TRT 1st labs back, help please

[pahick]

So started Feb 1st, with Viking, was prescribed 120mg cyp/week every 3.5 days. I did Sat. morning and Tues. evening. Even though I was prescribed 120, I actually did .35ml 2xweek= 140mg Did not take an AI. They wanted IM injections, I did subq.
Just got 8 week labs back. Labs were drawn approximately 10 hours before next injection, at 8:30 am. Im pretty surprised. Not sure what to do, dont have doc consult til Thursday.

Labs before TRT..
Total T 257 (264-916 ng/dL)
Free T 46.1 (46.0 - 224.0 pg/mL)
Bioavailable T 114.2 (110.0 - 575.0 ng/dL)
SHBG 32 (10 - 50 nmol/L)
Prolactin 8.2 (2.0 - 18.0 ng/mL)
LH, Serum 4.6 (1.5 - 9.3 mIU/mL)
FSH 7.4 (1.6 - 8.0 mIU/mL)
Estradiol 7.9 (7.6-42.6 pg/mL)
Hematocrit 51.6 (37.5-51.0%)
Hemoglobin 17.8 (13.0-17.7g/dL)

8 Week lab results..
Total T 1353 (264-916 ng/dL)
Free T...they didnt add to labs
Bioavailable...didnt add
SHBG..didnt add, pisses me off!
Prolactin...didnt add, again pisses me off!!
LH..didnt add
FSH..didnt add
Estradiol 60.3 (7.6-42.6 pg/mL)
Hematocrit 52.5 (37.5-51.0%)
Hemoglobin 17.7 (13.0-17.7g/dL)

So 140mg(.35ml 2xwk) subq got my total T from 257 to 1353...Estradiol from 7.9 to 60.3.

Libido is way up, erections are so so. Which is why I just went on daily Cialis 2.5mg.
Not knowing Free T or SHBG what would you do?
Thanks for advice!

 

[Alphalfa]

Probably 120mg suits you better for TRT, giving you a Total Test of 1100 ng/dl and lowering E2, your E2 is not that bad but probably giving you some trouble with erections.

If you want to keep 140mg, try pinning every other day. You will get a lower peak, high trough and lower and more stable E2 levels

Nobpoint of adding LH and FSH since they will be suppressed.

Take a look at the Hematocrit next bloodwork, if it continue that high you should do something. Try to hidrate well.

 

[pahick]

Probably 120mg suits you better for TRT, giving you a Total Test of 1100 ng/dl and lowering E2, your E2 is not that bad but probably giving you some trouble with erections.

If you want to keep 140mg, try pinning every other day. You will get a lower peak, high trough and lower and more stable E2 levels

Nobpoint of adding LH and FSH since they will be suppressed.

Take a look at the Hematocrit next bloodwork, if it continue that high you should do something. Try to hidrate well.

Thanks! Ya, I wasnt as hydrated as I should, figured it would rise some. Admit, im happy hematocrit didnt jump too much. I definitely needed more E2, but I didnt think it would rise that much. Ill lower it to 120 and stick to every 3.5 days. Not sure how much itll lower T or E2.

Was thinking about adding low dose deca for joint pain, but not sure if 1. it would help with E2 and 2. if it would help with joints and at what dose. I need to do some reading on that. If I do I wont be getting it from Viking.

Actually, once I figure out whats best for me I wont be going back to a clinic.

 

[Jabroni_Meathead]

Did you do your blood draw on the day of injection prior to injection? I have found I am still peaking from my last injection and I actually get blood drawn the day AFTER my injection as thats when I am my lowest level.

 

[ananas2]

Not knowing Free T or SHBG what would you do?

do what for what ?
what is your issue ?

 

[Rido]

do what for what ?
what is your issue ?

I am trying to figure out what OP needs help with.

 

[pahick]

I am trying to figure out what OP needs help with.

