in the beginning of TRT

blitzen

New Member
Hi,

MY pre-trt labs
Total T 308 (264-916)
Free T 9.9 (6.8-21.5)
LH 7 (1.7-8.6)
E sensitive 19 (8-35)
SHBG 23 (16.5-55.9)
Abumin 4.2 (3.5-5.5)
HCT 44.2 (37.5-51)
on my 3 month follow up after 150mg weekly (M/W/F) and 0.45 AI (0.15 M/W/F) and HCG 400IU twice a week
Total T 915 (264-916)
Free T 14.2 (6.8-21.5)
LH not tested (1.7-8.6)
E sensitive 27.1 (8-35)
SHBG 33.4 (16.5-55.9)
Abumin 4.6 (3.5-5.5)
HCT 50 (37.5-51)
And another follow up 4 month later (limited labs) after the dose was changed to 180mh a week (twice a week) with 0.25 AI (twice a week) and HCG 400IU twice a week
Total T 960 (264-916)
Free T 26.6 (6.8-21.5)
LH not tested (1.7-8.6)
E sensitive 39.1 (8-35)
SHBG not tested (16.5-55.9)
Abumin not tested (3.5-5.5)
HCT 48 (37.5-51)

The labs don't really make sense as the follow up T <> Free T ratio can't be easily followed by SHBG / Albumin etc.
Since the increase I feel slight improvement due to the TRT (granted I had symptoms but nothing hardcore so every improvement would be supple) and the numbers seem to back it up ....
My guess would be the SHGB went to down close to the original value and M/W/F might be the way to go (stick to 180mg a week and adjust with future labs)
E sensitive ... don't fell anything major but due to limited TRT experience I probably wouldn't see the start of high E problems (if there are any) so the AI dosage looks to be OK
HCT 44>50>48 is back in the "playing nice" zone
Anything else ... the appointment I have is in 3 weeks so I'm wondering if I change the frequency now or wait....
 
FT was much better at 180 M/W/F so that can account for your improvements, I'd keep going since you have those labs and the appointment upcoming. The dose increase and a possible lowering of SHBG, would have liked to see that in your follow up labs, can account for the FT bump, and E has stayed in at least in the numbers game looks good.
 
FT was much better at 180 M/W/F so that can account for your improvements, I'd keep going since you have those labs and the appointment upcoming. The dose increase and a possible lowering of SHBG, would have liked to see that in your follow up labs, can account for the FT bump, and E has stayed in at least in the numbers game looks good.
original was 150mg M/W/F which was increased to 180mg twice a week which bumped up the Free T nicely
 

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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.

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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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