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Testosterone Replacement, Low T, HCG, & Beyond
Blood Test Discussion
my latest labs 6 months into new protocol
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<blockquote data-quote="Vitamin_C" data-source="post: 46160" data-attributes="member: 12373"><p>Hey guys, I like to update you all on my protocol. I am currently a Doctorate Nurse Practioner student who wants to specialize in mental health and hormones. I am currently on TRT, unable to break out of the 400's since my late 20's, I am currently 33 years old. I started on topicals, highest dose was 100mg daily and that wasn't taking my TT over baseline. Switched to Cypionate and I do shallow IM or sub Q at 120mg per week in divided doses and 250IU of HCG on the same day (early Mon AM and Thurs evening). </p><p></p><p>This lab draw was on Monday evening, with my last shot being on Thursday evening so I could get a good trough of the medication. I was surprised to see my trough was really high for both free T, TT, and sensitive E2. </p><p></p><p>Pertinent labs as follows:</p><p></p><p>RBC 5.52 (4.30-6)</p><p>Hemoglobin 16.8 (13-18)</p><p>Hematocrit 51.8(40-53)</p><p></p><p>Estradiol, Ultra-sensitive LC/MS/MS: 68 (< or =29)</p><p>Free Testosterone 240.7 (35-155)</p><p>Total Testosterone 1061 (250-1100)</p><p></p><p>As you can see, these numbers are pretty high for a trough and higher than past numbers I have had in the past under similar protocol. The only change I made was I switched to Defy's pharmacy for my HCG which perhaps looks to be pushing my TT much higher than I anticipated. I was previously doing a compounded HCG from a pharmacy near me, but switched to Defy's pharmacy and constituted the HCG myself. </p><p></p><p>I have only been taking DIM and Calcium DG for estrogen and overall health but its obviously not working to bring my E2 numbers down. My last sensitive E2 was in the low 40's. Where do I go from here? Estrogen management. Libido and erections are currently not an issue but never have been for myself, even at low TT (I tend to run high in DHEA naturally, not sure if that is the reason). Mood is pretty good, anxiety is good (have struggled with anxiety in the past periodically) but I am definitely holding water and I am having some nagging muscle/joint injuries that do not seem to be healing. I am being see by a local TRT doctor and also by Defy. I see my local TRT doc here in about a week, I am going to suggest a low dose Arimidex and maybe bump my HCG down to 150 IU twice per week and perhaps try splitting the 120mg to 3x per week at 40/40/40. I was under the impression that high E2 would reduce my Free T, but my free T is very high. Any other suggestions would be appreciate, thanks guys.</p></blockquote><p></p>
[QUOTE="Vitamin_C, post: 46160, member: 12373"] Hey guys, I like to update you all on my protocol. I am currently a Doctorate Nurse Practioner student who wants to specialize in mental health and hormones. I am currently on TRT, unable to break out of the 400's since my late 20's, I am currently 33 years old. I started on topicals, highest dose was 100mg daily and that wasn't taking my TT over baseline. Switched to Cypionate and I do shallow IM or sub Q at 120mg per week in divided doses and 250IU of HCG on the same day (early Mon AM and Thurs evening). This lab draw was on Monday evening, with my last shot being on Thursday evening so I could get a good trough of the medication. I was surprised to see my trough was really high for both free T, TT, and sensitive E2. Pertinent labs as follows: RBC 5.52 (4.30-6) Hemoglobin 16.8 (13-18) Hematocrit 51.8(40-53) Estradiol, Ultra-sensitive LC/MS/MS: 68 (< or =29) Free Testosterone 240.7 (35-155) Total Testosterone 1061 (250-1100) As you can see, these numbers are pretty high for a trough and higher than past numbers I have had in the past under similar protocol. The only change I made was I switched to Defy's pharmacy for my HCG which perhaps looks to be pushing my TT much higher than I anticipated. I was previously doing a compounded HCG from a pharmacy near me, but switched to Defy's pharmacy and constituted the HCG myself. I have only been taking DIM and Calcium DG for estrogen and overall health but its obviously not working to bring my E2 numbers down. My last sensitive E2 was in the low 40's. Where do I go from here? Estrogen management. Libido and erections are currently not an issue but never have been for myself, even at low TT (I tend to run high in DHEA naturally, not sure if that is the reason). Mood is pretty good, anxiety is good (have struggled with anxiety in the past periodically) but I am definitely holding water and I am having some nagging muscle/joint injuries that do not seem to be healing. I am being see by a local TRT doctor and also by Defy. I see my local TRT doc here in about a week, I am going to suggest a low dose Arimidex and maybe bump my HCG down to 150 IU twice per week and perhaps try splitting the 120mg to 3x per week at 40/40/40. I was under the impression that high E2 would reduce my Free T, but my free T is very high. Any other suggestions would be appreciate, thanks guys. [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Blood Test Discussion
my latest labs 6 months into new protocol
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