Starting HRT help!

[cymru87]

Hey everyone,

Some stats about myself:

25 year old male, 8-10% bf, 6'2 180 pounds, athletic, never used steroids or any test boosters.

DHT: 20 ng/dL Range:30-85
Estradiol: 37.6 pg/mL Range: 7.6-42.6
Total Estrogen: 95 pg/mL Range:40-115
Estrone Serum: 60 pg/mL Range: 12-72
Estriol Serum: <0.3
Free weakly bound test: 23.8% Range: 9.0-46.0
Free and weekly bound test: 53.8 ng/dL Range: 40-250
LH: 2.7 mIU/mL Range: 1.7-8.6
FSH: 1.9 mIU/mL Range: 1.5-12.4
Prolactin: 6.6 ng/mL Range: 4.0-15.2
Hemoglobin 16.2 g/dL Range: 12.6-17.7
Total Test: 180 Range: 348-1197

I have had and MRI as well as a few different genetic tests to rule out tumors or genetic issues. I took propecia for a couple of years, so I am assuming that might be the cause of my low test, as well as DHT levels.

I have seen 2 different endocrinologists, both of whom refuse to let me take any anti estrogen, or hcg shots. My most recent doc put me on 200 mg of cypionate every 2 weeks. I am able to give myself injections at home, but I haven't started yet. After doing tons of reading about people saying you should inject every week or 10 days, and that to prevent conversion of test to estrogen you should be on an estrogen blocker, and to prevent your testicles from shrinking you should be on hcg....it makes me not even want to inject myself. I guess I could keep spending more time to look for additional endocrinologists who will give me what I want, but at the same time its a pain in the ass. There aren't a ton of endocrinologists in my area, and from what I have heard, it's not normal practice to prescribe hcg and anti estrogen to go along with test. I am extremely fatigued all the time, as well as have a low sex drive, and I would like to feel normal again. What should i do? Should I go behind my doctors back and order myself adex or something? Or should I just try it his way and hope for the best? I would prefer not to have bitch tits, and then try to correct it later. My doctor said that with all the patients he has had, that he rarely sees any breast enlargement.

Any help would be appreciated,

Thanks.



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[HRTstudent]

Ok, let's start with a few things.

First of all, please edit your post and insert the ranges for the tests you took. Numbers without ranges don't help that much.

Secondly, most endocrinologists know very little about male testosterone replacement. They are primarily diabetes doctors by a HUGE margin. Thyroid comes next and somewhere down the road, very far, far far away they know about TRT. As a rule, we avoid endo's because, as a group, they don't treat for quality of life, nor do they know much about TRT. Common tools of the TRT trade are typically used by urlogists and internists who specifically go after the low T population. TRT is not taught to any meaningful degree in standard medical training.

Next, 2 week injection protocols are old. They are inferior 99% of the time. Quite the contrary, most good modern doctors are actually injecting twice PER WEEK. This gives you smaller peaks and higher troughs - i.e. more stable levels. Talk to your doctor about this, if you bother going back. I recommend you find a true expert in male TRT to save yourself time, money, aggravation.

Finally, what are your goals for TRT?

What else are you doing to improve your health and mental well-being, if anything?

[cymru87]

Ok, let's start with a few things.

First of all, please edit your post and insert the ranges for the tests you took. Numbers without ranges don't help that much.

Secondly, most endocrinologists know very little about male testosterone replacement. They are primarily diabetes doctors by a HUGE margin. Thyroid comes next and somewhere down the road, very far, far far away they know about TRT. As a rule, we avoid endo's because, as a group, they don't treat for quality of life, nor do they know much about TRT. Common tools of the TRT trade are typically used by urlogists and internists who specifically go after the low T population. TRT is not taught to any meaningful degree in standard medical training.

Next, 2 week injection protocols are old. They are inferior 99% of the time. Quite the contrary, most good modern doctors are actually injecting twice PER WEEK. This gives you smaller peaks and higher troughs - i.e. more stable levels. Talk to your doctor about this, if you bother going back. I recommend you find a true expert in male TRT to save yourself time, money, aggravation.

Finally, what are your goals for TRT?

What else are you doing to improve your health and mental well-being, if anything?

Thanks for replying.

I edited my post, so that the ranges are there now. And if most endocrinologists don't know about testosterone replacement, how am I supposed to better my situation? How does one find an "expert in male TRT"? I have seen two doctors already, and I am afraid if I take the huge amount of time it takes to find another doctor, that he will end up telling me the same thing, and not prescribe me what I think I need. Would a urologist be a better route? I have talked to my doctor extensively, he literally told me "I do not feel comfortable prescribing you an anti estrogen, or HCG, while on testosterone." He said he likes to do everything by the book, which actually isn't very comforting. I would prefer to be proactive and not have to worry about my balls shriveling up, or growing man boobs.

My goals for TRT are to improve my life all around. In terms of having my fatigue go away, having a normal sex drive again, have mental clarity and to not have life seem so....bleh. I also workout 5 days a week, eat relatively clean the majority of the time, and am very active, but with my test levels were they are, it makes those things way more difficult.

[VTX1800]

Use google and find an a4m doctor. The a4m website has a search engine. That's how I found my doc who is up to date with Dr. Crislers protocol.

[cymru87]

Use google and find an a4m doctor. The a4m website has a search engine. That's how I found my doc who is up to date with Dr. Crislers protocol.

Thanks!