Help with interpreting blood results

[Spartan1985]

Hi guys

Further to the great support received previously I was hoping some of you would be able to look at the results from my recent bloods and offer some feedback.

Overview- had numerous issues since starting TRT with little to no benefit. Following the great advice of some members I dropped dose to 10mg prop subQ daily which gave me the best results yet. Libido returned although still quite reserved. Some improvement in erection quality and training recovery.

Was training hard for a holiday (vanity quest) and hit major burnout so in a moment of weakness decided a 12 week one rip (test p, mast, tren mix) was worth doing at 1.5ml 3 times a week. Had a great 8 weeks of sex drive, better erections and recovery then last 4 as usual for me were a gradual decline.

Off for around a month now, week of tamoxifen and hcg then back to 10mg prop a day subQ.

Feeling pretty shit at the moment, little to no penile sensitivity, poor erection quality, struggle to ejaculate, overall kinda dry feeling down there.

Had bloods done and attached the results. Loads of markers outwith normal range.

As ED has been an increasing issue even prior to the last cycle does anyone see any contributing factors in these results?

Oestrogen seems high, don’t cope well with AI seems to floor it almost straight away and leads to more side effects is there any better way to manage this?

How do you guys see the test range (slightly above normal for both T and free T? Protocol seem ok or should I adjust dose?

Any feedback greatly appreciated as these numbers mean very little to me

 

[WhiteMale]

You need to donate a pint of whole blood to treat your high(er) hematocrit.
And I do not see any Testosterone numbers on your 6 attachments. The rest of your above lab range are rather useless blood moarkers that IMHO don't mean anything in so many words.

You complain about what are too me, high Estrogen symptoms, most likely Estrogen derived problems, then state that you don't want to treat it. You also don't tell us what your past experience was with an Aromatase inhibitor. I am unfamiliar with Tamoxifen and dosing as there are easier to get and use drugs here in the states like Anastrozole.

I recommend if in your country you can get it, Anastrozole at .25mg E3.5D.

 

[Spartan1985]

You need to donate a pint of whole blood to treat your high(er) hematocrit.
And I do not see any Testosterone numbers on your 6 attachments. The rest of your above lab range are rather useless blood moarkers that IMHO don't mean anything in so many words.

You complain about what are too me, high Estrogen symptoms, most likely Estrogen derived problems, then state that you don't want to treat it. You also don't tell us what your past experience was with an Aromatase inhibitor. I am unfamiliar with Tamoxifen and dosing as there are easier to get and use drugs here in the states like Anastrozole.

I recommend if in your country you can get it, Anastrozole at .25mg E3.5D.

Thanks for the reply. I’ve been looking into donating blood but am ineligible due to TRT and a previous blood transfusion 5/6years ago so on the hunt for a therapeutic blood draw option. There must be a limit on attachments as I loaded around 12 but put the test ones below.

So AI usually flatlines my oestrogen even on small doses, which leads to similar side effects as the high oestrogen so haven’t mastered that. Was hoping the low dose subQ protocol would limit the conversion but the numbers are showing that’s not the case.

I didn’t mean I didn’t want to treat it so apologies if I worded that wrongly I meant I haven’t found a way to manage oestrogen successfully yet and AI of various kinds have all led to complete oestrogen crash with a dose or 2. Best results have been aromasin at half the dosage you said but bi weekly but even that leads to around a 5-7day feeling of flatline

 

[madman]

Hi guys

Further to the great support received previously I was hoping some of you would be able to look at the results from my recent bloods and offer some feedback.

Overview- had numerous issues since starting TRT with little to no benefit. Following the great advice of some members I dropped dose to 10mg prop subQ daily which gave me the best results yet. Libido returned although still quite reserved. Some improvement in erection quality and training recovery.

Was training hard for a holiday (vanity quest) and hit major burnout so in a moment of weakness decided a 12 week one rip (test p, mast, tren mix) was worth doing at 1.5ml 3 times a week. Had a great 8 weeks of sex drive, better erections and recovery then last 4 as usual for me were a gradual decline.

Off for around a month now, week of tamoxifen and hcg then back to 10mg prop a day subQ.

Feeling pretty shit at the moment, little to no penile sensitivity, poor erection quality, struggle to ejaculate, overall kinda dry feeling down there.

Had bloods done and attached the results. Loads of markers outwith normal range.

As ED has been an increasing issue even prior to the last cycle does anyone see any contributing factors in these results?

Oestrogen seems high, don’t cope well with AI seems to floor it almost straight away and leads to more side effects is there any better way to manage this?

How do you guys see the test range (slightly above normal for both T and free T? Protocol seem ok or should I adjust dose?

Any feedback greatly appreciated as these numbers mean very little to me

Thanks for the reply. I’ve been looking into donating blood but am ineligible due to TRT and a previous blood transfusion 5/6years ago so on the hunt for a therapeutic blood draw option. There must be a limit on attachments as I loaded around 12 but put the test ones below.

