Trt bloodwork

[rthor4573]

Here's my pre cycle bloodwork. Im on trt 150/wk. I pin 2x a week. Blood draw was 48hrs after a pin. Interestingly, I have both estrogen testing methods resulted on here, so maybe someone can gain some insight onto how the different tests result compare to each other.

Would like input on just a few things please.

1. My e2 is a little high. I always thought my nips were a bit puffy, but also thought it could be in my head. What is a good reasonable beginning arimidex dose and dosing schedule to help lower this? I'd love suggestions or insights on this.

2. Do I need to worry about LH and FSH levels? Or are those expected levels since im on trt and to not worry about it?

I donate blood every 8 weeks I think and im due next week, so H&H doesn't bother me.

I'd say my only side effect currently is I feel pretty fatiqued a fair bit of the time. Can my estrogen level be the cause? I also have some other health things going on which could be the culprit of the fatigue, but im curious of the estrogen could do that.

Also, any other general input on my general lab results would be appreciated. Thank you, all.

 

[htxboy713]

1. I would lower your test a little to 125mg for TRT looking at your numbers. And before you hop the gun on a AI- what helped before I knew any better was doing more frequent shots through out the week and that literally made the difference in the world with my E2. EOD schedule is good, for maximum benefits I would go with ED and see how you like it as the weeks past.

2. Someone recommend me before- not to worry about this since we already on gear these levels naturally are going be low overtime.

 

[BigBaldBeardGuy]

The ECLIA E2 method of testing just isn’t very accurate for men. It’s basically a ballpark number, in this case a little lower than the actual value (81 by LC/MS/MS). It just as easily could have been reported slightly higher too. The method just doesn’t have the precision for lower level male values. That’s why it’s good to pay a little more for the LC/MS/MS every so often. You’ll be able to look back at your bloods and start to see a better picture.

Your E2 is a little high and your Testosterone is a little high too. You could prob lower your weekly dose to 100 mg to 125 mg/week. Or wait on that for later. 0.5 mg of Arimidex or 12.5 mg of aromasin once a week is a good starting point.

The LH/FSH is sometimes zero. It’ll always be lower because you’re suppressed from the exogenous testosterone. If you’re committed to TRT for life you won’t even look at these numbers.

Make sure you are well hydrated before you go donate. That makes a big difference and you won’t get turned away. That always sucks.

 

[rthor4573]

The ECLIA E2 method of testing just isn’t very accurate for men. It’s basically a ballpark number, in this case a little lower than the actual value (81 by LC/MS/MS). It just as easily could have been reported slightly higher too. The method just doesn’t have the precision for lower level male values. That’s why it’s good to pay a little more for the LC/MS/MS every so often. You’ll be able to look back at your bloods and start to see a better picture.

Your E2 is a little high and your Testosterone is a little high too. You could prob lower your weekly dose to 100 mg to 125 mg/week. Or wait on that for later. 0.5 mg of Arimidex or 12.5 mg of aromasin once a week is a good starting point.

The LH/FSH is sometimes zero. It’ll always be lower because you’re suppressed from the exogenous testosterone. If you’re committed to TRT for life you won’t even look at these numbers.

Make sure you are well hydrated before you go donate. That makes a big difference and you won’t get turned away. That always sucks.

Thank you.

If i left everything the same, and just added in arimidex, would the .5mg once a week be better served as .25 2x per week, since I inject twice a week? Maybe on injection days? Or not really...?

 

[BigBaldBeardGuy]

Thank you.

If i left everything the same, and just added in arimidex, would the .5mg once a week be better served as .25 2x per week, since I inject twice a week? Maybe on injection days? Or not really...?

Twice a week would be better if you can cut the tabs into quarters.

I use aromasin (real small tab) and I have a pill splitter but I can’t get that small of a piece to align right so I just do once a week.

 

[rthor4573]

Twice a week would be better if you can cut the tabs into quarters.

I use aromasin (real small tab) and I have a pill splitter but I can’t get that small of a piece to align right so I just do once a week.

I mean, it'd be a small piece for sure. Im just wondering if you split 1mg of arimidex into quarters, or even in half, how accurate the subsequent pieces would be in dosing. I mean its already 1 mg... how evenly can that be spread throughout a pill?

