Shedding, Low libido, ED, Loss of penile sensitivity for 7 months now. HELP!

So, long time since I blast a cruiser here; I'm pretty moderate in my use and never go above 600mg total in gear. 2023, I cruised on 150mg test/150mg mast all year. I got a divorce, and I decided to go cold turkey off everything in January. I noticed ED and libido after three weeks of being off and decided to go back on. Well, it never came back. I have tried everything from dosage, HCG, coming off HCG/clomid, and adding a very low dose of Tren and Primo, and the symptoms are still the same. I never had MPB, but I have noticed quite a bit of shedding over time since January.

Current Symptoms
- Weak erections
- Low libido
- Difficulty reaching orgasm
- mild hair loss
- lethargy

Previous bloodwork (07/08/2024 I attempted PCT, 4 weeks in on PCT before I stopped due to major fatigue)
- Total Testosterone - 60 ng/dL
- Estradiol - <15 pg/mL
- SHBG - 17
- FSH - 0.8
- LH - 0.9
- Hematocrit - 51.1 H

Latest Bloodwork (08/22/2024)
Total Testosterone - 921 ng/dL High/Normal
Estradiol - 37 pg/mL High/Normal
SHBG - 14 nmol/L Low/Normal
PSA - 0.75 ng/mL Normal
FSH - 0.7
LH - 0.2
Hematocrit - 50.2 H

Current Protocol
150mg Test E and 750iu HCG weekly
Test E is pinned 3x 50mg, and HCG is pinned 250iu 3x
I have tried Proviron which made my scalp burn a bit, but I didn't notice a lot of improvements

I am at a loss; this has been going on longer than expected. In the past seven years, I have never had this happen of using gear and going on TRT doses. Am I fucked for life? Is this utterly related to my low SHBG? Is my androgen receptor being overexpressed, or maybe my E2 receptors are done for? Help.

Stress and depression (divorce) can contribute to your symptoms.
I would consider going back to (something close to) the cruise protocol as reference. I'm no expert in PCT etc, others here will have more information.

Measure prolactin to see if it's elevated.

Try more moderate doses, like 2x40mg T weekly. The sexual response to T is not linear, more does not mean better and it takes only low normal levels of T to have a normal sexual response.

The problem can be neurotransmitters. TRT influences those indirectly. Try a more direct stimulant like Guarana powder - it contains many stimulating alkaloids, not only caffeine.

Also list all drugs and supplements you are currently taking, as long as your current diet.

sammmy said:

Measure prolactin to see if it's elevated.

Try more moderate doses, like 2x40mg T weekly. The sexual response to T is not linear, more does not mean better and it takes only low normal levels of T to have a normal sexual response.

The problem can be neurotransmitters. TRT influences those indirectly. Try a more direct stimulant like Guarana powder - it contains many stimulating alkaloids, not only caffeine.

Click to expand...

prolactin was fine, I even took caber and it did nothing. I’m definitely going to check out Guarana.

sammmy said:

Also list all drugs and supplements you are currently taking, as long as your current diet.

Click to expand...

-DIET-
Beef
Chicken
Greek Yogurt
White Rice
Oatmeal
Egg-egg whites
Whey isolate
Blueberry's/Bananas
Honey
Avocado
Olive Oil
Coconut Oil
Mixed Veggies
Kodiak Pancakes

-DRUGS-
Test E- 150mg/wk 3 injections
HCG- 750iu/wk 3 injections
T3/T4 - 25/100 /daily (to raise shbg)
Cialis- 10mg ( doesn’t do much)

-SUPPLEMENTS-
Fish Oil
Pumpkin Seed Oil
Ecdysterone (to raise shbg)
L-Carnatine
Vitamin E
Creatine
L-Citrulline
L-Arganine

Seagal said:

Stress and depression (divorce) can contribute to your symptoms.
I would consider going back to (something close to) the cruise protocol as reference. I'm no expert in PCT etc, others here will have more information.

Click to expand...

