Lab Work - What to Track in the Future?

Thread starter #1
Hi everyone,

Also just new here and would like to have some advice, i am just about a year on TRT. Started out with compounded TD cream 10% (8 pumps per day = appr. 2,4 grams actual Test absorbed was 10%) in the beginning it raised my levels and felt good, after 7 months started to feel become worse again and did lab works and there it showed my TT levels dropped from 8438 ng/L till 3731 ng/L. See attached bloodwork) So my doctor thought my skin was not absorbing the TD cream optimal any more. So we decided to switch to IM first 250mg every 2 weeks, did this and got the following results (second attachment) PS. bloodwork was done at day 10 after injection. Than i learned from this side and see that frequently injections provide better/steady level. So after last lab work om 21-12-2018 i started from first week in january to IM with +/- 60 mg every 3,5 days (Sunday evenings and Thursday mornings) Next week hursday 21-03-2019 i will do another labwork still with 2 x pw IM injection @ 60mg (120mg weekly)

My current protocol is
every 3,5 day IM with 60mg Testoviron
every day after injection 0,25mg Arimidex (so twice a week)
every day 120mg erfa Thyroid
every day 7,5mg prednisolone
every day 30mg DHEA
every day 3mg copper (as it was lowish)
every week 1 small vial D-cure to raise Vitamin D
every day 22,5mg zinc

As i'am not a fan of IM and read on so many forums that SQ or shallow IM with 1/2" insuline needle is a preferred way to go, i will after my next lab work (next week) continue with every 3,5 days with 60mg SQ or Shallow IM

About my symptoms; I think i'am still not dialed in to my sweet spot,
- as my sleep is still far from good. (sleep average 5-6 hours, and wake up a few times a night)
- don't wake up very energized in the morning
- Although i do CrossFit 5 x per week, my diet/food is i guess in order with Macro's but very difficult to loose fat from chest and lovehandles etc.

anyone that would like to contribute to my views or my protocols are welcome, as most people on the forum we're all here to learn from eachother.
 

Attachments

#2
I felt tired all the time when my Free T levels were above ranges, yours are almost double.

Arimidex causes me fatigue even with E2 levels inrange, Arimidex destroys my energy.
 
#4
Thx for reply, what would you suggest ?
I thought that high free T was a good thing, but appearantly not
Higher Free T can be a good thing, but it can also cause problems like high E2 which forces your hand towards needing an AI which can add side effects and decrease the effectiveness of TRT.
 
Thread starter #5
Clear, the last bloodwork with high free T was on my every 7 days / 125mg protocol and done the day before next injection. After that i started the every 3,5 days / 60mg. So just have to wait till next week lab work and see results and see from there. Will post lab work once I got them.
And advise of what I better can include in the lab work, I mean for what to check?
Thx
 
#6
Clear, the last bloodwork with high free T was on my every 7 days / 125mg protocol and done the day before next injection. After that i started the every 3,5 days / 60mg. So just have to wait till next week lab work and see results and see from there. Will post lab work once I got them.
And advise of what I better can include in the lab work, I mean for what to check?
Thx
We use Total T, Free T, SHBG and E2 sensitive to track our progress and to make adjustments.
 
#7
And advise of what I better can include in the lab work, I mean for what to check?
Thx
I would suggest to include DHT in your next Labs.
The fact that you were feeling good on the T Cream, until absorbency became an issue, and are now having issues on the injectable (at your good levels of FT & E2), might be due to too low 5a-r conversion to DHT.

Typically DHT levels are significantly higher on transdermals and guys often report good results unless, or until, they have poor absorbency and therefore don't attain adequate levels of hormones.
 
#9
Normal conversion is around 10% of TT which for you would indicate DHT ~110ng/dl, probably a bit above top of your Lab's range.

How you function, as ever, is more important than the absolute number and serum DHT provides a "hint" of activity in tissue.
If the level appears low you can increase DHT to see if it helps to relieve symptoms.
 
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