** Don't look at the post count...

[Madhaya]

MPRTZ & LUCIUS <> So my last post was written & placed before I saw the last two posts you put up.

MPRTZ <> You had said, Starting on 200mg/week was great and got me really dramatic 'don't recognize my own body' type of results.

Would you mind elaborating a bit? What did you not recognize? And what body type were you before HRT; were you actively strength training?

LUCIUS <> You mention, back things down from time to time.

Do you mean you backing off your T dose?

Elsewhere, you said, you may want to think long and hard about blasting those test levels (since I'm pretty sure this could shorten your life). You also said,200 per week with HCG is a huge protocol to manage for the average Joe. It's certainly more than I can run safely.

So quite evidently in your opinion, 200mg per week + HCG is a lot? I'm aware we can't know what this equates to in my blood w/o a panel, but off-the cuff, 200mg per week is a lot? Many years ago, I had body-builder friends, and some had told me they used to take a gram of T per week so when I heard my Dr. prescribe 200mg, I thought nothing of it.

Do you feel like my dropping myself to 100mg a week + HCG, for now, would be a prudent decision?

Lastly, I wanted to add that now on day 15, I have definitely noticed a change in how I look. It is by no means good, but I can see I have filled out a little. Not really a good look considering how overweight I am, but my concerns about potency are now erased.

THANK YOU, AGAIN, AND I HOPE TO CONTINUE RECEIVING YOUR ADVICE AS I UPDATE THE THREAD.

edit = add-on question: I was just reading in another subforum here about how it is strongly suggested against cycling if you're over 15% body fat. Do you think my being so fat is why my Dr. prescribed what consensus here seems to be a high dose of AI?

 

[lucius11]

Do you mean you backing off your T dose?

Yes, backing down on the T dose. I drop down to 80mg 2x per week. Should probably go even lower for a month or two or three. It's hard to do mentally once you are feeling good. The T levels are still pretty darn high on 160 per week. Those androgen receptors get kinda maxed out on 200 per week. I make minor adjustments to the AI dose when dropping T levels, but I can run 0.5 EOD on 80mg 2x per week without any problems. I don't really change much. The key for me is managing iron levels. If I forget to donate blood, the hemo gets way too high ... and it's not so easy to get it back down.

Elsewhere, you said, you may want to think long and hard about blasting those test levels (since I'm pretty sure this could shorten your life). You also said,200 per week with HCG is a huge protocol to manage for the average Joe. It's certainly more than I can run safely.
So quite evidently in your opinion, 200mg per week + HCG is a lot? I'm aware we can't know what this equates to in my blood w/o a panel, but off-the cuff, 200mg per week is a lot? Many years ago, I had body-builder friends, and some had told me they used to take a gram of T per week so when I heard my Dr. prescribe 200mg, I thought nothing of it.

200mg is a lot to run long term. People can argue all day about this. But in many people's opinion, it's the largest dose you can take and still say you are on TRT. Some say this is like running a mini cycle. All the more reason to back it down a bit every so often. At 200mg per week, I'm not really returning my T levels to normal ... I am setting my T levels higher than they would be normally. I would not be surprised if they were higher than when I was a teenager - or ever. I would not be surprised if my T levels are higher than pretty much every other human in the gym (except for those on TRT or running a cycle). But it works for me, I feel good. So this is as high as I can set it an still manage the iron levels.

As for safety, we are all rolling the dice here. We all know this. But walking around with the T levels in the toilet sucks - so this is not the best option. I'm pretty careful but having your T levels jacked comes at a cost. The body is complicated. T does great things for all aspects of you body that are commonly associated with being a man. Google the benfits of testosterone and you will see the list is long. But, there is always a down side to taking a medication. There is no free lunch here, no such thing as a win-win.

I'm not an expert on the down sides of T, but if for some horrible reason you develop some abnormal cells (i.e., the older you get, the more likely this becomes ... we are talking about cancer here) and you are blasting your T levels (and therefore probably making more estrogens), this can make things much worse. I guess the excess T and estrogens can help with cell production - good cells and bad.