So AI usually flatlines my oestrogen even on small doses, which leads to similar side effects as the high oestrogen so haven’t mastered that. Was hoping the low dose subQ protocol would limit the conversion but the numbers are showing that’s not the case.

I didn’t mean I didn’t want to treat it so apologies if I worded that wrongly I meant I haven’t found a way to manage oestrogen successfully yet and AI of various kinds have all led to complete oestrogen crash with a dose or 2. Best results have been aromasin at half the dosage you said but bi weekly but even that leads to around a 5-7day feeling of flatline

Bad move dabbling with AAS whether one is cycling or hooked on that bast n cruizzz as you will never give yourself a chance to settle in using therapeutic dose of T.

Seeing as you are injecting 10 mg TP daily (70 mg/week) which is a sensible dose as I had stated in one of your older threads.

You are hitting a high-end TT 920 ng/dL with normal SHBG which means that your FT is going to be on the high-end.

Doubtful you had. your FT tested using an accurate assay which would be the gold standard Equilibrium Dialysis so we will need to calculate your FT using the linear law-of-mass action Vermeulen.

With a high-end TT 920 ng/dL, normal SHBG 30.3 nmol/L and Albumin 4.3 g/dL your FT 22.9 ng/dL is on the high-end.

As you should very well know from my previous replies when running a steady-state let alone high trough FT it is a given that you will end up driving up your hematocrit and in many cases over the top-end of the reference range.

Your ferritin is in a healthy range (results you posted in the PM).

Big question here is how many hours post-injection were labs done?

As I have stated numerous times over the years we always want to test at the true trough (lowest point) before your next injection.

Yes one can always test peak too. but we always need to know where your levels sit at the lowest point of your injection cycle.

Your true trough would be 24 hrs post-injection.

Keep in mind peak TT and more importantly FT let alone estradiol will be much higher especially when using TP as peak can be 40-50% higher.

I need to know how many hours post-injection labs were done as this will paint the full picture here!

Donating is a dead end road in the long run if you plan on running a high steady-state/trough FT.

If you are on the edge trying to manage elevated hematocrit or estradiol I would look into the newer oral TIU formulations (Jatenzo, Tlando or Kyzatrex) which would be an easy way to kill 2 birds with one stone!

Free & Bioavailable Testosterone calculator

 

[Spartan1985]

Bad move dabbling with AAS whether one is cycling or hooked on that bast n cruizzz as you will never give yourself a chance to settle in using therapeutic dose of T.

Seeing as you are injecting 10 mg TP daily (70 mg/week) which is a sensible dose as I had stated in one of your older threads.

You are hitting a high-end TT 920 ng/dL with normal SHBG which means that your FT is going to be on the high-end.

Doubtful you had. your FT tested using an accurate assay which would be the gold standard Equilibrium Dialysis so we will need to calculate your FT using the linear law-of-mass action Vermeulen.

With a high-end TT 920 ng/dL, normal SHBG 30.3 nmol/L and Albumin 4.3 g/dL your FT 22.9 ng/dL is on the high-end.

As you should very well know from my previous replies when running a steady-state let alone high trough FT it is a given that you will end up driving up your hematocrit and in many cases over the top-end of the reference range.

Your ferritin is in a healthy range (results you posted in the PM).

Big question here is how many hours post-injection were labs done?

As I have stated numerous times over the years we always want to test at the true trough (lowest point) before your next injection.

Yes one can always test peak too. but we always need to know where your levels sit at the lowest point of your injection cycle.

Your true trough would be 24 hrs post-injection.

Keep in mind peak TT and more importantly FT let alone estradiol will be much higher especially when using TP as peak can be 40-50% higher.

I need to know how many hours post-injection labs were done as this will paint the full picture here!

Donating is a dead end road in the long run if you plan on running a high steady-state/trough FT.

If you are on the edge trying to manage elevated hematocrit or estradiol I would look into the newer oral TIU formulations (Jatenzo, Tlando or Kyzatrex) which would be an easy way to kill 2 birds with one stone!

Free & Bioavailable Testosterone calculator

View attachment 53731

Hi Madman

Thanks for the reply. Yeah the cycle was a bad idea and has defo undone a lot of the progress made over the last few months.

Free T was calculated and shows as slightly high. Daily subQ injection is around 7.45am bloods would have been drawn around 12 hours later.

I haven’t heard of those orals will see what’s available around here thanks.

Do you think a slightly lower dose or swapping to test E might offset some of the oestrogen issues?

 

[Spartan1985]

Hi Madman

Thanks for the reply. Yeah the cycle was a bad idea and has defo undone a lot of the progress made over the last few months.

Free T was calculated and shows as slightly high. Daily subQ injection is around 7.45am bloods would have been drawn around 12 hours later.

I haven’t heard of those orals will see what’s available around here thanks.

Do you think a slightly lower dose or swapping to test E might offset some of the oestrogen issues?

So had a look at the orals, going to say that I’m not too comfortable with that idea due to history of oesophageal varices which had a very bad bleed and nearly ended me. They linked the varices to liver damage so think best to avoid oral options