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Anabolic Steroids

TRT and ED

R

Ryannt

New Member
Ive been on TRT for almost 2 years now 60mg 2x a week of test Cyp my last labs were
DHT 51 ng/dl 25-75
DHEA 496 ng/dl 180-1250
TSH 2.43 mIU/l .4-4.5
estradiol 28 pg/ml 13-54
Cortisol AM 19.2 mcg/dl
SHBG 34 nmol/L 7-49
Total test 423 ng/dl 250-1100
Fress test% 1.30 1.5-2.20
free test 55 pg/ml 35-155

CBC and everything eles came back all ok I still feel my test is to low i have low sex drive and ED problems im only 24 I got laid off 4 months ago and have no healthcare right now what should my shots be 100mg a week? I hardly ever get morn wood and have a hard time holding an erection,
 
Ryannt said:
Ive been on TRT for almost 2 years now 60mg 2x a week of test Cyp my last labs were
DHT 51 ng/dl 25-75
DHEA 496 ng/dl 180-1250
TSH 2.43 mIU/l .4-4.5
estradiol 28 pg/ml 13-54
Cortisol AM 19.2 mcg/dl
SHBG 34 nmol/L 7-49
Total test 423 ng/dl 250-1100
Fress test% 1.30 1.5-2.20
free test 55 pg/ml 35-155

CBC and everything eles came back all ok I still feel my test is to low i have low sex drive and ED problems im only 24 I got laid off 4 months ago and have no healthcare right now what should my shots be 100mg a week? I hardly ever get morn wood and have a hard time holding an erection,
Click to expand...

When was the blood drawn was these last results?
Looks like your adrenals are sucking it up.
I would acess adrenal status through proper testing channel
Where are you located at?
 
Ryannt said:
Ive been on TRT for almost 2 years now 60mg 2x a week of test Cyp my last labs were
DHT 51 ng/dl 25-75
DHEA 496 ng/dl 180-1250
TSH 2.43 mIU/l .4-4.5
estradiol 28 pg/ml 13-54
Cortisol AM 19.2 mcg/dl
SHBG 34 nmol/L 7-49
Total test 423 ng/dl 250-1100
Fress test% 1.30 1.5-2.20
free test 55 pg/ml 35-155

CBC and everything eles came back all ok I still feel my test is to low i have low sex drive and ED problems im only 24 I got laid off 4 months ago and have no healthcare right now what should my shots be 100mg a week? I hardly ever get morn wood and have a hard time holding an erection,
Click to expand...

I dont think morning wood is a great tell tale sign of libido.
 
hardasnails1973 said:
When was the blood drawn was these last results?
Looks like your adrenals are sucking it up.
I would acess adrenal status through proper testing channel
Where are you located at?
Click to expand...

Labs were done at 8am after a 12hr fast. Cortisol was tested from the blood. I drink A lot of water so i wasn't dehydrated. My cortisol always seems to be high. what can be done to lower it? My doctor had me on http://metagenics.com/products/detail.asp?pid=112 to try and lower it for this lab but it didnt help

I live in south eastern PA about 30 min from Philly 15 min from trenton NJ
 
Last edited:
YOur T is way low for that amount of testosterone, Seem to me your liver pathways may be not balanced causing a huge problem. Balancing out adrenals would be my first suggestion this may help take stress off the liver making your testosterone more effiencly as well as other hormones. i suggested one guy a supplement and his testosterone while on TRT shut up almost 40% highest its every been his whole time.. Secret to anything is identifying the imbalances and why they are occuring. i am still honing my skills, but so far I have made a huge impact where tradtional medicine left off. If you are on TRT I just try to make it work more efficently and do not change what ever DR has you doing, but i will make suggestion to client where some other areas could be further investigated through clincal testing.
 
Ryannt said:
Ive been on TRT for almost 2 years now 60mg 2x a week of test Cyp my last labs were
DHT 51 ng/dl 25-75
DHEA 496 ng/dl 180-1250
TSH 2.43 mIU/l .4-4.5
estradiol 28 pg/ml 13-54
Cortisol AM 19.2 mcg/dl
SHBG 34 nmol/L 7-49
Total test 423 ng/dl 250-1100
Fress test% 1.30 1.5-2.20
free test 55 pg/ml 35-155

CBC and everything eles came back all ok I still feel my test is to low i have low sex drive and ED problems im only 24 I got laid off 4 months ago and have no healthcare right now what should my shots be 100mg a week? I hardly ever get morn wood and have a hard time holding an erection,
Click to expand...


1. When testosterone is lower than expected, then the half-life of testosterone may be too short. Testosterone has a half-life that varies between 10 to 100 minutes. The dosing needs to be increased or it has to be given more frequently to compensate. Generally, with injections, the most I would recommend is twice a week dosing. One way to tell half-life is to inject 200 mg of testosterone cypionate. Assuming a 7 day half-life for T-cypionate, then after 4 days, the amount in the blood should be around 600 ng/dl. If it is lower, then the half-life is shorter than the average of 7 days. Dosing needs to be then done at least twice a week.

