Blood tests 5 weeks in

Jk78

New Member
Below is my blood tests after 5 weeks of TRT. Current protocol is 50mg of test cyp subq twice a week (Tuesday am and Friday am). This blood was taken Saturday morning 36 hours after my last injection. I know this is a peak number, but I have a Dr. appointment next week the day before my injection and I think he will do another blood draw then. Either way, I'll have a peak number for reference. Also, I had a sensitive E2 test drawn at the same time, but have not received the results yet. I will edit this post once I receive it. This will be a good comparison of the two values. Also, I've included my pre-trt numbers from Feb 2015.

Please let me know if any of these stick out, particularly the thyroid numbers. Anything I need to bring up with my doctor next week?

Pre TRT
Testosterone 339 (250.0-1100ng/dl)
Free Testosterone 48.4 (35.0-155pg/ml)


After 5 Weeks
Testosterone (LC/MS) 955.6 (348.0-1197ng/dl)
Free Testosterone (Direct) 34.4 HIGH (8.7-25.2pg/ml)
Estradiol (ECLIA-nonsensitive) 44.6 HIGH 7.6-42.6pg/ml

LH 0.1 low (1.7-8.6mIU/ml)
FSH <0.2 LOW (1.5-12.4mIU/ml)
TSH 0.860 (0.45-4.500uIU/ml)
fT3 3.3 (2.0-4.4pg/ml)
fT4 1.01 (0.82-1.77ng/dl)

CBC
WBC 4.6 (3.4-10.8)
RBC 5.23 (4.14-5.8)
Hemoglobin 15.8 (12.6-17.7g/dl)
Hematocrit 46.0 (37.5-51.0%)
MCV 88 (79-97fl)
MCH 30.2 (26.6-33.0pg)
MCHC 34.3 (31.5-35.7g/dl)
RDW 13.5 (12.3-15.4%)
Platelets 227 (150-379)
Neutrophils 49
Lymphs 37
Monocytes 13
Eos 1
Basos 0
Neutrophils (Absolute) 2.2 (1.4-7.0
Lymphs (Absolute) 1.7 (0.7-3.1)
Monocytes (Absolute) 0.6 (0.1-0.9)
Eos (Absolute) 0.0 (0.0-0.4)
Baso (Absolute) 0.0 (0.0-0.2)
Immature Granulocytes 0
Immature Grans (Abs) 0.0 (0.0-0.1)

CMP
Glucose, Serum 95 (65-99mg/dl)
BUN 16 (6-20mg/dl)
Creatinine, Serum 0.98 (0.76-1.27mg/dl)
eGFR NonAfricanAm 98 (>59ml/min)
BUN/Creatinine Ratio 16 (8-19)
Sodium, Serum 142 (134-144mmol/L)
Potassium, Serum 5.0 (3.5-5.2mmol/L)
Chloride, Serum 101 (97-108mmol/L)
Carbon Dioxide, Total 26 (18-29mmol/L)
Calcium, Serum 9.5 (8.7-10.2mg/dl)
Protien total, Serum 6.5 (6.0-8.5g/dl)
Albumin, Serum 4.6 (3.5-5.5g/dl)
Globulin, Total 1.9 (1.5-4.5g/dl)
A / G Ratio 2.4 (1.1-2.5)
Bilirubin, Total 0.7 (0.0-1.2mg/dl)
Alkaline Phosphates, S 66 (39-117IU/L)
AST (SGOT) 31 (0-40IU/L)
ALT (SGPT) 27 (0-44IU/L)
 
How are you feeling after 5 weeks in?

Short answer - better

Long answer - Most of my low-T symptoms have improved some. Nothing major. Can't say I feel like a different man, but I wasn't expecting to either. I figured it would be a slow but steady improvement. Libido is up some, nighttime erections are increasing , focus and desire to complete tasks have probably increased the most.

Physically I've gained about 6lbs, but I started right as I was coming out of a cut, so a lot of that might be water weight. I dont feel I've gained much fat though. Strength on most of my lifts has gone up, but again, that could be the extra calories. I do feel like this surplus has started better than in the past, so I'll credit the extra testosterone for that.

Best change I've noticed is my wife's libido has been through the roof, so that's been fun.
 
Great news! A subset of people, often folks with low SHBG like myself, don't feel much of a difference after starting TRT so I am always glad to see someone that really feels the difference.
 

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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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