I recently joined this forum and would like feedback before starting TRT optimization.
About Me:
- Demographics: 50M, 5'8", 167 lbs (morning fasted weight), ~15% body fat (DEXA)
- Lifestyle: Non-smoker (rare social use), zero alcohol, active with consistent 4-day training splits and ~10k daily steps. Currently optimizing nutrition and sleep.
- Symptoms: Afternoon fatigue (3–5 PM), slow exercise recovery, difficulty achieving progressive overload, occasional brain fog, and lower overall energy. Morning erections occur approximately 7 out of 10 days.
Despite lifestyle improvements over the past year, these symptoms persist. Based on my research, many men with similar profiles find success with daily/EOD injections or compounded scrotal cream to support energy, mental clarity, and muscle preservation.
Recent Lab Results (highest of 6 tests this year).
- Total Testosterone: 19.1 nmol/L (551 ng/dL)
- Free Testosterone: 460 pmol/L (132.6 pg/mL / 13.3 ng/dL)
- SHBG: 29 nmol/L
- Estradiol: 126 pmol/L (34.3 pg/mL)
- FSH: 1 IU/L
- Hematocrit: 45%
- PSA: 0.80 ng/mL
My protocol/stack:
- Creatine
- Multi vits (Thorne 2/day)
- Fish oil
- Tadalafil 5mg (pumps
)
- Compounded melatonin 3mg (amazing)
- Magnesium Glycinate
- (DHEA/Preg) - script ready but not started
- Theanine
- B12
I am considering moving forward with treatment, but I would greatly appreciate any insights or opinions from this community regarding my numbers and next steps.
Thank you in advance for your time and advice.
About Me:
- Demographics: 50M, 5'8", 167 lbs (morning fasted weight), ~15% body fat (DEXA)
- Lifestyle: Non-smoker (rare social use), zero alcohol, active with consistent 4-day training splits and ~10k daily steps. Currently optimizing nutrition and sleep.
- Symptoms: Afternoon fatigue (3–5 PM), slow exercise recovery, difficulty achieving progressive overload, occasional brain fog, and lower overall energy. Morning erections occur approximately 7 out of 10 days.
Despite lifestyle improvements over the past year, these symptoms persist. Based on my research, many men with similar profiles find success with daily/EOD injections or compounded scrotal cream to support energy, mental clarity, and muscle preservation.
Recent Lab Results (highest of 6 tests this year).
- Total Testosterone: 19.1 nmol/L (551 ng/dL)
- Free Testosterone: 460 pmol/L (132.6 pg/mL / 13.3 ng/dL)
- SHBG: 29 nmol/L
- Estradiol: 126 pmol/L (34.3 pg/mL)
- FSH: 1 IU/L
- Hematocrit: 45%
- PSA: 0.80 ng/mL
My protocol/stack:
- Creatine
- Multi vits (Thorne 2/day)
- Fish oil
- Tadalafil 5mg (pumps
- Compounded melatonin 3mg (amazing)
- Magnesium Glycinate
- (DHEA/Preg) - script ready but not started
- Theanine
- B12
I am considering moving forward with treatment, but I would greatly appreciate any insights or opinions from this community regarding my numbers and next steps.
Thank you in advance for your time and advice.
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