rdrg-queiroz
New Member
Hey guys,
Looking for some advice on my TRT protocol. I'm 21, had testicular cancer last year (orchiectomy + chemo, now in remission). Been on TRT for about 3 months, trying to dial it in since I'm still having issues.
Here's the situation:
Complaint: Zero libido, some anhedonia, water retention.
Protocol: 62.5mg Sustanon E3.5D (so 125mg/week), plus 500 IU HCG twice weekly (1000 IU total).
Labs (trough, 12h pre-injection):
- Total T: 921 ng/dL
- Free T: 294 pg/mL
- E2: 68 pg/mL
- SHBG: 15.9 nmol/L
- Prolactin: 12 ng/mL
- TSH: 2,49 mcUI/mL
- T4: 1,32 ng/dL
- T3: 133 ng/dL
- HCT: 53.3%
Background:
Tried Clomid initially, crashed hard with emotional sides and libido. HCG monotherapy didn't do much. Now on TRT + HCG, but libido is still MIA. Doc isn't super knowledgeable about TRT nuances, so I'm trying to figure this out myself.
My Thoughts:
I'm thinking my low SHBG is causing issues. The Sustanon is a blend of short and medium esters, so I'm probably spiking and crashing hard. My E2 seems high relative to my SHBG, even though Total T isn't crazy high.
The Question:
Given the low SHBG and high E2, does it make sense to switch to more frequent injections (EOD or daily) with a lower overall dose to stabilize things? Any other suggestions on how to dial this in and get my libido back? Also, any thoughts on the HCG dose?
Thanks in advance for any input!
Looking for some advice on my TRT protocol. I'm 21, had testicular cancer last year (orchiectomy + chemo, now in remission). Been on TRT for about 3 months, trying to dial it in since I'm still having issues.
Here's the situation:
Complaint: Zero libido, some anhedonia, water retention.
Protocol: 62.5mg Sustanon E3.5D (so 125mg/week), plus 500 IU HCG twice weekly (1000 IU total).
Labs (trough, 12h pre-injection):
- Total T: 921 ng/dL
- Free T: 294 pg/mL
- E2: 68 pg/mL
- SHBG: 15.9 nmol/L
- Prolactin: 12 ng/mL
- TSH: 2,49 mcUI/mL
- T4: 1,32 ng/dL
- T3: 133 ng/dL
- HCT: 53.3%
Background:
Tried Clomid initially, crashed hard with emotional sides and libido. HCG monotherapy didn't do much. Now on TRT + HCG, but libido is still MIA. Doc isn't super knowledgeable about TRT nuances, so I'm trying to figure this out myself.
My Thoughts:
I'm thinking my low SHBG is causing issues. The Sustanon is a blend of short and medium esters, so I'm probably spiking and crashing hard. My E2 seems high relative to my SHBG, even though Total T isn't crazy high.
The Question:
Given the low SHBG and high E2, does it make sense to switch to more frequent injections (EOD or daily) with a lower overall dose to stabilize things? Any other suggestions on how to dial this in and get my libido back? Also, any thoughts on the HCG dose?
Thanks in advance for any input!
