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Old 05-20-2009, 06:06 PM
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Default My story

I am new here and am glad to have people that can assist me in my journey.

I am on HRT. Who isnt right?

33 years old. 214lbs at about 20% Bodyfat.

Starting test level was 270 about 11 weeks ago.

I was using a testosterone replacement clinic but I quickly realized they could only deal with Test. They never checked estradiol or any other hormones. Just test.

So I qualified. I started with 250mg Test cyp and felt great all week.

Next week I got 200mg and felt great for about 4 days.

After 5 weeks of ups and downs I was back to feeling crappy most of the time. No morning wood, swolen face, carb sensitive, water weight etc. I went from 192lbs to 214lbs in 5 weeks. Mostly water Im sure. At the end, my 5 week blood test showed total T up to 540. They would not test Estradiol.

So I fired the clinic and found a local Internist that had prescribed test at a local compounding pharmacy. It turns out, he also runs the local Cenegenics practice here in town. I am seeing him now and he seems to be better.

I asked him if I could split the dose to 100mg of test cyp twice per week.

He agreed and wrote me a script. Said he wanted me back in 4 weeks on an empty stomach for blood work. I went back for this 2 weeks ago.

After a few days he called me and said my test was way too high. Here are the results from Quest.

I will bold the things that seem bad/odd

test name result range

Cortisol, Total 11.9 3-17
DHEA SULFATE 112 110-370
ESTRADIOL 62 13-54
TEST TOTAL 1340 250-1100
TEST FREE % 3.81 1.50-2.20
TEST FREE 510.5 35-155
PSA_Total 1.1 0-4

He asked me to drop my bi-weekly dose to .4 CC sunday and Thursday.

He added Arimidex .5 twice per week. Taken the day before my shots.

I have taken 3 doses of A-dex so far.

I still feel bloated, erection not right, low libido, water face, etc.

How long does A-dex take to lower Estradiol? I know it really doesnt directly lower it, but how long before the estrogen in my system gets used up? Is .5 twice per week too much? Too little?

Are there other tests I should have run on my next visit? I have good insurance so it should pay for them.

Im not sure if the 4 times per day adrenal test is required nor if insurance would cover it.

Positives are that my stregnth is way up. Muscle is way up. bodyfat is about the same but water seems really high.

Thoughts so far? I just wanted to discuss my case with like minded people that have been there.

Thanks in advance!
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Old 05-20-2009, 06:22 PM
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Default Re: My story

Quote:
Originally Posted by rssumme View Post
I am new here and am glad to have people that can assist me in my journey.

I am on HRT. Who isnt right?

33 years old. 214lbs at about 20% Bodyfat.

Starting test level was 270 about 11 weeks ago.

I was using a testosterone replacement clinic but I quickly realized they could only deal with Test. They never checked estradiol or any other hormones. Just test.

So I qualified. I started with 250mg Test cyp and felt great all week.

Next week I got 200mg and felt great for about 4 days.

After 5 weeks of ups and downs I was back to feeling crappy most of the time. No morning wood, swolen face, carb sensitive, water weight etc. I went from 192lbs to 214lbs in 5 weeks. Mostly water Im sure. At the end, my 5 week blood test showed total T up to 540. They would not test Estradiol.

So I fired the clinic and found a local Internist that had prescribed test at a local compounding pharmacy. It turns out, he also runs the local Cenegenics practice here in town. I am seeing him now and he seems to be better.

I asked him if I could split the dose to 100mg of test cyp twice per week.

He agreed and wrote me a script. Said he wanted me back in 4 weeks on an empty stomach for blood work. I went back for this 2 weeks ago.

After a few days he called me and said my test was way too high. Here are the results from Quest.

I will bold the things that seem bad/odd

test name result range

Cortisol, Total 11.9 3-17
DHEA SULFATE 112 110-370
ESTRADIOL 62 13-54
TEST TOTAL 1340 250-1100
TEST FREE % 3.81 1.50-2.20
TEST FREE 510.5 35-155
PSA_Total 1.1 0-4

He asked me to drop my bi-weekly dose to .4 CC sunday and Thursday.

He added Arimidex .5 twice per week. Taken the day before my shots.

I have taken 3 doses of A-dex so far.

I still feel bloated, erection not right, low libido, water face, etc.

How long does A-dex take to lower Estradiol? I know it really doesnt directly lower it, but how long before the estrogen in my system gets used up? Is .5 twice per week too much? Too little?

Are there other tests I should have run on my next visit? I have good insurance so it should pay for them.

Im not sure if the 4 times per day adrenal test is required nor if insurance would cover it.

Positives are that my stregnth is way up. Muscle is way up. bodyfat is about the same but water seems really high.

Thoughts so far? I just wanted to discuss my case with like minded people that have been there.

Thanks in advance!
If you are in the
mid west go see Dr crisler
East coast Dr O and my self
West coast Dr mariano

Get with people who know what the hell they are doing.

Dr you are going to uses the chop shop method
crank t up to really high levels then off set E2 with adex next comes the hcg 500 ius 3 times a week, I see it all the time in people that have been to our clinic. If your adrenals are fucked T will make you feel 10 times worse. With T and low adrenals you are shutting your self in the foot.

You should be on about 120-140 mgs of test to start then it can be added in later..
60 mgs BIW will result in reduce need for adex and then you can add in hcg later when t and E is stable for 6 weeks.

With dhea that low I be concerned about low thyroid and low adrenals which should be addressed first then TRT because it will lower it even more in alot of people. Again dr's do things half assed only looking at 40% of the puzzle.
__________________
Please keep in mind that this answer is for information purposes only,
and is not intended to diagnose, treat or replace sound medical advice
from your physician or health care provider.

