my bloodwork - my doctor was freaking out

[grassfedjed]

Would appreciate your guys knowledge on this. Went back on TRT last June after 2yrs off, unfortunately I dont have all the initial markers (he made a mistake on the requisition) but my test was reading at 9 at the time, in Canada normal range is 8 - 28nmol. I started with 100mg/week of TestE and went up to 140mg several weeks later.

Just had bloods done 3 months later and my test is now at 58nmol, estrogen at 252nmol/L and prolactin at 8.6ug/L. I couldn't get the free test and shbg reading because was test was out of range. Hematocrit is at 0.56L/L and hemoglobin 184 g/L slightly above range.

Didn't notice any increased libido or energy the past while although I did just start waking up last 2 days with morning wood and there was been obvious increase in strength. No obvious signs of higher estrogen to me although have been feeling fatigued but I attributed that to stress levels at the moment and excess work, least i think its that and not E2.
He's saying to get off completely and retest in 3 months. He's great as far as prescribing me anything with a phone call but he does lack knowledge in the testosterone area.

Is that the best route or there better way to hack it without having to go back to low testosterone life? Overall health would be first priority. I'm just wondering also since its jumped to 58, if it'll be tougher to dial in at what is my ideal dose as well. Thanks in advance

 

[Fattyone]

Just lower your dose and retest 6-8 weeks later. Not sure wtf getting off completely for 3 months is gonna do besides the obvious.

 

[Denicnut2427]

If you draw bloods right after a shot too your test is gonna peak maybe 36 hours later about something like that with cyp or enth…I usually wait a few days after my last shot and even with a trt dose I’ll do it in 2 injections of about 100mg each

 

[grassfedjed]

Thats what im thinking as well just lower the dose but with it sitting at 58nmol, which i think is equivalent of like 1600 in the States, im thinking i need to get that number down under 1100, would it make sense to skip a dose and pin later with a lower dose? if i continue to pin on schedule and with a lower dose of say 100mg im just thinking it'll still be sitting on the quite higher side.

 

[Denicnut2427]

Thats what im thinking as well just lower the dose but with it sitting at 58nmol, which i think is equivalent of like 1600 in the States, im thinking i need to get that number down under 1100, would it make sense to skip a dose and pin later with a lower dose? if i continue to pin on schedule and with a lower dose of say 100mg im just thinking it'll still be sitting on the quite higher side.

Yea 1100 was what my brothers docotors said was too high here in the states just a heads up…get away from the dr doing hrt I have a dr that I tell the truth too and he looks at Ggt and shit and real markers for trouble

 

[buck]

What were your levels on 100mg?

 

[grassfedjed]

I dont even know I jumped the gun and went from 100mg to 140 after 4 weeks. I prob shouldve been more patient and rebloodwork. I'm thinking ill prob need to get off restart accordingly.

 

[IwantToGetBig.Frank]

If you draw bloods right after a shot too your test is gonna peak maybe 36 hours later about something like that with cyp or enth…I usually wait a few days after my last shot and even with a trt dose I’ll do it in 2 injections of about 100mg each

If you’re splitting the dose twice a week, is the rule still get bloodwork after 36 hours from last pin?

Thanks,
Frank

 

[ThinkTrenbolone]

Would appreciate your guys knowledge on this. Went back on TRT last June after 2yrs off, unfortunately I dont have all the initial markers (he made a mistake on the requisition) but my test was reading at 9 at the time, in Canada normal range is 8 - 28nmol. I started with 100mg/week of TestE and went up to 140mg several weeks later.

Just had bloods done 3 months later and my test is now at 58nmol, estrogen at 252nmol/L and prolactin at 8.6ug/L. I couldn't get the free test and shbg reading because was test was out of range. Hematocrit is at 0.56L/L and hemoglobin 184 g/L slightly above range.

Didn't notice any increased libido or energy the past while although I did just start waking up last 2 days with morning wood and there was been obvious increase in strength. No obvious signs of higher estrogen to me although have been feeling fatigued but I attributed that to stress levels at the moment and excess work, least i think its that and not E2.
He's saying to get off completely and retest in 3 months. He's great as far as prescribing me anything with a phone call but he does lack knowledge in the testosterone area.

Is that the best route or there better way to hack it without having to go back to low testosterone life? Overall health would be first priority. I'm just wondering also since its jumped to 58, if it'll be tougher to dial in at what is my ideal dose as well. Thanks in advance

Based on the information you've provided, here's some advice to consider:



Your testosterone levels are indeed quite high at 58 nmol/L, which is well above the normal range. This suggests your current dose may be too high.


Your estrogen (estradiol) levels are also elevated at 252 nmol/L, which could potentially lead to side effects if not addressed.


The slightly elevated hematocrit and hemoglobin levels are common with TRT but should be monitored.


Instead of completely stopping TRT, here are some potential options to discuss with your doctor:


Dose Reduction: Consider lowering your testosterone dose to bring your levels back into a more normal range. This could help reduce estrogen conversion and other side effects.


Frequency Adjustment: Splitting your dose into more frequent, smaller injections (e.g., twice weekly instead of once) can help maintain more stable levels and potentially reduce estrogen conversion.


Estrogen Management: An aromatase inhibitor like anastrozole could be considered to help manage estrogen levels, but this should be done carefully and under medical supervision. It's not ideal. Lowering dosage could be better.


Regular Blood Donation: To address the elevated hematocrit and hemoglobin, regular blood donation can be helpful.


Lifestyle Factors: Ensure you're maintaining a healthy diet, exercise regimen, and stress management practices, as these can all impact how your body responds to trt