Blood levels, need advice

Thread starter #1
Hi guys,

So, i've been on 30mg EOD protocol for 46 days excacly and i got my blood levels today:

Total Testosterone: 1212 ng/dL |Range: 250 - 865|
Estradiol (we don't have sensitive test in my country): 44 |Range: 7.68 - 43|
SHBG: 37 |Range: 13.3 - 89.5|
Free testosterone (TruT): 43.45 ng/dL |Range: 16-31 ng/dL|

These are not my completely through levels as i've done them 9 hours before injection (i am doing shots at 11 PM).

I feel good, but not great. I sometimes have problems with libido and i rarely have morning wood. I know i have a LITTLE BIT too much estradiol, even though it's not sensitive test. I don't know what to do from here. I can try injecting 15mg ED to lower my E2, but i want to hear advices from people who have more knowledge than i do.
And yeah, i don't want to take an AI, i know i need to lower my E2 just a little bit, because my libido is there very often, sometimes it just gets a little bit "blurry". Hard to describe really and i do have morning woods sometimes. Thanks for help

P.S I don't take HCG, AI or anything other than testosterone.
 
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#4
I wouldn't make a drastic change in dosage, 25mg EOD is a more reasonable reduction in dosing, 15mg EOD will most likely drop your levels too low.

A 20mg reduction should reduce estrogen nicely. Since you're using the incorrect testing for estrogen through no choice of your own, estrogen is probably a little lower closer to high normal (35).
 
Thread starter #5
Thanks for feedback. I've been talking to Sean Mosher and he basically said the same thing. My estradiol is not that high, so i hope that 25mg EOD will be a sufficient amount to drop my E2 where it needs to be. Hopefully my testosterone will still be a little bit over the top range afterwards.

Since you're using the incorrect testing for estrogen through no choice of your own, estrogen is probably a little lower closer to high normal (35).
Yeah, i've been told that regular E2 test overestimate estrogen in male's body, so my estradiol could actually be within normal ranges. I am just 1 point over the range in regular.
 
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#6
I think your Labs look pretty good. A small reduction in your testosterone injections, as the others recommended. Should be fine. I wouldn't be too concerned about your estrogen levels, they're not bad and you're shpg is in a good range. I would keep an eye on your HCT, just starting trt it tends to rise. You may also want to consider a complete thyroid panel, at least once. TSH, free T4, free T3, and both antibodies.
 
Thread starter #7
I think your Labs look pretty good. A small reduction in your testosterone injections, as the others recommended. Should be fine. I wouldn't be too concerned about your estrogen levels, they're not bad and you're shpg is in a good range. I would keep an eye on your HCT, just starting trt it tends to rise. You may also want to consider a complete thyroid panel, at least once. TSH, free T4, free T3, and both antibodies.
Thank you. And yeah, actually i've done thyroid panel as well.


TSH: 2.2488 uIU/mL |Range: 0.3500 - 4.9400|
FT3: 3.191 pg/mL |Range: 1.710 - 3.710|
FT4: 1.091 ng/dL |Range: 0.700 - 1.480|
anti TG: 4.39 IU/mL |Range: 0-4.11|
anti TPO 0.37 IU/mL |Range: 0-5.61|
 
#10
I'd love to know what contributes to morning wood. I seem to always have it the morning after my shot and it slowly goes away until the next shot. Is it driven by High T, does higher E kill it?
 
#13
I'd love to know what contributes to morning wood. I seem to always have it the morning after my shot and it slowly goes away until the next shot. Is it driven by High T, does higher E kill it?
I think my experience of my own self seems that and we know E follows T, but my T falls sooner/quicker than my E does (low SHBG) so it can seem that my E stays elevated while T is coming down. I inject daily.
 
#14
OP, do you take a low dose Cialis every day? Before TRT I would never have morning wood. After getting stabilized on TRT I’d have wood 2 or 3 days a week. Taking 5 mg Cialis daily, I have wood 5 or 6 days a week.
 
Thread starter #15
An update:

I did not make any changes in my protocol and decided to give it more time to see how i feel. 1 week ago i had few days when i felt a little bit worse but for the past 2 days i feel better than i did for a long time. I have morning erections more often and they're pretty strong. I am horny pretty much all day now. So for now things are good. I'll give it time at least until June before i will decide whether dosage reduction is needed or not.

OP, do you take a low dose Cialis every day? Before TRT I would never have morning wood. After getting stabilized on TRT I’d have wood 2 or 3 days a week. Taking 5 mg Cialis daily, I have wood 5 or 6 days a week.
Thanks for advice, i did not use Cialis but i might introduce it to my protocol.
 
#16
Sorry for hijacking the thread, but there are a lot of practitioners and PhDs these days (Raymond Peat just to name one) who says a healthy thyroid has a TSH sitting at around or below 1.0. I basically have the same thyroid numbers as IamNotShepard and Dr. Saya told me my thyroid is perfectly fine, but I do suffer from cold extremities in winter (feet, hands and nose), especially in a fasted state, so I was curious to know what you guys think.

EDIT: this is a table Nelson posted in one of the sticky about the optimal thyroid levels
 

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