Last edited by hardasnails1973; 05-20-2009 at 06:28 PM.
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  #3 (permalink)  
Old 05-20-2009, 09:33 PM
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Default Re: My story

I am in Memphis TN. I thought cenegenics had a pretty good reputation.

is it possible to get help remotely?
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Old 05-20-2009, 09:44 PM
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Default Re: My story

Quote:
Originally Posted by rssumme View Post
I am new here and am glad to have people that can assist me in my journey.

I am on HRT. Who isnt right?

33 years old. 214lbs at about 20% Bodyfat.

Starting test level was 270 about 11 weeks ago.

I was using a testosterone replacement clinic but I quickly realized they could only deal with Test. They never checked estradiol or any other hormones. Just test.

So I qualified. I started with 250mg Test cyp and felt great all week.

Next week I got 200mg and felt great for about 4 days.

After 5 weeks of ups and downs I was back to feeling crappy most of the time. No morning wood, swolen face, carb sensitive, water weight etc. I went from 192lbs to 214lbs in 5 weeks. Mostly water Im sure. At the end, my 5 week blood test showed total T up to 540. They would not test Estradiol.

So I fired the clinic and found a local Internist that had prescribed test at a local compounding pharmacy. It turns out, he also runs the local Cenegenics practice here in town. I am seeing him now and he seems to be better.

I asked him if I could split the dose to 100mg of test cyp twice per week.

He agreed and wrote me a script. Said he wanted me back in 4 weeks on an empty stomach for blood work. I went back for this 2 weeks ago.

After a few days he called me and said my test was way too high. Here are the results from Quest.

I will bold the things that seem bad/odd

test name result range

Cortisol, Total 11.9 3-17
DHEA SULFATE 112 110-370
ESTRADIOL 62 13-54
TEST TOTAL 1340 250-1100
TEST FREE % 3.81 1.50-2.20
TEST FREE 510.5 35-155
PSA_Total 1.1 0-4

He asked me to drop my bi-weekly dose to .4 CC sunday and Thursday.

He added Arimidex .5 twice per week. Taken the day before my shots.

I have taken 3 doses of A-dex so far.

I still feel bloated, erection not right, low libido, water face, etc.

How long does A-dex take to lower Estradiol? I know it really doesnt directly lower it, but how long before the estrogen in my system gets used up? Is .5 twice per week too much? Too little?

Are there other tests I should have run on my next visit? I have good insurance so it should pay for them.

Im not sure if the 4 times per day adrenal test is required nor if insurance would cover it.

Positives are that my stregnth is way up. Muscle is way up. bodyfat is about the same but water seems really high.

Thoughts so far? I just wanted to discuss my case with like minded people that have been there.

Thanks in advance!
Hopefully the health clinic did not took money from you ahead of time.
Hopefully Cenegenics did not took money from you ahead of time.

All this clinics or even singular doctor have in common that they do not take care of your over all care.
They do just one thing.
Either GH
or
testosterone
or something else
whatever they do
it is always half ass work.

If you are able to find doctor who will give you a scripts for blood tests and medicines then you could practically run your own projects completely.

You would get much better health care and it would be practically free,
just small deductible for office visit, some doctors even do not ask for a co-pay.
================================================== =======================

About testosterone shots,
you have to know that weekly or even bi-weekly shots are not desirable.
It is not because of how they make you feel,
it is because of how you do your blood tests.

If you are not able to do EOD (EveryOtherDay) or sometimes daily T-shots, then you are not able to measure RELIABLY your
TotalTestosterone
Estrodial
and
DHT

Without reliable readings your dose adjustments will be incorrect.
You will have constant surprises, either TT too high, or E2 high or low.
You symptoms of how you feel, your actual status, will NEVER match your blood test readings.
================================================== ========================
To stand EOD shots, they have to be done with 31Ga very short needle.
The same kind that you have to use for your HCG shots.
You have to do HCG shots with any Testosterone, shots or transdermal.
Low DHT---use transdermal
High DHT use T-shots

Always use HCG
================================================== ========================

We did not scratched the TRT fully.
There is still adrenals, thyroid, insulin, glucose, for starters, then some more.
Newer in your life you will get that out of some singular doc, you will have to assembly 2-3 doctors, they would have to cooperate and agree.
Imagine two or three guys agreeing on anything..
Some of them will promise, take money and then complain that it is you fault for slightest true or perceived non-compliance.
Others will take you for 2-3 years ride, doing something that should happen on very first visit.

Your problem is to get one easy going doctor who will write scripts for (mostly) blood tests and testosterone.
Other stuff either they write a script or you just buy it over internet.
That kind of doctor takes your insurance and often forgets about deductible.
================================================== =======================

I have a blood test list that I do yearly for my own use.
You are welcome to that list, it is between blue lines, here, page #2, post #44:
Jan's BloodTest April13/2007 - Page 2

That blood test can be used to shed light at many problems.

As a short cut I have most common and probably rather importang goals.
If you want and have a ability, you may want to start at these.

My own Goals
DHEAs(500-640)mcg/dL(13.55-17.34)µmol/L------------------major player, 95% time overlooked
Progesterone(0.9-1.2)ng/mL
Pregnenolone(> 100ng/dL)
Estradiol, Ultrasensitive(25-29)pg/mL
Estrone, LC/MS/MS (23244X)
do not use Anastrozole if possible or minimize its use
BATest(342, 460-575)ng/dL------------stay around 342 if you need AI to control E2
DHT(60-90)ng/dL
RT3 in lower half of range, TotalT3 in upper 1/3 range
FreeT3~400pg/dL
Body temperature (97.8° - 98.2°F) (36.56° - 36.78°C); (36.6-37C)(97.9-98.6F)
==========================

Good luck.

.
.

Last edited by JanSz; 05-20-2009 at 09:50 PM.
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