Recent lab results and Total and free T way up

buggies100

New Member
So i posted the other day that my hct was climbing, that was based off the Hgb quick test at red cross when i did my last therapeutic phlebotomy. It had gone to 20.6 at that time. Last bllod work in early nov had hct at 56.2 and total T at 291, free t not taken. Doc wanted me to come off of T cyp, whixh was 200 mg per two weeks. I found this site and spoke with some clinics. So around christmass i went to 40 mg every 3.5 days. I just got labs back from a bottom of the trough draw on 2/1. Total T was 883 and free T was 30.3 sensitive estradoil was 30.9, and hct 59.4. I have never had a total T reading as high as 883. Typically 350-450 at trough and i feel fine.
So why does a lower dose, 40mg times 4 =160 in a two week period cause my T to go so much higher than a 200 mg every two weeks?
I am confused
 
So i posted the other day that my hct was climbing, that was based off the Hgb quick test at red cross when i did my last therapeutic phlebotomy. It had gone to 20.6 at that time. Last bllod work in early nov had hct at 56.2 and total T at 291, free t not taken. Doc wanted me to come off of T cyp, whixh was 200 mg per two weeks. I found this site and spoke with some clinics. So around christmass i went to 40 mg every 3.5 days. I just got labs back from a bottom of the trough draw on 2/1. Total T was 883 and free T was 30.3 sensitive estradoil was 30.9, and hct 59.4. I have never had a total T reading as high as 883. Typically 350-450 at trough and i feel fine.
So why does a lower dose, 40mg times 4 =160 in a two week period cause my T to go so much higher than a 200 mg every two weeks?
I am confused

With E14D injections the testosterone is mostly metabolized by the time you test it, so basically by adding smaller amounts, but more frequently levels will be higher.

Still, your HCT is really really concerning.
 
Yes Hct is for sure high. I came off and am scheduled for next blood draw early march. I will have to completely restructure Trt dose and frequency once i get hct down, which may be a few months. Dont know if i should star clomid or maybe hcg, i am a secondary hypo guy. LH was 1.2 when i started TRT.
 
Where both test done on injection day, before injecting? Hct is very high, along with donating blood. You could also eat a half of grapefruit to help lower Hct, if you're not taking any meds that grapefruit would interfere with.
 
Both tests done at bottom of trough, thanks for asking. I meet new dr next wednsday. It is a mens health concierge clinic that specializes in these issues. Hopefully they will be a fit for me.
 

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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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