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I dont recall was like 12 years ago. TSH was over 2, button over 4.

I dont think he stopped absorbing. It more likely means he is beginning to suppress his own production and may need more. But hold steady and get retested and go from there. A compounded cream may work for you and be cheaper in the long un.

Does Dr. Saya prescribe Wellbutrin (and the like) or does he stay away from this type of treatment?

Does Dr. Saya prescribe Wellbutrin or does he stay away form this type of medical management?

I def believe I have low dopamine - I am pretty flat emotionally. I dont experience joy for most of my life.

You might be able to handle a touch of Thyroid hormone. Your levels are borderline. With a T4 of 1.1, I felt awful. Adding 25mcg Levothyroxine was dramatic. But your T3 levels aren't overly high, so perhaps small amount of NP Thyroid - like 30mg may be worth a try. Iron (Ferritin), Vitamin A...

I recall you stating that you used cream intermittently. Are you now using it daily? Did you notice subjective benefit when using just once or twice a week?

So , quite sure I have had ADHD my entire life and considering getting treatment for it. Been 10 years of TRT, Thyroid protocol tweaking with pretty much zero improvement in libido and ED. PT-141, Viagra, Cialis all with minimal help. I have seen read some people get great improvement (and some...

Can't even remember. But having a Free T4 at 1.1 or 1.2 and then added 25mcg Levothyroxine and felt so much better after a couple weeks.

I am on 90mg NP thyroid. Wasnt until I added 25mcg levothyroxine that depression lifted. My FT4 went up slightly but symptom change was dramatic. T3 can be too powerful in presence of HPA issues. Something to consider. How are ferritin, b12, other nutritional levels.

I dont see armour/NP/levothyroxine in that list. Adding T4 made a HUGE difference in my mood. If you are having HPA issues, t3 by itself may be hard to tolerate. How did you dose the HC and for how long?

Have you seen subjective improvements? If so, how quickly did they arrive.

Is my recollection off or do you only supplement the cream occasionally. If so, do you notice subjective improvement in libido and ED doing it this way. If so, how often do you apply. I have T cream, but if I could get benefit using occasionally I would prefer that vs constant high DHT and...

Hyrdocortisone may be helpful. Start with 10mg upon waking if your doc is willing to try. Also, check B vitamins and fat soluble vitamins and minerals - D, A, Selenium, Iron, Magnesium etc. Stress management is crucial even though you say it isnt possible. Beginning a meditation practice could...

Still on injections. 3x week, 100mg divided. The cream ws supplemental.

your local doc can write you a script if you have one. probably for nothing.

Daily 5mg Cialis needs to be given some time to work. Try it for a month.

Look into GoodRX. I have seen coupons for 90 5mg tablets for $40 here in NY. Im talking generic tadalafil.

Your thyroid looks a little low. That said TRT has done zero for me. Thyroid same. Pt141 nothing. Viagra nothing. Daily cialis almost nothing. 3 days of supplemental scrotal tcream...better mood, but nothing if not worse sexually. Been like this for 23 years. This isn't living. Started dating a...

DHT isn't spectacular?

HPA dysregulation is a more accurate term. It is not a an issue of the adrenals, but of signaling. It is very real. Nutrition, hormone balance, and most important - reduction of stress and habits that go with the...yoga, meditation, exercise, less screen time, sleep improvement etc etc.

Thoughts?

Perhaps 10mg of Hydrocortisone as soon as you wake up? Since starting on TRT, it's the only thing that helps me.

any thoughts?

What is the upper limit for men? After trying 2mg with limited benefit, I wonder how much higher I should go?

Took 2mg around 5pm yesterday. Some flushing but not as much nausea as weeks prior. Felt nothing while awake. Some decent erections during the night. But so far this has been a disappointment.

Any thoughts on this? Anyone have similar number, then start scrotal T cream and have improvement?

any thoughts on this DHT level? It's right at the 1/4 mark.

no, not taking any DHEA. But stress is high.

Just got my DHT test back: Dihydrotestosterone 327 pg/mL. (112 - 955 pg/mL) I may need to try the T cream afterall.

PPIs can also cause kidney disease in some, so I would be cautious. Dr. Mariano would alway recommend Proferrin for iron supplementation. I have it. It's heme iron so absorbs well and minimal side effects. It's kind of expensive, but works well.