new labs: t>1500 + very high TSH (deca issue?)

masfield

Member
i'm talking to defy soon about my new labs but thought i'd get input from my betters here as well.

3/13/19 results
testosterone free. 6.6 - 18.1 range. 16.3
testosterone total. 264 - 916 range. >1500
estradiol: 8 - 35 range. 27.4
shbg. 19.3 - 76.4 range. 31.4
prolactin. 4 - 15.2 range. 13.4
dhea. 48.9 - 344.2 range. 113
tsh. .45 - 4.5 range. 19.92
t3: 2 - 4.4 range. 1.8
t4: .82 - 1.77 range. .97

previous results, dec 18
testosterone free. 6.6 - 18.1 range. 34.4
testosterone total. 264 - 916 range. >1500
estradiol: 8 - 35 range. 44
shbg. 19.3 - 76.4 range. 32.4
prolactin. 4 - 15.2 range. 10
dhea. 48.9 - 344.2 range. 149.1
tsh. .45 - 4.5 range. 3.2
t3: 2 - 4.4 range. not done
t4: .82 - 1.77 range. not done

in december, my protocol was:
0.30 cc Nandrolone Decanoate (200mg/ml) ==> 60 mg nandrolone 2x/week,
0.30 cc Test. Cypionate (200 mg/ml) ==> 60 mg 2x/week

due to acne issues, and the high t levels, i changed both to .20 cc twice a week. clearly, that's had no impact on my T level. and it's done nothing for my acne.

most obviously strange is the huge jump in tsh, from 3.2 to 19. i do have hypothyroidism and am on 100mg daily of levothyroxine. i read in another recent thread here that nandrolone may impact the thyroid. but why would it do so now, at a time when i've cut my dose by 1/3?

other thoughts? i see i did get my estradiol and free t levels down.

oh -- last time, defy thought my high t reading was a spike but this time i had my labs taken 5 days after my last injection, so i'd guess that throws out the spike theory.
 
here's what defy said.
1/ tsh level mystified them. i've been doing ketamine since my last labs, so they suggested i check w/ my k doc to see if it could be causing the uprise.

2/ suggested dropping the nandrolone in favor of mk677.

3/ suggested upping testosterone from .2 to .25

any thoughts about this?

oh -- and they want me to get the thyroid labs redone, in the levels are a lab error.
 
no thoughts, anyone, anyone at all?

another thing i'm curious about is the suggestion to up the t to .25 ccs, when my level is already > 1500
 

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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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