Correct Pregnenolone and Insulin Resistance, then TRT ? (Labs included)

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slisto

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Hello All,

Appreciate your time and feedback,

I am a 50 y/o male 5'10, 215 BF% ~15% (exercise 4-5 x/ wk mix of cardio and weights) experiencing classic ADAM test sx over the last 2 years. Trialed on Clomid tried 25 mg daily or 50 mg EOD for several weeks,(brought up my test to low 400's, but felt horrible on it, no libido, moody), also trialed HCG 500 iu 3x a week for several months with similar results.

Recently had lab work done which I will post. The DO I am seeing is big proponent of keto diet. Was told that once I fix my insulin resistance T could go up 250 points...seems a stretch to me. Also told my pregnenelone was low.
Rx'd compounded Pregnenelone 25 mg daily (I went up to 50 mg, but had insomnia and some irritability), taking 25 mg of DHEA on my own as well as well as turmeric, liver sup, krill oil, berberine, ALA, some agmatine, and the occasional Cialis, OTT I am on no other rx'd meds at this time. I do have moderate central and obstructive sleep apnea and failed trials on several different masks.

Am going to ask to start on TRT at next visit as I am still having zero morning wood, and no libido, low energy and motivation. Asking to start at 50 mg test cypionate 2x a week with no AI or HCG.

Any thoughts, lab analysis, and/or suggestions are appreciated. Thank you very much!
 

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Defy Medical TRT clinic doctor
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Why is your estradiol so high? The preg/dhea?
That was before the preg and dhea! I talked it over with the DO and mentioned that the test he ordered vs the sensitive assay for men ((LC-MS)) was the reason that the estradiol was higher than prob would have been shown on the sensitive test, but I suspect it is high anyway, and he agreed with me. So I asked myself then why order the outdated test, doh!!
 
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