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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: 195864" data-attributes="member: 13851"><p>My mistake as I thought the protocol was from your clinic!</p><p></p><p>Either way, I still stand by what I stated:</p><p></p><p>Rare that anyone on hormone replacement therapy would need 250 mg/week (125 mg twice per week) in order to achieve a healthy TT/FT level let alone relief/improvement of low-t symptoms.</p><p></p><p>Sure some men may require a slightly higher dose than 200 mg/week (considered the high-end for trt) but far and few would need such dose.</p><p></p><p>Even 200 mg/week would have most men's TT/FT/e2 levels through the roof let alone drive up one's RBCs/hemoglobin/hematocrit.</p><p></p><p></p><p>Horrible protocol 140 mg every 2 weeks she started you on which would have definitely had you back to being hypogonadal well before your next injection.</p><p></p><p>Luckily she agreed to switch your protocol to 140 mg once weekly.....mind you SHBG should have been tested and depending on where it sits if it turns out to be low/lowish then you may very well fair much better injecting more frequently (EOD or daily) using lower doses of T.</p><p></p><p>As you can see on your current protocol that your trough TT is on the higher end (almost 1000 ng/dL) but more importantly, your FT is high.</p><p></p><p>Would be pointless to lower your dose if blood markers are healthy and you feel great overall but seeing as you just mentioned that you are experiencing issues with ED many factors can come into play.</p><p></p><p>I would look into testing SHBG, TT again using LC/MS-MS, and FT using Equilibrium Dialysis or Ultrafiltration along with estradiol LC/MS-MS before deciding on your next move.</p></blockquote><p></p>
[QUOTE="madman, post: 195864, member: 13851"] My mistake as I thought the protocol was from your clinic! Either way, I still stand by what I stated: Rare that anyone on hormone replacement therapy would need 250 mg/week (125 mg twice per week) in order to achieve a healthy TT/FT level let alone relief/improvement of low-t symptoms. Sure some men may require a slightly higher dose than 200 mg/week (considered the high-end for trt) but far and few would need such dose. Even 200 mg/week would have most men's TT/FT/e2 levels through the roof let alone drive up one's RBCs/hemoglobin/hematocrit. Horrible protocol 140 mg every 2 weeks she started you on which would have definitely had you back to being hypogonadal well before your next injection. Luckily she agreed to switch your protocol to 140 mg once weekly.....mind you SHBG should have been tested and depending on where it sits if it turns out to be low/lowish then you may very well fair much better injecting more frequently (EOD or daily) using lower doses of T. As you can see on your current protocol that your trough TT is on the higher end (almost 1000 ng/dL) but more importantly, your FT is high. Would be pointless to lower your dose if blood markers are healthy and you feel great overall but seeing as you just mentioned that you are experiencing issues with ED many factors can come into play. I would look into testing SHBG, TT again using LC/MS-MS, and FT using Equilibrium Dialysis or Ultrafiltration along with estradiol LC/MS-MS before deciding on your next move. [/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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