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Testosterone Replacement, Low T, HCG, & Beyond
Blood Test Discussion
First Blood Work after 6 weeks of Injections-Canadian Numbers
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<blockquote data-quote="CoastWatcher" data-source="post: 87065" data-attributes="member: 2624"><p>Glad to hear from you again, and pleased you're in treatment. As a fellow Canadian, though not a patient of Dr. Greenspan, I understand your frustrations. Some observations. You don't need to test FSH after starting TRT, it's going to be undetectable; exogenous testosterone shuts it down within a very short time. It's simply the way the game is played. You didn't miss anything by not repeating that test. It is odd that SHBG and estradiol (even though it's the standard e2 test) should have been run. SHBG is a critical test that helps map a protocol. If high, more testosterone injected less frequently is called for. If low, just the opposite - less testosterone injected more often. It's as important as measuring total and free testosterone because it helps explain why the total and free testosterone levels sit where they do. Estradiol/standard (the Canadian option) is not an ideal test by any means, but a good doctor and a careful patient can learn to associate the (probably) elevated e2 results with symptoms in an effort to manage the possibility of elevated estrogen levels. </p><p></p><p>Push him for SHBG, along with DHT, PSA, and DHEA. My own Toronto doctor, who is on top of things, is happy I test in the US for e2, via Discounted Labs. If that's an option for you, it's worth considering. I believe Madman is a patient of Dr Greenspan, so he may have some ideas on how to convince him to test you properly.</p></blockquote><p></p>
[QUOTE="CoastWatcher, post: 87065, member: 2624"] Glad to hear from you again, and pleased you're in treatment. As a fellow Canadian, though not a patient of Dr. Greenspan, I understand your frustrations. Some observations. You don't need to test FSH after starting TRT, it's going to be undetectable; exogenous testosterone shuts it down within a very short time. It's simply the way the game is played. You didn't miss anything by not repeating that test. It is odd that SHBG and estradiol (even though it's the standard e2 test) should have been run. SHBG is a critical test that helps map a protocol. If high, more testosterone injected less frequently is called for. If low, just the opposite - less testosterone injected more often. It's as important as measuring total and free testosterone because it helps explain why the total and free testosterone levels sit where they do. Estradiol/standard (the Canadian option) is not an ideal test by any means, but a good doctor and a careful patient can learn to associate the (probably) elevated e2 results with symptoms in an effort to manage the possibility of elevated estrogen levels. Push him for SHBG, along with DHT, PSA, and DHEA. My own Toronto doctor, who is on top of things, is happy I test in the US for e2, via Discounted Labs. If that's an option for you, it's worth considering. I believe Madman is a patient of Dr Greenspan, so he may have some ideas on how to convince him to test you properly. [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Blood Test Discussion
First Blood Work after 6 weeks of Injections-Canadian Numbers
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