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Zooulie12

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So it seems I probably have wore out my welcome with questions on this site. No one really seems to answer anymore. But I am going to ask another and hopefully someone responds. Was wondering if having SGHB be in the mid to high 40s is better then having it in the low 20s I get labs don’t tell all. Shoot some people feel great with bottom out e2. I was just wondering though what the standard range for people is. I am thinking of adding 100ius once a day of HCG to my regime to see if it helps improves my libido. I heard HCG can be hit or miss for that. Thanks
 
Defy Medical TRT clinic doctor
what is your protocol now and what is your TT and FT ?
Thanks for the reply. I just saw a new doctor the labs I got back were
TT-918
E2 (Ultrasensitive)-17
shgb-24
Prolactin-5.1
Thyroid I forget but the doctor showed me it was low.

Originally I was on 120mg twice a week IM. He upped my dose two 150 EOD. Because much to his surprise I still wasn’t feeling the best. Libido is pretty low. He thought upping the dose a little and doing more frequent doses might help keep my e2 in check with out using an AI. I take .25 once a week. But at times I don’t know if I need to take it. This new doctor honestly is a good guy. But once again he seems like another lost doctor. It’s not that he is taking a cookie cutter approach. But it just seems like he didn’t know what to do since my labs were perfect. And I get those are good labs. But idk, I just feel there have to be some doctors who know what to do even if labs look good on the charts. I probably will go to defy if this ends up not working.
 
Thanks for the reply. I just saw a new doctor the labs I got back were
TT-918
E2 (Ultrasensitive)-17
shgb-24
Prolactin-5.1
Thyroid I forget but the doctor showed me it was low.

Originally I was on 120mg twice a week IM. He upped my dose two 150 EOD. Because much to his surprise I still wasn’t feeling the best. Libido is pretty low. He thought upping the dose a little and doing more frequent doses might help keep my e2 in check with out using an AI. I take .25 once a week. But at times I don’t know if I need to take it. This new doctor honestly is a good guy. But once again he seems like another lost doctor. It’s not that he is taking a cookie cutter approach. But it just seems like he didn’t know what to do since my labs were perfect. And I get those are good labs. But idk, I just feel there have to be some doctors who know what to do even if labs look good on the charts. I probably will go to defy if this ends up not working.
Thyroid was low in the sense it was in a good spot.
 
Well let me offer you guys this that may get you a more productive conversation...when you make people have to ask you for labs because you don't post them to begin with, that stifles things. Replying with "it was good", or "in range", or "low"...that's not productive either because it doesn't mean anything: "Thyroid was low in the sense it was in a good spot."

A great many people will want to help you but you have to do your part and having people pry info from you guys is not helpful to your cause. Also, poor thread titles (Nelson has written about this), really helps bring people to the conversation

Too, this forum has an outstanding search engine.
 
I wonder why you're taking an AI if your estrogen is only 17. That would be the first thing I would fix, drop the AI and see how you feel.
 
I wonder why you're taking an AI if your estrogen is only 17. That would be the first thing I would fix, drop the AI and see how you feel.
It seems my E2 is hard to stabilize. And it’s also hard to figure out the conversion of it. When I took that AI it was a Sunday night. When I did my labs it was Wednesday morning. So 3 days. Was trying to figure out if my e2 still had lower to go or not.
 
It seems my E2 is hard to stabilize. And it’s also hard to figure out the conversion of it. When I took that AI it was a Sunday night. When I did my labs it was Wednesday morning. So 3 days. Was trying to figure out if my e2 still had lower to go or not.
And with my e2 being hard to stabilize that’s why my new doctor is putting me on EOD for my injections. Because he thinks that could keep a good baseline.
 
I definitely would drop the AI. Your estrogen is too low and that may be where your issues are coming from
 
E2 @ 17 is not low in relation to his SHBG; Free hormones though Free T seems to be conspicusouly missing in his posts. I would not consider it "low", though would be worthwhile if it's affordable to see "Estradiol, Free" as an added lab test.
 
E2 @ 17 is not low in relation to his SHBG; Free hormones though Free T seems to be conspicusouly missing in his posts. I would not consider it "low", though would be worthwhile if it's affordable to see "Estradiol, Free" as an added lab test.
“Estradiol, Free”? Jeez there are a lot of different types of estrogens. The free T I wasn’t given. It’s a new doctor i am seeing I met with him for an hour and I forgot to ask about the free T. It’s tough but it seems like I am chasing labs that’s for sure. I do wonder what it would be like if I just quit my AI for 8 weeks. I don’t think it would shoot up to drastically in 8 weeks. Especially if I am a pretty fit person. I am also moving to EOD injections. Which I heard helps stabilize e2 more. I’m pretty sure my e2 is in the tank right now, well more so low. Because from everything I have read. If your e2 is high, that’s not good: but normally ED meds can still help you get it up. If it’s low enough or on the low end. I’ve heard and felt basically it can be almost impossible to get it up even with ED meds.
 
“Estradiol, Free”? Jeez there are a lot of different types of estrogens. The free T I wasn’t given. It’s a new doctor i am seeing I met with him for an hour and I forgot to ask about the free T. It’s tough but it seems like I am chasing labs that’s for sure. I do wonder what it would be like if I just quit my AI for 8 weeks. I don’t think it would shoot up to drastically in 8 weeks. Especially if I am a pretty fit person. I am also moving to EOD injections. Which I heard helps stabilize e2 more. I’m pretty sure my e2 is in the tank right now, well more so low. Because from everything I have read. If your e2 is high, that’s not good: but normally ED meds can still help you get it up. If it’s low enough or on the low end. I’ve heard and felt basically it can be almost impossible to get it up even with ED meds.
And this is the first doctor I have seen that is doing the ultra sensitive test. For the last 3 years I have been doing the roche test as you know. My new doctor said estrogen is estrogen but the ultra sensitive is the new way to do it. But from what I have been reading on here, and even you and Vince have told me. The regular test is basically a waste and you don’t even know what your actually levels are when getting it done. 2 months ago I went into get labs for my TT and e2 when I was feeling perfect because I wanted to see where my sweet spot was. The problem was The labs I were doing through my clinic was obviously the “roche test”
 
Beyond Testosterone Book by Nelson Vergel
Free E is just another picture if you will, it can be a pricey test so there's an affordability problem with it.
But too, lack of proper testing is a sign of a poor Dr. Lack of Free T, I hope that that's jsut an oversight on your part but if he's not testing that its a big red flag.

A good treatment is keyed on SHBG, smaller doses more frequently and lower E is what you're talking about and that's a good thing.

I'm sure you've seen discountedlabs.com, as an option if your Dr is failing you.
 
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