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Testosterone Replacement, Low T, HCG, & Beyond
Blood Test Discussion
Seven and One-Half Weeks on TRT After Clomid Failure
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<blockquote data-quote="JakeH" data-source="post: 69318" data-attributes="member: 14326"><p><span style="color: #333333">Tried a clomid restart with Defy, due to poor protocol with prior Dr., then returned to TRT with Defy, and I am now planning to drop the AI for the next round of blood work, as taking it makes me feel bad. I think I have plenty of upward room, considering 7 doses of 0.20AI had E2@25.5 at trough. </span></p><p><span style="color: #333333"></span></p><p><span style="color: #333333">Overall, I feel good, but I am having a tinge of anxiety 12-24 hours after each shot and trouble sleeping. Question: I wonder if I should lower my Test CYP dose after my 90day blood work and consult to bring the trough down a bit, in order to see if the anxiety and sleep issues are related to high peaks?</span></p><p></p><p><span style="color: #333333">Age: 40</span></p><p><span style="color: #333333">Height 73.5"</span></p><p><span style="color: #333333">Weight 192</span></p><p><span style="color: #333333">Daily supplements: </span></p><p><span style="color: #333333">Cialis </span><span style="color: #333333"></span></p><p><span style="color: #333333"></span></p><p><span style="color: #333333">I switched to Defy Medical on January 11th for two reasons: 1) my doctor required in-office shots, which prevented dosages every 3.5 days; 2) he would not entertain the idea of multiple shots to prevent my 48-72hr spike that led to my feeling awful every week, with pronounced redness from my nipples to my ears; sweating, ED resistant to higher doses of Cialis and Viagra. So, I felt crazy for three days each week.</span></p><p></p><p><span style="color: #333333">I met with Defy on Jan 11th, and I was told I could give a Clomid Restart a shot if I wanted to, though my chance of success is less than 50% due to age, past injuries, etc. </span></p><p><span style="color: #333333"></span></p><p><span style="color: #333333"></span>Clomid did raise my numbers, but I felt horrible mentally and physically, so I switched back to TRT/HCG/AI on Feb 28th, 2017. </p><p></p><p>Here are latest results from <strong>7.5 weeks of 2x per week 80mg Test Cyp/350 HCG/with 0.20 AI</strong> the last 3.5 weeks (note: I was told to wait a few weeks to start the AI to give my E2 a chance to rise after it being so low during the Clomid/AI challenge, and I forgot to take it until week 4, because I was feeling good and erections were strong on 5mg Cialis. I did not like the AI side effects, however:numb penis, moods, more anxiety and higher doses of Cialis required). </p><p></p><p><strong>Blood Draw at 8:30 AM 14 April 2017 (Trough)</strong></p><p>Total Test____1130 ng/dL 348 - 1197</p><p>Free ________22.3 pg/mL 6.8 - 21.5 [lower at this age?]</p><p>E2 Sensitive __25.5 pg/mL 8.0 - 35.0</p><p></p><p><strong>PRE-TRT </strong></p><p>Total Test________232 ng/dL 348 - 1197</p><p>Free ____________3.3 pg/mL 8.7 - 25.1</p><p>E2 non-Sensitive __39 pg/mL <59</p><p>LH _____________3.3 miU/ml REF: 0.8 to 7.6 <<<different range>>></p><p>SHBG___________49.6</p><p></p><p><span style="color: #333333"><strong>1x per week 150mg Cyp, 500HCG (23Sep-Nov7 2016)</strong></span></p><p><span style="color: #333333"></span>Total Test________433ng/dL 348 - 1197</p><p>Free ____________7.6 pg/mL 8.7 - 25.1</p><p>E2 non-Sensitive __42 pg/mL <59</p><p>SHBG___________42.6</p><p><span style="color: #333333"></span></p><p><span style="color: #333333"></span><strong><span style="color: #333333">1x per week 170mg CYP,500hcg (Nov7-Jan9 2017)</span></strong></p><p></p><p>Total Test________979 ng/dL 348 - 1197</p><p>Free ____________20.5 pg/mL 8.7 - 25.1</p><p>E2 non-Sensitive __46 pg/mL <59</p><p>SHBG___________39.6</p><p></p><p><strong><u>Restart Attempt</u></strong></p><p><strong></strong><span style="color: #333333">Begin HCG (300ui) daily x 14 days on 23 Jan</span><strong></strong></p><p><strong>Day 14 HCG 300iu Daily</strong></p><p>Total Test____325 ng/dL 348 - 1197</p><p>Free ________6.6 pg/mL 8.7 - 25.1</p><p>E2 Sensitive __10.6 pg/mL 8.0 - 35.0</p><p></p><p></p><p><strong>Begin CLOMID:</strong></p><p><strong>Day 14 of Clomid ED 25mg Clomid/0.22AI compounded</strong></p><p>Total Test____544 ng/dL 348 - 1197</p><p>Free ________9.4 pg/mL 8.7 - 25.1</p><p>E2 Sensitive __10.8 pg/mL 8.0 - 35.0</p><p>LH __________8.7 miU/ml HIGH REF: 1.7 to 8.6</p><p></p><p><strong>Day 22 of Clomid (last pill on day 20) 25mg Clomid/0.22AI compounded</strong></p><p>Total Test_____639 ng/dL 348 - 1197</p><p>Free _________13.4 pg/mL 8.6 - 25.1</p><p>E2 Sensitive ___20 pg/mL 8.0 - 35.0</p><p>LH __________9.6 miU/ml HIGH REF: 1.7 to 8.6</p><p></p><p></p><p></p><p></p><p></p><p></p><p></p><p></p><p></p><p></p><p></p><p></p><p></p><p></p><p><span style="color: #333333"></span></p><p><span style="color: #333333"></span></p></blockquote><p></p>
