New on TRT, have some questions about my initial and checkup bloodwork values

Buy Lab Tests Online

jbeez

New Member
Hi everyone, new member here.

Quick recap, years ago i was ~335lbs and about 31 y/o. I started dieting and lifting weights. Over the years I ended up getting down to 189lbs. I was pretty good at 193, but when I pushed it I seemed to have crashed my hormones. I started having ED issues for the first time in my life, i freaked a little and a week later I was back upto ~210lbs(some water/glycogen gain here). My ED mostly subsided, but it just wasn't right. I struggled. I went to my PCP and had bloodwork, my test was 430, he didn't do any other male tests. He told me I was good to go! Went to an endo for a second opinion 3-4wks later. In that time I committed to eating better and sleeping more. My endo tested more thoroughly, but also my T was back to 630. I thought that was good and just skipped taking any TRT. My Estradiol was borderline low, 25.x with the range being 25.8 - 60.7. This was march 2017, fast forward ~oct 2017 I ended up somehow herniating a few discs. My will to goto the gym tanked before that as well. I put up with some serious back pain for months, put in work at the rehab place, no progress. Went back to PCP for bloodwork AND endo. PCP pulled 390, I told him that was BS and my T was definitely low, he argued with me, refused to write me any Rx. Went to my endo, this year it was 430. My estradiol was 20.8. He pulled out a bottle of testosterone cypionate and injected me on the spot. I had a vasovagel reaction in his office, and then later in the day my back started feeling better for the first time in months. I had some serious itchy skin issues develop over the years. My whole life i had oily skin until I dieted, then it was dry. It was so bad lately the skin on my shins would hurt when my pants touched it. Well the TRT fixed that as well. My libido had been pretty non-existant and that was also back with a vengence. Over the next few weeks I was looking forward to getting into the gym, even though I still have a major back injury I now actually have the will.

Now my issue at this time, my libido is kind of good? I still get some ED issues. My protocol right now is 100mg on tues morning, and 100mg on fri morning. I inject into my belly fat. I'm almost 39, 5'11 ~256lbs right now. I put on about 40lbs last year.

I just got my checkup bloodwork back. I haven't seen my dr yet but this is where I currently sit, assuming my high estradiol is causing some minor ED issues:

DHEA sulfate ug/dL 279 35-44y/o range = 89-427
Estradiol pg/mL 72.6 range 25.8 - 60.7
FSH mlU/mL 0.4 range 1.5 - 12.4
LH mlU/mL 0.6 range 1.7 - 8.6
HSHBG nmol/L 31 range 10 - 80
Testosterone ng/dL 1150 range 348 - 1197
Free Test ng/dL 29.53 range 4.7 - 24.4
 
Defy Medical TRT clinic doctor
Welcome to Excelmale jbeez,

You dosage is too high, you were started out too high. Most guys do well on 50-60mg twice weekly, it's a great starting point and will get most men to midrange to high normal. More testosterone can actually make you feel worse do to a lot being converted into estrogen, estrogen will largely determine how a guy feels on TRT. Regarding your doctor, there are a few red flags I'm seeing that is cause for concern. Testing LH while on TRT is pointless and I doubt that's even the correct estrogen test. See if it's the LC/MS/MS method, if not then it's the female E2 panel and any results should be ignored.

You should probably know that most doctors will fail at TRT, like starting a guy out on a dosage that's too high, ordering the wrong estrogen labs and testing LH while on TRT. The fact that you are on such a large dosage, I would say estrogen is likely a problem, but dosing on the wrong estrogen labs is a bad idea. You should drop the dosage down to 50mg twice weekly and forget about an AI for now, you may not even need one. If estrogen is high, some ED issues are expected.
 
Thanks, I'll need to find out about the LC/MS/MS. If it helps my endo requested a male panel through truehealthdiagnostics. I trust my endo way more than my PCP on this stuff. My PCP is truely clueless.

Somewhat related question... I put on about 40lbs last year, def no good for my health... and I'm trying to lose weight. I've done it before but, is there anything I have to be mindful of with regards to allowing my body to use this testosterone I'm injecting? Will severely cutting any macronutrients adversely affect it? I'm not sure of the differences with regards to dieting with natural vs now having injected testosterone.'

I don't see my endo to review blood results until July 2nd. I took a full 100mg dose this morning. Should I skip fridays or just start half dosing on friday/tues/fri etc before I even go in there?

Thank you! Sorry for delay responding I had some login issues I had to sort out :D
 
Beyond Testosterone Book by Nelson Vergel
Thanks, I'll need to find out about the LC/MS/MS. If it helps my endo requested a male panel through truehealthdiagnostics. I trust my endo way more than my PCP on this stuff. My PCP is truely clueless.

Somewhat related question... I put on about 40lbs last year, def no good for my health... and I'm trying to lose weight. I've done it before but, is there anything I have to be mindful of with regards to allowing my body to use this testosterone I'm injecting? Will severely cutting any macronutrients adversely affect it? I'm not sure of the differences with regards to dieting with natural vs now having injected testosterone.'

I don't see my endo to review blood results until July 2nd. I took a full 100mg dose this morning. Should I skip fridays or just start half dosing on friday/tues/fri etc before I even go in there?

Thank you! Sorry for delay responding I had some login issues I had to sort out :D
You can simply start the split-dosing protocol on Friday; no reason to postpone it as your system will adjust.
 
Buy Lab Tests Online
Defy Medical TRT clinic

Sponsors

bodybuilder test discounted labs
cheap enclomiphene
TRT in UK Balance my hormones
Discounted Labs
Testosterone Doctor Near Me
Testosterone books nelson vergel
Register on ExcelMale.com
Trimix HCG Offer Excelmale
BUY HCG CIALIS

Online statistics

Members online
3
Guests online
8
Total visitors
11

Latest posts

Top