Don't overlook your estradiol. Presuming you did obtain a sensitive reading, it is - as Vince Carter noted - a bit high in relation to total testosterone.
It was amazing. Dr Saya was such a breathe of fresh air compared to what I've been dealing with. I had a list of over 20 questions for him by Appt time. After Dr. Saya was done going through my labs and his concerns with me and what we should do to address any issues, I had 1, yes only 1 question that was not addressed. He promptly addressed my 1 concern and we moved on. He address not only TRT but thyroid and adrenal concerns. Starting my new Dr. Saya approved protocol today!
For better sleep, ask about supplementing with DHEA at dinner time. DHEA opposes Cortisol, and a Cortisol spike at night instead of when you get up in the AM is the cause of a lot of sleep issues. Everybody is different, but my sleep improved big-time when I started taking my DHEA with dinner instead of with breakfast.
I am damn sure gonna try this myself after my next Labs.
I've been taking DHEA/pregnenolone combo at supper time. Really seems to be helping with sleep!
That is great! For those of us that do not always sleep as well as we would like, it sure helps.
Predict estradiol, DHT, and free testosterone levels based on total testosterone
This tool provides predictions based on statistical models and should NOT replace professional medical advice. Always consult with your healthcare provider before making any changes to your TRT protocol.
Enter your total testosterone value to see predictions
Results will appear here after calculation
A form of estrogen produced from testosterone. Important for bone health, mood, and libido. Too high can cause side effects; too low can affect well-being.
Dihydrotestosterone is a potent androgen derived from testosterone. Affects hair growth, prostate health, and masculinization effects.
The biologically active form of testosterone not bound to proteins. Directly available for cellular uptake and biological effects.
Lakshman KM, Kaplan B, Travison TG, Basaria S, Knapp PE, Singh AB, LaValley MP, Mazer NA, Bhasin S. The effects of injected testosterone dose and age on the conversion of testosterone to estradiol and dihydrotestosterone in young and older men. J Clin Endocrinol Metab. 2010 Aug;95(8):3955-64.
DOI: 10.1210/jc.2010-0102 | PMID: 20534765 | PMCID: PMC2913038