TRT after 4 weeks

wolfe

New Member
I started this journey to cure libido and ED issues. I haven't had morning wood in years. Previously, my urologist gave me cialis and a pat on the back; then told me my issues were in my head. Based on the blood work below, is the prolactin, shbg, or E2 causing my issues. This is week 5 of TRT and my issues are still the same.
What is Protein, Total, Serum? Does this test calculate how much protein I ingest? Does it suggest I need to increase my protein intake?

Age = 42

Blood pressure = 112/72

------------------
Blood Test PRE-TRT
------------------
Test............................433..........[ 249 - 836 ]
Free Test.......................11.2.........[ 6.8 - 21.5 ]
DHEA-Sulfate....................105.8........[ 88.9 - 427 ]
Luteinizing Hormone (LH)........4.0..........[ 1.7 - 8.6 ]
PSA.............................0.5..........[ 0 - 4.0 ]
Triiodothyronine,Free,Serum.....3.1..........[ 2.0 - 4.4 ]
Estradiol.......................32.4.........[ 7.6 - 42.6 ]
T4,Free(Direct) ................1.37 ....... [ 0.61 - 1.76 ng/dL ]
TSH ............................1.030........[ 0.450 - 4.500 uIU/mL ]
SHBG............................29...........[ 8 - 48 nmol/L ]
FSH ......... ................5.9..........[ 1.6 - 8.0 mIU/mL ]
Glucose............. 90...........[ 65 - 99 ]

--------------------------------------------
Blood work after 4 weeks of TRT
--------------------------------------------
Blood test was administered on Friday morning BEFORE Friday's injection.

TRT protocol

Test = 150mg per week( 75mg Mon and Friday )

HCG = 350 twice per weeek ( Sunday and Thursday)

ADEX = 3 times per week (.25mg Sun.Wed.Fri. )

Natural throid = took the first week, but chickened-out because of an article I read about T3 shutting down your thyroid.

DHEA = 25mg per day

Vitamin D = 5000 units -> I bought these from costco. Based on test results the product is bogus.

L-Dopa = tried it a few times, didn't feel anything

Fish oils = stopped taking them because I thought they were worsening my condition
--------------------------

Glucose.........................78...........[ 65 - 99 ]

Sex Horm Binding Glob, Serum..... 29.7 nmol/L....... 16.5 - 55.9

Triiodothyronine,Free,Serum .....3.3 pg/mL ..........2.0 - 4.4
.
Vitamin D, 25-Hydroxy ............26.2 Low ng/mL.............. 32.0 - 100.0

