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TRT not working at all.. help!

My endo is the top endo in Canada. President of the Canadian board of andopause and he also is the guy who discovered bioavailable testosterone.

He says sub-q T is a new method that they are now using with "phenomenal" results. There have also been some studies done and posted a bunch of other boards (none that I have on hand) that support the fact that they keep T levels just as stable as IM. Dr. Shippen has all his patients doing SubQ.
 
oil. same as ones done in studies. oil absorbs just fine into the fat and makes the release slower. also lower and slows rise in e apparently. i can post the studies if needed... but this is not a debate about which method is better....

im just wandering if i should continue TRT if it's making me feel worse.. thats all.

What could be a possible reason it is LOWERING my libido????
 
koolkatarbtl, who is your endo? Can you PM me his contact information?


I live in Canada, and saw an endo last week, and wasnt all tha impressed.


If you could PM me id really appreciate it.


Thanks!
 
koolkatarbtl said:
Hi guys. I finally got started on TRT two weeks ago. I'm 2 days after my second shot. I'm doing 100mg Test Enanthate Sub-Q. No HCG - human chorionic gonadotropin - - human chorionic gonadotropin - - human chorionic gonadotropin - .

I'm 19 years old and my labs indicate that I have pretty low T, lh - leutenizing hormone - - leutenizing hormone - - leutenizing hormone - ,FSH - follicle stimulating hormone - - follicle stimulating hormone - - follicle stimulating hormone - , etc. All well below the norm for my age so my endo started me up on TRT. Along with everything else, my cortisol is a bit low, as is my thyroid, etc. Treatment was tried for that (HC, Armour, etc.) but it did not help much.

So anyway, like I said I'm 2 weeks into my shots and it is REDUCING my libido. My anxiety and depression increased and I'm having trouble maintaing an erection now and my load is reduced to about 75% of what it was.

To be quite honest i NEVER had ANY libido or erection problems, my main problem is major fatigue, brain fog, lack of motivation, lack of facial hair, etc. but libido was always perfect.

I'm started to get a bit panicky and I don't know what to do. Should I just quit while I'm ahead? Am I too young to be on TRT? Should I do more labs? It takes about 1 month before the lab results are available and I don't see my endo until February.

What should I do? How long does T take to stabilize and should I have felt the positive effects by now?

MRI was done and nothing was found either.

PRE-TRT LABS:

FSH: 2.1 U/L 1.4 - 18.1

LH: 3 UI/L 1.5 - 9.3

Test: 11.95 nmol/L 10 - 30

Bioavailable test: 6.4 nmol/L 3.5 - 18.8

estradiol: 80 pmol/L 55 - 198



Your initial pre TRT E2 values are too high. This high of E2 will negate any benefits you may be getting from your TRT. Most men prefer to be in the 20-30 range. The anxiety, depression, and ED are text book for too high of E2 levels. Any doc who really knows what they are doing will know that your T/E ratio is just as important as your total T and your free T.

Has your doc put you on arimidex or Femara?

I noticed that you did not post any results for you E2 levels after starting your TRT program. Any doc who does not monitor you E2 levels and track them as much as your various T levels does not know what he or she is doing. Also they need to run the more sensitive test for E2. If your doc is not doing this, it will be difficult to get a real picture of your E2 levels once you get your TRT going and even more so important once you start using an aromitase inhibitor such as Arimidex.

I cant see your other levels, but did your doc look at your prolactin levels too?

Have your doc measure your E2 levels and compute your T/E ratio as well as your free T results and your DHT results as well and get back to us.

Also, what is the reason for your low T? From low FSH and low LH the probably diagnosis is secondary hypogonasism providing you have not done other things to suppress your HPTA that you have not told us about or your doctor about.

I recomend the work of Dr. John Chrisler DO as a foundation for good TRT. Notice I said, TRT and not PCT or getting T for TRT that is really a cyle for Body building.
 
Doc just did another blood test (1.5 months after starting) and put me on 500uis HCG weekly. I started the HCG yesterday. Never been on any anti-es. HCG will probably jack up my estrogen even higher although that's the first i've heard of anyone saying it looks too high.

The doc was obviously ignorant about estrogen so I had to remind him to tick it off for this batch of tests.

I'm going to be seeing a newer and more competent doc in march but should I just get something like liquidex in the meantime?
 
Well, I'm 2 weeks into the HCG and it isn't making much difference. It's actually making my libido worse.

So I'm about 8 weeks into TRT and it's not helping at ALL. Other than body-compositionwise (I hit a ton of new PRs and added a ton of mass).

Maybe it's time to try the T IM instead of Sub-Q like I've always been doing it and see if it makes any difference?
 
5150guy said:
estradiol: 80 pmol/L 55 - 198



Your initial pre TRT E2 values are too high. This high of E2 will negate any benefits you may be getting from your TRT. Most men prefer to be in the 20-30 range. The anxiety, depression, and ED are text book for too high of E2 levels. Any doc who really knows what they are doing will know that your T/E ratio is just as important as your total T and your free T.
.


Are you sure you are not confusing the Canadian vs US units for his E2 blood test? Estradiol of 80 pmol/l is not high, rather as the range suggests it is right in the middle.
 
koolkatarbtl said:
Well, I'm 2 weeks into the HCG - human chorionic gonadotropin - and it isn't making much difference. It's actually making my libido worse.

So I'm about 8 weeks into TRT and it's not helping at ALL. Other than body-compositionwise (I hit a ton of new PRs and added a ton of mass).

Maybe it's time to try the T IM instead of Sub-Q like I've always been doing it and see if it makes any difference?

Post up your latest blood test results...
 
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