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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Side Effect Management
Nodular acne on back out of nowhere, is it dietary or the TRT? HELP!
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<blockquote data-quote="madman" data-source="post: 219017" data-attributes="member: 13851"><p>Sounds like you are genetically prone to acne and the more aggressive form nodular/cystic which is difficult to treat.</p><p></p><p>Usually treated with Accutane depending on the severity.</p><p></p><p>Hormones play a big role and the use of exogenous T can easily cause oily skin/inflammatory state leading to acne especially when FT levels get too high.</p><p></p><p>To what degree depends on the individual/genetics.</p><p></p><p>Doubtful it is the carrier oil let alone diet as the sole cause and although you stated..... <strong><em>I have seen other people say that, but nothing in my blood work looks extreme enough to cause this.</em></strong></p><p></p><p>I would think twice on that one.</p><p></p><p>Although TT is important to know FT is what truly matters as it is the active unbound fraction of testosterone responsible for the positive effects.</p><p></p><p>First off you used the piss poor direct immunoassay which is known to be inaccurate to test your FT and I would put money on it that your trough FT is much higher than you think.</p><p></p><p>Unfortunately too many are still caught up in using/relying upon such.</p><p></p><p>Many have no clue where their FT level truly sits.</p><p></p><p>The only way to know where your FT level truly sits is to have it tested using the most accurate assays such as the gold standard Equilibrium Dialysis or Ultrafiltration (next best) </p><p></p><p>On your most recent set of labs, you are hitting a very high trough TT 1145 ng/dL with an SHBG 29 nmol/L which would most likely have your trough FT 41 ng/dL (very high).</p><p></p><p>Even then you tested 3 weeks in which is too early and your trough TT/FT levels would be even higher as you need to wait 4-6 weeks for blood levels to stabilize when using TC/TE.</p><p></p><p>Clear as day that your trough FT is going to be absurdly high!</p><p></p><p>FT 5-10 ng/dL is low.</p><p></p><p>FT 16-31 ng/dL (top-end) is healthy.</p></blockquote><p></p>
[QUOTE="madman, post: 219017, member: 13851"] Sounds like you are genetically prone to acne and the more aggressive form nodular/cystic which is difficult to treat. Usually treated with Accutane depending on the severity. Hormones play a big role and the use of exogenous T can easily cause oily skin/inflammatory state leading to acne especially when FT levels get too high. To what degree depends on the individual/genetics. Doubtful it is the carrier oil let alone diet as the sole cause and although you stated..... [B][I]I have seen other people say that, but nothing in my blood work looks extreme enough to cause this.[/I][/B] I would think twice on that one. Although TT is important to know FT is what truly matters as it is the active unbound fraction of testosterone responsible for the positive effects. First off you used the piss poor direct immunoassay which is known to be inaccurate to test your FT and I would put money on it that your trough FT is much higher than you think. Unfortunately too many are still caught up in using/relying upon such. Many have no clue where their FT level truly sits. The only way to know where your FT level truly sits is to have it tested using the most accurate assays such as the gold standard Equilibrium Dialysis or Ultrafiltration (next best) On your most recent set of labs, you are hitting a very high trough TT 1145 ng/dL with an SHBG 29 nmol/L which would most likely have your trough FT 41 ng/dL (very high). Even then you tested 3 weeks in which is too early and your trough TT/FT levels would be even higher as you need to wait 4-6 weeks for blood levels to stabilize when using TC/TE. Clear as day that your trough FT is going to be absurdly high! FT 5-10 ng/dL is low. FT 16-31 ng/dL (top-end) is healthy. [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Side Effect Management
Nodular acne on back out of nowhere, is it dietary or the TRT? HELP!
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