 

[BigBaldBeardGuy]

I mean, it'd be a small piece for sure. Im just wondering if you split 1mg of arimidex into quarters, or even in half, how accurate the subsequent pieces would be in dosing. I mean its already 1 mg... how evenly can that be spread throughout a pill?

Lol. I told you to start with 1/2 tab once a week man. Then YOU asked if it would be better to take 0.25 mg twice a week...

I’d say you just answered your own question right here.

 

[rthor4573]

Lol. I told you to start with 1/2 tab once a week man. Then YOU asked if it would be better to take 0.25 mg twice a week...

I’d say you just answered your own question right here.

Hahaha yeah I know. I wasnt shitting on your response to my question of would .25 be better. Just in general, curious how accurate that is. If you zoom out, it's 1mg every two weeks however you slice it. Thanks for your advice man.

 

[pigeonhed]

The medicine is throughout the pill. This video explains the process.

 

[Night_Owl]

The ECLIA E2 method of testing just isn’t very accurate for men. It’s basically a ballpark number, in this case a little lower than the actual value (81 by LC/MS/MS). It just as easily could have been reported slightly higher too. The method just doesn’t have the precision for lower level male values. That’s why it’s good to pay a little more for the LC/MS/MS every so often. You’ll be able to look back at your bloods and start to see a better picture.

Your E2 is a little high and your Testosterone is a little high too. You could prob lower your weekly dose to 100 mg to 125 mg/week. Or wait on that for later. 0.5 mg of Arimidex or 12.5 mg of aromasin once a week is a good starting point.

The LH/FSH is sometimes zero. It’ll always be lower because you’re suppressed from the exogenous testosterone. If you’re committed to TRT for life you won’t even look at these numbers.

Make sure you are well hydrated before you go donate. That makes a big difference and you won’t get turned away. That always sucks.

My LH/FSH were both really low before I ever touched testosterone, do you know why that could be? Thanks man.

 

[BigBaldBeardGuy]

My LH/FSH were both really low before I ever touched testosterone, do you know why that could be? Thanks man.

Was that from a blood test that you got on your own or that a doctor looked at?

General explanation only cause I’m not a doctor: luteinizing hormone and follicle stimulating hormone are both secreted by the pituitary gland. They are just some of the hormones involved in the HTPA-axis that get secreted or suppressed based on the presence of other hormones. It’s all run by a big negative feedback loop, so for example, the presence of exogenous testosterone from the shots we take, shuts everything else down after that.

You could have an issue at your pituitary gland or hypothalamus, or it could be something simple like your body produces more aromatase enzyme that converted your natural testosterone to E2 which inhibits the release of LH/FSH.

Short answer is that you likely had low testosterone levels before you started this. That could have been from a ton of different factors (past drug/alcohol abuse, a previous injury, issue with pituitary gland/hypothalamus, stress issues, etc) which caused the negative feedback. If previous blood work was reviewed by a doctor and he didn’t see any issues then it’s likely nothing.

 

[Night_Owl]

Was that from a blood test that you got on your own or that a doctor looked at?

General explanation only cause I’m not a doctor: luteinizing hormone and follicle stimulating hormone are both secreted by the pituitary gland. They are just some of the hormones involved in the HTPA-axis that get secreted or suppressed based on the presence of other hormones. It’s all run by a big negative feedback loop, so for example, the presence of exogenous testosterone from the shots we take, shuts everything else down after that.

You could have an issue at your pituitary gland or hypothalamus, or it could be something simple like your body produces more aromatase enzyme that converted your natural testosterone to E2 which inhibits the release of LH/FSH.

Short answer is that you likely had low testosterone levels before you started this. That could have been from a ton of different factors (past drug/alcohol abuse, a previous injury, issue with pituitary gland/hypothalamus, stress issues, etc) which caused the negative feedback. If previous blood work was reviewed by a doctor and he didn’t see any issues then it’s likely nothing.

Thank you so much for your reply. My doctor prescribed the blood test and said it was very low. I confirmed it by looking at it myself. I have a pituitary adenoma, confirmed by a MRI. So what you're saying is super helpful. I did not know that it could cause that. Learned something new today, thank you so much friend.