath on this next journey. Somehow, I think there may be a correlation. I guess only time will tell. Thanks for reading. [/QUOTE]
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