9th week blood test - test too high (out of range)

[username1]

I had my 9th week blood test done last Friday and my testosterone is out of range it's above 1,500 so I don't know where it's at. I'm currently on 210mg / 1ml E5D.

How can I tell what I should lower the dosage to, to to get it within range but, on the high end?

On 12-28-11 my blood work was done and my testosterone was at 483.

Is there some way to calculate it from there what my testosterone is at when I peak and what I should lower it to?

Thanks

 

[rowdybrad]

Talk to your doc. Maybe they will drop you to 100mg e5d.

From what Cashout and others have said, IIRC, usually it is 1,000 per 100mg of test. So your probably near 2,000 or so if it went perfectly.

 

[THE-DET-OAK]

125-150mg a week of cyp will put most around 8-900 in the trough, on a weekly dosing schedule. I myself like being a little above that though

 

[username1]

ok I think I'm going to stick with 200mg but change it to E7D and see how that goes if I feel ok doing it once a week then I'll probably stick with that, would be easier for me than having to keep track of days always changing with E5D. I guess 200mg E7D could put me near 1500?

 

[THE-DET-OAK]

trough will probably be 1100-1300

 

[Frustrated1]

Well everybody has an opinion, so here's mine.

If you like the e5d, drop to .7 e5d. But wait an extra 3days for the first .7 pin.
If you would rather go e7d, don't. Peak is to trough is too wide.
If you would rather think of getting rid of the Aromatase inhibitor (AI) and be more consistent levels, consider e3d with a lesser or divided dosage.

 

[cashout]

Well everybody has an opinion, so here's mine.

If you like the e5d, drop to .7 e5d. But wait an extra 3days for the first .7 pin.
If you would rather go e7d, don't. Peak is to trough is too wide.
If you would rather think of getting rid of the Aromatase inhibitor (AI) and be more consistent levels, consider e3d with a lesser or divided dosage.

I'll add that 200 mg every 5 days is just too much for 95% of the guys that I've seen do HRT.

200 mgs spread over 7 days is still too much for a lot of guys. 70% of the guys I've seen using 200 mgs spread over multiple injections in 7 days still test above 1500 ng/dl.

150 mgs spread out on a M/W/F pattern works well for most (85%) of guys and will keep them right at the very top of the 1500 ng/dl range with a shallow trough around 1000 ng/dl.

In fact, many guys (70% but this sample is much smaller than the above) can get by with no Aromatase inhibitor (AI) at this dosage and injection pattern.

 

[methos]

Cashout, does shbg usually stay in check at this 150MG per week dose, or do most guys take something to keep it in check? Not trying to hijack the thread.

 

[cashout]

Cashout, does shbg usually stay in check at this 150MG per week dose, or do most guys take something to keep it in check? Not trying to hijack the thread.

I have not seen it as much of an issue with those folks using 150 mgs spread out over multiple injections.

Typically, the range is between 20 -27 based solely on the blood work I've seen from guys over the past few years. Obviously, everyone is different.

I will tell you that I am opposed to guys taking Winstrol/Danzol as a means to keep shbg in range. In my opinion that is not necessary.

 

[cdy2179]

200mg e5d is 300 a week. Using the 10 to 1 rule you're probably peaking at 3000. I also was on 200 e5d. My test was over 1500 and blood related test were all very high. Hemacrit was like 53%. Dropped to 150 mg e5d and the morning of my shot day I was tested at 1469. Still too high and hema and Rbc were still way high. I was getting headaches and chest felt heavy. Gave blood the next day and felt much better. I'm currently on 100mg e5d and for the first time in 5 months of hrt I'm finally feeling good, no headaches, and I finally had morning wood, still not dialed in but for me 200mg e5d was way too much and down right dangerous to stay on long term.

 

[Frustrated1]

Cashout, does shbg usually stay in check at this 150MG per week dose, or do most guys take something to keep it in check? Not trying to hijack the thread.

Shbg is inversely proportional to free t. Hrt brings shbg down. What exactly are you asking?

