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Wow.

Hate to admit it, but i have done in the past as well. I wont now that I am with Dr. Saya.

If you are taking thyroid pills- levothyroxine, NP Thyroid, armour, cytomel...The direct T3 portion will increase in a matter of days and come down in a matter of days due to short half life. The T4 will take up to a month or maybe longer due to longer half life. A portion of the T4 will...

Yeah, I dont think TSH or T4 will change. But Free T3 will.

All times are accurate, but just offer different insights into levels at different times. Your peak will be approx 2hrs after ingesting. This is when Crisler always wanted patients to get BW drawn. I would think knowing your peak would be most valuable. But, being consistent in timing from draw...

birth control

How low was it? Dr. Mariano used to always say estrogen was responsible for sex drive. I may be taking liberties with his exact words, but he was never one to push for lowering it.

I really don't think my issue has anything to do with Testosterone or any hormone, but rather neurological/HPA related.

Thanks. I have a consult w/ Dr. Saya next Thursday and will see what we can come up with to try. Will bring this up.

At the moment, not perfect. But sleep is better than it has been in years. Over the last 23 years, there have been times feeling very good but still no libido and horrible ED.

Yes.

90% ??

You can't just look at DHT and assume its effect on hair is the same throughout ones lifetime. There are many things that change their effect on the human body as we age. I don't think anyone is saying DHT is the ONLY cause of hair loss, but it can be a contributing factor among many - genetic...

Yeah, why did you start TRT to begin with?

Why I miss Dr. Mariano on the boards. I wonder when his book will be coming out. His forum has been offline for a long time as well.

I'd cut back on the T and the AI.

New labs: TSH 2.22 (.27 – 4.20) FT4 1.4 (.9 – 1.7) FT3 4.1 (2.0 – 4.4) PSA .81 (0 – 4.0) Total T 830 (249 – 836) Free T 242 (47-244) SHBG 18 (10-80) DHEAS 899 (44-331) Sensitive E2 23.8 (10.0 – 42.0) DHT 968.5 (106 – 719) The only changes to protocol that gave me results posted upthread is I...

Your total T is low so Free T will only be so high. Raise your total T and free will go up.

A benefit to sexual function and mood was not tied to this dose.

Dr. Crisler and Dr. Mariano both told me that their patients with low SHBG have increased anxiety compared to the patients that don't.

We have a troll.

Wellbutrin? But nothing is guaranteed with any of them.

Did that change in protocol improve libido and ED or did you just feel less swings in energy/mood, etc.

I am one that needs his FT4 a little higher. If you are already taking Thyroid hormone, perhaps try 25mcg of Levothyroxine. Though your TSH being that low means your brain may be getting what it needs.

Curious how long it will take to feel it. If this doesn' do it, Dr. Saya said he would consider a completely new protocol. Wonder what that might be. I imagine bringing HCG into the mix. But years ago, that didn't do much - may be time to try again.

Wow, you're still seeing much better libido and less ED on the low of T Cream? I started 12.5mg to my T Cyp, will see if it helps at all.

And adding HCG improved libido AND that specific amount increased libido noticeable over other amounts?

Sorry, how long did it take on cream to feel it? I have a bit of hair left and hate to lose it. But will eventually so may need to bite the bullet

Tried it. Will try again. But didn't do much for me.

Mine has been absent for 23 years. It sucks.

Or the ssri reduced stress levels giving his HPA a chance to recover. Cortisol is highly variable. Getting cut off in the parking lot on way to blood draw can affect it. It is moment to moment.