Crazy results after first set of bloodwork after starting TRT

[Weef]

posting for a friend who isn't technical.
----------------------------

Obese male, age 43. Finally decided I needed to make some changes in my life.
Went to a test clinic and original test results before therapy began:

	Measurement	Range
DHEA-S	151.5ug/dL	102->416
Testosterone, Serum	291
LH	4.7	1.7-8.6
Estradiol, Sensitive	18.1	8-35
SHBG	27	16.5-55.9

I was put on a plan that included:
50mg Test Cyp 3x/week (total 150/week)
350iu HCG 3x/week
.125mg anastrazole 3x/week

Just got my bloodwork back after 2 months on this and received some crazy numbers.

Testosterone, Total	1202 (HIGH)
Testosterone, Free	268 (HIGH)	range: 35-155pg/mL
SHBG	26
DHEA-S	126
Estradiol, Sensitive	32 (HIGH)	range: <29

This was all measured on the trough, so right before my shots and pill.
I am thinking i should lower my Testosterone portion but leave the HCG and AI unchanged. But the Free Testosterone is alarmingly high, and I'm not sure why? Unfortunately that doesn't seem to have been measured on the orig bloodwork for some reason.

I used a free T calculator online and came up with this if it helps since no Free-T on the orig set of bloodwork:
PRE-TRT:
Free Testosterone 6.25 ng/dL = 2.15 %
Bioavailable Test 153 ng/dL = 52.6 %

POST-TRT:
Free Testosterone 34.2 ng/dL = 2.84 %
Bioavailable Test 802 ng/dL = 66.7 %

Anyone have suggestions for me? I don't really feel like I've benefitted all that much. Def not lost much weight.

 

[fifty]

Hard to tell with such limited data. What is your hematocrit at?

 

[Weef]

Hard to tell with such limited data. What is your hematocrit at?

Pre-TRT it was at: 45.6
Most recent: 49.3 range: 38.5-51

Let me know if any other numbers would be helpful!

 

[Systemlord]

Two months into TRT is still very early in treatment and it could takes months to dial in your TRT protocol. HCG can negatively affect men and make it feel like TRT isn't working and isn't for everyone.

If you friend has a thyroid problem, TRT can't work. I would tell your friend to at least have a thyroid panel done checking the TSH, Free T4, Free T3, Revere T3 and antibodies if he is still struggling after he has had a chance to dial in his TRT protocol.

 

[Vince]

My two cents is. Cut the testosterone dose to 50 mg twice a week and eliminate the AI. Personally I like HCG, so I would keep it. Retest after 6 to 7 weeks. If needed, I would adjust from there.

 

[Weef]

I have some of the thyroid numbers.

TSH = 1.82 range: 0.4-4.5
Free T3 = 3.3 range 2.3-4.2

that looks like all they ran of thyroid numbers, but doesn't seem too awful.