 

[username1]

well shit i guess i might as well do 3x a week injections then to help solve/lower Aromatase inhibitor (AI) issues I guess it would be better health wise in the long term plus more cost effective to not need as much.

so my last 200 mg shot was yesterday (wed.) so I'm going to switch to 150mg a week injections split over 3 days - mon. wed. fri. On monday can I start with the 50mg injection? or do I need to wait an extra days? I'd like to keep it at mon. wed. fri, so when should I start?

also when should I do Human Chorionic Gonadotropin (HCG) does it matter? can I just do 500 units one day every week? not concerned about fertility, just don't want to completely shrink lol

how much Aromatase inhibitor (AI) should I take starting out? current my estrogen is at 56 should I maybe take 1 each day after test shot just to get it lower then cut back on it after a couple weeks? maybe .5 each day after test shot?

Or should I continue how I'm going right now and start increasing Aromatase inhibitor (AI) to cut down estro then cut back on test and split up dosages and cut down Aromatase inhibitor (AI) all at the same time?

 

[cashout]

See below...

well shit i guess i might as well do 3x a week injections then to help solve/lower Aromatase inhibitor (AI) issues I guess it would be better health wise in the long term plus more cost effective to not need as much.

so my last 200 mg shot was yesterday (wed.) so I'm going to switch to 150mg a week injections split over 3 days - mon. wed. fri. On monday can I start with the 50mg injection? or do I need to wait an extra days? I'd like to keep it at mon. wed. fri, so when should I start?

>>>since you shot 200 on Wed of this week, wait until Wednesday of next week and start with 50 mg shot. The again on Friday too. From then out, use M/W/F @ 50 mg per shot.

also when should I do Human Chorionic Gonadotropin (HCG) does it matter? can I just do 500 units one day every week? not concerned about fertility, just don't want to completely shrink lol

>>>That will be a trial and error process for you. I had already removed Human Chorionic Gonadotropin (HCG) from my protocol by the time I was testing the 2/3 days a week injections. I would keep it the same for now - don't change it all at once - wait to see what effect the change in test schedule has on you

how much Aromatase inhibitor (AI) should I take starting out? current my estrogen is at 56 should I maybe take 1 each day after test shot just to get it lower then cut back on it after a couple weeks? maybe .5 each day after test shot?

>>>What are you doing with the Aromatase inhibitor (AI) now that your estrogen is 56? I bet that is a function of the spikes of test from the 200mg shots. I'd keep doing what you are doing with the Aromatase inhibitor (AI) right now until you stablize the on the multi-injects per week routine. You don't want to change it all at once. Then you really don't know what effect each change had.

Or should I continue how I'm going right now and start increasing Aromatase inhibitor (AI) to cut down estro then cut back on test and split up dosages and cut down Aromatase inhibitor (AI) all at the same time?

 

[TR90125]

FWIW, I started on a protocol very similar to yours and my second provider adjusted it to the following

Test Cyp 75mg 2x per week, 150mg weekly
HCG 600 IU's 2x per week, 1200 IU's weekly
Adex .25mg EOD

Armour Thyroid was added after additional blood tests.

based on this protocol, my Test was 1171 the day of my next injection, my shbg was 16.2 and my E2 was 14, which may be too low for me.

I am currently taking Adex .25mg the day after my Test injections, so twice weekly.

I think you may be very happy on your weekly total of 150mg. You may want to consider the Every 84 hour injection schedule as it seems to work very well for me and splits the week up in two evenly, but that's your call. I inject every Monday morning at 7AM and Thursday evening at 7PM.

I am going to continue to monitor my E2 levels and try to reduce the need for Adex as much as possible. I am not taking anything specifically to lower my SHBG.

Good luck.

 

[username1]

Thanks a lot cashout. As for Aromatase inhibitor (AI) now I take 1mg E5D. I was advised by the clinic to start taking it 3x a week for a couple weeks to get it lower then I can cut back on it a bit like 2x a week. Though now that I'm going to space out the shots, I'm not sure if I should continue the Aromatase inhibitor (AI) protocol with 1mg E5D or maybe split it up to .5 after every shot, so Tues. Thurs Sat. and see how that does? If I keep it the same at E5D day after shot, which shot would I take it after if I'm injecting 3x a week? Do I just do it E5D regardless of which day it lands on?

How many weeks in should I get my bloods done again 4 weeks? or less? Just to make sure my estro is down and test is within range.

