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Testosterone Replacement, Low T, HCG, & Beyond
Blood Test Discussion
Need help with labs, high everything!
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<blockquote data-quote="Vettester Chris" data-source="post: 16176" data-attributes="member: 696"><p>Honestly, I don't get the 2x Tamox protocol, unless you're seeing increased receptor sensitivity in the nipple region. Even then, it should be a short-term program til estrogen levels stabilize, or unless it was included in a PCT/Restart program with the HPTA, which it still is a minimum timeline program.</p><p></p><p>Since your serum level is all driven by LH, via HCG, good chance that some (or a lot) of the E2 elevation is produced intratesticular. If so, it's virtually uncontrollable with an inhibitor like Arimidex. On that subject, as stressed to other members, you NEED the sensitive or ultra-sensitive assay. I know it looks off the charts with your provided lab, but the sen/Ul-Sen measurement accuracy is on a whole different level than the others that are used for the ladies. Without it, I truly can't see how anyone can "effectively" manage their E2 situation, but that's just MHO, as it is with many HRT physicians that are in the know.</p><p></p><p>On a Free Test/SHBG calculator, your SHBG is looking somewhere in the mid 40's +/- a few points. Albumin is also a factor with some minimal contribution to the matter. Your Free Test is at 2.1%, which again, MHO, 2% to 3% is an ideal range. You "could" possibly increase this percentage a bit with increasing vitamin D3 (if needed), maybe some nettle, etc., which in turn could allow you to reduce total serum to achieve ultimately the same results. You can adjust this around to see what fits you, but 15ng/dl to 20ng/dl on Free Test "usually" seems to be a good place to sustain long-term benefits, permitting other variables like thyroid, adrenals, pregenolone, and other pathways, vitamins, minerals, etc., are in order. </p><p></p><p>Conclusion ... Yeah, I don't really agree with how your current physician is handling your program. I think he's focused on one (1) department, and he's doing a lot of guesswork on where to go next. Sounds like HRT is your future, why not just get on a little cyp, a little HCG, and other hormones and/or inhibitors "as needed". Again, this Tamox thing has me a little puzzled, maybe you can clarify? Thanks</p></blockquote><p></p>
[QUOTE="Vettester Chris, post: 16176, member: 696"] Honestly, I don't get the 2x Tamox protocol, unless you're seeing increased receptor sensitivity in the nipple region. Even then, it should be a short-term program til estrogen levels stabilize, or unless it was included in a PCT/Restart program with the HPTA, which it still is a minimum timeline program. Since your serum level is all driven by LH, via HCG, good chance that some (or a lot) of the E2 elevation is produced intratesticular. If so, it's virtually uncontrollable with an inhibitor like Arimidex. On that subject, as stressed to other members, you NEED the sensitive or ultra-sensitive assay. I know it looks off the charts with your provided lab, but the sen/Ul-Sen measurement accuracy is on a whole different level than the others that are used for the ladies. Without it, I truly can't see how anyone can "effectively" manage their E2 situation, but that's just MHO, as it is with many HRT physicians that are in the know. On a Free Test/SHBG calculator, your SHBG is looking somewhere in the mid 40's +/- a few points. Albumin is also a factor with some minimal contribution to the matter. Your Free Test is at 2.1%, which again, MHO, 2% to 3% is an ideal range. You "could" possibly increase this percentage a bit with increasing vitamin D3 (if needed), maybe some nettle, etc., which in turn could allow you to reduce total serum to achieve ultimately the same results. You can adjust this around to see what fits you, but 15ng/dl to 20ng/dl on Free Test "usually" seems to be a good place to sustain long-term benefits, permitting other variables like thyroid, adrenals, pregenolone, and other pathways, vitamins, minerals, etc., are in order. Conclusion ... Yeah, I don't really agree with how your current physician is handling your program. I think he's focused on one (1) department, and he's doing a lot of guesswork on where to go next. Sounds like HRT is your future, why not just get on a little cyp, a little HCG, and other hormones and/or inhibitors "as needed". Again, this Tamox thing has me a little puzzled, maybe you can clarify? Thanks [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Blood Test Discussion
Need help with labs, high everything!
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