Please review and critique the latest labs

TorontoTRT

Active Member
72 mg TE every 5 days. Due to the high hct, hg, rbc I made a blood donation yesterday. So my peak TT/FT is 961 / 23.3, and my trough on day 5 right before injection is 600 / 13.5. Is the trough too low?

SHBG 30.9
Estradiol 35 (129 pmol range <162)
DHEA-S 173.2 (4.7 umol range <15)
ALT 40 (range <50))
AST 21 (range <35)
GGT 20 (range 14-62)
 
That's all the labs you have?

What is your HCT at? Have you done a sleep study?

Did you get two latest labs? One at peak and one at trough?

If your trough is that low have you considered dosing 2x/wk? I can't remember your history.
 
Last edited:
HCT 56, Hg 19.1, Rbc 6.94. But I donated blood right after. Can’t do twice a week. I tried and it sucked. Not only was my peak the same as my current trough, but hct went up, acne went up and all test benefits disappeared. Every 5 days is the sweet spot.
 
I don't think you're trough is too low and because of your high HCT, I wouldn't increase your testosterone dose. Hopefully over time your HCT will stabilize. As you probably already know, drink lots of water and if you can tolerate taking a baby aspirin, I would.
 
72 mg TE every 5 days. Due to the high hct, hg, rbc I made a blood donation yesterday. So my peak TT/FT is 961 / 23.3, and my trough on day 5 right before injection is 600 / 13.5. Is the trough too low?

SHBG 30.9
Estradiol 35 (129 pmol range <162)
DHEA-S 173.2 (4.7 umol range <15)
ALT 40 (range <50))
AST 21 (range <35)
GGT 20 (range 14-62)

what is the Free T lab range? If you like this dose and 5 day routine then there's no reason to change anything because of numbers on a lab report. Note here to that you're using the wrong E2 test.
 

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⚠️ 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.

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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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