In the last two years I have suffered all the symtoms of male andropause, loss of concentration, lack of energy and enthusiasm, loss in muscle mass, and most importantly, for a married man, absolutely zero libido. I recently went to my GP and he ran complete tests, CBC, Lipids, Blood Sugar, etc. Everything was fine. I requested a Total Testosterone, SHGB, Estradiol. In the past my total test always ran between 950-1000. Recent results:
Total Test-613 range 250-1100
Estradiol- 43 Range 13-54
SHGB- 56- over range of 8-46
I was quite concerned about all three of these. First, my testosterone has declined by about 40% from what it always was, Much of what I read states that that can be devestating to someone who normally on the high end. Also, I've been reading that estrogen should be best kept at around 20 for libido, and my SHGB is way to high.
Well, final thoughts by my GP were that my testosterone is fine and I'm just getting older so a 40% decline is normal. He says that estrogen is good in that it helps prevent bone density loss and other health issues and my number is fine. Lastly, he said not to even worry about the SHGB. Seemed like he really was not well versed on the area of anti-aging and andropause. Also, he said TRT causes prostate cancer.
I'm I a potential candidate for TRT? Anyone help?
Thanks.
I am now 48 years old, and my Total test was at 900+ at age 43-45. Also Had FSH and LH checked and they were both around 5.0, which I'm told is good. My free testosterone % was low-1.09% range 1.10-2.80%. But GP said not to worry since total was at around 600.
I am not really far from Dr. John Crisler's location and was going top call his office to attempt to become a new patient, however, I figured that with a total testosterone of 600 I would not be considered a candidate. Although, as I stated just a few years ago my total was 40% higher and more importantly I have every symptom of andropause....I feel like a shell of the man I was 5 years ago.
#1, it is good to know someone's age but it is poor excuse to use it for no-action.
Post your known, relatively recent tests that you have available.
I have a looong list for testing, you may want to keep it in mind.
It is (supposedly) better to correct imbalances in certain order
Adrenals
Thyroid (eat enough Armour Thyroid until FreeT3=4.0(2.30-4.20) ng/dL
sugar, insulin, Hemoglobin A1C (less than 4.6%)
gonads (get Free and Boiavailable T & E in upper range as defined by Quest Diagnostics)
Cholesterol (180-200)
then come details to tweak
----------------------------------------------------------------
From the three numbers you posted
First act to lower your SHBG
Get Chrysin cream from compounding pharmacy or (what I do)
Advanced Natural Prostate Formula With 5-Loxin, 60 Softgels
Advanced Natural Prostate Formula with 5-Loxin®
Super Miraforte With Max Strength Chrysin, 120 Caps
Super MiraForte with Maximum Strength Chrysin
With your FSH and LH it looks like your testis are working at their max.
While supplementing with testosterone you want to keep the testis working.
I will guess your T dose first, then you blood test it after 2 months and adjust making next guess.
Your HCG dose will stay more or less constant.
so, assuming every third day SubQ injections of T&hcg around navel
Novarel (HCG) 500iu, if diluted with 1mL, 50units on insuline syringe
Depo-Testosterone (200mg/mL) 21 units on insuline syringe
When staring cold, to get stable T levels quicker
Day1-- double dose of T=42 units plus 500iu HCG
Day2--one dose of T=21 no HCG
Day3--no shots
Day4--single dose of T=21, 500iu (first "normal" dosing)
Day4--no shots
Day5--no shots
Day6--single dose of T=21, 500iu
continue E3D schedule, blood test after 2 months
I am purposely adding additional month so other hormones may have a chance to stabilize
Needles
3532041 Monoject Ultrafine U-100 Insulin Syringe 29 Gauge 3/10cc 1/2inch Needle 100/box $15.99
Monoject Ultrafine U-100 Insulin Syringe 29 Gauge 3/10cc 1/2inch Needle 100/box
You could use this for T and HCG or you can go with thinnest available for HCG
say
Easy Touch U-100 Insulin Syringe 31 Gauge 3/10cc 5/16 inch Short Needle 100/Box
Easy Touch U-100 Insulin Syringe 31 Gauge 3/10cc 5/16 inch Short Needle 100/Box Sale Price: $13.99
-------------------------------------------
Your estradiol looks high, but I would wait and see until next blood test.
Your other estrogens are screwed up to, I bet.
Use (what I use with good results):
Tmg (Trimethylglycine), 500 Mg 180 Tablets
TMG-- 2pills daily
Dual-Action Cruciferous Vegetable Extract With Resveratrol & Cat's Claw, 60 Vegetarian Capsules
6 pills daily Dual-Action Cruciferous Vegetable Extract With Resveratrol & Cat's Claw
you may note that LEF recomends 1 pill/165# body weight,
I got no action on that small dose, you may go with 4 pills first.
-------------------------------------------
General advice
Super Omega-3 Epa/Dha With Sesame Lignans & Olive Fruit Extract, 120 Softgels
Super Omega-3 EPA/DHA with Sesame Lignans & Olive Fruit Extract (Molecularly Distilled)
2+2 pills
Primal Defense, 900 Mg 90 Caps Garden Of Life
Primal Defense™ is a whole food probiotic blend utilizing 14 species of probiotics and homeostatic soil organisms tm
-------------------------------------------
LEF have Top 10
Top 10 Steps For Achieving Optimal Health
I do not work for LEF, I just think that they are good.
I am not a doctor.
----------------------------------------------------
Edited 6/29/07
I have a second thoughts.
You are strating with relatively high T levels, problem is that it gets bounded to SHBG that you have too much.
We definitely do not want to interupt testis production.
This possibly can happen with E3D shots of HCG.
Possibly better would be E2D system
T=100/7*2/200=0.143mL=15 units on insuline syringe
HCG 250iu
Both shots one day, next day free of shots.
Idea being that you would have a lot T in your system, natural plus injected, other than providing higher BAT and FreeT one would expect that it would also lower some of your high SHBG.