Total T >1500 (New Blood Test)

[mopes]

Jesus. Time to reduce dose 20% or so? Currently on 200mg test cyp split into two subq injections, one Tuesday, one Friday. 500 IU HCG with each injection. Blood draw was on Monday. Total T >1500, Free T 39.3

One month ago when I was on compounded cream my Total T was 427 and Free T was 5.84 and Estradiol Sensitive was 10.4...

 

[CoastWatcher]

How long have you been on this protocol? When did you start? I ask because your E2 (sensitive) is still very low. How did you and your doctor arrive at the current dose?

 

[mopes]

4 weeks on the t dose. Two weeks on hcg

 

[Vince]

Why are your testosterone level so different from the top of the report to the bottom?

 

[CoastWatcher]

4 weeks on the t dose. Two weeks on hcg

A total weekly dose of 200mg per week is at the upper end of the scale for TRT. Jumping from a cream to that amount of injectable testosterone is a leap. You do have a significantly elevated SHBG, was that an issue prior to this protocol?

 

[mopes]

One test was discounted labs the other was private md.

 

[mopes]

Shbg has been high for many years prior to trt and doc was comfortable with higher dose so wanted to 'mass over the top' and negate the high shbg.

 

[mopes]

One test was discounted labs the other was private md.

Same labcorp analysis on both, just different paperwork.

 

[mopes]

Drop the T down to 160mg a week and the hcg to 500IU a week, both split into two doses. Then retest in two/three weeks. Sound like a reasonable course of action to you guys?

 

[CoastWatcher]

Drop the T down to 160mg a week and the hcg to 500IU a week, both split into two doses. Then retest in two/three weeks. Sound like a reasonable course of action to you guys?

Sounds good, but you need to wait at least four weeks - with no further changes - before testing again. Dr. Saya holds out for five weeks, as he has written here, and my doctor insists on six weeks before retesting. Four, however, is reasonable.

 

[mopes]

I think 4 weeks, or longer, would be ideal too just trying to balance time with additional insight into the remainder of my blood work. Anxious to see what e2, dhea-s, dht, H/H, etc look like given these high T levels.

 

[Vitamin_C]

I use Nettle and it has brought my SHBG down from 30's to 20's, I also take it for allergies as well. I had a similar response to topicals, sat in the 400's to 500's range with mid range free T and lower E2. I could get these numbers naturally so what was the point? I now do Test Cyp shallow IM or sub Q at 120mg per week in two doses (Tue/Fri)and my last lab draw had me at 1074 total T and 28.6 free T (8-25 reference range) with my sensitive Estradiol coming back at 41. I also run HCG M/W/F at 250 IU. Yeah, 200mg per week is going to put most men at supraphysiological levels. 120mg per week in two doses seems to be my sweet spot, I actually came up with my protocol and my prescribing TRT doc agrees and gives his input. I am also counseling with Defy as well in case I want to do a restart in the future. We will see if Dr. Crisler wants to made any adjustments to my protocol here in a few weeks.

 

[mopes]

Glad you've got it dialed. Thanks for the response. Much appreciated.

 

[John O'Connor]

Vitamin_C - someone else was asking about dropping SHBG earlier today. What brand/dose of nettle do you use?

 

[Vitamin_C]

Nettle if fantastic stuff, keeps my allergies in check and also give you more free T. I use two brands for Nettle.

Redd Remedies Adult Sinus which has 100mg of Nettle as well as other good antioxidants. And the other brand of Nettle I use is Oregon's Wild Harvest Nettle which has 600mg of nettle per two caps. I think you want to get around 700-1000mg per day of Nettle for the free T effects.