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Testosterone Replacement, Low T, HCG, & Beyond
Blood Test Discussion
Initial and First Follow-up labs, E2 and SHBG concerns
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<blockquote data-quote="Mission" data-source="post: 107946" data-attributes="member: 18150"><p>Hi guys,</p><p></p><p>I started TRT about 8 weeks ago and recently got some followup labs back. My doctor's office didn't think it was necessary to get followup labs until 6 months in, which I was not comfortable with, so I ordered from LabCorp. Hoping to get some feedback on these results.</p><p></p><p>Brief intro first:</p><p>34 y/o, 5'8, currently 184lbs, ~22% BF, mesomorph frame</p><p>Pursued TRT after non-existent libido for too long, poor sleep, awful belly fat increasing, difficulty losing weight, slow recovery, ability to get erection but poor at maintaining. Was 195 lbs when I started TRT, was about 205 coming into 2018.</p><p></p><p>Initial labs:</p><p>TT=338 (264-916)</p><p>FT(direct)=9.4 (8.7-25.1)</p><p>LH=3.5 (1.5-9.3)</p><p>FSH=5.1 (1.4-18.1)</p><p>E2, sensitive=23</p><p>SHBG=22 (15-55)</p><p>TSH=0.67</p><p>T3 free=3.6</p><p>T4 free=1.4</p><p>CBC and metabolics were within normal ranges</p><p></p><p>TRT:</p><p>Mondays & Fridays</p><p>50mg T-cyp, subq</p><p>0.25mg anastrozole</p><p>500IU hCG troche sublingual</p><p>*This is all half of what was initially prescribed - I was nervous to start at 200/wk so told the doc I'm starting slow and can work up if necessary*</p><p></p><p>Followup labs after 7 weeks through, bloods taken between doses:</p><p>TT=848 (264-916)</p><p>FT(direct)=19.2 (8.7-25.1)</p><p>E2, sensitive=16</p><p>SHBG=48 (16.5-55.9)</p><p>CBC and metabolics were within normal ranges still</p><p></p><p>I have dry mouth, lips, and eyes since week 4 or so - eyes are tired looking and lower eyelids twitch much of the day. I'm thinking that E2 could be the reason why? Feeling anxiety as well - anxiety/panic attack symptoms a few times in the past couple weeks. Haven't had anything like this since I was a younger guy and it was a transient 'phase'. And is my free T an issue with the elevated SHBG? It really shot up. Not sure what protocol changes, if any, to make here. Stop AI for a few weeks and test again? Do 1 big injection per week instead of splitting into 2 injections? Is it elevated simply because I'm on exogenous test? <img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite5" alt=":confused:" title="Confused :confused:" loading="lazy" data-shortname=":confused:" /></p><p></p><p>On the plus side, libido is improved a bit, feeling like I'm making weight-loss progress, clothes fit a little better, and recovery is improved after tough gym days. Diet is fairly clean, 1600 net cals/day with a cheat day every week.</p></blockquote><p></p>
[QUOTE="Mission, post: 107946, member: 18150"] Hi guys, I started TRT about 8 weeks ago and recently got some followup labs back. My doctor's office didn't think it was necessary to get followup labs until 6 months in, which I was not comfortable with, so I ordered from LabCorp. Hoping to get some feedback on these results. Brief intro first: 34 y/o, 5'8, currently 184lbs, ~22% BF, mesomorph frame Pursued TRT after non-existent libido for too long, poor sleep, awful belly fat increasing, difficulty losing weight, slow recovery, ability to get erection but poor at maintaining. Was 195 lbs when I started TRT, was about 205 coming into 2018. Initial labs: TT=338 (264-916) FT(direct)=9.4 (8.7-25.1) LH=3.5 (1.5-9.3) FSH=5.1 (1.4-18.1) E2, sensitive=23 SHBG=22 (15-55) TSH=0.67 T3 free=3.6 T4 free=1.4 CBC and metabolics were within normal ranges TRT: Mondays & Fridays 50mg T-cyp, subq 0.25mg anastrozole 500IU hCG troche sublingual *This is all half of what was initially prescribed - I was nervous to start at 200/wk so told the doc I'm starting slow and can work up if necessary* Followup labs after 7 weeks through, bloods taken between doses: TT=848 (264-916) FT(direct)=19.2 (8.7-25.1) E2, sensitive=16 SHBG=48 (16.5-55.9) CBC and metabolics were within normal ranges still I have dry mouth, lips, and eyes since week 4 or so - eyes are tired looking and lower eyelids twitch much of the day. I'm thinking that E2 could be the reason why? Feeling anxiety as well - anxiety/panic attack symptoms a few times in the past couple weeks. Haven't had anything like this since I was a younger guy and it was a transient 'phase'. And is my free T an issue with the elevated SHBG? It really shot up. Not sure what protocol changes, if any, to make here. Stop AI for a few weeks and test again? Do 1 big injection per week instead of splitting into 2 injections? Is it elevated simply because I'm on exogenous test? :confused: On the plus side, libido is improved a bit, feeling like I'm making weight-loss progress, clothes fit a little better, and recovery is improved after tough gym days. Diet is fairly clean, 1600 net cals/day with a cheat day every week. [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Blood Test Discussion
Initial and First Follow-up labs, E2 and SHBG concerns
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