[QUOTE="JakeH, post: 69318, member: 14326"] [COLOR=#333333]Tried a clomid restart with Defy, due to poor protocol with prior Dr., then returned to TRT with Defy, and I am now planning to drop the AI for the next round of blood work, as taking it makes me feel bad. I think I have plenty of upward room, considering 7 doses of 0.20AI had E2@25.5 at trough. Overall, I feel good, but I am having a tinge of anxiety 12-24 hours after each shot and trouble sleeping. Question: I wonder if I should lower my Test CYP dose after my 90day blood work and consult to bring the trough down a bit, in order to see if the anxiety and sleep issues are related to high peaks?[/COLOR] [COLOR=#333333]Age: 40[/COLOR] [COLOR=#333333]Height 73.5"[/COLOR] [COLOR=#333333]Weight 192[/COLOR] [COLOR=#333333]Daily supplements: [/COLOR] [COLOR=#333333]Cialis [/COLOR][COLOR=#333333] I switched to Defy Medical on January 11th for two reasons: 1) my doctor required in-office shots, which prevented dosages every 3.5 days; 2) he would not entertain the idea of multiple shots to prevent my 48-72hr spike that led to my feeling awful every week, with pronounced redness from my nipples to my ears; sweating, ED resistant to higher doses of Cialis and Viagra. So, I felt crazy for three days each week.[/COLOR] [COLOR=#333333]I met with Defy on Jan 11th, and I was told I could give a Clomid Restart a shot if I wanted to, though my chance of success is less than 50% due to age, past injuries, etc. [/COLOR]Clomid did raise my numbers, but I felt horrible mentally and physically, so I switched back to TRT/HCG/AI on Feb 28th, 2017. Here are latest results from [B]7.5 weeks of 2x per week 80mg Test Cyp/350 HCG/with 0.20 AI[/B] the last 3.5 weeks (note: I was told to wait a few weeks to start the AI to give my E2 a chance to rise after it being so low during the Clomid/AI challenge, and I forgot to take it until week 4, because I was feeling good and erections were strong on 5mg Cialis. I did not like the AI side effects, however:numb penis, moods, more anxiety and higher doses of Cialis required). [B]Blood Draw at 8:30 AM 14 April 2017 (Trough)[/B] Total Test____1130 ng/dL 348 - 1197 Free ________22.3 pg/mL 6.8 - 21.5 [lower at this age?] E2 Sensitive __25.5 pg/mL 8.0 - 35.0 [B]PRE-TRT [/B] Total Test________232 ng/dL 348 - 1197 Free ____________3.3 pg/mL 8.7 - 25.1 E2 non-Sensitive __39 pg/mL <59 LH _____________3.3 miU/ml REF: 0.8 to 7.6 <<<different range>>> SHBG___________49.6 [COLOR=#333333][B]1x per week 150mg Cyp, 500HCG (23Sep-Nov7 2016)[/B] [/COLOR]Total Test________433ng/dL 348 - 1197 Free ____________7.6 pg/mL 8.7 - 25.1 E2 non-Sensitive __42 pg/mL <59 SHBG___________42.6 [COLOR=#333333] [/COLOR][B][COLOR=#333333]1x per week 170mg CYP,500hcg (Nov7-Jan9 2017)[/COLOR][/B] Total Test________979 ng/dL 348 - 1197 Free ____________20.5 pg/mL 8.7 - 25.1 E2 non-Sensitive __46 pg/mL <59 SHBG___________39.6 [B][U]Restart Attempt[/U] [/B][COLOR=#333333]Begin HCG (300ui) daily x 14 days on 23 Jan[/COLOR][B] Day 14 HCG 300iu Daily[/B] Total Test____325 ng/dL 348 - 1197 Free ________6.6 pg/mL 8.7 - 25.1 E2 Sensitive __10.6 pg/mL 8.0 - 35.0 [B]Begin CLOMID:[/B] [B]Day 14 of Clomid ED 25mg Clomid/0.22AI compounded[/B] Total Test____544 ng/dL 348 - 1197 Free ________9.4 pg/mL 8.7 - 25.1 E2 Sensitive __10.8 pg/mL 8.0 - 35.0 LH __________8.7 miU/ml HIGH REF: 1.7 to 8.6 [B]Day 22 of Clomid (last pill on day 20) 25mg Clomid/0.22AI compounded[/B] Total Test_____639 ng/dL 348 - 1197 Free _________13.4 pg/mL 8.6 - 25.1 E2 Sensitive ___20 pg/mL 8.0 - 35.0 LH __________9.6 miU/ml HIGH REF: 1.7 to 8.6 [COLOR=#333333] [/COLOR] [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Blood Test Discussion
Seven and One-Half Weeks on TRT After Clomid Failure
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