Need help interpreting bloods

Hi all,

First time poster. I'm hoping to get some thoughts on my recent blood tests asap as I have an appointment with my doc tomorrow morning so want to be informed and prepared. Blood test results are attached in photos.

I've been on trt 6 weeks, had the bloods done on Monday before HCG, T was done on saturday. My protocol is:

62.5mg test enanthate IM every 3 days
250iu HCG SQ every 3 days (day before T)

I don't get it, it seems like my bloods have gotten worse since starting TRT. I feel a lot better than I used to, in regards to mental health and clarity, energy, sex drive etc. Not sure what to think. Are these numbers bad??

IMG_20180919_191749.webp
IMG_20180919_191141.webp
 
You have low SHBG you should be injecting probably EOD not E3D, and OEstradiol is the wrong test...are you in the US or elsewhere? If in the US the only acceptable E test for males is the (Ultra) Sensitive LC/MS/MS test. You should also be using the "Estradiol, Free", test.
 
You have low SHBG you should be injecting probably EOD not E3D, and OEstradiol is the wrong test...are you in the US or elsewhere? If in the US the only acceptable E test for males is the (Ultra) Sensitive LC/MS/MS test. You should also be using the "Estradiol, Free", test.
Thank you. I'm in Australia. I've been doing every 3 days not 3.5. I might have to look at more frequent injections, I guess that could be why it showed low T. What would be a good EOD dose based on those results? I'm afraid that oestradiol test is the best I have access to.
 
I thought so because you don't see OEstradiol in the US. With your SHBG you're pissing it out (literally) so quickly that yes after 3 days your numbers will look low. I think you could use 50mg EOD and start there, I'm less familiar with Enanthate as Cyp is more common here but I think they're close enough.
 
Thanks so much for your reply. I'm very aware that Australia is waaaaay further behind the rest of the world when it comes to all this. I'll discuss tHe SHBG/frequent dosing with my doc tomorrow. One more question, if I do change T to EOD, what would be a good HCG schedule?
 
I inject 50 mg EOD ( so basically MWF) and I inject hCG on those days well (300 IU's).
Been doing this for about 2 months now and no hematocrit or estrogen issues (no AI use).
Will pull exact lab numbers here in the next week or so.
 
Dr appointment went well. He's OK with me trialling smaller, frequent doses as long as I don't go over the 125mg within a 5 day period. So this would mean 41.6mg EOD (splitting my 1ml 250mg syringe into 6 doses of .16ml). Thoughts?
 

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TRT Hormone Predictor

Predict estradiol, DHT, and free testosterone levels based on total testosterone

⚠️ Medical Disclaimer

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.

ℹ️ Input Parameters

Normal range: 300-1000 ng/dL

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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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