 

[username1]

FWIW, I started on a protocol very similar to yours and my second provider adjusted it to the following

Test Cyp 75mg 2x per week, 150mg weekly
HCG 600 IU's 2x per week, 1200 IU's weekly
Adex .25mg EOD

Armour Thyroid was added after additional blood tests.

based on this protocol, my Test was 1171 the day of my next injection, my shbg was 16.2 and my E2 was 14, which may be too low for me.

I am currently taking Adex .25mg the day after my Test injections, so twice weekly.

I think you may be very happy on your weekly total of 150mg. You may want to consider the Every 84 hour injection schedule as it seems to work very well for me and splits the week up in two evenly, but that's your call. I inject every Monday morning at 7AM and Thursday evening at 7PM.

I am going to continue to monitor my E2 levels and try to reduce the need for Adex as much as possible. I am not taking anything specifically to lower my SHBG.

Good luck.

appreciate the feedback. damn decisions, decisions, lol not sure what I should do of course 2 shots is one less shot to do so a bit easier. maybe i can start with this and if it doesn't help my E2 then I can go to 3 and go from there. maybe if i drop down slowly per shot my body will adjust better, i'm not sure.

i thought i remember seeing a post by cashout somewhere that said he didn't really see effects in E2 lowering above 50mg per shot but, I may not be remembering correctly, so still not quite sure what to do.

if I was to switch to 2 shots every 84 hrs. then if my last 200mg shot was this wed. then when would my next shot be? i'd like to keep my shots on the weekdays instead of weekends because of work so if I took a 75 mg shot on monday would that be too soon?

also I guess since my Aromatase inhibitor (AI) is high right now that if i split it into 2 shots, I should take 1mg or .5 mg day after each shot? The clinic wants me to increase Aromatase inhibitor (AI) to get it lowered then i can cut back on it, and so that's what I'm thinking to do but, not sure because my peaks won't be as high if I'm splitting up the dosage so maybe I won't need to increase it, just can't decide what would be best to do. If I was to keep Aromatase inhibitor (AI) the same then I guess I need to do .5 day after each shot but, the thing is that if I used to take an Aromatase inhibitor (AI) E5D then that means if I'm taking .5 day after each, that's 1mg every 7 days so I'm taking less now than I was before correct? Or it doesn't work like that since the frequency of the shots is less? damn this is confusing lol

 

[TR90125]

appreciate the feedback. damn decisions, decisions, lol not sure what I should do of course 2 shots is one less shot to do so a bit easier. maybe i can start with this and if it doesn't help my E2 then I can go to 3 and go from there. maybe if i drop down slowly per shot my body will adjust better, i'm not sure.

i thought i remember seeing a post by cashout somewhere that said he didn't really see effects in E2 lowering above 50mg per shot but, I may not be remembering correctly, so still not quite sure what to do.

if I was to switch to 2 shots every 84 hrs. then if my last 200mg shot was this wed. then would my next shot be? i'd like to keep my shots on the weekdays instead of weekends because of work so if I took a 75 mg shot on monday would that be too soon?

When I made the adjustment, I believe I took my first 75mg shot the day my next 200mg shot was due, or close to it. Your next 200mg would be due Monday, right? I think you will be fine if you started the 75mg schedule Monday. Just my .02. Either way, I bet you are going to feel great when your test levels come down to a more normal level, even if it is normal high. I felt like crap running my test over 1500 all the time.

Cashout makes a good point about not changing everything all at once. I did, however, but the improvement in my mood and overall well being was quite noticeable and came pretty quick. I am anxious to hear how you make out.

I have been on this protocol and the stability it brings is amazing. Other than trying to really tweak my E2, it has been rock solid.

A funny thing though, when I LOWERED my dosages, I developed a moderate case of bacne. Never had it on 200mg E5D and it shows up after I dropped down to 75mg E84 hrs. Weird.

My current doctor was pretty adamant that running test levels over 1500 or higher consistently was bad and the body simply would not tolerate it long term.

I never really felt good on my 200mg E5D protocol no matter what I did with AI's or Human Chorionic Gonadotropin (HCG) or anything. As soon as I dropped my dosage to 150mg weekly, I felt great.

