Testosterone at 250 - What's Next?

Davi****3 · Jul 19, 2017

What is the typical protocol for someone having 250 total testosterone? How often do you have to get labwork? How much is the cost?

Sean Mosher · Jul 19, 2017

Do you have the rest of your labwork?
Do you intend to use a national provider or private insurance?
I mean, you need to give us a little more to work with.
And there really isn't a typical protocol........it should be tailored to you and your labwork.

Davi****3 · Jul 19, 2017

Results

These are my results from labcorp.

Sean Mosher · Jul 20, 2017

If your Total T is 250 ng/DL, then also looking at your lab results, you definitely would benefit from some form of T therapy
It would have be nice to see LH and FSH just to be sure you're not a candidate for a re-start, but...........
Probably twice a week injections would be a good place to start.
Your E2 isn't bad at all so I would assume there'd be no need to start with an AI.
I would assume you'd be started with something like 50-60mg of T every 3.5 days along with at least 350 IU's of hCG every 3.5 days, no AI.
Re-test all labs again at the 6 week mark.

CoastWatcher · Jul 20, 2017

There are important labs you are missing. Before starting TRT a baseline PSA is a necessity. Your thyroid needs to be evaluated, not simply the TSH value, but t3, t4, rt3, and antibodies. Finally, your doctor ordered the incorrect e2 test: men should only be tested with the sensitive estradiol test as the assay that was ordered for you is unreliable people when used for men.