Total T in the 500s. Free T in the mid to upper teens. If I can get E2 down, those numbers will improve.
Trt was life changing for me, but I didn't want to stay on it for another 60yrs if I didn't absolutely need it. If I can optimise natural production for a few more years, it's bit easier...
500IU HCG ED for a few weeks.
Then 25mg Clomid ED for a couple weeks.
Then 25mg Clomid EOD for a couple weeks.
Then twice a week for a couple weeks.
This has worked for me so far. I test before making the next change and try to keep E2 in check with an AI.
Jumping into TRT would be a huge mistake. Be smart and address the obvious issues. Reverse T3 and high SHBG are red flags. If you address those and bring E2 down a bit, your T levels will be just fine.
Have you tested for DHEA-S? If that's low, it should be easy to address and might...
ZMA
Progesterone cream
Magnesium Oil
Melatonin - time release works better.
Z-12
Trazadone - prescription
I've tried a ton of stuff. The above worked to some degree or for awhile. The only thing that's really worked to turn the lights out all night for me is peptides. Mod GRF and GHRP-2...
I wouldn't bother lowering your HCG dose. You could do it less frequently I suppose. 300IU MWF instead of EOD is probably easier to track. If you use Anastrozle, I'd get the liquid form from a research chem company or dissolve the pills in vodka and use a graduated dropper to dose. I'd start...
If your T is low, getting it into a healthy range is not a bad thing in my armature opinion. My guess is you will feel a lot better if you get E2 into the 20s. I don't think there's much harm in doing this while trying to sort out any other potential issues. Getting Free T and E2 into a...
I have not found this to be the case at all. I went from a DHEA-s of 526 to 367 when I dropped DHEA 25mgs per day. If you're low, I don't see any harm trying it.
Why not test, see if you're low, try it and test again? I used oral DHEA quite a bit in the past. I don't take it anymore because I'm near the top of the range without it, but I don't see much harm in trying it if you're low.
Edit : I went back and looked at my lab work and I guess I did see...
Definitely address E2. That would provide significant improvement.
What was the range on free T? I would take just enough to get towards the top of the range. Lowering E2 will raise T a fair amount.
Quitting seems silly. Get a AI to fix E2 and adjust HCG if needed.
No double whammy, other than more places to aromatize to E. No intertesticular aromatization with injections. Really hard to generalize expected results. I think most here would suggest Clomid if it works for you.
You may need an AI for both or neither. Ton if variables.
I would guess Clomid because of possible IT aromatization, but you'de probably just need to try it and see. Going to be s little different for everybody and deoend on your hrt program.
Did you get lh or fsh tests. If those are both low, the SERM might help. I've tried tamox and torem. 60mg torem worked better for me than 20mg tamox. I tried them years apart, so take it for what It's worth.
If the SERM works, there's a good chance you'll need an AI. I would add calcium...
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