ExcelMale
Menu
Home
What's new
Latest activity
Forums
New posts
Search forums
What's new
New posts
Latest activity
Videos
Lab Tests
Doctor Finder
Buy Books
About Us
Men’s Health Coaching
Log in
Register
What's new
Search
Search
Search titles only
By:
New posts
Search forums
Menu
Log in
Register
Navigation
Install the app
Install
More options
Contact us
Close Menu
Forums
Testosterone Replacement, Low T, HCG, & Beyond
When Testosterone Is Not Enough
ED issues - 2 years & counting trying to get to root cause
JavaScript is disabled. For a better experience, please enable JavaScript in your browser before proceeding.
You are using an out of date browser. It may not display this or other websites correctly.
You should upgrade or use an
alternative browser
.
Reply to thread
Message
<blockquote data-quote="madman" data-source="post: 172766" data-attributes="member: 13851"><p>Regarding the mental aspects you have been given great advice as always thanks to Mountain Man.</p><p></p><p>Seeing as you are injecting a high dose of T 240 mg/week when were your labs drawn?</p><p></p><p>The proper way is to test at trough and if you are injecting Monday morning at 9 am than you would have blood work done the following Monday morning just before your next injection.</p><p></p><p>Looking over your labs your TT/FT levels are at the high end and if these are your true trough levels than your peak TT/FT levels will be much higher post injection/days following.</p><p></p><p>This can easily cause issues as not only will your testosterone levels be way too high at peak/early in the week but your main issue will be the fluctuations in your levels from injecting such a high dose of T once weekly as there will be an extreme between your peak--->trough T levels which can wreak havoc on the stability of ones mood/libido/erectile function/energy/overall well-being.</p><p></p><p>If your TT/FT levels on your most recent labs are true trough levels (7 days post injection) than it would be much more sensible to try lowering your dose and injecting more frequently as in twice weekly (every 3.5 days).</p><p></p><p>You could try lowering your overall weekly dose to 200mg/week (100 mg every 3.5 days) and stick to that protocol for 6-8 weeks gauging how you feel along the way than have blood work done to see where your TT/FT/e2 levels sit at true trough.</p><p></p><p>Most men on trt are using anywhere from 100-200 mg/week and even than 200 mg/week is not needed by most to achieve a healthy TT/FT levels.</p><p></p><p>Some men can even use less than 100 mg/week and yes some do use slightly higher doses than 200 mg/week but it is rarely ever needed to achieve healthy TT/FT levels.</p><p></p><p>Injecting lower doses more frequently as in your case twice weekly (every 3.5 days) will result in much less extremes between peak--->trough compared to injecting higher doses once weekly and your blood levels will be more stable throughout the week which can have beneficial effects on ones mood/libido/erectile function/energy and overall well-being.</p><p></p><p></p><p></p><p>I would also look into switching up your protocol as not only is your T dose very high but your TT/FT levels are not stable throughout the week.</p><p></p><p>Less frequent injections as in once weekly will result in very high peaks post injection and very high levels the following days after injection only to be followed by lower levels later in the week at trough.</p><p></p><p>From your initial blood work pre-trt:<strong>Feb 2018 initial blood results with no medications:</strong></p><p>[ATTACH=full]9315[/ATTACH]</p><p></p><p>Now seeing as your FT was tested using the outdated and inaccurate linear law-of-mass action Vermuelen calculated method.</p><p></p><p>If we take your TT 584 ng/dL, SHBG 58 nmol/L and Albumin 4.5 g/dL than your FT is 8.48 ng/dL (lower end of the reference range).</p><p>[ATTACH=full]9317[/ATTACH]</p><p></p><p>Now from your most recent blood work on trt:<strong>Aug 2019 Blood results (I also got recent blood work done as a bi-annual but no changes in Rx at all):</strong></p><p>[ATTACH=full]9318[/ATTACH]</p><p>[ATTACH=full]9319[/ATTACH]</p><p></p><p>Unfortunately you did not test your SHBG which you would most likely have seen drop due to the high dosed (240 mg/week) T injections.</p><p></p><p>We can figure this out by plotting number in the calculator.</p><p></p><p>If we take your new TT 1100 ng/dL, use an SHBG of 37 nmol/L and your Albumin 4.5 g/dL (same as pre-trt) than your new FT level is 25 ng/dL (just slightly over top end reference range).</p><p>[ATTACH=full]9321[/ATTACH]</p><p></p><p>Both of your FT levels pre and post trt are almost on point compared to your lab values.</p><p></p><p>Now if you truly want to know where your FT levels sit than you would need to have it done using the most accurate testing method such as the gold standard Equilibrium Dialysis or Ultrafiltration (next best) or simply use the newer calculated TruT method available online for free.</p><p></p><p>Your FT levels may be higher than you think!</p><p></p><p>So again if your lab work was done at true trough than your TT/FT (1100 ng/dL and 25.04 ng/dL) levels are much higher earlier in the week of your injection protocol.</p></blockquote><p></p>
