Please help with my protocol

[Oz]

I need a little help understanding my bloods please. I'm battling fatigue, irritability, anxiety, acne etc which I'm assuming are high E2 sides. I'm not using an ai and I'm pinning twice a week.
Libido improved greatly at the start of trt but has tapered off.


Labs : Free T
Range : 150-700 pmol/L
Pre TRT : 400
Test E 125mg e3.5d IM : 1281
Test E 75mg e3.5d IM : 609

Labs : Total T
Range : 10-33 nmol/L
Pre TRT : 9
Test E 125mg e3.5d IM : 42
Test E 75mg e3.5d IM : 25

Labs : SHBG
Range : 13-71 nmol/L
Pre TRT : 18
Test E 125mg e3.5d IM : 24
Test E 75mg e3.5d IM : 29

Labs : LH
Range : 1/10 iu/L
Pre TRT : 6

Labs : E2
Range : <150 pmol/l
Pre TRT : 100
Test E 125mg e3.5d IM : 250
Test E 75mg e3.5d IM : 230

Labs : Haemocrit
Range : 0.38-0.52
Pre TRT : 0.41
Test E 125mg e3.5d IM : 0.49
Test E 75mg e3.5d IM : 0.49

Labs : Prolactin
Range : <300mIU/L
Test E 125mg e3.5d IM : 282
Test E 75mg e3.5d IM : 263

Labs : DHEA
Range : 800-5700 ug/L
Pre TRT : 1800
Test E 125mg e3.5d IM : 2400
Test E 75mg e3.5d IM : 2800

Labs : T to E2 ratio
Range : Above 14
Pre TRT : 9
Test E 125mg e3.5d IM : 17
Test E 75mg e3.5d IM : 11
==============

Labs : Notes
Test E 125mg e3.5d IM : Very high E2 symptoms
Test E 75mg e3.5d IM : High E2 symptoms

 

[Sean Mosher]

How long were you on your 1st protocol at 125mg E3.5days and now how long have you been on 75mg every3.5days?

Lab notes indicate that these are E2 related.
Are those your notes or the doctors?
Guys tend to automatically blame estrogen for nearly everything, but I noticed you aren't on an AI.
Have you discussed any of this with your doc?
Any thyroid labs?

 

[Oz]

How long were you on your 1st protocol at 125mg E3.5days and now how long have you been on 75mg every3.5days?

Lab notes indicate that these are E2 related.
Are those your notes or the doctors?
Guys tend to automatically blame estrogen for nearly everything, but I noticed you aren't on an AI.
Have you discussed any of this with your doc?
Any thyroid labs?

I was on my first protocol for 7 weeks and the second for 6 weeks. These notes are my own. My doctor is not particularly on the ball so I'm doing a lot of this trial and error on my own. I was started with no ai to hopefully try and avoid using one. My interpretation is that I aromatise heavily and I may need an ai.

 

[Oz]

Thyroid labs came back normal too.

 

[Vince]

Thyroid labs came back normal too.

Post your thyroid labs, it would be interesting to see them.

 

[Vince Carter]

Thyroid labs came back normal too.

"Normal" doesn't mean anything and often what it does mean is anything but good.

Note too the wrong E2 testing is being used.

 

[Systemlord]

The thyroid reference ranges are not normal so normal is vague.

The evidence for a narrower thyrotropin reference range

It has become clear that previously accepted reference ranges are no longer valid as a result of both the development of more highly sensitive TSH assays and the appreciation that reference populations previously considered normal were contaminated with individuals with various degrees of thyroid dysfunction that served to increase mean TSH levels for the group. Recent laboratory guidelines from the National Academy of Clinical Biochemistry indicate that more than 95% of normal individuals have TSH levels below 2.5 mU/liter.

Reference ranges for TSH and thyroid hormones

First of all the distribution of TSH reference range is not normal, with median values (also depending on population iodine intake) usually between 1-1.5 mU/L. Though TSH remains the most commonly used endocrine test in clinical practice, the issue of an appropriate TSH, and to a lesser extent, free T4 and free T3 reference ranges is still under debate.