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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Basics & Questions
Two years on and confused w/last labs
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<blockquote data-quote="FloresJosh1984" data-source="post: 155943" data-attributes="member: 39180"><p>Hi everyone,</p><p> First post here, but have been reading a ton... Will try to keep this short.</p><p></p><p>I'm very confused. I started TRT two years ago when my initial labs came in with a total T of ~250ng/dl. I don't have my first labs handy at the moment, but I remember that number. I've been seeing the "Low T Center" here in San Antonio since then. Fluctuated weekly injections starting at 120mg a week up to 200mg a week and most recently have been at 180mg a week for the past 3 months. My experience with them hasn't been terrible, but lately something has been feeling "off" for me. I've noticed that surge post injection really hitting me 2-3 days after and it just doesn't feel good. Anxious, super hot, weird appetite, etc... I know it could be nothing to do with the TRT, but still weird. I decided I wanted to try switching to more frequent, less volume dosings to see if that helps. They do not do that and got frustrated when I asked, so I switched to a new doc here that was good with home injections and was also a doc on the "doc finder" tool here. </p><p></p><p>Just before I left Low T, they pulled 6 week labs (7/10/2019) and my results were as follows:</p><p>- Total T = 685 (range 350-1000 ng/dl)</p><p>- SHBG = 43.3 (range 16.5-55.9 nmol/L)</p><p>- Estradiol = 19 (range 7.6-42.6 pg/mL)</p><p></p><p>Those were taken just before my weekly injection (180mg) with the Low T Center... Had one more visit with the Low T Center a week later, got my last shot there, and then met with my new doc two days later. He used my last labs to give me a Cyp prescription, but also drew some more labs to check Free T and some other things knowing that I had just had an injection two days prior. </p><p></p><p>In the meantime, while waiting for my script to fulfill, I decided I wanted to get my own labs done so I could get serious about tracking everything on my own as well. Went through discount labs and got a few tests run. I did the draw exactly one week AFTER my last injection, so should be my trough. I'll attach my results here. After receiving these results back, I'm extremely confused. My T is MUCH higher than I would've ever expected a week after an injection. I mean, MUCH higher (1024 ng/dl). </p><p></p><p>I'm at a loss on what to do. I have an appt with my doc Monday morning to discuss everything, but wanted to post this all here in case anyone has had the same experience. I mean, can someone be Low T and then not anymore? Should I consider not taking any replacements for a few weeks and then retest to see what's happened? I mean, my SHBG is getting high, so that could be a driver for some symptoms I'm having,I guess, but yeah, just confused. </p><p></p><p>TL/DR - Two years ago had a total T of 250... now have reading of 1024 on trough day (one week post injection)... Haven't taken anything in 1.5 weeks, trying to decide if I should hold off on it for a while and wondering if normal T production can somehow "kick" in on its own to where replacement therapy isn't needed anymore.</p><p></p><p>Really appreciate any help and feel free to ask any clarifying questions!</p><p></p><p>-Josh</p></blockquote><p></p>
[QUOTE="FloresJosh1984, post: 155943, member: 39180"] Hi everyone, First post here, but have been reading a ton... Will try to keep this short. I'm very confused. I started TRT two years ago when my initial labs came in with a total T of ~250ng/dl. I don't have my first labs handy at the moment, but I remember that number. I've been seeing the "Low T Center" here in San Antonio since then. Fluctuated weekly injections starting at 120mg a week up to 200mg a week and most recently have been at 180mg a week for the past 3 months. My experience with them hasn't been terrible, but lately something has been feeling "off" for me. I've noticed that surge post injection really hitting me 2-3 days after and it just doesn't feel good. Anxious, super hot, weird appetite, etc... I know it could be nothing to do with the TRT, but still weird. I decided I wanted to try switching to more frequent, less volume dosings to see if that helps. They do not do that and got frustrated when I asked, so I switched to a new doc here that was good with home injections and was also a doc on the "doc finder" tool here. Just before I left Low T, they pulled 6 week labs (7/10/2019) and my results were as follows: - Total T = 685 (range 350-1000 ng/dl) - SHBG = 43.3 (range 16.5-55.9 nmol/L) - Estradiol = 19 (range 7.6-42.6 pg/mL) Those were taken just before my weekly injection (180mg) with the Low T Center... Had one more visit with the Low T Center a week later, got my last shot there, and then met with my new doc two days later. He used my last labs to give me a Cyp prescription, but also drew some more labs to check Free T and some other things knowing that I had just had an injection two days prior. In the meantime, while waiting for my script to fulfill, I decided I wanted to get my own labs done so I could get serious about tracking everything on my own as well. Went through discount labs and got a few tests run. I did the draw exactly one week AFTER my last injection, so should be my trough. I'll attach my results here. After receiving these results back, I'm extremely confused. My T is MUCH higher than I would've ever expected a week after an injection. I mean, MUCH higher (1024 ng/dl). I'm at a loss on what to do. I have an appt with my doc Monday morning to discuss everything, but wanted to post this all here in case anyone has had the same experience. I mean, can someone be Low T and then not anymore? Should I consider not taking any replacements for a few weeks and then retest to see what's happened? I mean, my SHBG is getting high, so that could be a driver for some symptoms I'm having,I guess, but yeah, just confused. TL/DR - Two years ago had a total T of 250... now have reading of 1024 on trough day (one week post injection)... Haven't taken anything in 1.5 weeks, trying to decide if I should hold off on it for a while and wondering if normal T production can somehow "kick" in on its own to where replacement therapy isn't needed anymore. Really appreciate any help and feel free to ask any clarifying questions! -Josh [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Basics & Questions
Two years on and confused w/last labs
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