So I have switched over to a new doc who will be prescribing the medications, rather than forcing me to come in once a week or every other week to pick up pre-filled syringes. Thanks to VTX1800 for helping on that one!!! Results are below, but I have a couple of minor concerns and am considering small changes to my protocol.
Current Protocol: 180mg Test Cyp (90mg E3.5D / M AM & TH PM), 500IUs hCG (3xW / SU AM, W PM, F PM), .5mg Anastrozole (3xW / TU AM, TH AM, F PM)
Comments / Concerns:
- Overall, I feel great since switching to 2xW injections. Levels seem to be normal and there is no roller coaster ride and/or sleepless nights.
- Test Numbers: Numbers look good, but the doc wants to bring my Free Test down a little bit. She kept the protocol the same and said we would watch it for a little while. I'm considering bringing my dose down to 160mg (split into 80mg 2xW) for 6 weeks to see if this keeps positive effects while helping E2.
- Estradiol: Has jumped significantly since starting TRT. Went from 21 (Baseline) to 23 (4 weeks) to 33 (12 weeks) to 41 (~26 weeks) -- reference 7.6 - 42.6 pg/mL. Previous clinic increased AI at 12 weeks to .5mg 3xW but I backed off a little after a suspected E2 crash. I have been taking .25mg Anastrozole E2D for the past 8 weeks, but am considering bumping back up to the prescribed .5mg 3xW and getting BW in 6-8 weeks again. Diet is in check, but will work hard on dropping fat through training. I need some other options for bringing Estradiol down so I can eventually bring my AI dose down again.
- Growth Hormone: Numbers look good here as well. I had been researching HGH options and Peptides, but may hold off all-together as I have seen a "natural" jump from 132 (baseline) to 196 (26 weeks) in IGF-I. I'm going to concentrate on reducing bf% via cardio and HIIT. I'm seeing good muscle gains and mainly wanted to jump-start targeted fat-loss in the spare tire area.
- Thyroid: Everything here seems to be within range, but I'm open to considering options to help with the fat loss.
Questions:
- E2 Supplements: Should I be considering DIM or Zinc on top of the Anastrozole to help bring down E2?
- hCG: Should I drop my hCG to 250IUs 3 times a week to help with the E2 reduction as well? Do I really need 500-600 3xW?
- T3/T4: Should I consider supplementing T3/T4 at all? Or if it's not broke, don't fix it?
Bloodwork Results (~26 weeks into TRT, AM Fasted):
Total Test: 1188 (348-1197 ng/dL)
Free Test: 29.9, flagged as High (8.7-25.1 pg/mL)
Estradiol (Roche ECLIA): 41.0 (7.6-42.6 pg/mL, doc targets 25.0)
PSA: 1.8 (0.0-4.0 ng/mL)
IGF-1: 196 (83-233 ng/mL)
TSH: 2.170 (0.450-4.500 uIU/mL)
Triiodothyronine, Free: 4.4 (2.0-4.4 pg/mL)
T4, Free: 1.26 (0.82-1.77 ng/dL)
Hemacrit: 50.2% (37.5-51.0%) *Note: due to time living overseas, I can't donate to Red Cross. Will need medical phlebotomy at some point in near future.
RBC: 5.93, flagged as high (4.14-5.80 x10E6/uL)
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Originally Posted by no0ne23
