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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Basics & Questions
High Estradiol - Labs - Advice Request
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<blockquote data-quote="Saul" data-source="post: 201871" data-attributes="member: 16541"><p>Hello everyone. I have been away for a bit. I need some help with labs and advice. My recent labs had some values that were too high. I am male, early 50’s - 6’4” – 218 lbs – 17% body fat, in gym about 4 days per week.</p><p></p><p>For years I was at about .21 ml (200mg/ml Test Cyp) every 3 days (SubQ) for a weekly total of about 98 mg per week. T ranges from 600 to 750 and Estradiol (sensitive test) was in the 30 to 50 range. Overall, this was a good spot. Everything was good but I was losing my hair.</p><p></p><p>My Dr. prescribed .5 mg of dutasteride every 4 days. This is a low dose and been great for my hair with some re-growth. I shifted injections to .3 ml every 4 days for a weekly total of about 105 mg.</p><p></p><p>A year later however, my recent labs (Quest) were out of range. Labs taken on 3rd day after shot</p><p></p><p>Total T - <strong>1138</strong> - range of 260 - 916</p><p></p><p>Free T - <strong>290</strong> - range of 40 - 250</p><p></p><p>DHT <strong>19 </strong>- range of 12 - 65</p><p></p><p>Estradiol (ultrasensitive test using LC/MS) - <strong>98 </strong>- range of < 29</p><p></p><p>T to E ratio – 11.6</p><p></p><p>Prolactin - 8.8 - range of 2 – 18</p><p></p><p>Hemoglobin – <strong>17.7</strong> – range of 13 – 17.7</p><p></p><p>I think that the T went up because the T dose went up a bit and the blocking of T conversion to DHT increases T levels (based on a study I read), which in turn increases conversion to E. Maybe I tested at peak as well. Not sure when T levels peak on E4D sub q injections.</p><p></p><p>The main side effects were waking up at night hot and sweaty, maybe more difficult to lose some covid fat (but could also be age – early 50s), perhaps more emotional. Until I get this sorted, I cut my dose of T to 70 mg / week (E4D, SQ) on my own to bring down the E and T and the night sweats / waking up is gone.</p><p></p><p>The Dr. agreed that a small dose of AI (Anastrozole ) would be in order to bring down the E. I don’t mind a higher E value, but 98 is too high, IMO</p><p></p><p>My main questions are:</p><p></p><ul> <li data-xf-list-type="ul">Overall, any comments or suggestions on my labs?</li> <li data-xf-list-type="ul">What AI dose do you recommend? The Dr. is flexible but suggested .5 mg every 4 days at time of injection. I think it would better to start lower – perhaps at .25 every 4 days. I don’t want to crash my E levels.</li> <li data-xf-list-type="ul">With all this data, what T dose to you recommend? With the DHT and E conversion blockers I believe need to go down from 105 per week. Maybe to 90 per week? I want to stay in the <strong>600 to 800 T</strong> level range.</li> </ul><p>Thanks for your advice.</p></blockquote><p></p>
[QUOTE="Saul, post: 201871, member: 16541"] Hello everyone. I have been away for a bit. I need some help with labs and advice. My recent labs had some values that were too high. I am male, early 50’s - 6’4” – 218 lbs – 17% body fat, in gym about 4 days per week. For years I was at about .21 ml (200mg/ml Test Cyp) every 3 days (SubQ) for a weekly total of about 98 mg per week. T ranges from 600 to 750 and Estradiol (sensitive test) was in the 30 to 50 range. Overall, this was a good spot. Everything was good but I was losing my hair. My Dr. prescribed .5 mg of dutasteride every 4 days. This is a low dose and been great for my hair with some re-growth. I shifted injections to .3 ml every 4 days for a weekly total of about 105 mg. A year later however, my recent labs (Quest) were out of range. Labs taken on 3rd day after shot Total T - [B]1138[/B] - range of 260 - 916 Free T - [B]290[/B] - range of 40 - 250 DHT [B]19 [/B]- range of 12 - 65 Estradiol (ultrasensitive test using LC/MS) - [B]98 [/B]- range of < 29 T to E ratio – 11.6 Prolactin - 8.8 - range of 2 – 18 Hemoglobin – [B]17.7[/B] – range of 13 – 17.7 I think that the T went up because the T dose went up a bit and the blocking of T conversion to DHT increases T levels (based on a study I read), which in turn increases conversion to E. Maybe I tested at peak as well. Not sure when T levels peak on E4D sub q injections. The main side effects were waking up at night hot and sweaty, maybe more difficult to lose some covid fat (but could also be age – early 50s), perhaps more emotional. Until I get this sorted, I cut my dose of T to 70 mg / week (E4D, SQ) on my own to bring down the E and T and the night sweats / waking up is gone. The Dr. agreed that a small dose of AI (Anastrozole ) would be in order to bring down the E. I don’t mind a higher E value, but 98 is too high, IMO My main questions are: [LIST] [*]Overall, any comments or suggestions on my labs? [*]What AI dose do you recommend? The Dr. is flexible but suggested .5 mg every 4 days at time of injection. I think it would better to start lower – perhaps at .25 every 4 days. I don’t want to crash my E levels. [*]With all this data, what T dose to you recommend? With the DHT and E conversion blockers I believe need to go down from 105 per week. Maybe to 90 per week? I want to stay in the [B]600 to 800 T[/B] level range. [/LIST] Thanks for your advice. [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
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High Estradiol - Labs - Advice Request
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