In a new relationship, definitely not psychological because I have had depression before and was still able to have boners 24/7 with morning wood that almost hurt. But perhaps coming off everything with depression mahbe caused some sort of neuro imbalances or dopamine/seratonin disregulation?

Drop the T3/T4 and Ecdysterone. They are clearly not working for your SHBG and can mess you up.

Also, drop the fish oil. Someone posted it leads to ED. In general, with a good diet you do not need any of these supplements - they are clearly not helping you and are extra variables that complicate the case.

In general, I would drop all the drugs except the TRT and all the supplements to get a clear baseline without so many variables. They are not helping you anyways.

sammmy said:

Drop the T3/T4 and Ecdysterone. They are clearly not working for your SHBG and can mess you up.

Also, drop the fish oil. Someone posted it leads to ED. In general, with a good diet you do not need any of these supplements - they are clearly not helping you and are extra variables that complicate the case.

In general, I would drop all the drugs except the TRT and all the supplements to get a clear baseline without so many variables. They are not helping you anyways.

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Okay, so

70-80mg/wk Test E dosed daily or EOD?

The usual protocol I see here is usually 70-80mg Testosterone per week split in two doses. Use the search.

sammmy said:

The usual protocol I see here is usually 70-80mg Testosterone per week split in two doses. Use the search.

Click to expand...

Okay, seems awfully low but I guess whatever it takes to restore function. Never had issues on 200mg a week before. Personally never saw the point of TRT unless you were to optimize and get the most out of it. I only really ever saw the point of doing 70mg to get average T levels if you were primary hypergonadism (im not) and don’t like the performance enhancement aspect. (which is why I did this in the first place for the past 7 years.)

dklifts92 said:

In a new relationship, definitely not psychological because I have had depression before and was still able to have boners 24/7 with morning wood that almost hurt. But perhaps coming off everything with depression mahbe caused some sort of neuro imbalances or dopamine/seratonin disregulation?

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That's great that you are in new relationship.
I think it was a big drop from your cruise androgen load to your PCT which can result in too much turmoil in the brain, given some vulnerability to depression. Consider the shift of the androgen to estrogen ratio. I can only talk from my limited experience. You know yourself best. If you didn't take the thyroids previously then I would suggest tapering them off. Ecdysterone I would certainly drop. I guess you have a reason for focusing on shbg; it's low but was it higher on cruise?

Seagal said:

That's great that you are in new relationship.
I think it was a big drop from your cruise androgen load to your PCT which can result in too much turmoil in the brain, given some vulnerability to depression. Consider the shift of the androgen to estrogen ratio. I can only talk from my limited experience. You know yourself best. If you didn't take the thyroids previously then I would suggest tapering them off. Ecdysterone I would certainly drop. I guess you have a reason for focusing on shbg; it's low but was it higher on cruise?

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To be honest, I think my SHBG has always been naturally low and never caused me issues. I had the highest libido of my life on 300 Test, 600 primo, 600EQ and my SHBG for sure had to be single digits. Even going on cruise after that was fine.

Your theory sounds about right, I was depressed in January and when I came off cruise entirely, 3 weeks in, all the bad happened. A friend told me that it could be dopamine down regulation, which is why wellbutrin and caber do nothing for me possibly? My question would be is how do I stabilize this. Oddly, during the first 3 months of my crash when I decided to go back on 150mg Test. It didn’t fix ed, libido, or shedding. but that low dose had me gaining size and getting shredded more than I ever was on a high dose. Im assuming my body was leaning more towards DHT direction but even so, DHT should provide stronger drive and libido. So i'm at a loss. my DHT was only 45 a few months ago when it got tested. High range being 65. So im not sure if thats optimal if my estradiol was between 37-39

dklifts92 said:

To be honest, I think my SHBG has always been naturally low and never caused me issues. I had the highest libido of my life on 300 Test, 600 primo, 600EQ and my SHBG for sure had to be single digits. Even going on cruise after that was fine.

