Dosing testosterone with high SHBG

[sh1973]

It's always been said over the years that, whenever SHBG is high, infrequent injections typically work best. My SHBG is normally between 50-70, no matter what the t dose. I've used topical, enanthate, and cypionate over the years, and I'm contemplating coming off. I just wanted to get some feedback from members that might have been down this road. It seems more frequent injections are prescribed for lower SHBG guys, but there are a few I've noticed using frequent dosing with high SHBG. I'm thinking of using Clomid if I come off t, but Clomid id notorious for raising SHBG even further. Any thoughts appreciated, thanks.

 

[1Draw]

I'm a high SHBG guy myself and I am getting tired of spikes in HCT that requires phelebotomies, and also higher E2 which require an AI. I've tanked my E2 a couple of times and it is no fun. Also, had a phelebotomy on 1/3/18 due to HCT at 52.3 on 12/26/17 and believe I've also tanked my ferritin.

Waiting now on blood test results with ferritin measured and a consult to discuss either EOD or Daily T shots. I know high SHBG guys are suppose to do weekly's but, it can also cause a lot of other problems with HCT and E2. I'm currently on 50 mg Tue am and 50 mg Fri pm no HCG and no AI.

My SHBG last time tested on 12/26/17 was 76 where it normally it sits sometimes more sometimes less. From what I read, not much a person can do about elevated SHBG so, why not just live with it and do things that will keep adverse sides in line?

Yes I know will mean a lower free T but, I've got that anyway for the biggest part and I can live with it if I do away with having to donate every 8 weeks and take and AI with chances of tanking E2. An Endocroligist told me years ago there is nothing wrong with high SHBG so, go figure!

It would help discussions if you could post your latest blood test.

 

[FeelingLost]

@Draw1 PM question sent your way.

 

[1Draw]

Got it and just replied.

 

[sh1973]

 

[sh1973]

http://ibb.co/gFLw0c

 

[1Draw]

How much T Cyp are you injecting per week? Your Total T and Free T need to be higher. Normally high
SHBG guys need at least 1,100 - 1,200 total T to get their Free T in an acceptable range.

Your Free T of 11.7 is 1.6% of your total T of 717. If say you increase your total T to 1,100 and with the same % of free then your free T would be 18.

Also, didn't see Sensitive E2 measured you might want to have your DR include that on next blood work. Can make a difference.

 

[sh1973]

My E2 has never been out of the low to mid 20s even with total t over 1500ng. This is with sensitive assay as well. Honestly just didn’t want to waste the money on the test, since I’ve measured it 20 times or so over the years with the same results. I have tried larger doses like 120mg a week and really don’t feel all that well. Normally after a larger dose like that, I feel really lethargic for a couple days and get better by the end of the week. These labs are with 80mg per week.