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vincentdesade

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Trying to gauge the need for TRT, my doctor tells me my blood tests are normal but my Free test dropped from 14.1 nmol/l to 10.2nmol/l, over an 8 month period (I'm currently 34), I've been in a dozen times complaining of fatigue, complete loss of libido, memory problems, difficulties concentrating, and sleep disturbances. She has referred me to an internal medicine specialist who may take a year to get an appointment with. Because my free test isn't below 9.6nmol/l she won't treat with TRT because its still within 'normal' range. I ran two cycles when I was in my mid-20's with cypionate at 300mg on the first and the second at 350mg with Halotestin (I don't remember the dose its been a while), I'm comfortable injecting I just don't know if that's the right track to start on.

I'm looking at a few options:
1. Innovagen gel 25mg/g at 30mg daily
2. Test Cyp / Enanthate start at 100mg weekly (looks like cyp is preferred for this type of thing from the forums - please correct me if need be)
3. Finding an anti aging clinic in Calgary, that doesn't look like its as much of a thing here as it is in Ontario.

For the gel should I have both an AI and a SERM on hand, or would it be sufficient to only have Arimidex 1mg tabs and take if needed? I know with the injectables I'd want both Armidex and Nolva on hand.

Quick medical history - I was a severe alcoholic for about 8 years, sobered up a year ago and have had health issues since. I found out I'm celiac and had b12, iron, folate deficiencies, but that has been dealt with and all those are back to normal levels and my ttg (celiac antibody) is within normal range as well. Many of my symptoms have alleviated but I am left with the ones listed above.

I'm just looking for some feedback. Please poke holes in my plans, offer suggestions for anti aging clinics in Calgary if you know of one. I would much rather go the legal route.

Thanks


** Edit

I should note that I've done all the natural methods of getting healthy and increasing test levels. In the last year I've lost 75 lbs, my body fat is 13-15%, I do weight training 4 days a week and cardio 3 days a week. My diet has no added salts and sugar, I eat 90% whole food ingredients, the only food I no longer consumer is wheat and its derivatives.
 
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St

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Well you can always, do a pct.:)

Then you won't need to, count on a doctor at your young age.

Or you can do UG trt.:)
 

Old RhynoS

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There are other bodily systems and hormones that can effect you and cause these symptoms.
What was on your blood panel?
I'm sure our resident physician @Harley00 will chime in with a boatload of info on this..
 

Harley00

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There are other bodily systems and hormones that can effect you and cause these symptoms.
What was on your blood panel?
I'm sure our resident physician @Harley00 will chime in with a boatload of info on this..

Lol, thank you sir for always thinking of me .

1. Stop looking at options... on cycles till you figure out whats giving you these symptoms.

2.Yes ill look at labs , and go from there .

3.Post everything you have from the last few years.

4.List all supplements your taking daily

5. No labs, then get them.

6. If you need a general lab marker idea on what to get then ill post it.
 

A.B

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I’d agree with the above and get some in depth blood work focused on hormones and thyroid see everything before jumping on trt or running a restart pct like @St mentioned

a few options out there
 

vincentdesade

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Lol, thank you sir for always thinking of me .

1. Stop looking at options... on cycles till you figure out whats giving you these symptoms.

2.Yes ill look at labs , and go from there .

3.Post everything you have from the last few years.

4.List all supplements your taking daily

5. No labs, then get them.

6. If you need a general lab marker idea on what to get then ill post it.

I'm guessing the list posted in this forum would be sufficient?
"- Total Testosterone
- Bioavailable Testosterone (AKA “Free and Loosely Bound”)
- Free Testosterone (if Bioavailable T is unavailable)
- DHT
- Estradiol (specify the Extraction Method, or “sensitive” assay for males)
- LH
- FSH
- Prolactin
- Cortisol
- Thyroid Panel
- CBC
- Comprehensive Metabolic Panel
- Lipid Profile
- PSA (if over 40)
- IGF-1 (if HGH therapy is being considered)
"
I have most of those and am off to a doc next week to grab the rest. I appreciate the response and will post as I get the results. Thanks so much.
 

Harley00

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I'm guessing the list posted in this forum would be sufficient?
"- Total Testosterone
- Bioavailable Testosterone (AKA “Free and Loosely Bound”)
- Free Testosterone (if Bioavailable T is unavailable)
- DHT
- Estradiol (specify the Extraction Method, or “sensitive” assay for males)
- LH
- FSH
- Prolactin
- Cortisol
- Thyroid Panel
- CBC
- Comprehensive Metabolic Panel
- Lipid Profile
- PSA (if over 40)
- IGF-1 (if HGH therapy is being considered)
"
I have most of those and am off to a doc next week to grab the rest. I appreciate the response and will post as I get the results. Thanks so much.

What ever you dont have up top add these in, if your not specific with certain things they wont get done. Like thyroid panel is usally just tsh, have to ask for ft4 ft3.

Inflammation markers
Crp
Esr



Blood clot test good to Have.
D-Dimer
-Prothrombin

Liver markers
Ast
Alt
Ggt
Alp
Bilirubin

Shbg
Albumin

Kidney markers
Egfr
Cystatin c - filtration of Kidneys
Creatine

Full iron panel
Iron
Ferritin
Trans ferritin
Uibc
Tibc

Full thyroid panel need all a must.
Ft4
Ft3
Tsh

Selenium
Iodine
Copper

Folate
B12
Magnesium
Zinc
Aldosterone
Homocysteine
Calcium
Phosphate


Mercury
Lead


Full hormones panel
Prolactin
Pregnenolone
Progesterone
Estrogen
Testosterone
Dhea
Dht

Cortisol section panel
Cortisol am and pm
As well as (Acth)


Sodium
Potassium
Chloride.

Blood sugar panels.
HbA1c
•HOMA-IR
•C-Peptide
•Fasting Insulin
•Fasting glucose
 
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