u/Interesting_Flan_436

As the title says, my shbg sits around 45. Total test at 900 but free test is low cause it’s chewed up by the shbg? Is this something I need to focus on?

Hi all. I’m in desperate need of some help. I’ll write out my entire history here, cause I’m really struggling

I’m 29, in may if 2025 I started trt. My TT was 550, and free t was around 10 with an shbg if 42. We started at 50/50 split Monday and Thursday. Gradually increased to 65/65, ended up at 1500 TT, lowered dose to 60/60, in August, TT dropped to 1060. At the same time I was on a diet and lost about 45 pounds. I’ve been lifting for 9 years so I’m definitely muscular. From June until August where my test was highest, I was getting the best sleep of my life. Out cold within 5 minutes and waking up feeling refreshed. He lowered my dose again cause 1060 was too high for him, and he also put me on an ai cause my e2 was around 50

2 weeks after starting the ai is when the insomnia started. Started with frequent awakenings, then sleep onset insomnia. I have health anxiety which spiraled and was the main contributor of my insomnia at that point. We lowered my dose to 40/40 to see if sleep improved and took me off the ai, and it didn’t work. Dose has slowly been increased. I’m on trazodone to help me sleep. I was at 55/55 in December and total test was 550 and e2 30 and ultra sensitive was 22. I had labs done last week, still 55/55 and insomnia still persistent. Labs came back again at 550 TT and shbg at 40 and e2 at 20, ultra sensitive assuming lower than that. I’m in desperate need of advice.

My doctor’s advice is to get off the test. But I was getting the best sleep of my life when I was around 1000 total test. I’ve lost so much weight and fat, I know that changes things. I raised my dose 6 days ago to 60/60 and my insomnia has gotten slightly worse. What do I do? Do I get off? Do I try something different? I’m taking cyp btw

I’m no stranger to antidepressants. Started on Effexor back in 2020 for health anxiety and depression, and it was a miracle drug. Year and a half later, my depression came back, was put on lexapro, didn’t work, Prozac, didn’t work, cymbalta, didn’t work, viibryd, didn’t work. Wellbutrin was okay, but I was on immediate release

Turns out I had adhd. Tried atomoxatine, didn’t work. Was put on vyvanse and boom, all my emotions came back. Problem is, it’s so short lived. I’m now battling insomnia, so my psych is not prescribing the vyvanse which I understand. Does anyone have any advice? I want my emotions back so desperately. Everything is just so flat. My love for my partner is just flat

I can feel my emotions very briefly, sometimes just 10 seconds of joy then it’s gone. What do I do? Do I try longer acting Wellbutrin? Pristiq? I’m out of options