Same exact dosage, very different results???

I have been on the same dosage (60mg e3.5d) for about 9 months. I have had 3 blood test since I started and the first two were pretty close in total test, free test, SHBG, estrogen, etc. However, the last one was much higher. TT went from 543 ->855. Estrogen went from 36->44. The blood was taken at the same time at the same day in week (trough). Exact same needle, dosage, injection spot etc. The doctor asked if I had been taking more! How is this possible??
 
Lab error is a possibility, of course. A change of medication potency is another, albeit a less likely one. Rising SHBG can increase total testosterone, and probably total estradiol, but not by this much. Were you fasting? It's not supposed to be necessary for testing these hormones, but there are anecdotes suggesting it helps with test consistency. It's a nuisance, but you could consider a repeat of the lab work.
 
I have been on the same dosage (60mg e3.5d) for about 9 months. I have had 3 blood test since I started and the first two were pretty close in total test, free test, SHBG, estrogen, etc. However, the last one was much higher. TT went from 543 ->855. Estrogen went from 36->44. The blood was taken at the same time at the same day in week (trough). Exact same needle, dosage, injection spot etc. The doctor asked if I had been taking more! How is this possible??

Something to always keep in mind.

 
Lab error is a possibility, of course. A change of medication potency is another, albeit a less likely one. Rising SHBG can increase total testosterone, and probably total estradiol, but not by this much. Were you fasting? It's not supposed to be necessary for testing these hormones, but there are anecdotes suggesting it helps with test consistency. It's a nuisance, but you could consider a repeat of the lab work.

not fasting, but similar diet based on time. Yeah I’ll repeat in a few weeks. It just threw me and my doc off.
 

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TRT Hormone Predictor

Predict estradiol, DHT, and free testosterone levels based on total testosterone

⚠️ 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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