First post here and I am losing the will at this point. I’m not super clued up on this at all so forgive me if the answers are obvious.
I'm in the UK and paying for my HRT privately as GP refused to help for 5 years. I’m 42 and in peri - currently using Oestrogel at 3 pumps per day, cyclical progesterone at 200mg and Testogel, one 40.5g sachet over 8 days. I was offered AndroFeme but paying privately is already a stretch financially and the difference in price is significant.
I’m doing well with the E and P, most symptoms are significantly better or gone entirely. I was prescribed T as I’m still struggling with fatigue and brain fog, I have zero libido and generally don’t feel like “me” anymore. My initial blood work showed fairly low T and fairly high SHBG. My blood work at 8 weeks in was contaminated due to the phlebotomist dropping the end of the “butterfly needle” against my leg where I’d applied Oestrogel, so doc dismissed those and requested a repeat 12 weeks later.
I have been using T for just over 4 months now. I did have difficulty with dosing, the sachets were consistently lasting longer than 8 days, usually closer to 10 (because how do you measure ”a bean” of gel that turns to liquid as soon as it touches your skin?!) I tried a syringe but I have rheumatoid arthritis and it was too fiddly for my painful hands. For the past 6 or so weeks I’ve been using a jewellery scale and doing well that way. I’ve had some improvement in libido but nothing else.
Had my bloods done again yesterday and there’s just no improvement. I’m so frustrated. I’ll add my bloods from pre T and yesterday’s below.
May
Total T - 0.380 nmol/l
SHBG - 120 nmol/l
Free T - 0.32
Yesterday/Oct
Total T - 0.334
SHBG - 98.2
Free T - 0.33
My questions are:
1) What am I doing wrong? Is this just because I struggled with dosing? I did change from gel to patches and back again quickly back in may/early june, if that matters? I have zero energy. With 4 teens i suppose that’s to be expected but it’s a bone deep fatigue. I just want that feeling everyone else talks about.
2) I skipped T the morning of bloods, but my appointment was rearranged from 11am to 2pm. due to this it was just over 28 hours from my last application. Google says this gap was too long a makes the result unreliable? My doctor didn’t mention a strict time limit though, they just said to skip the gel until after bloods? Can anyone clarify, please?
3) Lastly, under “liver health” it says my albumin is high at 56.5? I’m worried they’ll stop my T due to this? It‘s been a stressful week, I had a sickness bug on sun/mon, the guy taking my blood left the tourniquet on for so long my hand went numb, my arm is bruised where he took blood, and now I feel like it was a waste of time dragging myself there.
I’d so grateful for any advice. Thank you.