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Do The Following Results Suggest Undergoing The TRT Protocol?

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Posted on Fri, 27 Feb 2015
Twitter Fri, 27 Feb 2015 Answered on
Twitter Thu, 19 Mar 2015 Last reviewed on
Question : I would like to get feedback on TRT protocol my doctor wants to put me on. I am 28 year old male and I feel the effects of low testastorone. My blood work is as follows:

T3 FREE - 3.4 (1.8-4.6 range)
T4 FREE - 1.43 (0.9 - 1.7 range)
TSH --- 1.3 (0.27 - 4.2 range)
LH ------- 2.6 (1.7 - 8.6 range)
Estradiol E2 -- 22.7 (7.6 - 42.6 range)
DHEA-Sulfate 221.8 (160 - 449 range)
Sex Hormone Bind Globulin 27 (10-80 range)
Test total -- 427 (280 - 1100 range)
Test free ---- 10.68 (1.9 - 27 range)
IGF-1 ------- 273 (150 - 222 range)
Cortisol ---- 18.1 (6.2 - 19.4 morning range).
Blood count - everything good
General chemistry - all good, Glucose a bit towards high range.
Cholesterol -- 174 total (<200).. HDL 63 and LDL 99.

My doctor suggests weekly protocol:

Mon: hCG 500 units
Tue: hCG 500 units
Wed. 80mg Testosterone Cypionate
Thurs: Arimidex 0.5mg

What is your opinion of this treatment? My main concern is being on TRT for life. According to my doctor, if I stop treatment, my levels may be low at first, but should get back to current level within a few months. Is this correct?
doctor
Answered by Dr. Binu Parameswaran Pillai (2 hours later)
Brief Answer:
Good testosterone levels

Detailed Answer:
Good day
Noted your concerns. Your testosterone and free testosterone levels seems to be good. I wonder if these values are pre treatment or post treatment values. In a real world endocrine practice, endocrinologists often do not initiate treatment if the baseline testosterone values are similar to yours.
Would like to know about your symptoms about your symptoms.
Regards
Binu
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Binu Parameswaran Pillai

Endocrinologist

Practicing since :2003

Answered : 1438 Questions

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Do The Following Results Suggest Undergoing The TRT Protocol?

Brief Answer: Good testosterone levels Detailed Answer: Good day Noted your concerns. Your testosterone and free testosterone levels seems to be good. I wonder if these values are pre treatment or post treatment values. In a real world endocrine practice, endocrinologists often do not initiate treatment if the baseline testosterone values are similar to yours. Would like to know about your symptoms about your symptoms. Regards Binu