TRT Lab results at 6 week mark.... What do you think

[AntCon]

Hey all , hope all is well.

Here are my new labs below, I actually got these done in the beginning of week 6 (at trough - 1 hour before injection)

Still having on and off again extreme fatigue, brain fog, and a dry / burning eyes feeling throughout the day. Still a mixture of some decent days and bad days.. The weeks confuse the ish out of me because my symptoms don’t follow a specific time pattern.. it’s just whenever my body wants to feel shitty, it does lol.

Anyways here are my labs , please give me as much feedback as possible. I really could use it. I’ll post these in my trt journey thread as well.

Also my cholesterol has never been that off before. Any concerns there?

 

[Vince Carter]

Based on your SHBG cut your dose and get your Free T down clos(er) to the lab range way too high...this means your Free Estradiol is very high too. You should test that the next time your pull blood if money allows you to add it in.

What is your protocol now/when the labs were taken?

 

[Vince Carter]

With that SHBG youre going to have to look a bit deeper at E2 beyond the the Sensitive LC/MS/MS which (probably) needs to come down closer to ~10 or 15. The low SHBG guy can typically only handle a small amount of E due to the free hormones. We know that (shown in your labs) low SHBG = Very high Free, in turn = Very high Free E.

 

[AntCon]

With that SHBG youre going to have to look a bit deeper at E2 beyond the the Sensitive LC/MS/MS which (probably) needs to come down closer to ~10 or 15. The low SHBG guy can typically only handle a small amount of E due to the free hormones. We know that (shown in your labs) low SHBG = Very high Free, in turn = Very high Free E.

Thanks Vince Carter, do you think I should order a Free E blood test ?

 

[Vince Carter]

I think so yes..."Estradiol, Free" is how it's listed if using Quest Diagnostics. Run these three together with whatever else you opt for:

Estradiol, Free
Estradiol
Sensitive Estradiol LC/MS/MS

 

[Gman86]

I agree with Vince, I run all three of those every time I get my labs done. Through Quest you only need to order two labs though. The Free Estradiol test includes the standard Estradiol test with it. Here's Quest's link showing that it includes both. So just get the two tests below and it will cover all three.
https://www.questdiagnostics.com/testcenter/BUOrderInfo.action?tc=36169&labCode=SJC&searchString=

Estradiol, Free, LC/MS/MS
Estradiol, Ultrasensitive, LC/MS/MS

 

[Vince Carter]

oh good call never saw them together like that the way I pay for my labs they're written and input separately

 

[AntCon]

Thanks Vince Carter and Gman , I’ll be getting these ordered ASAP and do them at trough on Monday.

Are there any common side effects from high Free T / E .... just wondering if any of it can be contributing to my fatigue.