2. I tend to prefer a 20:1 ratio for the testosterone to estradiol numbers. Otherwise, estradiol itself may inhibit libido by possibly increasing serotonin excessively. However, your mileage may vary since libido can be also fine at lower ratios.

3. When a person has high stress levels, cortisol has to be high enough to control the stress in order to maintain mood stability and libido. If it isn't high enough, then libido is lost since stress is uncontrolled. A "normal" cortisol has to be interpreted depending on a person's stress level. A resting, unstressed person's cortisol in the morning may be 20. But a stressed person's cortisol may need to be up to 30 to feel well. A high cortisol indicates a person is under significant stress. It is one of the body's responses to stress. If a stressed person's cortisol is 20, and they are anxious or feeling stressed, then this cortisol is too low. And adrenal fatigue is suspected - with verification by other lab tests.

4. My rough rule of thumb for the behavioral ranges for thyroid are that a person is hypothyroid if the TSH is > 2.0 or Free T3 < 3.3 (330) or Free T4 < 1.2 (though Free T4 is not that great a measure). This is correlated with physical findings. In actuality, if people with Hashimoto's thyroiditis were removed from the population, then the average TSH actually is about 1.0.

5. DHEA-s is a far better test than the regular DHEA. Since DHEA varies so greatly, its value actually means very little.

6. Everything else being "O.K." doesn't mean much. Many labs in the "normal range" are actually physiologically abnormal. Thus I prefer seeing them myself. The reference range depends on the use of the lab. For example, neurotransmitter ranges are used in conventional medicine to check for cancer. Thus the range goes very high. But functional reference ranges - such as for behavior - are lower.
 
Ryannt said:
Ive been on TRT for almost 2 years now 60mg 2x a week of test Cyp my last labs were
DHT 51 ng/dl 25-75
DHEA 496 ng/dl 180-1250
TSH 2.43 mIU/l .4-4.5
estradiol 28 pg/ml 13-54
Cortisol AM 19.2 mcg/dl
SHBG 34 nmol/L 7-49
Total test 423 ng/dl 250-1100
Fress test% 1.30 1.5-2.20
free test 55 pg/ml 35-155

CBC and everything eles came back all ok I still feel my test is to low i have low sex drive and ED problems im only 24 I got laid off 4 months ago and have no healthcare right now what should my shots be 100mg a week? I hardly ever get morn wood and have a hard time holding an erection,
Click to expand...

Your SHBG is high.
You need more TotalTestosterone to get your
FreeT~300 (Using chart)

FreeT~300 ----> TT=1200 (best)
FreeT~250 ----> TT=1040
FreeT~200 -----> TT=870 (still acceptable)

You can find chart on my post #41
https://anabolicminds.com/forum/male-anti-aging/66268-jan-s-bloodtest-2.html

To get better estimate on required weekly dose of testosterone, look at my table post #40
For your SHBG=34
you need 175mg/week on average.

Use EOD schedule (every other day)
One day T-shot, the next day 500iu HCG
May reduce on HCG latter on if you find that your E2 goes up, excessively.

175/7*2=50mg per each shot
using Depo_testosterone 200mg/mL that makes
0.25cc=0.25mL+25units on insuline syringe

Use this syringe for T and HCG shots,
do not be concerned about IM or SubQ, either way it will work, smaller needle, less scar tissue.

http://hocks.com/Merchant2/merchant...ct_Code=4724290&Product_Count=&Category_Code=
BD Ultrafine II U-100 Insulin Syringe 31 Gauge 3/10cc 5/16inch Short Needle--1/2 Unit Markings 100/b Price: $25.95

When buying HCG try to buy 1500iu or 2000iu
if you buy 10000iu it will go stale before you can use all of it, so lots is wasted.
.---------------------------------------------
Summary:
Schedule EOD (every other day)
day#1 Tshot=25units
day#2 HCG=500iu
----------------------------------------------
2-3 months latter, have blood checked and make required correction.
Best, do test a Quest Diagnostics, blood drawn at Quest, blood drawn 48 hours after T-shot.
----------------------------------------------
these tests:
Estradiol, Ultrasensitive, LC/MS/MS (30289X)
Testosterone, Free, Bio/Total (LC/MS/MS)
Dihydrotestosterone (204X)
-----------------------------------------------

speak up if you cant go to Quest, the list for testing is different.

Your goals when on Quest testing:

BAT~575 (BioAvailableTestosterone
DHT upper range or slightly over
E2(15-30) (fine tuned by nightly wood)

use 20mg Cialis, 2pills/week
split the pills in half, spread then evenly through out the time.
This is regardles of opportunity for sex, this is to watch nightly wood.

