Trt please help(with bloods)

[Thomascharles]

Hi all,

Really need everyones help. I've been on trt for the past two years. Before this time I was on long cycles (6 months to a year) because of competing.

In 21 I won my pro card, but decided it was enough, and just wanted to stay healthy.

Since June 22 I've been on 170mg of cyp( once per week injection) and felt great, little issues.

However, over the past 3 months I've felt terrible, although strength has remained in the gym, I've been getting real bad anxiety, brain fog and confusion. I've tried lowering the dose to 140-150, but seem to be worse. 170 seemed a sweet spot for two years, but now when I inject, for the first 3 days I feel dizzy/brain fog/ tired even after sleeping 9 hours

Estrogen seems to be very high, I'm very worried as this is not getting better and was wondering if you guys could have a look at bloods and give me some guidance/ point me to a trt doctor that can help.

Really starting to affect my life, whereas before I've felt great. Thanks I'm advance . Attached are my bloods. Took fasted 3 days after jab

 

[Systemlord]

You have iron deficiency anemia, indicated by the low MCHC, low hemoglobin and high RDW.

If you're on TRT, and you can't maintain normal ferritin, it’s because TRT increases EPO which increased erythroferrone, lowering hepcidin and ferroportin lets iron release from hepatocytes and therefore ferritin doesn't rise.

You need iron supplementation, preferably iron glycinate, or chelate.

I don’t understand why you would need a specialty TRT doctor to spot iron deficiency anemia. Your doctor in charge of your TRT is dropping the ball big-time!

 

[Systemlord]

I've tried lowering the dose to 140-150, but seem to be worse.

You felt worse after lowering your dose because TRT affects, increases your hemoglobin, which is already low.

Estrogen seems to be very high, I'm very worried as this is not getting better and was wondering if you guys could have a look at bloods and give me some guidance/ point me to a trt doctor that can help.

I wouldn’t worry about your estrogen being high, your testosterone is high as well, so you can expect your estrogen to be high. This is normal.

 

[Thomascharles]

Thanks for reply, would you recommend an ai?

 

[Systemlord]

Thanks for reply, would you recommend an ai?

No, because you weren’t having any problems prior to your iron deficiency anemia.

There is 50 times more estrogen in your tissues versus serum levels, serum levels are almost meaningless. Estrogen is not an anabolic hormone, like testosterone. Estrogen is a paracrine hormone.

AI’s can mess with your lipids, and bone density and is not something you want to be on long-term.

 

[Seagal]

You have iron deficiency anemia, indicated by the low MCHC, low hemoglobin and high RDW.

If you're on TRT, and you can't maintain normal ferritin, it’s because TRT increases EPO which increased erythroferrone, lowering hepcidin and ferroportin lets iron release from hepatocytes and therefore ferritin doesn't rise.

You need iron supplementation, preferably iron glycinate, or chelate.

I don’t understand why you would need a specialty TRT doctor to spot iron deficiency anemia. Your doctor in charge of your TRT is dropping the ball big-time!

Or maybe he donated blood?

 

[Systemlord]

Or maybe he donated blood?

I missed it the first time. The original poster needs to get off the biotin supplements which is skewing his labs and retest in a couple of weeks, because 170 mg and 3808 total testosterone, no way is he that sensitive to Test!

 

[Thomascharles]

I've had mild

You felt worse after lowering your dose because TRT affects, increases your hemoglobin, which is already low.


I wouldn’t worry about your estrogen being high, your testosterone is high as well, so you can expect your estrogen to be high. This is normal.

I've been mildly anaemic since the age of 17. This hasn't changed much. I've been on trt for the past 2v years and only with 3 months have I started to feel sluggish, emotional, brain fog, sleeping even after I've had a good sleep. The rest of my body in the gym feels fine.

 

[Systemlord]

As of right now we don’t even know where your hormone level sit because your labs are skewed. We can’t assess anything until you stop the biotin supplements.

If your hormone labs are to be believed, you want us to believe that lowering your dosage 30 mg dropping your total testosterone a little from almost 4000 ng/dL is going to make you feel worse.

That’s absurd.

 

[Thomascharles]

As of right now we don’t even know where your hormone level sit because your labs are skewed. We can’t assess anything until you stop the biotin supplements.

If your hormone labs are to be believed, you want us to believe that lowering your dosage 30 mg dropping your total testosterone to a little from almost 4000 ng/dL is going to make you feel worse.

That’s absurd.

You are right, I'm taking vitamin b6 at 3.5 mg. I will stop this for the next week then get a re-test?

 

[Thomascharles]

You are right, I'm taking vitamin b12 at 3.5 mg. I will stop this for the next week then get a re-test?

 

[Systemlord]

I will stop this for the next week then get a re-test?

I would wait at least 3-4 weeks.

 

[Thomascharles]

Could the boitin supplement also cause a rise in estrogen levels, there is obviously something that has made them skyrocket. I don't understand why e2 is so high!