Greetings from Southern California!
I am a new member who recently joined this site hoping to learn as much as possible about the best way to treat my low testosterone levels. I am a 54 year old guy, 6 feet one inch tall, 218 pounds, and ~ 18% body fat. After going through a painful divorce when I was 40 and having "let myself go", thanks to encouragment from a colleague I joined a gym and began working our religously, initially doing aerobic stuff and gradually adding strength training. After several months of hard work my colleague noted that the "real" lifeforce was emerging! :-) Well needless to say the "positive re-inforcement" was strong incentive to continue to evolve my workouts. At 45 I was in the best shape of my life! However, over the past year or two I have begun to lose interest in working out. My libido has crashed and I have a hard time dragging myself to the gym. I came to realize that I was exhibiting all the classic signs of hypogonadism, low testosterone, andropause, or whatever you want to call it!
I saw an ad for bioidentical hormone therapy and went to see a nurse practitioner who suggested I get bloodwork done. Sure enough, my total and free testosterone were in the low range of normal and she prescribed testosterone cream from a compounding pharmacy in Arizona.
I am applying 1.5 grams per day at 150 mg testoterone per gram.
Should this be a sufficient daily dose after 3 months to increase my energy level, libido, and workout intensity / desire? Can a 54 year old guy derive benefit? I am bummed that I have been using the cream for about 3 months, but other than an improved mood, I have not experienced any other obvious benefits - no increase in libido, no increase in strength, no reduced body fat. However, I have noticed some shrinkage of my testicles, and have a little puffiness in my chest. I am worried it could be gyno but I have not experienced an increase in nipple sensitivity or a hard spot under my nipples.
I am due for my 3 month checkup soon but am thinking I would prefer to see an MD who can prescribe testosterone injections instead of the cream which is a major pain! Also, I have questions about whether I should combine hCG with the testosterone.
Sorry for the long and rambling introduction. But I feel very fortunate to have found this site and look forward to any and all advice from those who have been successful with their hormone replacement therapy!
Bloodwork before starting testoserone cream:
total testosterone: 260
% free 1.6
free testosterone: 40
DHEA: 204 (i was taking 100 mgs per day in the morning)
prolactin: 5.5
PSA, total: 0.5
TSH , 3 rd gen(?): 1.66
T4, free: 1.2
T3 free: 279
T3 total: 93
T3 uptake: 34