Use Liquidex, sold by this board sponsors, to control E2.
====================================================================
If you are looking for idea for testing, look at my post #44
list between blue lines:
https://anabolicminds.com/forum/male-anti-aging/66268-jan-s-bloodtest-2.html

Consider testing for everything on that list, when you get job and insurance.
My out of pocket expense is $6 (with insurance).
-----------------------------------------------------------------------------------------------------------------------
.
.
....
 
Last edited:
marianco said:
1. When testosterone is lower than expected, then the half-life of testosterone may be too short. Testosterone has a half-life that varies between 10 to 100 minutes. The dosing needs to be increased or it has to be given more frequently to compensate. Generally, with injections, the most I would recommend is twice a week dosing. One way to tell half-life is to inject 200 mg of testosterone cypionate. Assuming a 7 day half-life for T-cypionate, then after 4 days, the amount in the blood should be around 600 ng/dl. If it is lower, then the half-life is shorter than the average of 7 days. Dosing needs to be then done at least twice a week.

2. I tend to prefer a 20:1 ratio for the testosterone to estradiol numbers. Otherwise, estradiol itself may inhibit libido by possibly increasing serotonin excessively. However, your mileage may vary since libido can be also fine at lower ratios.

3. When a person has high stress levels, cortisol has to be high enough to control the stress in order to maintain mood stability and libido. If it isn't high enough, then libido is lost since stress is uncontrolled. A "normal" cortisol has to be interpreted depending on a person's stress level. A resting, unstressed person's cortisol in the morning may be 20. But a stressed person's cortisol may need to be up to 30 to feel well. A high cortisol indicates a person is under significant stress. It is one of the body's responses to stress. If a stressed person's cortisol is 20, and they are anxious or feeling stressed, then this cortisol is too low. And adrenal fatigue is suspected - with verification by other lab tests.

4. My rough rule of thumb for the behavioral ranges for thyroid are that a person is hypothyroid if the TSH is > 2.0 or Free T3 < 3.3 (330) or Free T4 < 1.2 (though Free T4 is not that great a measure). This is correlated with physical findings. In actuality, if people with Hashimoto's thyroiditis were removed from the population, then the average TSH actually is about 1.0.

5. DHEA-s is a far better test than the regular DHEA. Since DHEA varies so greatly, its value actually means very little.

6. Everything else being "O.K." doesn't mean much. Many labs in the "normal range" are actually physiologically abnormal. Thus I prefer seeing them myself. The reference range depends on the use of the lab. For example, neurotransmitter ranges are used in conventional medicine to check for cancer. Thus the range goes very high. But functional reference ranges - such as for behavior - are lower.
Click to expand...




thanks for the info heres my full labs


bloodwork001.jpg


bloodwork002.jpg


bloodwork003.jpg


bloodwork004.jpg





JanSz really good stuff thanks after i soak it in im goin to PM you with a few questions
 
JanSz said:
Your SHBG is high.
You need more TotalTestosterone to get your
FreeT~300 (Using chart)

FreeT~300 ----> TT=1200 (best)
FreeT~250 ----> TT=1040
FreeT~200 -----> TT=870 (still acceptable)

You can find chart on my post #41
https://anabolicminds.com/forum/male-anti-aging/66268-jan-s-bloodtest-2.html

To get better estimate on required weekly dose of testosterone, look at my table post #40
For your SHBG=34
you need 175mg/week on average.

Use EOD schedule (every other day)
One day T-shot, the next day 500iu HCG
May reduce on HCG latter on if you find that your E2 goes up, excessively.

175/7*2=50mg per each shot
using Depo_testosterone 200mg/mL that makes
0.25cc=0.25mL+25units on insuline syringe

Use this syringe for T and HCG shots,
do not be concerned about IM or SubQ, either way it will work, smaller needle, less scar tissue.

http://hocks.com/Merchant2/merchant...ct_Code=4724290&Product_Count=&Category_Code=
BD Ultrafine II U-100 Insulin Syringe 31 Gauge 3/10cc 5/16inch Short Needle--1/2 Unit Markings 100/b Price: $25.95

When buying HCG try to buy 1500iu or 2000iu
if you buy 10000iu it will go stale before you can use all of it, so lots is wasted.
.---------------------------------------------
Summary:
Schedule EOD (every other day)
day#1 Tshot=25units
day#2 HCG=500iu
----------------------------------------------
2-3 months latter, have blood checked and make required correction.
Best, do test a Quest Diagnostics, blood drawn at Quest, blood drawn 48 hours after T-shot.
----------------------------------------------
these tests:
Estradiol, Ultrasensitive, LC/MS/MS (30289X)
Testosterone, Free, Bio/Total (LC/MS/MS)
Dihydrotestosterone (204X)
-----------------------------------------------

speak up if you cant go to Quest, the list for testing is different.

