thoughts on labs. recommendations on what direction to go.

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My most recent blood test results are e2 24.7 pg/ml, 51.6 ng/dl free testosterones and 1890 ng/ ml total testosterone. This was May 6, almost the same as earlier this year. I’m down to 150 mg testosterone per week down from 200. I don’t know what is going on. I also inject 500iu Hcg 3 x week with the testosterone. I have no complaints, but I think the Doctor will have a fit. In case you don’t know from my previous post I am going on 93. I should also add that I switched from Trimix to Alprostadil, I’m still experimenting with the dosage, I tried about .2 of ml, the strength is 500 mcg/ml.
 
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My most recent blood test results are e2 24.7 pg/ml, 51.6 ng/dl free testosterones and 1890 ng/ ml total testosterone. This was May 6, almost the same as earlier this year. I’m down to 150 mg testosterone per week down from 200. I don’t know what is going on. I also inject 500iu Hcg 3 x week with the testosterone. I have no complaints, but I think the Doctor will have a fit. In case you don’t know from my previous post I am going on 93. I should also add that I switched from Trimix to Alprostadil, I’m still experimenting with the dosage, I tried about .2 of ml, the strength is 500 mcg/ml.
93 years old, walking around feeling healthy and sexually active with those numbers? How can this be? I was told that exceeding the physiological range is a death sentence, if not immediately, then certainly by your age! My entire world view is crumbling...
 
93 years old, walking around feeling healthy and sexually active with those numbers? How can this be? I was told that exceeding the physiological range is a death sentence, if not immediately, then certainly by your age! My entire world view is crumbling...

post #61

My most recent blood test results are e2 24.7 pg/ml, 51.6 ng/dl free testosterones and 1890 ng/ ml total testosterone. This was May 6, almost the same as earlier this year. I’m down to 150 mg testosterone per week down from 200. I don’t know what is going on. I also inject 500iu Hcg 3 x week with the testosterone. I have no complaints, but I think the Doctor will have a fit. In case you don’t know from my previous post I am going on 93. I should also add that I switched from Trimix to Alprostadil, I’m still experimenting with the dosage, I tried about .2 of ml, the strength is 500 mcg/ml.



No one cared to ask this guy how many days post-injection his blood was drawn?

He is injecting 150 mg T week + hCG, highly doubtful he is hitting an absurdly high TT of almost 1900 ng/dL with FT through the roof at true trough!

Nothing shocking if one is hitting an absurdly high TT/FT at the peak/during the first few days when injecting 150-200 mg T/week + hCG!

We always want test at the true trough.

Better yet read over his reply from post #53

I realize there are special cases where 200 mg per week is excessive, but for the average guy I thought 200 was the norm. I have been injecting 200 mg per week for some time, along with 500 iu Hcg and 1/2 mg anastrozole once per week, my total testosterone is 847, 17 free and 24 e2. Feel great

Anyone that has been part of this forum long-enough should very well know 200 mg T once weekly is an excessive therapeutic dose for most!

The majority of men can easily hit a healthy/high trough FT injecting 100-150 mg T/week especially when split into more frequent injections.

He is injecting a whopping 200 mg T/week + hCG, 50 mg more T than his current protocol (150 mg T/week + hCG) and was hitting a high-end TT 847 ng/dL with a healthy FT.

I would say this would be more realistic numbers for a trough injecting 200 mg T once weekly.
 
My most recent blood test results are e2 24.7 pg/ml, 51.6 ng/dl free testosterones and 1890 ng/ ml total testosterone. This was May 6, almost the same as earlier this year. I’m down to 150 mg testosterone per week down from 200. I don’t know what is going on. I also inject 500iu Hcg 3 x week with the testosterone. I have no complaints, but I think the Doctor will have a fit. In case you don’t know from my previous post I am going on 93. I should also add that I switched from Trimix to Alprostadil, I’m still experimenting with the dosage, I tried about .2 of ml, the strength is 500 mcg/ml.

This means nothing without knowing how many days post-injection you had your labs done.

How many days post-injection was blood work done?

Post the testing method/reference range for FT.

Where does your SHBG sit?
 
I realize there are special cases where 200 mg per week is excessive, but for the average guy I thought 200 was the norm. I have been injecting 200 mg per week for some time, along with 500 iu Hcg and 1/2 mg anastrozole once per week, my total testosterone is 847, 17 free and 24 e2. Feel great

If this is your true trough (7 days post-injection) FT you are blowing all those natty healthy young males out of the water!



Age category (years)

Median mFT (ng/dl)

95% mFT reference range (ng/dl)

25-29 (n=148)

10.3

5.6 - 17.1

 
This means nothing without knowing how many days post-injection you had your labs done.

How many days post-injection was blood work done?

Post the testing method/reference range for FT.

Where does your SHBG sit?
I inject 3 x week, 2ml testosterone 250 mg/ml, I think that calculates to about 150 mg for the week. So, my blood work had to be with in a couple of days of injections. I am doing something different because I went from 900 total T to these really high levels, and injecting less T. I don’t know what my SHBG is, all my blood levels were in the normal range including prolactin. This may be a dumb question, but can protein powder raise testosterone?
 
I inject 3 x week, 2ml testosterone 250 mg/ml, I think that calculates to about 150 mg for the week. So, my blood work had to be with in a couple of days of injections. I am doing something different because I went from 900 total T to these really high levels, and injecting less T. I don’t know what my SHBG is, all my blood levels were in the normal range including prolactin. This may be a dumb question, but can protein powder raise testosterone?

*I have been injecting 200 mg per week for some time,

*I’m down to 150 mg testosterone per week down from 200.


You made it sound as though you were still injecting once weekly as your previous protocol was 200 mg T/week.

You never mentioned injecting more frequently.

If you were injecting 200 mg T once weekly then the TT 847/FT 17 ng/dL you were hitting was most likely your trough (7 days post-injection).

On your current protocol 150 mg T/week split 3x + hCG you are hitting an absurdly high TT 1890/FT 51.6 ng/dL which I find hard to believe this would be your true trough 72 hrs post-injection.

If the strength of your T is 250 mg/mL and you are injecting .20 mL (20 units) then you would be injecting 150 mg T/week (50 mg T 3X weekly).

Are you sure that you are drawing/injecting 20 units each time?

The only way to truly compare labs when lowering/increasing your weekly T dose is your injection frequency would need to be kept the same let alone blood needs to be drawn at the true trough and top it off that you would need to use the same lab/same assays (most accurate)!

Then you could see where your trough TT/FT truly sits whether lowering or increasing your weekly T dose.

If your FT was tested using the most accurate assay Equilibrium Dialysis let alone even if it was calculated using the linear law-of-mass action cFTV your SHBG would most likely be highish as in the high 30s/low 40s.
 
Beyond Testosterone Book by Nelson Vergel
The testing method was LC MS/MS whatever that means

Yes that would be the most accurate assay for testing total testosterone.

When it comes to the most important blood marker free testosterone you would need to have it tested using what would be considered the most accurate assay the gold standard Equilibrium Dialysis especially in cases of altered SHBG in order to know where it truly sits!
 
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