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Testosterone Replacement, Low T, HCG, & Beyond
Blood Test Discussion
Bloodwork 29 y old male
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<blockquote data-quote="madman" data-source="post: 266786" data-attributes="member: 13851"><p>You should have looked into this more deeply.</p><p></p><p>Should have had a more thorough set of labs before jumping on TRT.</p><p></p><p>Blood work should be done for TT, FT, estradiol, SHBG, DHT, prolactin, Vit D DHEA-S, LH/FSH, PSA, full thyroid panel (TSH, Free T3, Free T4, Reverse T3, antibodies), salivary cortisol (Four Specimens), lipids, CMP, CBC, and CRP.</p><p></p><p>At the very least you should have tested TT, FT, estradiol, SHBG, LH/FSH, full thyroid panel, and cortisol.</p><p></p><p>When testing testosterone (TT, FT and BAT) blood work needs to be done in the early AM in a fasted state as we want to test at the peak.</p><p></p><p>If your are into training with weights it would be wise to take a week off and make sure that you are well rested before getting blood work done.</p><p></p><p>Keep in mind that although TT is important to know FT is what truly matters as it is the active fraction of testosterone responsible for the positive effects.</p><p></p><p>Knowing where your SHBG sits is critical too as some men can have not-so-stellar TT levels but still have a decent FT level due to low/lowish SHBG or can have what appears to be normal TT levels but low/low-normal FT due to highish/high SHBG.</p><p></p><p>Have no clue where your FT level truly sat pre-TRT as you never had it tested let alone never included SHBG.</p><p></p><p>If we knew where your SHBG sat when you were hitting a not-so-stellar TT 15.1 nmol/L (435.5 ng/dL) we could have calculated your FT.</p><p></p><p>If your TT was sitting at a dismal 7-8 nmol/L (201.9-230.7) then it would be a given that your FT is low.</p><p></p><p>You made a big mistake jumping on what would be considered the high-end dose of 200 mg T/week which would easily have most men's TT, and more importantly FT levels through the roof.</p><p></p><p>Many men on such protocol are still hitting a high trough (7 days) post-injection FT.</p><p></p><p>Most men can easily hit a high/absurdly high trough FT level by injecting 100-150 mg T/week especially when split into more frequent injections.</p><p></p><p>Although there are some outliers who may need the high-end dose it is far from common!</p><p></p><p>The best piece of advice is to always start low and go slow on a T-only protocol as we want to see how your body reacts to testosterone.</p><p></p><p>There will always be time to increase your dose slowly if need be.</p><p></p><p>Too many get caught up in that more T-is better mentality and may start out feeling great off the hop only to be let down months in due to running too high a trough FT level.</p><p></p><p>As I have previously stated numerous times on the forum running too high a trough FT level can be just as bad in many ways as having too low an FT level especially when it comes to libido/erectile function let alone mood as testosterone has a tonic effect on the CNS.</p><p></p><p>The body was never meant to be jacked up on T steady-state 24/7.</p></blockquote><p></p>
[QUOTE="madman, post: 266786, member: 13851"] You should have looked into this more deeply. Should have had a more thorough set of labs before jumping on TRT. Blood work should be done for TT, FT, estradiol, SHBG, DHT, prolactin, Vit D DHEA-S, LH/FSH, PSA, full thyroid panel (TSH, Free T3, Free T4, Reverse T3, antibodies), salivary cortisol (Four Specimens), lipids, CMP, CBC, and CRP. At the very least you should have tested TT, FT, estradiol, SHBG, LH/FSH, full thyroid panel, and cortisol. When testing testosterone (TT, FT and BAT) blood work needs to be done in the early AM in a fasted state as we want to test at the peak. If your are into training with weights it would be wise to take a week off and make sure that you are well rested before getting blood work done. Keep in mind that although TT is important to know FT is what truly matters as it is the active fraction of testosterone responsible for the positive effects. Knowing where your SHBG sits is critical too as some men can have not-so-stellar TT levels but still have a decent FT level due to low/lowish SHBG or can have what appears to be normal TT levels but low/low-normal FT due to highish/high SHBG. Have no clue where your FT level truly sat pre-TRT as you never had it tested let alone never included SHBG. If we knew where your SHBG sat when you were hitting a not-so-stellar TT 15.1 nmol/L (435.5 ng/dL) we could have calculated your FT. If your TT was sitting at a dismal 7-8 nmol/L (201.9-230.7) then it would be a given that your FT is low. You made a big mistake jumping on what would be considered the high-end dose of 200 mg T/week which would easily have most men's TT, and more importantly FT levels through the roof. Many men on such protocol are still hitting a high trough (7 days) post-injection FT. Most men can easily hit a high/absurdly high trough FT level by injecting 100-150 mg T/week especially when split into more frequent injections. Although there are some outliers who may need the high-end dose it is far from common! The best piece of advice is to always start low and go slow on a T-only protocol as we want to see how your body reacts to testosterone. There will always be time to increase your dose slowly if need be. Too many get caught up in that more T-is better mentality and may start out feeling great off the hop only to be let down months in due to running too high a trough FT level. As I have previously stated numerous times on the forum running too high a trough FT level can be just as bad in many ways as having too low an FT level especially when it comes to libido/erectile function let alone mood as testosterone has a tonic effect on the CNS. The body was never meant to be jacked up on T steady-state 24/7. [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Blood Test Discussion
Bloodwork 29 y old male
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