Recent labs on Scrotal T Cream

davidrn1

New Member
I have, like many here changed up my TRT protocol a few times. I am 66 years old, 145lbs, 5'7", stopped the gym with Covid, will return soon. I also have an auto immune disease: RA and use Humira. My current protocol is:

T Cream (200 mg diluted with Lubriderm to 25 mg) I apply this daily to scrotum ( I started using it straight from the compounding quik tube, but diluted it to bring my T levels down. Costs for 200 or 25 mg are the same, so I use a 200mg and dilute it 300% with Lubriderm, my Urologist thought that was a good idea)
DHEA 25 mg 3x wk
DIM 200 mg 3x wk
Pregnenolone 100mg 3 x wk
Progesterone cream (aprox 25mg dose ) applied to scrotum

Here are last weeks labs (thanks for the discount Nelson)
TT 529 (post T Cream 8 hours)
FT 122
E2 33
DHT 192 (12-65)
DHEA 234 (20 -217 for my age)
SHBG 15 (22-77, dropped last 2 were 17 and 19)
Prolactin 9.4 (2 -18)

I am feeling well, but libido still has room for improvement, I am unsure of which labs I should work to change. My E2 was slightly higher, but my SHBG is also very low, should I increase my DIM to daily? I have not used an AI in a few years. Is the DHT too high? I read levels in the thousand range, so assume I am only slightly elevated? Any other thoughts would be appreciated.
 

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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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