Erections are so so. E2 change was significant. If I backed off to 120 would that lower E2 and help erection quality? No SHBG or Free T in the last labs so really not sure whats circulating or not. Erections are a lot better than they were pre TRT tho. Still learning, and trying to figure it all out.

 

[ananas2]

you had bad erections all your life?
well now you can exclude that it is because of low testosterone.

If I was you, I might to reduce the test to 120mg, to see if removing the excess estrogen make your dick works better (and use a little dose of AI if you still have too much estrogn after reducing the test). If it doesn't, then I'd guess the problem is not from these hormones, or not even related to any hormones.
Kegel exercices work great.

 

[Rido]

you had bad erections all your life?
well now you can exclude that it is because of low testosterone.

If I was you, I might try a little dose of AI or reduce the test to 120mg, to see if removing the excess estrogen make your dick works better. If it doesn't, then I'd guess the problem is not from these hormones, or not even related to any hormones.
Kegel exercices work great.

I would ultimately wait until the doctor

OP just try some cialis/viagra? how old are you? What are your full stats. height, weight. Hows the sensitivity down in your dick(srs)

 

[pahick]

you had bad erections all your life?
well now you can exclude that it is because of low testosterone.

If I was you, I might try a little dose of AI or reduce the test to 120mg, to see if removing the excess estrogen make your dick works better. If it doesn't, then I'd guess the problem is not from these hormones, or not even related to any hormones.
Kegel exercices work great.

No, where did you get "all your life" at???? Just the last few years the quality has gone down, and the last year was really hit or miss.

 

[pahick]

I would ultimately wait until the doctor

OP just try some cialis/viagra? how old are you? What are your full stats. height, weight. Hows the sensitivity down in your dick(srs)

I stated I started every day 2.5mg cialis. Im 51. 5'7 180, muscular no dad bod, not ripped by any means though. Sensitivity is good...especially after you blow and they keep sucking its like DAMN!! Back off some lol

Morning wood was non existent this past year. Now its few times a week. If I am standing talking to someone and have my hands in my pocket I can actually start getting hard....this is without the cialis...but im still at the point where im not near as hard during sex as I used to be in my late 30s-early 40s. With cialis no problems.

 

[Grab Bag]

So started Feb 1st, with Viking, was prescribed 120mg cyp/week every 3.5 days. I did Sat. morning and Tues. evening. Even though I was prescribed 120, I actually did .35ml 2xweek= 140mg Did not take an AI. They wanted IM injections, I did subq.
Just got 8 week labs back. Labs were drawn approximately 10 hours before next injection, at 8:30 am. Im pretty surprised. Not sure what to do, dont have doc consult til Thursday.

Labs before TRT..
Total T 257 (264-916 ng/dL)
Free T 46.1 (46.0 - 224.0 pg/mL)
Bioavailable T 114.2 (110.0 - 575.0 ng/dL)
SHBG 32 (10 - 50 nmol/L)
Prolactin 8.2 (2.0 - 18.0 ng/mL)
LH, Serum 4.6 (1.5 - 9.3 mIU/mL)
FSH 7.4 (1.6 - 8.0 mIU/mL)
Estradiol 7.9 (7.6-42.6 pg/mL)
Hematocrit 51.6 (37.5-51.0%)
Hemoglobin 17.8 (13.0-17.7g/dL)

8 Week lab results..
Total T 1353 (264-916 ng/dL)
Free T...they didnt add to labs
Bioavailable...didnt add
SHBG..didnt add, pisses me off!
Prolactin...didnt add, again pisses me off!!
LH..didnt add
FSH..didnt add
Estradiol 60.3 (7.6-42.6 pg/mL)
Hematocrit 52.5 (37.5-51.0%)
Hemoglobin 17.7 (13.0-17.7g/dL)

So 140mg(.35ml 2xwk) subq got my total T from 257 to 1353...Estradiol from 7.9 to 60.3.

Libido is way up, erections are so so. Which is why I just went on daily Cialis 2.5mg.
Not knowing Free T or SHBG what would you do?
Thanks for advice!