[QUOTE="madman, post: 172766, member: 13851"] Regarding the mental aspects you have been given great advice as always thanks to Mountain Man. Seeing as you are injecting a high dose of T 240 mg/week when were your labs drawn? The proper way is to test at trough and if you are injecting Monday morning at 9 am than you would have blood work done the following Monday morning just before your next injection. Looking over your labs your TT/FT levels are at the high end and if these are your true trough levels than your peak TT/FT levels will be much higher post injection/days following. This can easily cause issues as not only will your testosterone levels be way too high at peak/early in the week but your main issue will be the fluctuations in your levels from injecting such a high dose of T once weekly as there will be an extreme between your peak--->trough T levels which can wreak havoc on the stability of ones mood/libido/erectile function/energy/overall well-being. If your TT/FT levels on your most recent labs are true trough levels (7 days post injection) than it would be much more sensible to try lowering your dose and injecting more frequently as in twice weekly (every 3.5 days). You could try lowering your overall weekly dose to 200mg/week (100 mg every 3.5 days) and stick to that protocol for 6-8 weeks gauging how you feel along the way than have blood work done to see where your TT/FT/e2 levels sit at true trough. Most men on trt are using anywhere from 100-200 mg/week and even than 200 mg/week is not needed by most to achieve a healthy TT/FT levels. Some men can even use less than 100 mg/week and yes some do use slightly higher doses than 200 mg/week but it is rarely ever needed to achieve healthy TT/FT levels. Injecting lower doses more frequently as in your case twice weekly (every 3.5 days) will result in much less extremes between peak--->trough compared to injecting higher doses once weekly and your blood levels will be more stable throughout the week which can have beneficial effects on ones mood/libido/erectile function/energy and overall well-being. I would also look into switching up your protocol as not only is your T dose very high but your TT/FT levels are not stable throughout the week. Less frequent injections as in once weekly will result in very high peaks post injection and very high levels the following days after injection only to be followed by lower levels later in the week at trough. From your initial blood work pre-trt:[B]Feb 2018 initial blood results with no medications:[/B] [ATTACH=full]9315[/ATTACH] Now seeing as your FT was tested using the outdated and inaccurate linear law-of-mass action Vermuelen calculated method. If we take your TT 584 ng/dL, SHBG 58 nmol/L and Albumin 4.5 g/dL than your FT is 8.48 ng/dL (lower end of the reference range). [ATTACH=full]9317[/ATTACH] Now from your most recent blood work on trt:[B]Aug 2019 Blood results (I also got recent blood work done as a bi-annual but no changes in Rx at all):[/B] [ATTACH=full]9318[/ATTACH] [ATTACH=full]9319[/ATTACH] Unfortunately you did not test your SHBG which you would most likely have seen drop due to the high dosed (240 mg/week) T injections. We can figure this out by plotting number in the calculator. If we take your new TT 1100 ng/dL, use an SHBG of 37 nmol/L and your Albumin 4.5 g/dL (same as pre-trt) than your new FT level is 25 ng/dL (just slightly over top end reference range). [ATTACH=full]9321[/ATTACH] Both of your FT levels pre and post trt are almost on point compared to your lab values. Now if you truly want to know where your FT levels sit than you would need to have it done using the most accurate testing method such as the gold standard Equilibrium Dialysis or Ultrafiltration (next best) or simply use the newer calculated TruT method available online for free. Your FT levels may be higher than you think! So again if your lab work was done at true trough than your TT/FT (1100 ng/dL and 25.04 ng/dL) levels are much higher earlier in the week of your injection protocol. [/QUOTE]
Insert quotes…
Verification
Post reply
Share this page
Facebook
Twitter
Reddit
Pinterest
Tumblr
WhatsApp
Email
Share
Link
Sponsors
Forums
Testosterone Replacement, Low T, HCG, & Beyond
When Testosterone Is Not Enough
ED issues - 2 years & counting trying to get to root cause
This site uses cookies to help personalise content, tailor your experience and to keep you logged in if you register.
By continuing to use this site, you are consenting to our use of cookies.
Accept
Learn more…
Top