Prostate Specific Ag, Serum .....0.6.............. ng/mL... 0.0 - 4.0

Estradiol............... 37.7 pg/mL .....................7.6 - 42.6

Prolactin................ 12.1 ng/mL....................... 4.0 - 15.2

8am Cortisol........... 9.3 ug/dL......................... 2.3 - 19.4

DHEA-Sulfate............ 254.5 ug/dL.................... 88.9 - 427.0

Free Testosterone(Direct)......... 43.1 High pg/mL.....6.8 - 21.5

Testosterone, Serum ...........>1500 High ng/dL.........348 - 1197

LDH 191 IU/L 0-225
Alkaline Phosphatase, S 77 IU/L 25-150
Bilirubin, Total 0.6 mg/dL 0.0-1.2
A/G Ratio 1.3 1.1-2.5
Globulin, Total 2.9 g/dL 1.5-4.5
Albumin, Serum........... 3.8.. g/dL.............. 3.5-5.5
Protein, Total, Serum.......... 6.7 g/dL ..............6.0-8.5
Phosphorus, Serum 3.4 mg/dL 2.5-4.5
Calcium, Serum .........9.0 mg/dL.................. 8.7-10.2
Carbon Dioxide, Total 25 mmol/L 20-32
Chloride, Serum 101 mmol/L 97-108
Potassium, Serum 4.2 mmol/L 3.5-5.2
Sodium, Serum 139 mmol/L 135-145
BUN/Creatinine Ratio 13 9-20
eGFR If Africn Am 65 mL/min/1.73 >59
eGFR If NonAfricn Am 56 Low mL/min/1.73 >59
Creatinine, Serum.............. 1.53 ......High... mg/dL............ 0.76-1.27
BUN 20 mg/dL 6-24
Uric Acid, Serum 7.2 mg/dL 3.7-8.6
Immature Granulocytes 0 % 0-2
Baso (Absolute) 0.0 x10E3/uL 0.0-0.2
Eos (Absolute) 0.3 x10E3/uL 0.0-0.4
Monocytes(Absolute) 0.4 x10E3/uL 0.1-1.0
Lymphs (Absolute) 2.2 x10E3/uL 0.7-4.5
Neutrophils (Absolute) 2.2 x10E3/uL 1.8-7.8
Immature Cells
Basos 1 % 0-3
Eos 5 % 0-7
Monocytes 8 % 4-13
Lymphs 43 % 14-46
Neutrophils 43 % 40-74
Platelets 216 x10E3/uL 140-415
RDW 14.3 % 11.7-15.0 MB
MCHC 32.2 g/dL 32.0-36.0
MCH 29.9 pg 27.0-34.0
MCV 93 fL 80-98
Hematocrit 46.6 % 36.0-50.0
Hemoglobin 15.0 g/dL 12.5-17.0
RBC 5.01 x10E6/uL 4.10-5.60
WBC 5.1 x10E3/uL 4.0-10.5
Avg.Risk 5.0 4.4
2X Avg.Risk 9.6 7.1
1/2 Avg.Risk 3.4 3.3
T. Chol/HDL Ratio
Men Women
3X Avg.Risk 23.4 11.0
diabetes, severe obesity, and family history of premature
CHD.
factors affect CHD Risk such as hypertension, smoking,
.
The CHD Risk is based on the T. Chol/HDL ratio. Other
Estimated CHD Risk 0.5 times avg. 0.0-1.0
T. Chol/HDL Ratio........ 3.5... ratio units...... 0.0 - 5.0
LDL Cholesterol Calc....... 114.......... High ...........mg/dL .........0-99
VLDL Cholesterol Cal 9 mg/dL 5-40
According to ATP-III Guidelines, HDL-C >59 mg/dL is considered a
negative risk factor for CHD.
HDL Cholesterol........... 49 mg/dL........... >39
Triglycerides.......... 46........ mg/dL..... 0 - 149
Cholesterol, Total............. 172 mg/dL ...............100 - 199

Iron, Serum ...............71 ug/dL.................. 40-155
ALT (SGPT) 26 IU/L 0-55
AST (SGOT) 31 IU/L 0-40
Immature Grans (Abs) 0.0 x10E3/uL 0.0-0.1
 
I don't understand why you would have even started TRT with the pre TRT numbers that you had. Even if you did start TRT, why would you begin at such a high dose considering your total and free T values. I agree that they were a little low, but you should have at least had another blood test to see how much day to day variation there was.

Why did you automatically start on HCG and an AI before even knowing what you would get to with 150mg of T. I think that even the 150mg of T alone was too high with the total T you had before TRT. If you are still contemplating having children then I can understand the HCG, but otherwise I don't.

Taking DHEA is another problem. When the male body has sufficient total T then DHEA is mostly converted to E2 and not T. If you intend to stay on TRT then I would cut the T to 75 or 100 mg per week, eliminate or cut back on the HCG and definitely eliminate the Adex and DHEA. That is just my opinion. When I started TRT, I was also taking DHEA and my E2 shot up above the upper limit. Investigation of studies on men taking DHEA, I realized that I was just converting the DHEA to E2. I stopped the DHEA and my E2 dropped back down. If you are on TRT and your E2 is too high, it simply means that you are getting your total T higher than your body thinks it needs and it is converting it to E2. If you get your total T to where your body is happy then you won't need an AI.
 
seems you took an illogical route to try to treat libido and erection issues

your testosterone was normal, yet you went on trt
 
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