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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Basics & Questions
Secondary vs. Primary (Should protocols be different?)
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<blockquote data-quote="Xerxes" data-source="post: 30458" data-attributes="member: 5563"><p>Hi all,</p><p> So i have had (as many here have) ups and downs and a bit of a roller coaster ride on my 7+ month TRT journey. Current protocol is 40MG cypionate MWF and very small doses (1/8mg) of arimidex as needed by symptoms.</p><p> When my lows are there, my libido and erectile function arr really bad and my anxiety and insomnia come bad. I've been steady on the above protocol since late summer. My most recent blood work from October showed great T numbers, both free and total. E2 was good (maybe lowish, but considering my SHBG and that I was feeling pretty good at the time I figured it was okay for me, but I stopped taking te Arimidex then for a while (probably laid off for a month).</p><p></p><p><strong>Oct 12 2015</strong></p><p>Total 949 range 290-836</p><p>free 288 range 30-150 </p><p>SHBG 16 - range 10-57</p><p>e2 14.52-7.02-49.06 (ultra sensitive)</p><p>FSH and LH were zero as to be expected.</p><p></p><p>I finally dug around and found the original numbers my doctor pulled (he had only told me about the total T numbers). These are from <strong>5/1/2015 BEFORE Starting TRT (same ranges as above)</strong></p><p><strong></strong></p><p><strong></strong></p><p><strong></strong></p><p><strong></strong>total 289 range 290-836</p><p>free 61.65 range 30-150 </p><p>SHBG 24 - range 10-57</p><p>e2 NOT TESTES-7.02-49.06 (ultra sensitive)</p><p>FSH 2.6 range 1.5-12.4</p><p>LH 2.2 - 1.7-8.6</p><p></p><p>I had never seen my original LH or FSH numbers. From what I can research that means I am secondary rather than primary (i.e. its my pituitary or hypothalamus rather than my testes). Is this better or worse? Does it require any different protocol? Would a restart be more likely to work for secondary guys?</p><p></p><p>I am actually going to my primary today at the urging of my wife to see about maybe starting an SSRI (again) to see if that can help with my mental health. She also thinks it might make sense to try a restart or maybe stop the T therapy. The highs and lows in my mental state, anxiety levels, libido, etc. are getting to both of us.</p><p></p><p>The frustrating part is that there are stretches when I feel like a new man, and then other times when I feel crazy anxious with no libido and just plain awful. </p><p></p><p>I am going to see my urologist, who is managing my TRT on Jan 19th. I think I might ask him to draw the necessary blood work that DEFY wants and at least have a consult with them.</p><p></p><p>I am just not show what else they could do for my protocol...NOt sure I want to try HCG b/c I seem to respond so poorly to elevated E2. Any suggestions or insight?</p></blockquote><p></p>
[QUOTE="Xerxes, post: 30458, member: 5563"] Hi all, So i have had (as many here have) ups and downs and a bit of a roller coaster ride on my 7+ month TRT journey. Current protocol is 40MG cypionate MWF and very small doses (1/8mg) of arimidex as needed by symptoms. When my lows are there, my libido and erectile function arr really bad and my anxiety and insomnia come bad. I've been steady on the above protocol since late summer. My most recent blood work from October showed great T numbers, both free and total. E2 was good (maybe lowish, but considering my SHBG and that I was feeling pretty good at the time I figured it was okay for me, but I stopped taking te Arimidex then for a while (probably laid off for a month). [B]Oct 12 2015[/B] Total 949 range 290-836 free 288 range 30-150 SHBG 16 - range 10-57 e2 14.52-7.02-49.06 (ultra sensitive) FSH and LH were zero as to be expected. I finally dug around and found the original numbers my doctor pulled (he had only told me about the total T numbers). These are from [B]5/1/2015 BEFORE Starting TRT (same ranges as above) [/B]total 289 range 290-836 free 61.65 range 30-150 SHBG 24 - range 10-57 e2 NOT TESTES-7.02-49.06 (ultra sensitive) FSH 2.6 range 1.5-12.4 LH 2.2 - 1.7-8.6 I had never seen my original LH or FSH numbers. From what I can research that means I am secondary rather than primary (i.e. its my pituitary or hypothalamus rather than my testes). Is this better or worse? Does it require any different protocol? Would a restart be more likely to work for secondary guys? I am actually going to my primary today at the urging of my wife to see about maybe starting an SSRI (again) to see if that can help with my mental health. She also thinks it might make sense to try a restart or maybe stop the T therapy. The highs and lows in my mental state, anxiety levels, libido, etc. are getting to both of us. The frustrating part is that there are stretches when I feel like a new man, and then other times when I feel crazy anxious with no libido and just plain awful. I am going to see my urologist, who is managing my TRT on Jan 19th. I think I might ask him to draw the necessary blood work that DEFY wants and at least have a consult with them. I am just not show what else they could do for my protocol...NOt sure I want to try HCG b/c I seem to respond so poorly to elevated E2. Any suggestions or insight? [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Basics & Questions
Secondary vs. Primary (Should protocols be different?)
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