Confused by your post. Were you prescribed 120 2x per week, or 120mg split into two doses of 60mg each? I’m assuming the later.

Then you say what you’re actually taking using a ML measurement. What is the concentration of your test?

What counts as a so so erection for you? Hardness? Length of duration?

What is your height and weight? Approximate bmi? On any other medications? Any other health issues? How old are you? How is your mental health?

Need some more info to be able to offer you any useful feedback.

 

[Deezznutzz]

Erections are so so. E2 change was significant. If I backed off to 120 would that lower E2 and help erection quality? No SHBG or Free T in the last labs so really not sure whats circulating or not. Erections are a lot better than they were pre TRT tho. Still learning, and trying to figure it all out.

So you're saying they prescribed you 120mg x2 a week? So so they prescribed you 240mg a week?

 

[pahick]

So you're saying they prescribed you 120mg x2 a week? So so they prescribed you 240mg a week?

No no. 120mg split every 3.5 days. Im 51, 5'7 180lbs. BMI approximately 18. Muscular, no dad bod. Have thyroid disease, Hashimotos. Thyroid #s good. Sorry not enough time to put more info...gotta get ready for MRI on rotator cuff. Ill check back later. Sorry.

 

[Rido]

No no. 120mg split every 3.5 days. Im 51, 5'7 180lbs. BMI approximately 18. Muscular, no dad bod. Have thyroid disease, Hashimotos. Thyroid #s good. Sorry not enough time to put more info...gotta get ready for MRI on rotator cuff. Ill check back later. Sorry.

Bmi of 5 7 180 lbs is 27.

Do you mean your bodyfat is 18%?

 

[pahick]

Bmi of 5 7 180 lbs is 27.

Do you mean your bodyfat is 18%?

Sorry, yes. I was in hurry and not thinking. 18% body fat.

When I was walking out of imaging center doc from Viking called. She said keep on keepin on basically. She asked if I was having any sides from E2 I said no. Then she went on to say she would like to see my Total T around 1100, but keep doing what im doing and we will check labs next time.

Told her about my possible rotator cuff issue and she put me on hold...came back with she can get me bpc157 and some other stuff to help heal my rotator cuff. Said its a bunch of amino acids...I cant remember the rest, but said she would email me a list. Pretty eager to sell me something without knowing what is actually wrong with my shoulder.

 

[Rido]

Sorry, yes. I was in hurry and not thinking. 18% body fat.

When I was walking out of imaging center doc from Viking called. She said keep on keepin on basically. She asked if I was having any sides from E2 I said no. Then she went on to say she would like to see my Total T around 1100, but keep doing what im doing and we will check labs next time.

Told her about my possible rotator cuff issue and she put me on hold...came back with she can get me bpc157 and some other stuff to help heal my rotator cuff. Said its a bunch of amino acids...I cant remember the rest, but said she would email me a list. Pretty eager to sell me something without knowing what is actually wrong with my shoulder.

Are you ever planning on running a cycle? just curious. people here are more than happy to help with TRT, but you registered for a big AAS site. some people do get their TRT dose +add on an AAS for a cycle or other stuff for enhancements.

 

[pahick]

Are you ever planning on running a cycle? just curious. people here are more than happy to help with TRT, but you registered for a big AAS site. some people do get their TRT dose +add on an AAS for a cycle or other stuff for enhancements.

Honestly, im not sure. The reason I joined is twofold. 1st I want to learn more about what our body does on TRT, what better place to learn than bodybuilders, athletes and hobbyists. Right? 2nd was potential necessity. I wasnt sure I could afford a clinic long term. If it came to self medicate, I needed to check things out. Still might go that route, even if I can afford the clinic longer.

I have in the past week or so been reading about deca for joint relief. Im 51 bud, hard labor all my life. Then Lyme disease which I still say you never get rid of completely. But anyhow, hope that answers that. I may message you in a bit.