It may be the Ultra Sensitive assay as my Ultra Sensitive peaks at 42.5 pg/ml...nevertheless it's high and should in the 20's if a Sensitive assay.
Your Free Testosterone is way over the reference range as well which (and not seeing SHBG) means your Testosterone dosage is too high (also need to see Total Testosterone lab) and would be indicated by your E2 being over the reference range as well.
Always remember E follows T.
Drop your Testosterone dosage drop E2...if you are injecting try injecting twice weekly as this will help with E2 management as well.
These test are performed by the Mayo Clinic.
This is my first test so I don't know what it is supposed to look like.
My initial thoughts are that the E is high.
The Dr did not order a Total T lab, or SHBG.
This is a relief Dr filling in for my reg doc who is out sick he did offer that he was not very proficient about HRT in general.
Furthermore, it is my opinion that he should have called to discuss these issues, but then again this is not his schtick, so it would not raise a flag. I will speak to him and request a referral to an Endo, possibly, just seek out another doc in the interim for a second opinion.
I inject twice a week, ( 1000 total), so, what, arbitrarily drop the dose to 800 a week? 700, 600 a week?
numbers don't mean anything if you don't feel good, both go hand and hand. rule of thumb is, whatever you do make sure you stay in optimal range on the scale, but the main thing is how you feel.
OMG............Im feeling great, I am feeling so good, energy, everything. Physiologically, mentally and physically I could not ask for more right now with my body humming like a fine tuned machine, mental acuity high and some decrease in body fat with marked definition and muscle gain (weight). I have a genetic predisposition to anemia, and since HRT no recurrence.
I think I will drop my dose to 400 / 2x week , and monitor any fluctuations.
uh oh......yeah I screwed up........my current prescribed dose is 0.5 ml 1/week. I have been splitting that up to twice weekly IM. So, will look at reducing the dose respectively and maintain twice weekly IM.
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