Your theory sounds about right, I was depressed in January and when I came off cruise entirely, 3 weeks in, all the bad happened. A friend told me that it could be dopamine down regulation, which is why wellbutrin and caber do nothing for me possibly? My question would be is how do I stabilize this. Oddly, during the first 3 months of my crash when I decided to go back on 150mg Test. It didn’t fix ed, libido, or shedding. but that low dose had me gaining size and getting shredded more than I ever was on a high dose. Im assuming my body was leaning more towards DHT direction but even so, DHT should provide stronger drive and libido. So i'm at a loss. my DHT was only 45 a few months ago when it got tested. High range being 65. So im not sure if thats optimal if my estradiol was between 37-39

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I would try proviron to shift the ratio, however, you wrote you tried it. Take a look at this Thread 'DHT Cream Plus Testosterone Propionate = Major Libido Boost' DHT Cream Plus Testosterone Propionate = Major Libido Boost

Seagal said:

I would try proviron to shift the ratio, however, you wrote you tried it. Take a look at this Thread 'DHT Cream Plus Testosterone Propionate = Major Libido Boost' DHT Cream Plus Testosterone Propionate = Major Libido Boost

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I only tried it for 3 days to be fair. I maybe shoulda given it a better chance. Just heard if by day 2 should have libido enhancement.

dklifts92 said:

-DIET-
Beef
Chicken
Greek Yogurt
White Rice
Oatmeal
Egg-egg whites
Whey isolate
Blueberry's/Bananas
Honey
Avocado
Olive Oil
Coconut Oil
Mixed Veggies
Kodiak Pancakes

-DRUGS-
Test E- 150mg/wk 3 injections
HCG- 750iu/wk 3 injections
T3/T4 - 25/100 /daily (to raise shbg)
Cialis- 10mg ( doesn’t do much)

-SUPPLEMENTS-
Fish Oil
Pumpkin Seed Oil
Ecdysterone (to raise shbg)
L-Carnatine
Vitamin E
Creatine
L-Citrulline
L-Arganine

Click to expand...

Did you try perhaps Cialis in dosage of 40 mg but let’s say hour before you planned to intercourse , instead of 10 mg daily I assume?
I had experience of weak erection in comparison with what I considered normal, tried cialis and realize it worked this way to some level, but again probably my mental state and anxiety contribute to this a lot so still results were not like myself from best years….
So I tried tri mix injection, dosage of 10 units , and what a game changer…finally enjoying my life again and my wife have a smile on her face again

dklifts92 said:

Fish Oil
Pumpkin Seed Oil

Click to expand...

Both of these can negatively affect sexual function and should be dropped to determine whether they're playing a role in your issues.

William Greystoke said:

Did you try perhaps Cialis in dosage of 40 mg but let’s say hour before you planned to intercourse , instead of 10 mg daily I assume?
I had experience of weak erection in comparison with what I considered normal, tried cialis and realize it worked this way to some level, but again probably my mental state and anxiety contribute to this a lot so still results were not like myself from best years….
So I tried tri mix injection, dosage of 10 units , and what a game changer…finally enjoying my life again and my wife have a smile on her face again

Click to expand...

I’m 30..I need to solve the issue, not use a med for older males at my age as a band aid. I don’t have a circulation issue, it’s hormonal.

FunkOdyssey said:

Both of these can negatively affect sexual function and should be dropped to determine whether they're playing a role in your issues.

Click to expand...

Fish oil? Interesting. I know pumpkin seed oil can lower DHT. I thought fish oil was good for cholesterol? My doc told me to take. How does that negatively affect sex?

Wolverine said:

Fish oil? Interesting. I know pumpkin seed oil can lower DHT. I thought fish oil was good for cholesterol? My doc told me to take. How does that negatively affect sex?

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I 100% doubt fish oil has any relation to a functional dick. That’s like saying eating too much salmon will castrate you. Pretty ridiculous assumption to think fish oil will kill your libido.