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preferred TRT blood?

macabremitch

macabremitch

New Member
just got back my blood for total testosterone and the doctor said it was very high, it was 965 . he recommends lower my trt dose because i could be elevating my estrogen levels. what do you guys think? what is generally the preferred numbers for trt doses.
 
With TRT u want ur levels back within normal to high normal range. This depends on age but most places want to see levels somewhere around 1000-1200. There's a potential for increased E2 but ur Dr should be able to see if thats the case from the lab work. If u can get away with not using an AI to control E2 by decreasing amount of test even slightly, u'll be better off in the long run. The less unnecessary drugs ur putting into ur body the better.
 
Isn't 1000~1200 sub-20 range? Without knowing the age of the OP, I assume he is over 20 or else his doctor would not consider his test level high.
 
HeyWTF said:
Isn't 1000~1200 sub-20 range? Without knowing the age of the OP, I assume he is over 20 or else his doctor would not consider his test level high.
Click to expand...

Going by a general standard for reference range of a typical male yes that is about the 20 year old range. These numbers are based off a few different TRT clinics I was looking into previously. I think they tend to shoot a little higher n don't mind prescribing AI for E2 control. It seems as thought the OP Dr has his shit together n isn't as free with the script pad.
 
macabremitch said:
just got back my blood for total testosterone and the doctor said it was very high, it was 965 . he recommends lower my trt dose because i could be elevating my estrogen levels. what do you guys think? what is generally the preferred numbers for trt doses.
Click to expand...

Your estrogen must be around 55 with those numbers. Slightly above normal. I guess your TrT is around 150mgs/week?

No estrogen tests?
 
RobertL said:
A lot of docs look for 700-900 preferring 700.

Big reason why a lot of people cruise and blast.
Click to expand...
that’s pretty much what he said that it’s at the higher range . i lowered it a bit cause rly i’m not blasting im on trt for medical reasons so just need to be in normal range
 
Jeffg353 said:
Going by a general standard for reference range of a typical male yes that is about the 20 year old range. These numbers are based off a few different TRT clinics I was looking into previously. I think they tend to shoot a little higher n don't mind prescribing AI for E2 control. It seems as thought the OP Dr has his shit together n isn't as free with the script pad.
Click to expand...


im 25. he didn’t even suggest an ai . i don’t believe i have signs of high estrogen it was more of a precaution statement. he didn’t do an estro check though i may just go check myself
 
macabremitch said:
im 25. he didn’t even suggest an ai . i don’t believe i have signs of high estrogen it was more of a precaution statement. he didn’t do an estro check though i may just go check myself
Click to expand...

For 25 ur levels r on the higher end of the range. It definately would be a good idea to get E2 checked. U don't want it to get too high n develop any gyno issues. It's better to deal with the E2 n keep it at an acceptable level than develop gyno n then try to get rid of it. With not showing any signs n ur test levels still in range u might not even need any AI but better to spend a few $$ n get it tested to be safe.
 
HeyWTF said:
Isn't 1000~1200 sub-20 range? Without knowing the age of the OP, I assume he is over 20 or else his doctor would not consider his test level high.
Click to expand...

No, that's not how the reference ranges work. You cannot say a 20yo has higher levels than a 30yo bc everyone's levels are different. You can say that a 35yo guy will likely have lower test levels than the same guy did when he was 25yo.
 
Assuming that this MUST equal high e2 and therefore we MUST lower the dose without actually bothering to measure E2 is fucking stupid. Your doctor sucks. Like, really sucks.

Get E2 checked and if its normal, no need to change damn thing. 965 is fine.
 
macabremitch said:
just got back my blood for total testosterone and the doctor said it was very high, it was 965 . he recommends lower my trt dose because i could be elevating my estrogen levels. what do you guys think? what is generally the preferred numbers for trt doses.
Click to expand...

Sounds like your Doc would rather manage your E2 with your testosterone dosage. E follows T, so if he lowers your testosterone dosage then your estrogen should follow. This is without introducing another medication (AI) . It’s not a bad logic as long as you don’t have low testosterone symptoms at the new lower dose.
It’s an entirely different story if he’s making the change without labwork or doesn’t have a follow up appointment with labs included. If he’s blindly making changes and doesn’t plan on monitoring estrogen, then I’d question what is he monitoring. Is he monitoring hematocrit, hemoglobin, RBC’s etc.. if that’s the case, get a new Doc.
 
Jeffg353 said:
For 25 ur levels r on the higher end of the range. It definately would be a good idea to get E2 checked. U don't want it to get too high n develop any gyno issues. It's better to deal with the E2 n keep it at an acceptable level than develop gyno n then try to get rid of it. With not showing any signs n ur test levels still in range u might not even need any AI but better to spend a few $$ n get it tested to be safe.
Click to expand...
will do thanks brother
 
strongsafety41 said:
Sounds like your Doc would rather manage your E2 with your testosterone dosage. E follows T, so if he lowers your testosterone dosage then your estrogen should follow. This is without introducing another medication (AI) . It’s not a bad logic as long as you don’t have low testosterone symptoms at the new lower dose.
It’s an entirely different story if he’s making the change without labwork or doesn’t have a follow up appointment with labs included. If he’s blindly making changes and doesn’t plan on monitoring estrogen, then I’d question what is he monitoring. Is he monitoring hematocrit, hemoglobin, RBC’s etc.. if that’s the case, get a new Doc.
Click to expand...
he wanted me to come back in a few months and check t levels again, im gonna request estro check as well. don’t know why it’s just not standard to check both since they follow each other like you said.
 
macabremitch said:
i have a medical condition my body doesn’t produce enough testosterone. sucks
Click to expand...

That does suck but at least ur able to get it treated. It should be standard practice to check test n E2 levels since they go hand-in-hand. If he's resistant to checking ur E2 I'd consider finding a new Dr.
 
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