Updated Labs - Help Please

This is a temporary fix!

Last thing you want here is to get caught up on the donating merry go round.

Many end up donating too frequently only to end up crashing their ferritin which can open up another can of worms.

You need to get to the root cause here which for the majority is running too high a trough/steady-state FT but in your case judging by all of your previous labs you never had a high-end/high FT (20-25 ng/dL) other then back in Feb/Mar when you were hitting a TT 1115/958 ng/dL!

Even then have no idea where your RBCs, hemoglobin and hematocrit sat when you were running a high-end/high TT which was only for a few months.

When first starting TTh hematocrit needs to be checked at 3 and 6 months then 12 months in as the biggest increase will be seen within the first 3-6 months.

Need to give it 6 months on said protocol (dose of T/injection frequency) to see where it truly ends up!

Where did your RBCs and H/H sit at baseline (pre-TTh)?

As of now on your current protocol you are hitting 53%!




03/17/2025:

Testosterone: 1115 ng/dL (range 300 - 1080 ng/dL)
SHBG: 39 (range 17-56 nmol/L)
Testosterone Free-Calc: 252.0 pg/mL (range 47.0 - 244 pg/mL)
*these labs were done post injection around 1:00 PM and were not trough labs.





Threw in the same SHBG 39 nmol/L as it is highly doubtful it was much higher.

02/17/2025:

Estradiol: 33.7 pg/mL (range 11.8 - 39.9)
Testosterone: 958 ng/dL (range 280 -1100)
SHBG: *not measured*
Testosterone Free-Calc: *not measured*


Hey sir, here are my results from 12/28/2024 about 2 weeks after initiating the 16mg/daily + 500iu 3x per week protocol:

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1755739759833.webp


1755739647826.webp


Here they are from 04/07/2025:

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1755739902878.webp



And then from 5/14:

Total T: 643ng/DL
SHBG: 28.6 nmol/L
Albumin: 4.5 g/dL
Calc Free Testesterone: 147 pg/mL
Estradiol 20.0 pg/mL
Ferritin 67.4 ng/mL
Hematocrit 48.8% (ref. range 39.5-49.5%)
RBCs: 5.41 (ref. range 4.40 - 5.80)


So an increase from 44.5 to 5.79 on the most recent labs for RBCs, and a corresponding increase in HCT.

I donated blood this afternoon after work. I am not sure what else I should do besides retesting in 4 weeks to see where things stand? Very open to suggestions.
 

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Understanding Your Hormones

Estradiol (E2)

A form of estrogen produced from testosterone. Important for bone health, mood, and libido. Too high can cause side effects; too low can affect well-being.

DHT

Dihydrotestosterone is a potent androgen derived from testosterone. Affects hair growth, prostate health, and masculinization effects.

Free Testosterone

The biologically active form of testosterone not bound to proteins. Directly available for cellular uptake and biological effects.

Scientific Reference

Lakshman KM, Kaplan B, Travison TG, Basaria S, Knapp PE, Singh AB, LaValley MP, Mazer NA, Bhasin S. The effects of injected testosterone dose and age on the conversion of testosterone to estradiol and dihydrotestosterone in young and older men. J Clin Endocrinol Metab. 2010 Aug;95(8):3955-64.

DOI: 10.1210/jc.2010-0102 | PMID: 20534765 | PMCID: PMC2913038

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