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Testosterone Replacement, Low T, HCG, & Beyond
Blood Test Discussion
Calling for the experts - Daily injections routine failure
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<blockquote data-quote="Appassionato" data-source="post: 148965" data-attributes="member: 37892"><p>Hi everyone, a quick update after another blood test. These are the results at through (30 minutes before injection) on a protocol of 15 mg of T enanthate EOD + 1 mg of exemestane ED at bedtime:</p><p></p><p>Total T = 792.18 ng/dL (241 – 827 ng/dL)</p><p>Free T (calc.)= 31.18 pg/mL (4.2 – 30.4 pg/mL)</p><p>E2 = 38.57 pg/mL (10 – 40 pg/mL)</p><p>Albumin = 3.9 g/dL (3.5 – 5 g/dL)</p><p></p><p>I've calculated my free T as [USER=13851]@madman[/USER] advised with an SHBG of 25, as it has always been between 23 and 26 since almost 2 years of TRT.</p><p></p><p>So far I'm doing way better with an AI and exemestane in particular (I don't tolerate anastrozole well), but still have some issues. Anxiety and sleep has improved a lot and I haven't slept so well in a long time. But I do still feel on the edge sometimes.</p><p>Gynecomastia has improved, but not gone yet.</p><p></p><p>Now bad notes. Tiredness has improved considerably as well, but I still feel tired the morning when I inject and the afternoon before the injection day. So basically the pattern looks like this:</p><p></p><p>- feeling pretty well starting from lunchtime on the day of the injection, until lunchtime of the day after</p><p></p><p>- feeling tired in the afternoon of the day without injecting and until lunchtime of the day of injecting</p><p></p><p>My theory is that I feel better when I have a higher T, so my T/E2 ratio is higher and I start feeling worse when my T start dropping. That would explain probably why mornings when I inject are the worst for few hours, until T kicks in probably, and then I start feeling better until the levels start to drop the afternoon of the next day.</p><p>E2 should be constant due to the daily exemestane.</p><p></p><p>Solution to that would be lowering E2 further down with a higher dose of exemestane, as I want to come out of cabergoline and I know from previous blood tests that when my E2 is below 30 pg/mL, my prolactin will go below 10 ng/mL.</p><p>That should give me a better T/E2 ratio and hopefully resolves symptoms.</p><p></p><p>Another solution would be increase the T dose, but that would lead me to increase my AI dose anyway, due to my crazy aromatization.</p><p></p><p>What do you guys think? Does that make sense?</p></blockquote><p></p>
[QUOTE="Appassionato, post: 148965, member: 37892"] Hi everyone, a quick update after another blood test. These are the results at through (30 minutes before injection) on a protocol of 15 mg of T enanthate EOD + 1 mg of exemestane ED at bedtime: Total T = 792.18 ng/dL (241 – 827 ng/dL) Free T (calc.)= 31.18 pg/mL (4.2 – 30.4 pg/mL) E2 = 38.57 pg/mL (10 – 40 pg/mL) Albumin = 3.9 g/dL (3.5 – 5 g/dL) I've calculated my free T as [USER=13851]@madman[/USER] advised with an SHBG of 25, as it has always been between 23 and 26 since almost 2 years of TRT. So far I'm doing way better with an AI and exemestane in particular (I don't tolerate anastrozole well), but still have some issues. Anxiety and sleep has improved a lot and I haven't slept so well in a long time. But I do still feel on the edge sometimes. Gynecomastia has improved, but not gone yet. Now bad notes. Tiredness has improved considerably as well, but I still feel tired the morning when I inject and the afternoon before the injection day. So basically the pattern looks like this: - feeling pretty well starting from lunchtime on the day of the injection, until lunchtime of the day after - feeling tired in the afternoon of the day without injecting and until lunchtime of the day of injecting My theory is that I feel better when I have a higher T, so my T/E2 ratio is higher and I start feeling worse when my T start dropping. That would explain probably why mornings when I inject are the worst for few hours, until T kicks in probably, and then I start feeling better until the levels start to drop the afternoon of the next day. E2 should be constant due to the daily exemestane. Solution to that would be lowering E2 further down with a higher dose of exemestane, as I want to come out of cabergoline and I know from previous blood tests that when my E2 is below 30 pg/mL, my prolactin will go below 10 ng/mL. That should give me a better T/E2 ratio and hopefully resolves symptoms. Another solution would be increase the T dose, but that would lead me to increase my AI dose anyway, due to my crazy aromatization. What do you guys think? Does that make sense? [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Blood Test Discussion
Calling for the experts - Daily injections routine failure
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