So..back story. Been on 50mg/2x week of test cyp for the last few month. Seems to be going fine, just been low on energy over the last 3 weeks or so. Libido has been fine, nothing crazy. Last blood draw the Dr DID NOT order E2, FT, Bio available on the draw. Obviously, he doesn't know TRT very well. I'm learning too. He does seem amenable to do what I ask, so this forum has been very helpful. TT was at 800 tested at trough. So all good..im sure its higher at peek...maybe 1200?
My question is, is fatigue a noticeable side effect of high E2? Previously my E2 was at 39 and my TT was hitting 531 at trough. So, I can only guess since on my new protocol with the increase in TT and presumably FT and E2 (again, last draw did not include these numbers) maybe my E2 is way up? I'd assume another panel would be need for a definitive answer. Anyway, just looking for a little guidance on possible solutions. Would I be out of line to maybe drop to 40mg 2x week?
Would not blame your fatigue on elevated E2 as you have no clue where it sits let alone numerous things can cause you too feel run down, lack of quality sleep/OSA, low ferritin/iron, excess stress (physical/mental), high blood pressure tonnage a few.
Always need to know where your critical blood markers RBCs, hemoglobin and hematocrit sit on said protocol (dose of T/injection frequency).
Throw ferritin/iron in there too especially if you get caught up on that donating too frequently merry go round.
Again you are missing the most critical blood marker your trough FT.
All we know here is you are hitting a high-end trough TT 800 ng/dL 84 hrs post-injection.
Your SHBG sat at 31 nmol/L (normal) tested back in July when you were injecting 100 mg T once weekly which had you hitting a trough TT 531 ng/dL 7 days post-injection.
Again if you knew where your SHBG sat of know we could easily calculate your trough FT.
Before jumping the gun here you need to know where your trough FT and estradiol sit.
Would not even consider lowering your dose especially if you are hitting a healthy trough FT within reason.
As I stated in your previous thread just pay out of pocket and use Nelson's
discounted labs.
Forget BAT all you need here is TT, FT and estradiol.
Could thrown in SHBG too!
I think it looks pretty ideal. They missed the E2 looks like, that was supposed to be measured as well. No E2 symptoms though. Anyone have thoughts? Anything look slightly off? All good?
Introduction Androgens play a crucial role in the development and maintenance of: Male reproductive and sexual functions Body composition Erythropoiesis
www.thebloodproject.com
Introduction
- Androgens play a crucial role in the development and maintenance of:
- Male reproductive and sexual functions
- Body composition
- Erythropoiesis
- Muscle and bone health
- Cognitive function
- Testosterone falls progressively with age and a significant percentage of men over the age of 60 years have serum testosterone levels that are below the lower limits of young...
* The current world health organization guidelines have the lower limit of normal for serum ferritin at 15 micrograms per liter, whereas we know from physiological studies… that a more appropriate threshold is probably 25-to-30, maybe even as high as 50 micrograms per liter
Iron deficiency is currently screened at a ferritin threshold of 15 ug/mL, well below an accepted 25 ug/mL threshold.
Iron deficiency is currently screened at a ferritin threshold of 15 ug/mL, well below an accepted 25 ug/mL threshold.
www.hcplive.com
Screening for iron deficiency (ID) at a...
