45 & TRT Questions: Labs Included

JYD

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I'm getting my annual bloodwork done this week. Libido and gym performance isn't what it used to be. I think I can stave off TRT, but I do want to start looking at options to 'optimize' my life.

I have prostate cancer in my family, so that's a concern, although a lot of recent research suggests the old 'research' of total causation is not 100%.

I have a friend who is a BSN, RN and has his own functional medicine and wellness clinic. He said he had see guys in my situation benefit greatly from the gels and clomid without having to go the injection route. I have another friend that preps professional bodybuilders (big names in the top 10) and said clomid would be a terrible idea and says 'stop wasting time and money' and go straight to injections.

Just wanted to see what you guys did and think. I'm taking in all the experience and research I can before making a decision. Thanks.
 
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JYD

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Bloods came back. See below:

ESTRADIOL17.7<=60.7 (PG/ML)
Total TESTOSTERONE434300 - 890 (NG/DL)
SEX HORM BIND GLOBULIN3316.5 - 55.9 (NMOL/L)
CALC FREE TESTOSTERONE89.347.0 - 244.0 (PG/ML)
PROLACTIN9.34.0-26.0 (NG/ML)
FERRITIN12630-400 (NG/ML)
PSA, TOTAL1.29<=4.00 (NG/ML)

My doc won't go TRT yet, but my friend who works in functional medicine recommended below:

75mg test cyp 2x week
25 - 50mg masteron E 2x week
10-12 mg daily boron bisglycinate

What ya'll think?
 
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Nac

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It's going to depend on what you want out of any treatment, what you're prepared to tolerate, etc. No treatment is entirely perfect, each will have its own plus and minus.

I would say though, if you are looking for a treatment that will have best carryover potential for athletic/body composition purposes, injection will typically be preferable.
 

AnaBrolicHK

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With prostate issues I'd try Clomid first and watch your E2, as I believe there's a link between E2 and prostate cancer. Might need a little anastrozole to keep you in range (very common on Clomid). I'd try 12.5mg ED and titrate up from there if necessary. 12.5mg of Clomid a day might double your testosterone. Enclomiphene would be even better if you could get it.
 
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JYD

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So I wrote the wrong E2 Value. My recent August 3rd E2 is 17.7; that's the lowest it's ever been. I've heard the ideal range for me is between 20-30.

Thoughts?
 

AnaBrolicHK

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So I wrote the wrong E2 Value. My recent August 3rd E2 is 17.7; that's the lowest it's ever been. I've heard the ideal range for me is between 20-30.

Thoughts?
You're a perfect candidate for Clomid/enclomiphene
 
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JYD

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You're a perfect candidate for Clomid/enclomiphene
OK, can you share why? I tend to think the opposite, because clomid is a SERM which if anything, would 'block' my estrogen. I can tell that 17.7 is too low for me. In the past, when I've used OTC AI's, I tend to shut down quick.

My thought is that I need to raise my Total, Free, and E2 simultanesouly, but I am still learning, so I look forward to your thoughts.

CHeers.
 

AnaBrolicHK

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OK, can you share why? I tend to think the opposite, because clomid is a SERM which if anything, would 'block' my estrogen. I can tell that 17.7 is too low for me. In the past, when I've used OTC AI's, I tend to shut down quick.

My thought is that I need to raise my Total, Free, and E2 simultanesouly, but I am still learning, so I look forward to your thoughts.

CHeers.
Enclomiphene can seat itself in your estrogen receptors in your brain. Your HPTA uses estrogen levels to gauge whether or not to produce more testosterone. Your body then produces more teststerone and conversely more estrogen due to resultant aromatization. And you get the added benefit of improved free T as well. Works well all around and you also get improved fertility! SERMs and AIs work very differently.
 

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