Bozworths follow up Labcorp results

[bozworth]

I have been on trt for a little over 3 mos. 100mg test cyp e 3.5 days sq, .350 hcg m,w,f. Have been trying not to use anastrozole but obvioulsy by follow up labs that was a mistake.
I have zero libido and zero eq. workouts are good
how much anastrozole should I start with and would you recommend dropping test dosage.
Im loving the way my body is changing but the libido issues and ed is a nightmare.

 

[Saul]

Mother Mary - Those are the highest numbers I have personally read. I expect people will suggest lowering your T dose.

 

[Vince]

If you lower your dose of testosterone your estrogen levels will go down, your free T is not too high. If you keep your protocol the same I would only add .125 of an AI twice a week. For that high of testosterone, estradiol is not really that high.

 

[FeelingLost]

I have been on trt for a little over 3 mos. 100mg test cyp e 3.5 days sq, .350 hcg m,w,f. Have been trying not to use anastrozole but obvioulsy by follow up labs that was a mistake.
I have zero libido and zero eq. workouts are good
how much anastrozole should I start with and would you recommend dropping test dosage.
Im loving the way my body is changing but the libido issues and ed is a nightmare.

Did you draw blood in your trough?
My latest blood has my trough TT at >1100 FT at 35 E2 28.9
My AI .125 EOD
300iu HCG M/W/F

With your numbers I would not take more than .125 EOD.

hth

 

[CoastWatcher]

I have been on trt for a little over 3 mos. 100mg test cyp e 3.5 days sq, .350 hcg m,w,f. Have been trying not to use anastrozole but obvioulsy by follow up labs that was a mistake.
I have zero libido and zero eq. workouts are good
how much anastrozole should I start with and would you recommend dropping test dosage.
Im loving the way my body is changing but the libido issues and ed is a nightmare.

What are your lab trends over the past three years of TRT? What were the deciding factors for your and your doctor to design your protocol as you did?

 

[Vince Carter]

T has to come down, huge assumption this was trough test which I doubt that it was. I think everything hinges on that, if he's not tested correctly this is all just static noise at this point. Is Dr McClain your TRT provider or simply who ordered your labs????

 

[blackebob]

I don't even remember what some of the supplements I've been taking I've been taking for but having said that my Estrogen is always in level even when my testosterone was high and I think it is important due to the fact that I take about 5 grams of fish oil a day plus pine bark grape seed extract maca root fenugreek, some of these guys on here can probably point you in a little better Direction but I like not have to take any AI pills

 

[bozworth]

This test was done the day I was supposed to take a shot. Ive only been on TRT for a little over 3 mos. I think that my dr just put me on a cookie cutter protocol. After reading through here, I can see that. I tried to not use AI after reading but.... I have tried TRT in the past and had Estrogen issues that forced me to quit, so I should have known. My script is for 1mg anastrozole twice a week.

 

[CoastWatcher]

This test was done the day I was supposed to take a shot. Ive only been on TRT for a little over 3 mos. I think that my dr just put me on a cookie cutter protocol. After reading through here, I can see that. I tried to not use AI after reading but.... I have tried TRT in the past and had Estrogen issues that forced me to quit, so I should have known. My script is for 1mg anastrozole twice a week.

Very few protocols require 2mg/weekly of estradiol. Your prolactin is at top of the range - a potential explanation for libido and erectile challenges. You don't need to test LH and FSH - a patient on TRT will always suppress those hormones. Do you have your SHBG?

Cookie-cutter/one size fits all protocols run a patient up fast, hoping they will experience a TRT thrill-ride, throw in an AI (a lot of AI) in the event estradiol skyrockets - as it usually does.

 

[bozworth]

What's the advice for high prolactin and TSH?

 

[CoastWatcher]

What's the advice for high prolactin and TSH?

You need to dig in and get additional thyroid labs, ft3, ft4, rt3, and both antibody profiles. While cabergoline can bring down prolactin levels, ruling out underlying causes is critical. When do you review these with your doctor?

 

[bozworth]

I can email and discuss at any time

I'm not supposed to travel back to see him until april

 

[bozworth]

He probably won't be happy that I've been off of the ai and my est is 88 Since he prescribed 1 mg with each shot