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91
Scrotal T creme drives my libido into risky territory. Especially if cycled off occasionally.

I haven't had libido like that for a long time.... Does it cause any problems with E2?

I found it does with daily use, though weekly wasn't a problem. And confirmed by Dr. Saya:

Quote from: Dr. Justin Saya
Also transdermal applied directly to scrotum - gets more attention for increased DHT conversion, but also has more intra-testicular aromatization.
Link.

what does he mean by "but also has more intra-testicular aromatization".
92
...
Honestly fellas I've been at this TRT for 3 years and I am dialed in BUT TRT is nothing like natural T production. It feels way different and not in a good way. Do everything you can to get your own production going if possible.

This is good advice, particularly when your numbers aren't so bad, as with the OP. Regarding TRT, I think the community is making progress towards TRT that feels more natural. Daily T propionate is a step in that direction. This gives you some respectable diurnal variation, which probably contributes to the "natural" feeling.
93
@Neal Wayne: Your calculated free testosterone around 11-12, which as Flyingfool says is a little above where some guys can start having problems. However, your calculated free estradiol is also on the low end of normal, ~0.45 pg/mL. So it's possible the two together are contributing to your symptoms.

Trying a SERM could be worthwhile, but you'd be a better candidate if your SHBG were lower. SERMs such as Clomid and Novaldex tend to raise SHBG, which can reduce or eliminate gains in free testosterone that are normally expected with higher total testosterone. Nonetheless, there are some guys with much higher SHBGs who do well with this kind of treatment.
94
Scrotal T creme drives my libido into risky territory. Especially if cycled off occasionally.

I haven't had libido like that for a long time.... Does it cause any problems with E2?

I found it does with daily use, though weekly wasn't a problem. And confirmed by Dr. Saya:

Quote from: Dr. Justin Saya
Also transdermal applied directly to scrotum - gets more attention for increased DHT conversion, but also has more intra-testicular aromatization.
Link.
95
Scrotal T creme drives my libido into risky territory. Especially if cycled off occasionally.

Yes its a great way to increase your sex life, and risky is a good thing
Even though I am currently on Clomid I might get some more T cream for occasional recreational use.
ghce you know that's a really bad idea, right and you were joking?. T cream is no cialas for libido.
You start smearing that cream on an your natural T production will shutdown.
96
Hi Viking,
You are on pellets right? That is probably why your TT numbers are so high.
Those pellet docs like to load you up and all you can do is ride it out. Just be glad the pellets weren't coated this an AI.

As for the libido are you taking drugs for depression or anxiety like an SSRI?

97
Your free T is above 10 so I am surprised you are having low T symptoms. Seems like symptoms seem to start showing up when free T is below 10.

I am 52 and have about similar labs (see below in footer). Except my free T is below 10 measured and just barely above 10 calculated. So I am literally on the fence of T levels.

So far I have found nothing that has made a pinch of $hit of difference to increase T level naturally. However weight lifting is said to have some effect. I happen to dislike weight lifting so I have not gone to that....yet.

Also losing weight can help lower Estradiol and this can help some folks feel better. DIM supplement can help some folks but has been pretty inconclusive for me. Boron was a complete failure. Did nothing or even made T levels a bit worse.

If you find something that works please report it. Lots of folks would love to know and try something that might work.

Understand however that any “natural” method will probably only result in increases in the double digits. While most men at some point may need improvements in the triple digit increase.

So like you say. With your levels you may be abme to feel better with small natural increase. At least for a while. How long is anyone’s guess.

FlyingFool and Neal, would you consider trying Clomid, or HCG with an AI?
Since your balls seem to be working you could also look into Novadex for 2 months.
As far as I know all of these are prescription so maybe you don't consider them natural, like an OTC supplement?

Honestly fellas I've been at this TRT for 3 years and I am dialed in BUT TRT is nothing like natural T production. It feels way different and not in a good way. Do everything you can to get your own production going if possible.
98
Thanks for the reply.  I too have had no luck with any of the natural supplements. 

Already lifting weights.

Going to do a consultation with Defy Medical after my thyroid panels are in.
99
Your free T is above 10 so I am surprised you are having low T symptoms. Seems like symptoms seem to start showing up when free T is below 10.

I am 52 and have about similar labs (see below in footer). Except my free T is below 10 measured and just barely above 10 calculated. So I am literally on the fence of T levels.

So far I have found nothing that has made a pinch of $hit of difference to increase T level naturally. However weight lifting is said to have some effect. I happen to dislike weight lifting so I have not gone to that....yet.

Also losing weight can help lower Estradiol and this can help some folks feel better. DIM supplement can help some folks but has been pretty inconclusive for me. Boron was a complete failure. Did nothing or even made T levels a bit worse.

If you find something that works please report it. Lots of folks would love to know and try something that might work.

Understand however that any “natural” method will probably only result in increases in the double digits. While most men at some point may need improvements in the triple digit increase.

So like you say. With your levels you may be abme to feel better with small natural increase. At least for a while. How long is anyone’s guess.
100
I'm 48 years old.  typical Low T symptoms.

my numbers are little better than I was expecting.

I supplement with Vitamin D, Zinc, and Magnesium daily.

I'd like to boost my T and Free T without TRT first to try and put that off a few years.

any suggestions?

Recent Labcorp lab results:

Total T 582 ng/dL
Free T  12.7 pg/mL
SHGB  35.9
TSH 1.170 uIU/mL
LH  5.2 mIU/mL
PSA 1.0 ng/mL
Estradiol Sensitive 18.7 pg/mL
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