What to make of my BW ~ TRT candidate?

[Brosef]

Hey youthfulguy thanks for all the info. I have been feeling back to my old self again after the T shot but I'm worried that after it wears off I should strait to feel bad again. What do you think is the best long term solution? I would love to be able to make enough T on my own but not opposed to TRT if it makes me feel normal. What is the frequency of shots I have to get and how will that affect my chances of having a kid? I don't want to be out of commission (no energy, no focus,low sex drive) for 6 weeks for everything to normalize and figure out another action plan.... are you saying that there is something wrong with my E2 levels? If so how can I go about getting those normalized so I can produce sufficent t again. I am worried though bc my baseline T from 2 years ago is 306 which was very low.... even if we get the E2 normal will it just limit out around 300?

[Youthful55guy]

Hey youthfulguy thanks for all the info. I have been feeling back to my old self again after the T shot but I'm worried that after it wears off I should strait to feel bad again. What do you think is the best long term solution? I would love to be able to make enough T on my own but not opposed to TRT if it makes me feel normal. What is the frequency of shots I have to get and how will that affect my chances of having a kid? I don't want to be out of commission (no energy, no focus,low sex drive) for 6 weeks for everything to normalize and figure out another action plan.... are you saying that there is something wrong with my E2 levels? If so how can I go about getting those normalized so I can produce sufficent t again. I am worried though bc my baseline T from 2 years ago is 306 which was very low.... even if we get the E2 normal will it just limit out around 300?

Not sure I understand the last question. Male E2 levels are normally between 8-35 pg/mL using the sensitive assay (for men). If your total T is low, then you E2 is probably also low, since E2 is derived downstream from esterification of T. I was just saying that getting E2 labs now, or any labs for that matter, are going to be worthless until that initial 200 mg shot clears your system and your system has had a chance to adjust back to your normal state. This takes anywhere from 4 to 6 weeks.

Your LH and FSH levels that you posted were in the normal range, but your Total T and Free T is very low. Your SHBG is on the low side. I suspect you are a rapid metabolizer of T rather than you being primary gonadotropic. Most guys with low SHBG are rapid metabolizers. There's no way that I know up to amp up your SHBG. My gut reaction is to try TRT with small frequent injections. This seems to work best for guys with low SHBG from what I've read in the forums (I have the opposite problem, so I'm not speaking from experience). I would suggest you start out at 40 mg every 2 days (using an insulin syringe) and then get labs in about 4 to 6 weeks. If you are still low, then bump it up to 50 mg E2D and repeat labs in 4 to 6 weeks.

If you are not primary hypogonadotropic, then HCG should work well to preserve fertility. I know of at least 2 guys in the forums that got their wife pregnant on TRT with just 500 IU per week. I would recommend 1000 IU per week in 3 divided doses (e.g., about 350 IU on M,W, F). There's good published data that that is the optimal dose for guys on TRT to preserve fertility.

[Brosef]

Not sure I understand the last question. Male E2 levels are normally between 8-35 pg/mL using the sensitive assay (for men). If your total T is low, then you E2 is probably also low, since E2 is derived downstream from esterification of T. I was just saying that getting E2 labs now, or any labs for that matter, are going to be worthless until that initial 200 mg shot clears your system and your system has had a chance to adjust back to your normal state. This takes anywhere from 4 to 6 weeks.

Your LH and FSH levels that you posted were in the normal range, but your Total T and Free T is very low. Your SHBG is on the low side. I suspect you are a rapid metabolizer of T rather than you being primary gonadotropic. Most guys with low SHBG are rapid metabolizers. There's no way that I know up to amp up your SHBG. My gut reaction is to try TRT with small frequent injections. This seems to work best for guys with low SHBG from what I've read in the forums (I have the opposite problem, so I'm not speaking from experience). I would suggest you start out at 40 mg every 2 days (using an insulin syringe) and then get labs in about 4 to 6 weeks. If you are still low, then bump it up to 50 mg E2D and repeat labs in 4 to 6 weeks.

If you are not primary hypogonadotropic, then HCG should work well to preserve fertility. I know of at least 2 guys in the forums that got their wife pregnant on TRT with just 500 IU per week. I would recommend 1000 IU per week in 3 divided doses (e.g., about 350 IU on M,W, F). There's good published data that that is the optimal dose for guys on TRT to preserve fertility.

Ok, you're saying most likely the best solution to my problem would be to go 40mg T-Ethanate EOD? I have just been letting my body normalize since the last T shot a couple weeks ago. Now, do you think I should bank some of my sperm before starting TRT just in case? Also, do you think it's worth continuing Clomid at 75mg/ day to see if that helps with raising my T levels? I am kind of looking for a quick solution. Should I try HCG and see if that will help raise T levels after I get BW in 4 weeks? Or do you think I should just start TRT on my own. I have a ton of T laying around... Thoughts?

and thanks again sir

[Youthful55guy]

Ok, you're saying most likely the best solution to my problem would be to go 40mg T-Ethanate EOD? I have just been letting my body normalize since the last T shot a couple weeks ago. Now, do you think I should bank some of my sperm before starting TRT just in case? Also, do you think it's worth continuing Clomid at 75mg/ day to see if that helps with raising my T levels? I am kind of looking for a quick solution. Should I try HCG and see if that will help raise T levels after I get BW in 4 weeks? Or do you think I should just start TRT on my own. I have a ton of T laying around... Thoughts?

and thanks again sir

The only way you are going to get accurate labs is to do nothing for a minimum of 4 4 weeks after your last injection of anything TRT related. That includes clomid. Right now your system is in flux and the labs are worthless.

Given that your July 2017 results are accurate, and that you are looking for a quick solution, starting TRT and incorporating HCG into the protocol may be your only (short term) solution.
Total Testosterone: 137 (250-1100) L
Free Testosterone: 25.3 (35-155) L
Sex hormone: 18 (10-50)
FSH: 7.1 (1.6-8.0)
LH: 4.4 (1.5-9.3)

So, if that's the case and you decide to pursue TRT on your own, then yes, I would recommend starting at 40 mg E2D and ~1000 IU HCG per week in divided doses. I'd make the program simple and also inject about 300 IU HCG on an E2D schedule too (but don't try to mix the two in the same syringe).

I don't see any reason why you would want to continue clomid if you are using HCG. Clomid has too many estrogenic side-effects for me. I much prefer HCG.

Banking of semen sounds like an expensive proposition and that shot of T you already got will no doubt have affected you fertility in a negative way by now anyway. I would only consider doing this if you knew that you had sufficient sperm levels and that motility was good. You really need to get a fertility expert consult on that.