Recently transitioned from compounded cream → injectable TRT

mcs

Member
65 y/o | 165 lbs | 5’6” | ~10–12% BF

Recently transitioned from compounded cream → injectable TRT for first time.
Was on cream for just over 4 mos.
  • Reason: no noticeable sides, but DHT spiking and unstable serum levels.
  • Current protocol (2 days): Test E in MCT oil, 11 units ED (~21 mg), ~150 mg/week total, subq microdosing (slin pin). Plan: 6 weeks → labs → add nandrolone decanoate in MCT oil, 50 mg/week for joint relief/inflammation.
Androgen-related labs comparison:

June 2025 (on cream; peak; applied 2h prior ):

  • TT: 1034 ng/dL
  • Free T: 191.6 pg/mL (H)
  • SHBG: 52
  • DHT: 144 ng/dL (H)
  • Estradiol: 46 pg/mL (H)
  • LH: 2.4 / FSH: 4.2
  • Prolactin: n/a

Sept 2025 (cream; applied 12h prior):
  • TT: 318–459 ng/dL (
  • Free T: 61.5–70.7 pg/mL (↓)
  • SHBG: 36–39
  • DHT: 122–145 ng/dL (still high)
  • Free DHT: 9.32 pg/mL (H)
  • Estradiol (ultrasensitive): 24 pg/mL (normalized)
  • LH: 0.6–0.8 (L) / FSH: 1.0 (L) → HPTA suppressed
  • Prolactin: 6.7–6.9 ng/mL

    CBC / Hematology:
  • 6/30/25:
  • RBC: 4.32 M/uL (ref 4.20–5.80)
  • Hgb: 14.1 g/dL
  • Hct: 42.4%
  • 9/12/25:
  • RBC: 4.22–4.26 M/uL (low end of normal)
  • Hgb: 13.6 g/dL
  • Hct: 40.5–41.4%
Observations:
  • On cream: supraphysiological TT/FT + elevated E2 + high DHT.
  • By Sept: TT/FT crashed, gonadotropins suppressed, E2 normalized, but DHT stayed elevated.
  • Prolactin baseline looks safe to trial low-dose nandrolone.
Questions for the group:
  • Experiences pivoting from transdermal to daily microdosed injections (stability, labs, symptom changes)?
  • Anyone add low-dose Deca (50–100 mg/week) for joints — what benefits/downsides did you see?
  • Best strategies you’ve used to keep DHT in check post-cream transition?


 
Last edited:
1 you can't compare Jun and Sep as you altered the testing time from 2hrs post to 12hrs post. You have to do this in a rather regimented way if you want to compare them side-by-side. The way you've approached application and testing is all wrong.

Too, you explicitly state no noticeable sides then go on to lament numbers on a piece of paper whereas the goal should be to treat your symptoms. If there are no sides there's no harm in being over lab values. Youre only reading numbers which is, again, a flawed strategy.
 

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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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