Your goals when on Quest testing:

BAT~575 (BioAvailableTestosterone
DHT upper range or slightly over
E2(15-30) (fine tuned by nightly wood)

use 20mg Cialis, 2pills/week
split the pills in half, spread then evenly through out the time.
This is regardles of opportunity for sex, this is to watch nightly wood.

Use Liquidex, sold by this board sponsors, to control E2.
====================================================================
If you are looking for idea for testing, look at my post #44
list between blue lines:
https://anabolicminds.com/forum/male-anti-aging/66268-jan-s-bloodtest-2.html

Consider testing for everything on that list, when you get job and insurance.
My out of pocket expense is $6 (with insurance).
-----------------------------------------------------------------------------------------------------------------------
.
.
....
Click to expand...

So you recomend 50mg of test cyp EOD and 500IU of hcg on non Cyp days. My doctor just put me on cialis daily 5 mg ED. As of now tho i have no script for HCG..
 
I would not do T shots EOD unless you eat it up as fast as you take it I am like this and do my shots every 3 days. If you feel the need to do this go to 2x's a week if this does not help then try every 3 days. I feel doing EOD the T half life will stack up on you to much and your levels will be all over the place.
 
Seems that Dr M hit on alot of key points. It appears that you are burning through it pretty good. Your cortisol levels are at optimal range but if you are in a stressed state then you may need to be even higher !! I dropped my HC down to 15 and with in short time bgot hit with alot of hidden stress. I did the cortisol salvia test 2 weeks off and results were perfect, For that 2 weeks I did not have energy to do jack shit so my reserves were well built up, If I had gone though my daily life style (working out, work) I am sure it would have been a different story I felt lke total shit and needed to go back on despite what the dam tests were saying. I started to have low adrenal problems/thyroid problem when I started tapering down to 15 mgs. I was working out, hard, just got engaged, wedding plans, just got back from arizona. Previous 15 mgs seem to oprtimal but symptoms started to appear that were signs of excessive stress. There was not way in hell it was from lhigh cortisol, but as prgammer pointed out I was actually low. IT gotten to the point to where even on 15 mgs a day I got done work and had to pull over to the side of the road took a nap because I my breathing slowed. I was debating about even going to the ER, but what would they have done or even known what to do. I some how made it home in a drunken and daized state got 10 mgs of cortisol and went to bed and slept I have in a while. I also had morning erections return from higher cortisone levels. SO this should be available lesson for people to learn from.
 
hardasnails1973 said:
Seems that Dr M hit on alot of key points. It appears that you are burning through it pretty good. Your cortisol levels are at optimal range but if you are in a stressed state then you may need to be even higher !! I dropped my HC down to 15 and with in short time bgot hit with alot of hidden stress. I did the cortisol salvia test 2 weeks off and results were perfect, For that 2 weeks I did not have energy to do jack shit so my reserves were well built up, If I had gone though my daily life style (working out, work) I am sure it would have been a different story I felt lke total shit and needed to go back on despite what the dam tests were saying. I started to have low adrenal problems/thyroid problem when I started tapering down to 15 mgs. I was working out, hard, just got engaged, wedding plans, just got back from arizona. Previous 15 mgs seem to oprtimal but symptoms started to appear that were signs of excessive stress. There was not way in hell it was from lhigh cortisol, but as prgammer pointed out I was actually low. IT gotten to the point to where even on 15 mgs a day I got done work and had to pull over to the side of the road took a nap because I my breathing slowed. I was debating about even going to the ER, but what would they have done or even known what to do. I some how made it home in a drunken and daized state got 10 mgs of cortisol and went to bed and slept I have in a while. I also had morning erections return from higher cortisone levels. SO this should be available lesson for people to learn from.
Click to expand...

I have i big problem with needing to pullover after work. When i was still working i had a 50 min ride home everyday about 25 min into the ride id be ready to pass out. I asked my doc about this and he said im just not sleeping good enough... I work out everyday eat clean and live a healthy life style. My stress is pretty low now but any time i get stressed out i just feel like i cant handle it
 
Looking at your platlets, alkline phophotase, neutrophils, and other factors. I beleive that you have low adrenal issues NOT HIGH which is not enough to deal with your given stress levels. If you are fighting an infection you should be as high as 30 in the serum levels. YOu could have a hidden infection that could be affecting your HPTA resulting in your low testosterone. What size need are you using to inject, where are you injecting, and how much body fat do you have ? You may also be a hypoexcretor of testosterone which could mean some kind of hidden stress is chewing it up. We would do Rhiens urine test to verify how much you are excreting and compare ratio of different hormones to see what kind of clincal pics it represents.
 
Last edited:
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