7 weeks into TRT - What do I do - Free T high 3.5 days after last injection

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BSS91

Member
Hi guys,

I take 100 mg split in to two injections (50 each) and 500 units of hcg split in 2 injections.

After 7 weeks, here are my results, 3.5 days after my last injection (I injected sunday evening, and tested Thursday morning):

Testosterone total = 571 ng per DL or 19.4 nmol/L
Free Test = 0.604nmol/L - a bit high, 3% of my total T which should be fine.
E2 = 25 pg/mL

My pre T levels were around 250 tested multiple times, always came up as 250-300s max.


Now I am asking, should I slightly increase dosage? I was going to increase to 60 mg twice per week starting this Monday and increase hcg to 300 units twice per week and stay there for a good while.

I would only increase the hcg once my wife and I start to try to have a kid.

All other markers are fine, nothing to take notice of.

Thanks guys :)
 
Last edited:
Defy Medical TRT clinic doctor
Now I am asking, should I slightly increase dosage?
Your trough free test levels are high, peak levels are even higher, why would you think you need to increase the dosage?

Expecting to feel noticeable changes seven weeks into treatment isn’t realistic. Let’s see how you feel 4 to 6 months from now.
 
Your trough free test levels are high, peak levels are even higher, why would you think you need to increase the dosage?

Expecting to feel noticeable changes seven weeks into treatment isn’t realistic. Let’s see how you feel 4 to 6 months from now.
That is the thing, I think I am too focused on total Test.

I was thinking maybe slightly increase so that my thorough ends up being around 600-700 like many suggested while still maintaining free test 2-3% of total test.

Because apparently a thorough like that (571) gives space for more...

What is a good level to aim for, in terms of free test?
 
I just did some digging and as an optimal level, free test should be between 20-30 ng/dl in most cases,

Mine after conversion is 17.4.
 
Hi guys,

I take 100 mg split in to two injections (50 each) and 500 units of hcg split in 2 injections.

After 7 weeks, here are my results, 3.5 days after my last injection (I injected sunday evening, and tested Thursday morning):

Testosterone total = 571 ng per DL or 19.4 nmol/L
Free Test = 0.604nmol/L - a bit high, 3% of my total T which should be fine.
E2 = 25 pg/mL

My pre T levels were around 250 tested multiple times, always came up as 250-300s max.


Now I am asking, should I slightly increase dosage? I was going to increase to 60 mg twice per week starting this Monday and increase hcg to 300 units twice per week and stay there for a good while.

I would only increase the hcg once my wife and I start to try to have a kid.

All other markers are fine, nothing to take notice of.

Thanks guys :)

Now I am asking, should I slightly increase dosage? I was going to increase to 60 mg twice per week starting this Monday and increase hcg to 300 units twice per week and stay there for a good while.

We already went through this in one of your previous threads.

You are still not understanding how this works.

Why would you even consider increasing your dose 7 weeks in as again when starting TTh or tweaking a protocol (increasing/decreasing dose T, manipulating injection frequency) it will take 4-6 weeks for blood levels to stabilize (TC/TE).

Hormones will be in FLUX during the weeks leading up until blood levels have stabilized and it is COMMON for one to experience ups/downs during the transition as the body is trying to adjust.

Even then once blood levels have stabilized (4-6 weeks) it will still take a few more months for the body to adapt to its new set-point and this is the critical time when one needs to gauge how they truly feel overall regarding relief/improvement of low-t symptoms and overall well being.

Every protocol needs to be given a fighting chance (12 weeks) before claiming whether it was a success or failure let alone tweaking the protocol (dose of T/injection frequency).

Again no one should be increasing their dose 7 weeks in unless your true trough was too low, highly doubtful in most cases!

The testing method relied upon in Canada is the linear law-of-mass action cFTV.

Critical point here is looking over your most recent labs you are hitting a descent trough TT 571 ng/dL and your SHBG is most likely lowish seeing a you are hitting a higher-end trough FT 17.4 ng/dL.

Do you have room to increase your dose slightly and bring up your trough FT, sure but again would not even consider making such move 7 weeks in!

You need to stop getting caught up on this needing to hit a trough FT 20 -30 ng/dL.

Most healthy young males are hitting a cFTV 13-15 ng/dL and this is a short-lived peak!

A trough cFTV 30 ng/dL would be absurdly high.

Show me a healthy young natty male walking around with a high-end TT let alone 1000+ with FT through the roof that has low/lowish SHBG.

Such does not exist!

Again tread lightly on this so called needing to run a high/absurdly high trough FT level!

Always need to keep trough/injection frequency in mind!

Huge difference between one hitting a trough FT 20-30 ng/dL injecting once weekly vs EOD or daily!




post #6




A standardized Equilibrium Dialysis assay would be considered the most accurate/reliable when it comes to testing free testosterone!


*We have determined mFT reference ranges in healthy men aged 25 to 69

Age category (years)

Median mFT (ng/dl)

95% mFT reference range (ng/dl)

25-29 (n=148)

10.3

5.6 - 17.1

30-39 (n=252)

9.7

4.9 - 18.1

40-49 (n=207)

8.0

4.3 - 13.5

50-59 (n=146)

7.0

3.8 - 12.6

60-69 (n=114)

5.9

3.3 - 11.9






Read over all my replies especially post # 68/69!

 
Hi guys,

I take 100 mg split in to two injections (50 each) and 500 units of hcg split in 2 injections.

After 7 weeks, here are my results, 3.5 days after my last injection (I injected sunday evening, and tested Thursday morning):

Testosterone total = 571 ng per DL or 19.4 nmol/L
Free Test = 0.604nmol/L - a bit high, 3% of my total T which should be fine.
E2 = 25 pg/mL

My pre T levels were around 250 tested multiple times, always came up as 250-300s max.


Now I am asking, should I slightly increase dosage? I was going to increase to 60 mg twice per week starting this Monday and increase hcg to 300 units twice per week and stay there for a good while.

I would only increase the hcg once my wife and I start to try to have a kid.

All other markers are fine, nothing to take notice of.

Thanks guys :)

Again the first 6 weeks means nothing when looking at the bigger picture!

If you are not going to put in the time needed to truly gauge the effectiveness of a protocol then you should never have started therapy as you will end up chasing your tail indefinitely!
 
The biggest mistake a lot of men make is they don’t settle into one protocol for very long and they keep changing things too often.
 
Alright guys, I get it.

This is a forum where there is much prudency and I like that.

I am not interrested to be in the upper range all week long, was just aiming for 650 as thorough levels (with a peak between 900-1100 MAX) and stay there and see where it gets me after 6 months to one year, so the increase was for that goal.

I thought a thorough of 571 was a bit low, but I get the point.
 
Last edited:
Beyond Testosterone Book by Nelson Vergel
I thought a thorough of 571 was a bit low, but I get the point.
That is the thing, I think I am too focused on total Test.
The free testosterone is where the rubber meets the road! If you took a substance or supplement that increased your SHBG, your total testosterone would increase, and your free testosterone would remain unchanged.

That’s because SHBG is a function of total testosterone, the higher the SHBG, the higher the total testosterone, independent of free testosterone.
 
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