Testosterone at 250 - What's Next?

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.
 
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.
 
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.
 

hCG Mixing Calculator

HCG Mixing Protocol Calculator

TRT Hormone Predictor Widget

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

Predicted Hormone Levels

Enter your total testosterone value to see predictions

Results will appear here after calculation

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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