I'm 37 years old, I'm 6'2", and currently weigh 328 lbs, at (I'm guessing) around 18-20% BF.
I have been on some form of TRT for about 7 years. I started out with Androgel, then went through Androderm and Striant before ending up with Test E injections (for whatever reasons, we could never get decent blood levels with the non-injectables).
For about the last 4 years, I was on 300mg of Test E, every two weeks. This moved me into the mid range (400's I think) for free test. My doctor was open minded enough to give me test, but didn't see any need to get me higher in the range. Nor did he ever test for E2. I asked about armidex once, and he just said that unless I had tenderness in the nipples, that was unnecessary.
About a month ago, I started researching other facilities, and found a place in Florida that seemed legit. Their protocol consisted of Test, arimidex and HCG. Dosage to be determined by blood work.
They ordered up the blood work, via labcorp (report attached), and based on the results, have me on the following regimin:
1cc of 300 mg/ml Test E weekly
1 mg arimidex weekly (dosage keeps changing...see below)
500 iu of HCG, twice per week.
All but HCG were compounded at the pharmacy.
Dosage seemed a little high, but considering my bloodwork was done 2 weeks after 300 mg of test e, and total test was 167, that dosage obviously wasn't working. Since then, I've become a little concerned about the outfit behind all of this.
My biggest concern has been on the arimidex. Initially, they sent me 22 1mg caps, and the label said take 1 every monday and thursday. This was supposed to be a 6 month supply, so I called. Then they said that my E2 levels weren't that high, so 1 per week would be fine. That was still only a 22 week supply, not 28. They then sent me 6 more caps, but this time they were 1/2 mg, and it still said twice a week. Not inspiring confidence.
So, I'm looking for a new Doctor. My primary care is far from up to date on TRT, so he's out. I'm interviewing some others via email and phone currently.
In the meantime, I have what I believe to be solid blood work (LabCorp is pretty reputable) and a bunch of meds. My plan is to use the test and HCG as they instructed, and then have more bloodwork done in 3 months, to see where the E2 is going, before I address the adex.
Since my FSH was nearly non-existant, and probably has been for some time, I'm not sure how much good the HCG will do. And while my e2 was 'low' at 30, that was with a Free test of 167...seems that I have a lot of enzyme activity, and might need to work in Adex sooner rather than later.
Other than that, everything looks pretty straight forward, at least to me. Does anyone else see anything that jumps out? I am scheduled to give blood soon, to hopefully address the hematocrit situation (and its a good thing to do).
I feel really good...morning wood is back (didn't really realize it was gone) and testicles seem to have increased in size, and hang a little lower. Sex drive / erections have never really been a problem, and still aren't. I have lost about 6 lbs in two weeks (started Palumbo style keto diet about the same time, so that could be weight loss) and most of it seems to have come from around mid section...always my fatest area, and I seem to have more energy in the gym and out. I've had little bouts of shoulder and back acne, so I'm thinking test levels are up.
Any advice is appreciated,
EDIT: For whatever reason, it won't let me attach the .pdf...it is only 2.1mb, so it doesn't seem to be too big. I'll post up what I feel are the most pertinent numbers, until I figure it out...
total test 167 ng/dl
E2 30 pg/ml
Total cholesterol 207 (working on this)
RCB 5.41 x 10 e6 UL
Hemoglobin 16.8 g/dl
BUN 26 mg/dl (I eat about 300 gms protein a day)
Creatinine 1 mg/dl (protein combined with weight training)
Est GFR >59