Tried posting over the weekend but it never showed up. Attempt #2:
Briefly: 35, average height/weight, decided to get tested and see if TRT was an option. Bloodwork showed the following:
Total T: 244
Free T: 6.1
LH: 1.4
FSH: 1.5
No diabetes and I've had my thyroid checked in the past. From what I understand--and it's hardly a complete education--low T combined with low LH/FSH may point to a pituitary issue, where the testes are working but not getting enough of a signal to produce T.
Went to a TRT-educated doctor and he recommended 150mg/weekly of test subQ, with no AI or HCG. I asked if Clomid might be warranted to see if I could jump-start my production naturally, but he doesn't prescribe it and the best he could promise was that he'd look into it. Honestly, I'd rather try Clomid for a few months before committing to test for life, unless I'm missing something.
Re: the HCG/AI, he feels like that would only be warranted if follow-up BW shows increased estrogen or any signs of shrinkage. I'm curious how injecting subQ compares to intra-muscular pinning, and if I should push harder for Clomid. Also wondering if I should try to get prolactin or SHBG checked. Finally, how common is the blood thickening issue on T? I'm a worrying type and don't want to jump on something that could give me anxiety over a stroke or heart attack.
If anyone can advise me, I'd appreciate it. Thanks in advance.
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