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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Basics & Questions
TRT and Gout questions
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<blockquote data-quote="FLmale" data-source="post: 97333" data-attributes="member: 14280"><p><span style="font-size: 10px">In the wee hours on Valentines day morning I woke to a surprise and no, it was not what I was I hoping for... It was my big toe aching like someone had hit it with a red hot poker.</span><img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite4" alt=":mad:" title="Mad :mad:" loading="lazy" data-shortname=":mad:" /><span style="font-size: 10px"> Long story short, I have Gout and can't for the life of me figure out what triggered it. </span>&#8203;I eat pretty clean, not too much sugar or fast foods. May have 2 beers at dinner once a week or may go a month and not have a beer; no liquor, wine or illegal drugs. I'm 5'11" and 190lbs, I am in the gym 5-days a week, probably >20% body fat, not skinny but can see my abs. Kidney function is good but not great. I'm in my early 50's and have a sibling that has had gout. I do a lot of running, box jumps, squats and what not in the gym so I do bang my feet up more then average so there is that.</p><p><span style="font-size: 10px"></span></p><p><span style="font-size: 10px">I have been on TRT for several years with good results. About 12 months ago HCG @ 40 Units 2x weekly was added to my protocol of Testosterone Cypionate 200MG/ML @ .2ML 2x weekly. That worked well but my Free T was lower and my SHBG higher then my Dr. liked so in January he increased the Testosterone Cypionate 200MG/ML to .4ML 2x weekly, </span> HCG @ 50 Units 2x weekly <span style="font-size: 10px">and added Stinging Nettle Root Extract 250mg x2 daily in an attempt to lower SHBG.<em> I only started taking the SNR about two weeks ago</em>. </span></p><p><span style="font-size: 10px"></span></p><p>Prior to January adjustment my test results.</p><p></p><p></p><p>DHEA-Sulfate</p><p>242.0 NORMAL</p><p>Reference Range: 71.6-375.4 ug/dL</p><p></p><p>Luteinizing Hormone(LH), S</p><p>0.1 LOW</p><p>Reference Range: 1.7-8.6 mIU/mL</p><p></p><p></p><p>Sex Horm Binding Glob, Serum</p><p>65.0NORMAL</p><p>Reference Range: 19.3-76.4 nmol/L</p><p></p><p>Testosterone,Free and Total</p><p>Testosterone, Serum</p><p>431 NORMAL</p><p>Reference Range: 264-916 ng/dL</p><p></p><p></p><p>Free Testosterone(Direct)</p><p>7.6 NORMAL</p><p></p><p>Uric Acid, Serum</p><p>5.3 NORMAL</p><p></p><p>All other blood work results were NORMAL, I don't have any test results since then except for Uric Acid, Serum which was taken during the gout flare and it was 5.7 </p><p><span style="font-size: 10px"></span></p><p><span style="font-size: 10px">My gut feeling is that my gout episode may have been caused by dehydration, I have read that HCG and Nettle Root are both diuretics. </span>I do drink a lot of H2o and include BCAA's in post-workout but I am going to drink even more H2o going forward. I am also going to work on a converting to a mostly plant based whole food diet as I feel it will be a good fit for me.</p><p><span style="font-size: 10px"></span></p><p><span style="font-size: 10px">Any thoughts on what I should do? </span></p><p><span style="font-size: 10px"></span></p><p><span style="font-size: 10px">Leave Testosterone and HCG dosage as is?</span></p><p><span style="font-size: 10px"></span>Cut out Nettle Root?</p><p><span style="font-size: 10px">Reduce Nettle Root?</span></p><p><span style="font-size: 10px">Cut back to former levels on Testosterone and HCG?</span></p><p><span style="font-size: 10px">Cut back to former level on HCH and leave Testosterone at .4?</span></p><p><span style="font-size: 10px"></span></p><p><span style="font-size: 10px">Any other words of wisdom? </span></p><p><span style="font-size: 10px"></span></p><p><span style="font-size: 10px"></span>Anyone unfamiliar with gout can go here for more information. <a href="https://www.mayoclinic.org/diseases-conditions/gout/symptoms-causes/syc-20372897" target="_blank">https://www.mayoclinic.org/diseases-conditions/gout/symptoms-causes/syc-20372897</a><span style="font-size: 10px"></span></p><p><span style="font-size: 10px"></span></p><p><span style="font-size: 10px"></span></p></blockquote><p></p>
[QUOTE="FLmale, post: 97333, member: 14280"] [SIZE=2]In the wee hours on Valentines day morning I woke to a surprise and no, it was not what I was I hoping for... It was my big toe aching like someone had hit it with a red hot poker.[/SIZE]:mad:[SIZE=2] Long story short, I have Gout and can't for the life of me figure out what triggered it. [/SIZE]​I eat pretty clean, not too much sugar or fast foods. May have 2 beers at dinner once a week or may go a month and not have a beer; no liquor, wine or illegal drugs. I'm 5'11" and 190lbs, I am in the gym 5-days a week, probably >20% body fat, not skinny but can see my abs. Kidney function is good but not great. I'm in my early 50's and have a sibling that has had gout. I do a lot of running, box jumps, squats and what not in the gym so I do bang my feet up more then average so there is that. [SIZE=2] I have been on TRT for several years with good results. About 12 months ago HCG @ 40 Units 2x weekly was added to my protocol of Testosterone Cypionate 200MG/ML @ .2ML 2x weekly. That worked well but my Free T was lower and my SHBG higher then my Dr. liked so in January he increased the Testosterone Cypionate 200MG/ML to .4ML 2x weekly, [/SIZE] HCG @ 50 Units 2x weekly [SIZE=2]and added Stinging Nettle Root Extract 250mg x2 daily in an attempt to lower SHBG.[I] I only started taking the SNR about two weeks ago[/I]. [/SIZE] Prior to January adjustment my test results. DHEA-Sulfate 242.0 NORMAL Reference Range: 71.6-375.4 ug/dL Luteinizing Hormone(LH), S 0.1 LOW Reference Range: 1.7-8.6 mIU/mL Sex Horm Binding Glob, Serum 65.0NORMAL Reference Range: 19.3-76.4 nmol/L Testosterone,Free and Total Testosterone, Serum 431 NORMAL Reference Range: 264-916 ng/dL Free Testosterone(Direct) 7.6 NORMAL Uric Acid, Serum 5.3 NORMAL All other blood work results were NORMAL, I don't have any test results since then except for Uric Acid, Serum which was taken during the gout flare and it was 5.7 [SIZE=2] My gut feeling is that my gout episode may have been caused by dehydration, I have read that HCG and Nettle Root are both diuretics. [/SIZE]I do drink a lot of H2o and include BCAA's in post-workout but I am going to drink even more H2o going forward. I am also going to work on a converting to a mostly plant based whole food diet as I feel it will be a good fit for me. [SIZE=2] Any thoughts on what I should do? Leave Testosterone and HCG dosage as is? [/SIZE]Cut out Nettle Root? [SIZE=2]Reduce Nettle Root? Cut back to former levels on Testosterone and HCG? Cut back to former level on HCH and leave Testosterone at .4? Any other words of wisdom? [/SIZE]Anyone unfamiliar with gout can go here for more information. [URL]https://www.mayoclinic.org/diseases-conditions/gout/symptoms-causes/syc-20372897[/URL][SIZE=2] [/SIZE] [/QUOTE]
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