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Testosterone Replacement, Low T, HCG, & Beyond
Blood Test Discussion
Kaiser’s standard on blood normality confusion
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<blockquote data-quote="madman" data-source="post: 195791" data-attributes="member: 13851"><p>Unfortunately, your doctor is dead set on maintaining hormones in a specific range when symptom relief is what truly matters.</p><p></p><p>Many men may need higher-end TT levels to achieve a healthy FT.</p><p></p><p>It comes down to where your SHBG level sits and what TT level would be needed in order to achieve a healthy FT level which would result in relief/improvement of low-t symptoms and increased overall well-being.</p><p></p><p>The goal of trt is to replace physiological levels of testosterone through the use of exogenous testosterone in order to achieve a healthy TT/FT level which will result in the relief/improvement of low-t symptoms while at the same time minimizing/avoiding any potential side-effects (cosmetic/overall health) while keeping blood markers healthy long-term.</p><p></p><p>FT level 5-10 ng/dL would be considered low.</p><p></p><p>FT 16-31 ng/dL would be considered a healthy level.</p><p></p><p>Most men will do well with FT in the 20-30 ng/dL range and some may choose/need to run slightly higher levels</p><p></p><p>Again it comes down to the individual as some men will do better running higher TT/FT levels whereas others may feel better running lower levels.</p><p></p><p>Some men will always struggle with side-effects when running too high an FT level.</p><p></p><p>There is nothing wrong with where your TT sits as it would be considered on the high-end and even then although TT is important to know FT is what truly matters as it is the active unbound fraction of testosterone responsible for the positive effects.</p><p></p><p>As you can see your FT is high but unfortunately it was done using the calculated method which I would not rely upon.</p><p></p><p>The only way to know where your FT truly sits on such protocol (dose T/injection frequency) is to have it tested using the most accurate assays such as the gold standard Equilibrium Dialysis or Ultrafiltration.</p><p></p><p>Even then seeing as you are injecting M/W/F and your blood work was done on Monday then these are your trough levels and your peak TT/FT (8-12 hrs) post-injection will be much higher.</p><p></p><p>Mind you if you are injecting M/W/F morning then your true trough would be Monday morning just before your injection.</p><p></p><p>Find a new doctor if they are dead set on your numbers being too high!</p><p></p><p>Need to get out of that mind-set that ramping your trt dose up to the higher end 200 mg/week is going to magically have you packing on muscle.</p><p></p><p>Sure you will make some gains in muscle/strength but even then do not expect any miracles as we are on trt here and steroid doses in the 300-600 mg range would be needed to truly reap the anabolic benefits of testosterone and even then higher-end doses 500-600 mg/week would result in greater gains muscle/strength!</p><p></p><p>Diet/training protocol is key let alone genetics will have the final say.</p><p></p><p>Keep in mind that your trough TT level is already on the high-end but more importantly, your FT is very high and that is on 140 mg/week split M/W/F.</p><p></p><p>Jacking your dose up to 200 mg is going to drive your TT/FT let alone e2 levels up way too high let alone your RBCs/hemoglobin/hematocrit.</p><p></p><p>We are on trt here and seems as though you are too caught up in gaining muscle!</p><p></p><p>To each his own but keep in mind that going from 140--->200 mg/week is a big jump.</p></blockquote><p></p>
[QUOTE="madman, post: 195791, member: 13851"] Unfortunately, your doctor is dead set on maintaining hormones in a specific range when symptom relief is what truly matters. Many men may need higher-end TT levels to achieve a healthy FT. It comes down to where your SHBG level sits and what TT level would be needed in order to achieve a healthy FT level which would result in relief/improvement of low-t symptoms and increased overall well-being. The goal of trt is to replace physiological levels of testosterone through the use of exogenous testosterone in order to achieve a healthy TT/FT level which will result in the relief/improvement of low-t symptoms while at the same time minimizing/avoiding any potential side-effects (cosmetic/overall health) while keeping blood markers healthy long-term. FT level 5-10 ng/dL would be considered low. FT 16-31 ng/dL would be considered a healthy level. Most men will do well with FT in the 20-30 ng/dL range and some may choose/need to run slightly higher levels Again it comes down to the individual as some men will do better running higher TT/FT levels whereas others may feel better running lower levels. Some men will always struggle with side-effects when running too high an FT level. There is nothing wrong with where your TT sits as it would be considered on the high-end and even then although TT is important to know FT is what truly matters as it is the active unbound fraction of testosterone responsible for the positive effects. As you can see your FT is high but unfortunately it was done using the calculated method which I would not rely upon. The only way to know where your FT truly sits on such protocol (dose T/injection frequency) is to have it tested using the most accurate assays such as the gold standard Equilibrium Dialysis or Ultrafiltration. Even then seeing as you are injecting M/W/F and your blood work was done on Monday then these are your trough levels and your peak TT/FT (8-12 hrs) post-injection will be much higher. Mind you if you are injecting M/W/F morning then your true trough would be Monday morning just before your injection. Find a new doctor if they are dead set on your numbers being too high! Need to get out of that mind-set that ramping your trt dose up to the higher end 200 mg/week is going to magically have you packing on muscle. Sure you will make some gains in muscle/strength but even then do not expect any miracles as we are on trt here and steroid doses in the 300-600 mg range would be needed to truly reap the anabolic benefits of testosterone and even then higher-end doses 500-600 mg/week would result in greater gains muscle/strength! Diet/training protocol is key let alone genetics will have the final say. Keep in mind that your trough TT level is already on the high-end but more importantly, your FT is very high and that is on 140 mg/week split M/W/F. Jacking your dose up to 200 mg is going to drive your TT/FT let alone e2 levels up way too high let alone your RBCs/hemoglobin/hematocrit. We are on trt here and seems as though you are too caught up in gaining muscle! To each his own but keep in mind that going from 140--->200 mg/week is a big jump. [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Blood Test Discussion
Kaiser’s standard on blood normality confusion
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