First follow up bloodwork

[337pep]

Ok attached is my first follow up bloodwork since starting TRT

I’m 50, 6’4 320lbs, have lost over 100lbs in the last year as I’m trying to focus on getting healthy and added trt after testing low originally.

Anyways, started trt, was prescribed the generic 200mg a week, but I actually am only taking 140mgs total a week, but daily pinning subq. “My test is actual total mgs not just test minus the esther amount”

Anyways, of course my hct is high so is e2, so I’m thinking on dropping my total test weekly down to 80mg or 100mgs

Like a idiot i was also taking 300mgs Hcg 3 times a week, dropping it. Yes I know only add one thing at a time and I broke that rule.

Also, I have been horrible about drinking water so now I am heavy focused on that plus added lmnt and not to mention multiple vitamins that suppose to support the lowering of HCT. Haven’t done a blood donation but thinking of not doing one in hopes of the drastic lowering of weekly test, water intake, vitamins and upping cardio will result in positive lowering at 6 weeks checkup.

Thoughts?

 

[337pep]

Here’s original bloodwork before starting trt

 

[madman]

Ok attached is my first follow up bloodwork since starting TRT

I’m 50, 6’4 320lbs, have lost over 100lbs in the last year as I’m trying to focus on getting healthy and added trt after testing low originally.

Anyways, started trt, was prescribed the generic 200mg a week, but I actually am only taking 140mgs total a week, but daily pinning subq. “My test is actual total mgs not just test minus the esther amount”

Anyways, of course my hct is high so is e2, so I’m thinking on dropping my total test weekly down to 80mg or 100mgs

Like a idiot i was also taking 300mgs Hcg 3 times a week, dropping it. Yes I know only add one thing at a time and I broke that rule.

Also, I have been horrible about drinking water so now I am heavy focused on that plus added lmnt and not to mention multiple vitamins that suppose to support the lowering of HCT. Haven’t done a blood donation but thinking of not doing one in hopes of the drastic lowering of weekly test, water intake, vitamins and upping cardio will result in positive lowering at 6 weeks checkup.

Thoughts?

Not sure why you felt the need to start at 140 mg T/week especially since you were already given sensible advice.

The standard starting dose by those in the know is 100 mg T/week or 50 mg split twice-weekly.

Some may choose to start on <100 mg T/week especially when split into more frequent injections.

Big red flag here was you already had high-end RBCs, hemoglobin and hematocrit.

3

Thread 'Pre TRT bloodwork results'

Mar 1, 2025

49yrs old, low sex drive, high blood pressure treated, no energy etc

Talked to doc he order non fasting blood work to test my testosterone at my request, he didn’t really want to, anyways attached are the results and would like you alls opinions on it?

He is wanting to test again in 6-8 weeks, if still low then refer me to another doc

• 337pep
• Replies: 18
• Forum: Blood Test Discussion

 

[337pep]

Not sure why you felt the need to start at 140 mg T/week especially since you were already given sensible advice.

The standard starting dose by those in the know is 100 mg T/week or 50 mg split twice-weekly.

Some may choose to start on <100 mg T/week especially when split into more frequent injections.

Big red flag here was you already had high-end RBCs, hemoglobin and hematocrit.

3

Thread 'Pre TRT bloodwork results'

Mar 1, 2025

49yrs old, low sex drive, high blood pressure treated, no energy etc

Talked to doc he order non fasting blood work to test my testosterone at my request, he didn’t really want to, anyways attached are the results and would like you alls opinions on it?

He is wanting to test again in 6-8 weeks, if still low then refer me to another doc

• 337pep
• Replies: 18
• Forum: Blood Test Discussion

Yep figured i would shoot for the middle ground but that definitely failed, lessons learned.

Well starting tomorrow on 80mgs total pinning daily, already dropped to 100mgs when I got the initial bloodwork in waiting for remaining results.

 

[madman]

Yep figured i would shoot for the middle ground but that definitely failed, lessons learned.

Well starting tomorrow on 80mgs total pinning daily, already dropped to 100mgs when I got the initial bloodwork in waiting for remaining results.

You are already hitting a high-end TT 900s and more importantly with an SHBG 24 nmol/L your FT is high based of that specific reference range using what is considered the most accurate assay the gold standard Equilibrium Dialysis.

If we used the calculated linear law-of mass action Vermeulen (cFTV) you would be hitting a high FT 24.7 ng/dL.

Need to be mindful how much you decrease your weekly dose as you still want to make sure you are hitting a healthy trough FT injecting daily mind you there will not be a big difference between your peak--->trough injecting TC or TE.

A healthy FT would be 15-25 ng/dL.

If you were feeling great overall, blood markers are healthy and you are not experiencing any sides then I would stick with it.

If you were well hydrated (fluids/electrolytes) and you are hitting a hematocrit 54% you need to address this.

Getting caught up on the donating too frequently merry go round is not a long-term solution as it is a surefire way to crash your iron/ferritin which can open up another can of worms.

Running a sensible steady-state/trough FT is what truly matters here.

Even then some men will still struggle with elevated hematocrit especially if they have any underlying issues (OSA, asthma, COPD, smoking).

As I stated in your previous thread if your baseline hematocrit is on the high-end it is a given that you will drive it up too high especially when using exogenous injectable T.

 

[337pep]

You are already hitting a high-end TT 900s and more importantly with an SHBG 24 nmol/L your FT is high based of that specific reference range using what is considered the most accurate assay the gold standard Equilibrium Dialysis.

If we used the calculated linear law-of mass action Vermeulen (cFTV) you would be hitting a high FT 24.7 ng/dL.

Need to be mindful how much you decrease your weekly dose as you still want to make sure you are hitting a healthy trough FT injecting daily mind you there will not be a big difference between your peak--->trough injecting TC or TE.

A healthy FT would be 15-25 ng/dL.

If you were feeling great overall, blood markers are healthy and you are not experiencing any sides then I would stick with it.

If you were well hydrated (fluids/electrolytes) and you are hitting a hematocrit 54% you need to address this.

Getting caught up on the donating too frequently merry go round is not a long-term solution as it is a surefire way to crash your iron/ferritin which can open up another can of worms.

Running a sensible steady-state/trough FT is what true matters here.

Even then some men will still struggle with elevated hematocrit especially if they have any underlying issues (OSA, asthma, COPD, smoking).

As I stated in your previous thread if your baseline hematocrit is on the high-end it is a given that you will drive it up too high especially when using exogenous injectable T.

Yeah will give this a try for next 6-8 weeks and if hct isn’t cooperating on that low of dose might look to oral and cream, too bad they both cost more $ but would rather be dialed in and not chasing hct all the time