TRT Question for Dr Scally - Labs

[philzao]

I am 54 years old. Not a body builder and have never done a cycle.

I have been stuggling for a year with low energy, no libido, no erections. I have been to several doctors in Boston and I am feeling railroaded on the the Testosterone train.

My Drs. want me on 10mg of Testim a day. I have convinced myself that if I do that I will
1.) Be permanently shut down
2.) Have no testicles
3.) Won't have any more libido because I am aftraid that it will just all turn into Estrogen.

These are 4 sets of labs (everyone didn't measure everything each time.)

My most current doctor wants me to take the 10mg of Androgel by itself for 6 weeks before he will look at labs and then consider whether or not I need to add some kind of anti-estorgen. I cant help feeling like this is a bad move. I keep hearing about T + AI + Hcg as the way to go, but honestly I dont have the confidence to know whether or not my labs warrant this, or if I REALLY will get my libido back if I take the Testim.
ANY thoughtful opinions would be really appreciated. I really miss my dirtly mind and morning wood !

I take EMSAM (Selegiline) for depression, but I think the real problem is low T.

--------------------------------------------------------------------------------------------------------------------------------
.................October 07.............November 07............March 6 08..............March 13 08
--------------------------------------------------------------------------------------------------------------------------------
Total T....... 424 ( 250-1100)......508 (241-827).........522 (300-1000).........382 (241-1100)

Free T.........38.1 (46-224) ..........78 (50-200) ........10.8 (10.0 - 55.0) ..........36.6 (46-224)

BioAT............................................. .................................................. .................. 70.4 (110-575)

SHBG..........56 (18-47)...............52 ...........................50 .................................48

Prolactin.......8.3 (2.0 - 18) .........7.9............................8.2 ................................8.6

LH................................................ ...3.7 (1.5-9.3)............8.4............................... 6.2

FSH............................................... ................................12.5 (1.7-11.2)..................

TSH.............1.7 (.40 - 4.5)...........1.4............................1.6. ........ ......................1.3

PSA ......................................... ....0.4(0.0-4.4)....... .....0.6......................................

Estradiol......................................... ...............................49.1(20 - 75)..............37 (0-52)

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[4thAD]

Originally Posted by philzao

I am 54 years old. Not a body builder and have never done a cycle.

I have been stuggling for a year with low energy, no libido, no erections. I have been to several doctors in Boston and I am feeling railroaded on the the Testosterone train.

My Drs. want me on 10mg of Testim a day. I have convinced myself that if I do that I will
1.) Be permanently shut down
2.) Have no testicles
3.) Won't have any more libido because I am aftraid that it will just all turn into Estrogen.

These are 4 sets of labs (everyone didn't measure everything each time.)

My most current doctor wants me to take the 10mg of Androgel by itself for 6 weeks before he will look at labs and then consider whether or not I need to add some kind of anti-estorgen. I cant help feeling like this is a bad move. I keep hearing about T + AI + Hcg as the way to go, but honestly I dont have the confidence to know whether or not my labs warrant this, or if I REALLY will get my libido back if I take the Testim.
ANY thoughtful opinions would be really appreciated. I really miss my dirtly mind and morning wood !

I take EMSAM (Selegiline) for depression, but I think the real problem is low T.

--------------------------------------------------------------------------------------------------------------------------------
.................October 07.............November 07............March 6 08..............March 13 08
--------------------------------------------------------------------------------------------------------------------------------
Total T....... 424 ( 250-1100)......508 (241-827).........522 (300-1000).........382 (241-1100)

Free T.........38.1 (46-224) ..........78 (50-200) ........10.8 (10.0 - 55.0) ..........36.6 (46-224)

BioAT............................................. .................................................. .................. 70.4 (110-575)

SHBG..........56 (18-47)...............52 ...........................50 .................................48

Prolactin.......8.3 (2.0 - 18) .........7.9............................8.2 ................................8.6

LH................................................ ...3.7 (1.5-9.3)............8.4............................... 6.2

FSH............................................... ................................12.5 (1.7-11.2)..................

TSH.............1.7 (.40 - 4.5)...........1.4............................1.6. ........ ......................1.3

PSA ......................................... ....0.4(0.0-4.4)....... .....0.6......................................

Estradiol......................................... ...............................49.1(20 - 75)..............37 (0-52)

-------------------------------------------------------------------------------------------------------------------------

I'm no doctor, but the idea of TRT is a replacement dose. This dose should not be enough to shut you down. If you are shut down your dose is too high and will need to be adjusted. This can only be monitored with regular blood work which it seems you are already doing. 10mg of testim ed is nothing, as creams and such will not be completely absorbed as an injection would. You should be fine, just make sure to keep up with the regular blood work.