New to TRT, High TT - Lowish FT.

John D.

New Member
Hello guys as I wrote in the title I am new to TRT. I'm gonna keep this as short as possible.

I am 32 and I was diagnosed with low T about a year and a half ago. My TT was 320ng/dl. After a lot of thought and a failed attempt to restart my pituitary I did a lot of reasearch, I read a lot of posts in this forum, I talked with 4 doctors and I decided to jump on TRT.

I live abroad so I really don't have access to very well informed doctors but my endo is the best I could find and he also reads this site and is open to suggestions.

I started my TRT 6 months ago and my protocol is:

150mg/pw Test Enathate split into 2 injections.
500 iu's HCG/pw split into 2 injections.
No AI.

The reason I didn't start talking an AI was that me and my doc decided to see how my first bloodwork would look like and then decide if I need it and how much of it I should take.

So my first bloodwork showed:
TT: 1259ng/dl (250-1300)
FT: 18 (8-30)
E2: 65 pg/ml (18-70)

The above is 3.5 days after my 75mg injection. I also don't have access to the sensitive E2 test. My Vit D was also low and I started taking 5.000 Iu's per day. Eveything else was OK.

My doctor says that I probably have a really high SHBG. He said that my TT should have been a bit lower after 3.5 days and my FT should have been higher. We found an online calculator and according to my other values my SHBG must be around 60.

I am now on 0.25 og arimidex twice per week and the rest of my protocol remains the same.

My doctor is thinking to perscribe Proviron (legal in my country) to lower my SHBG and raise my FT and at the same time maybe lower my weekly dose to 125mg per week.

What do you guys think I should do? Is there a protocol more suitable for guys with high SHBG?

 
Hello guys as I wrote in the title I am new to TRT. I'm gonna keep this as short as possible.

I am 32 and I was diagnosed with low T about a year and a half ago. My TT was 320ng/dl. After a lot of thought and a failed attempt to restart my pituitary I did a lot of reasearch, I read a lot of posts in this forum, I talked with 4 doctors and I decided to jump on TRT.

I live abroad so I really don't have access to very well informed doctors but my endo is the best I could find and he also reads this site and is open to suggestions.

I started my TRT 6 months ago and my protocol is:

150mg/pw Test Enathate split into 2 injections.
500 iu's HCG/pw split into 2 injections.
No AI.

The reason I didn't start talking an AI was that me and my doc decided to see how my first bloodwork would look like and then decide if I need it and how much of it I should take.

So my first bloodwork showed:
TT: 1259ng/dl (250-1300)
FT: 18 (8-30)
E2: 65 pg/ml (18-70)

The above is 3.5 days after my 75mg injection. I also don't have access to the sensitive E2 test. My Vit D was also low and I started taking 5.000 Iu's per day. Eveything else was OK.

My doctor says that I probably have a really high SHBG. He said that my TT should have been a bit lower after 3.5 days and my FT should have been higher. We found an online calculator and according to my other values my SHBG must be around 60.

I am now on 0.25 og arimidex twice per week and the rest of my protocol remains the same.

My doctor is thinking to perscribe Proviron (legal in my country) to lower my SHBG and raise my FT and at the same time maybe lower my weekly dose to 125mg per week.

What do you guys think I should do? Is there a protocol more suitable for guys with high SHBG?


Welcome to Excelmale. How did you "calculate" your SHBG? One calculates free testosterone; what calculator are you referring to? Why didn't you simply draw blood?
 
Since you can't have access to all proper testing. How's your symptoms or how are feeling. I sure wouldn't recommend an AI, without a need.
 
Hello, thanks for the reply. We used an online FT calculator. we just entered my TT and then just entered different SHBG values until we reached my FT. I am planning to check my SHBG in 2 weeks to be sure but from what I understand it's probably high.
 
Thanks for the reply Vince. My energy is better for sure and I recover much better from workouts. I've always been muscular but I'm seeing changes in my body too. My libido could be a little bit better though. It's better than before TRT but not great.
 

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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

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Enter your total testosterone value to see predictions

Results will appear here after calculation

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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