TRT Dilemma

Smokin Joe

Active Member
Ok folks as the title refelcts I am having issuses starting TRT again due to a shaky start. My Total T has been running around 480-500 and my free T 5.9-6.9. The best it has ever been was back in 2007 when I was injecting 200mg cyponate twice monthly. My total T was over 700 and my free was above 2.0. Felt great. My doctor at the time dropped my dosage back to 50mg/.5cc injectable and my total t tanked to a low of 230. I backed off of using T to any real degree but I feel like crap.
With all of that said I am seeing an Endo now who has perscribed me Axiron, 30mg daily. She is treating me for low free T as she is concerned about bone loss over time. I approched her about the use of HCG along with the Axiron-she would not touch it. She says that HCG is used for fertility issues and is not necessary. I see various opinions on EXCELMALE and I tend to believe that it would be benificial to add HCG. Though I have had a vysectomy and do not plan on anymore children at my age (54) I am concerned about testicular shrikage over time and the possibility of keeping them alive if i were to have to stop TRT.
I have read in one of Nelsons articles that Gels will raise DHT and this is also a concern as it affects prostate issues.
I know that TRT offers a better quality of life but I want to do it right this time. While using my insurance to pay for my T, is there a way that a guy can add HCG at some point even if his DOc says no. I do my own bloodwork most of the time as I leave nothing to chance.

As always I appreciate your input and thanks again for a great site.
 

hCG Mixing Calculator

HCG Mixing Protocol Calculator

TRT Hormone Predictor Widget

TRT Hormone Predictor

Predict estradiol, DHT, and free testosterone levels based on total testosterone

⚠️ Medical Disclaimer

This tool provides predictions based on statistical models and should NOT replace professional medical advice. Always consult with your healthcare provider before making any changes to your TRT protocol.

ℹ️ Input Parameters

Normal range: 300-1000 ng/dL

Predicted Hormone Levels

Enter your total testosterone value to see predictions

Results will appear here after calculation

Understanding Your Hormones

Estradiol (E2)

A form of estrogen produced from testosterone. Important for bone health, mood, and libido. Too high can cause side effects; too low can affect well-being.

DHT

Dihydrotestosterone is a potent androgen derived from testosterone. Affects hair growth, prostate health, and masculinization effects.

Free Testosterone

The biologically active form of testosterone not bound to proteins. Directly available for cellular uptake and biological effects.

Scientific Reference

Lakshman KM, Kaplan B, Travison TG, Basaria S, Knapp PE, Singh AB, LaValley MP, Mazer NA, Bhasin S. The effects of injected testosterone dose and age on the conversion of testosterone to estradiol and dihydrotestosterone in young and older men. J Clin Endocrinol Metab. 2010 Aug;95(8):3955-64.

DOI: 10.1210/jc.2010-0102 | PMID: 20534765 | PMCID: PMC2913038

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