Six Month Blood Work/New Protocol

CoastWatcher

Moderator
At the six month mark of treatment. Feeling dramatically better, libido, energy, mental focus - all improved. I certainly notice a drop in all of those things, however, 36-48 hours before the next weekly shot.

Injecting 100mg/test enth every week, no HCG (to my doctor's mild frustration).

Had a peak reading of 875...but a trough reading, day before next injection, of 310.

E2 reading: 19/Sensitive, 35/Standard (ran both since my doctor is an outspoken believer that too many trt patients over-treat estradiol due to inaccurate lab work).

Results for shbg, cbc, thyroid, cortisol will be in when I see my doctor next Tuesday. My shbg has always been in low-normal range prior to therapy beginning.

In an email, she is proposing a split-dose schedule, as so many here on the Forum are doing. Sixty milligrams of test enth every 3.5 days along with HCG (dose to be discussed when I meet with her).

What is a reasonable level to hope for/shoot for/expect on that size dose given the fact I seem to clear testosterone quickly?

Thoughts and comments are most welcome.
 
I would definitely go with the twice a week protocol for 6 weeks and see how you feel then. If you feel good up until 36 hours before your next shot, My guess is that you are going to see a big difference for the better with twice a week injections.

My 2 cents - Dont worry about the level as long as you feel good, have good libido, etc...
 
Thanks, ERO. I, too, understand the "treat the patient, don't treat the numbers" philosophy, but I - too frequently - get caught up in the quantitative side of the game.
 

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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.

ℹ️ Input Parameters

Normal range: 300-1000 ng/dL

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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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