Help! ( Labs )

Scotty323

New Member
Looking for opinions on latest results taken the morning of injections. Since last results DHEA has been upped from 25-35 mgs. I feel the best I have since starting TRT 8 months ago but I want to make sure everything looks ok and safe. My main concern is:

-Do I need the AI at all?

-Total and Free Test looks very high compared to reference?

-Is total Test too high?

Below is the protocol and results:

Test Cyp - .32 twice a week
Hcg - .40 twice a week
DHEA/Preg- 35 mg per day
Anastrozole- .1 mg twice a week

Results

Estradiol - 29 (20-75 Ref)
ACTH,P - 16 (10-60 Ref am)
DHEA - 307 (65-334 Ref)
Total and Free Test - 55.5 (4.6-18.1 Ref) *
Total Test - 1180 (240-950 Ref)

Any thoughts or suggestions?
 
It was supposed to be e2 sensitive but looking at the reference range I don't think that's what they did. I've had the e2 sensitive done during my last labs and it came back at 19. The highest it's been is 21. That's why the AI dosage is so low. With Defy if that helps.
 
Looking for opinions on latest results taken the morning of injections. Since last results DHEA has been upped from 25-35 mgs. I feel the best I have since starting TRT 8 months ago but I want to make sure everything looks ok and safe. My main concern is:

-Do I need the AI at all?

-Total and Free Test looks very high compared to reference?

-Is total Test too high?

Below is the protocol and results:

Test Cyp - .32 twice a week
Hcg - .40 twice a week
DHEA/Preg- 35 mg per day
Anastrozole- .1 mg twice a week

Results

Estradiol - 29 (20-75 Ref)
ACTH,P - 16 (10-60 Ref am)
DHEA - 307 (65-334 Ref)
Total and Free Test - 55.5 (4.6-18.1 Ref) *
Total Test - 1180 (240-950 Ref)

Any thoughts or suggestions?

Do you have the other labs?

I honestly don't think that's a sensitive E2 test, and you probably don't need AI if that's not a sensitive E2 test.

I trust defy ordered the right one but not that the lab ran the correct one. That reference range is odd.

I think you might feel better with E2 a bit higher, but have no idea how to interpret that E2 test.
 
If your estradiol is that low, I don't see why you would need an AI. Before I have my doctor appointment, I write down all my questions the week leading up to my appointment. It's too easy to forget a question, during the appointment.
 
If your estradiol is that low, I don't see why you would need an AI. Before I have my doctor appointment, I write down all my questions the week leading up to my appointment. It's too easy to forget a question, during the appointment.

Vince, that is a great point, especially since we use Defy medical and they answer tough questions.

I find I will randomly have a question pop into my head when brushing my teeth, washing dishes, or watching TV, and if I don't write it down I'll forget it.

My first consult I had 3 pages printed up, questions, concerns, and random different things. No WAY I'd ever remember all of it.
 

hCG Mixing Calculator

HCG Mixing Protocol Calculator

TRT Hormone Predictor Widget

TRT Hormone Predictor

Predict estradiol, DHT, and free testosterone levels based on total testosterone

⚠️ Medical Disclaimer

This tool provides predictions based on statistical models and should NOT replace professional medical advice. Always consult with your healthcare provider before making any changes to your TRT protocol.

ℹ️ Input Parameters

Normal range: 300-1000 ng/dL

Predicted Hormone Levels

Enter your total testosterone value to see predictions

Results will appear here after calculation

Understanding Your Hormones

Estradiol (E2)

A form of estrogen produced from testosterone. Important for bone health, mood, and libido. Too high can cause side effects; too low can affect well-being.

DHT

Dihydrotestosterone is a potent androgen derived from testosterone. Affects hair growth, prostate health, and masculinization effects.

Free Testosterone

The biologically active form of testosterone not bound to proteins. Directly available for cellular uptake and biological effects.

Scientific Reference

Lakshman KM, Kaplan B, Travison TG, Basaria S, Knapp PE, Singh AB, LaValley MP, Mazer NA, Bhasin S. The effects of injected testosterone dose and age on the conversion of testosterone to estradiol and dihydrotestosterone in young and older men. J Clin Endocrinol Metab. 2010 Aug;95(8):3955-64.

DOI: 10.1210/jc.2010-0102 | PMID: 20534765 | PMCID: PMC2913038

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