Ofcourse treating symptoms is what matters but blood work is critical when on trt as when using testosterone your e2, hemoglobin/hematocrit will increase and it can also effect your lipids ( lower your HDL).
Reference ranges are just that guidance to let you know how a specific dose of testosterone effects your TT, FT, e2 and overall health markers as trt is not only about treating a man for to improve/relieve symptoms of low t but to also keep the patient healthy in the long run.....so labs are critical.
As far as ranges for TT one can argue back and forth about what range may be optimal/healthy but FT is what truly matters and whether one needs there FT to be mid/top end or above the reference range comes down to the individual and what level is best for them.
Most men do well having FT in the 2-3% range of TT.
If your doctor is a stickler for numbers than choosing Dynacare allows a higher top end 31.4 nmol/L for the TT reference range but again if he is treating numbers and not symptoms let alone not even looking at FT which is what matters than you need to find a new doctor.
If you are sure you are only injecting 130 mg/week and your blood labs were done 3 days post injection than 2000 ng/dl would make sense especially with such a high SHBG.....mind you peak is usually 24-48 hrs post injection and I would say closer to 24 hrs post injection so you are likely higher!
As I stated earlier you need to be tested at trough not 3 days after injection.
Again due to the reference range and using Lifelabs it is the wrong e2 test.