 

[username1]

The thing is that I don't really feel much different, I don't feel any sides, lethargic or tired or nothing. I would have liked to keep the protocol as is but, due to long term health risks I don't want my numbers to be out of whack so that's the only reason I'm trying to adjust it. I just hope by lowering it I won't feel like crap, and not sure how come I'm not feeling any sides or tiredness with a 56 estro.

Also, I edited my previous post with some questions about the Aromatase inhibitor (AI) after you replied, if you could check that out and give me your thoughts would be appreciated. The test I've decided on I think I'm going to start with 2x a week and see how it goes and then switch to 3 later if necessary if E2 doesn't come down. Now, I just need to decide what to do about Aromatase inhibitor (AI) if I should change it or split up dosages etc.

 

[TR90125]

The thing is that I don't really feel much different, I don't feel any sides, lethargic or tired or nothing. I would have liked to keep the protocol as is but, due to long term health risks I don't want my numbers to be out of whack so that's the only reason I'm trying to adjust it. I just hope by lowering it I won't feel like crap, and not sure how come I'm not feeling any sides or tiredness with a 56 estro.

Also, I edited my previous post with some questions about the Aromatase inhibitor (AI) after you replied, if you could check that out and give me your thoughts would be appreciated. The test I've decided on I think I'm going to start with 2x a week and see how it goes and then switch to 3 later if necessary if E2 doesn't come down. Now, I just need to decide what to do about Aromatase inhibitor (AI) if I should change it or split up dosages etc.

You are essentially cutting your test dosage in half. One approach you could take would be to adjust your test dosage/frequency and leave everything else alone, or you could follow the updated protocol I received from my most recent doctor.

There is no real way to know how your body will react to any of it. Oddly enough, my doctor had a pretty casual attitude towards male hormone therapy. Based on his direction, I did change everything all at once, almost like starting over, only I felt improvement very quickly, probably as soon as my test level began dropping.

Even though your current E2 is high, the same dose of your Aromatase inhibitor (AI) at half of your current test dosage may be too much.

If you keep your Aromatase inhibitor (AI) the same, the only risk is crashing E2. If you reduce your Aromatase inhibitor (AI) dosage in relation to your Test dosage, it is unlikely to run much higher than it is currently, in my opinion.

I prefer being on the light side of my Adex dosage, too much of that shit and I am a zombie.

Anyway, like I said, I changed my dosage of test, Adex and Human Chorionic Gonadotropin (HCG) all at the same time, reran bloodwork after 8 weeks and was pretty much spot on, aside from my E2 being on the low side at 14.

 

[username1]

You are essentially cutting your test dosage in half. One approach you could take would be to adjust your test dosage/frequency and leave everything else alone, or you could follow the updated protocol I received from my most recent doctor.

There is no real way to know how your body will react to any of it. Oddly enough, my doctor had a pretty casual attitude towards male hormone therapy. Based on his direction, I did change everything all at once, almost like starting over, only I felt improvement very quickly, probably as soon as my test level began dropping.

Even though your current E2 is high, the same dose of your Aromatase inhibitor (AI) at half of your current test dosage may be too much.

If you keep your Aromatase inhibitor (AI) the same, the only risk is crashing E2. If you reduce your Aromatase inhibitor (AI) dosage in relation to your Test dosage, it is unlikely to run much higher than it is currently, in my opinion.

I prefer being on the light side of my Adex dosage, too much of that shit and I am a zombie.

Anyway, like I said, I changed my dosage of test, Adex and Human Chorionic Gonadotropin (HCG) all at the same time, reran bloodwork after 8 weeks and was pretty much spot on, aside from my E2 being on the low side at 14.

Ok, got it. So you think I could start off with .5 mg Aromatase inhibitor (AI) after test shot? Or you think I should do .25 mg instead? I guess as you said there's no way for us to know how it will effect me but, if I keep it at .5 day after that means my Aromatase inhibitor (AI) dose is staying closer to where I am now 1mg E7D, correct? If I change it to .25 then it will be much lower than what it is now? So in order to not change too much at once, the closest thing to do is to do Aromatase inhibitor (AI) .5 after each shot if doing 2 shots a week?