Low DHT and high E2.

TheDude

Member
Just got my follow up blood work back.

Total Test went from 150 to 800 (264-916 range).
Estradiol Sensitive went from 19 to 60 (8-35 range)
DHEA stayed level at 370.
SHBG stayed level at 14 (low)
Checked DHT this time and was at 30 (30-85 range)

Taking 40mg of Test Cyp EOD and 500IU of HCG every other time I do a Test Cyp injection, so every 4 days.

This was after 3 months on protocol.

Energy levels are a little bit better. Libido is non-existent. Over all, not much different than before starting.

Any thoughts on if DHT should be increased or if
my E2 needs to start being addressed?

What type protocol would be next? Every day injections?
 
Feeling good can be a big issue for low SHBG guys as you probably know. I would agree, your next move should be trying daily injections of T, especially for your high E2.
 
Your intuition - that daily injections may be necessary - may well be correct. Low SHBG and high E2 despite a reasonable weekly total dose...daily shots may well be the solution.
 
Dailys did not help my DHT, or my E, but everyone is different, only you will find out by trying it and getting some months and several sets of labs. the more likely thing I see in post #1 is that 60 is high, it's high by most everyone's basis of you're experiencing a negative symptom (libido). Daily would be a better choice over Anastrozole at this time. DHT is less likely to be the problem.
 
To raise DHT, apply a small amount of topical T to your scrotum daily. Defy offers that as part of a protocol and it works in terms of raising your DHT. In my case I feel no benefit from higher DHT but with my low SHBG that no longer surprises me.
 
Dailys did not help my DHT, or my E, but everyone is different, only you will find out by trying it and getting some months and several sets of labs. the more likely thing I see in post #1 is that 60 is high, it's high by most everyone's basis of you're experiencing a negative symptom (libido). Daily would be a better choice over Anastrozole at this time. DHT is less likely to be the problem.

Defy recommended applying testosterone cream daily to the scrotum to increase DHT, also adding an AI of 0.125mg twice a week to lower Estrogen. Seems reasonable, right?
 

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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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