Not trying to be a wet blanket here, but google the treatment for prostate cancer. What do they do to you? They completely shut down all T production and therefore all estrogen production. This is just what they do (I guess in the old days they actually castrated you - now they do it chemically). I'm pretty sure it's the estrogens that they are worried about. Same thing for women with breast cancer, they just shut down estrogen production. We all warn about the horrors of crashing your E2 ... but this is what happens when you get certain cancers. They shut that stuff down. Your levels will be 0.0. They do this because the cancer cells thrive in the presence of estrogens and perhaps testosterone. Like I said the body is complicated. There are several types of estrogens, not only E2. What do they all do - I don't know. Some AI's control some estrogens and not others. We are kinda being a bit coarse in handling the whole estrogen thing. But your protocal and mine are pretty standard so it looks to me like this is a reasonable approach to managing the hormone levels. No way we could do it as well as the body could ... but now that our HPTA is messed up, this is the best we can do.

You can live just fine without these hormones. Plenty of people do very well. It's just not ideal. It's pretty tough to control your body composition with the T levels at zero. Of course, it's better than dying.

Same deal with GH, it's great and all. But it helps greatly with cell proliferation. It does not care what kind of cells, it helps them all. Where are the most cells in your body ... in your intestines. And you are just mashing the gas pedal. And if there are bad cells in there ... they will replicate at an accelerated rate. Just part of life. These are risks I'm willing to take for the benefits I get from TRT. But it makes some sense to keep it reasonable since the more medicine you take, the more risk you take on.

I'm not sure there is a ton of data on this. I guess we are kinda the guinea pigs for long term TRT since it is becoming very popular now. Keep in mind, I don't think T causes cancer. The truth is, body builders don't typically die of cancer. They tend to die of cardiac issues and liver problems and other organ failures - stuff like that. Look up all the old bodybuiders that died (and there are so many), you will see this kinda thing. These are the direct consequences of too much steroid use. We are not intentionally taking such large doses, so we are more worried about the very long term effects of the lower doses.

Do you feel like my dropping myself to 100mg a week + HCG, for now, would be a prudent decision?

I wouldn't drop the dose yet. I'm not worried about the short term effects of 200mg per week + HCG (just want to keep the E2 reasonable). Give the T a chance to do its job. Let's find out whether it can treat your symptoms. It does not work for everyone, but it seems to work for almost everyone.

Lastly, I wanted to add that now on day 15, I have definitely noticed a change in how I look. It is by no means good, but I can see I have filled out a little. Not really a good look considering how overweight I am, but my concerns about potency are now erased.

Don't worry about this just yet. You definitely need to get your diet right to get the maximum benefits. There are many posts on this and 3J can hook you up with a solid diet plan if you can afford him (this is how I got the diet sorted). At the very least read 3J's sticky in the diet forum. This can be a big adjustment so do what you can and don't make yourself crazy.

Higher T levels can also cause you to retain some water so that will kinda mess with the weight. Raging E2 levels will also cause some fat storage. This will all be worked out over time. First priority, Just let the protocol do it's thing with these few minor tweaks that were suggested. Don't try to micro manage this because it will make you crazy. Your docs protocol was not really that far off, it was just kinda aggressive. As long as you can do some blood testing, you will get this all dialed in. Also keep in mind, you need to fast for 12hrs before the Female Hormone Panel blood test. I would not slam down a bunch of carbs the evening before. This way you will get a decent reading on your blood sugar. You should be staying away from simple sugars and white bread and stuff like that anyway ... get used to eating complex carbs.

I was just reading in another subforum here about how it is strongly suggested against cycling if you're over 15% body fat. Do you think my being so fat is why my Dr. prescribed what consensus here seems to be a high dose of AI?

That would be my guess. The AI was probably set a bit high since you have some BF plus the HCG was in the mix. Honestly, your docs 1mg AI dose may have been on the money. That's a lot, but perhaps this is what you need and perhaps you can tolerate that dose. But you were kinda saying you felt crappy ... so backing down the AI short term and getting some blood work seemed to make sense.

 

[Madhaya]

LUCIUS <> I just realized I hadn't extended my thanks for your last input. It was great as always, and I thank you.

As an FYI, due to my caps being such a pain-in-the-ass to manually split into .5mg caps, I had chosen to remain on the Rx protocol, and since all my pins are 1.5", I chose to continue my T @1x per week because it just doesn't seem right using a 1.5" in my quad &/or calf. My glutes have been too sore from the shots for me to pin each cheek once a week.

I intend on getting a female panel tested in two more troughs of which should end up testing on my 37th day on. Then assess, analyze, & formulate. If it looks like I can find 1" pins, then maybe I'll adjust frequency after the test.

 

[cybrsage]

You can buy just about any size needles and such that you want by going to shopmedvet.com. If you do a web search for coupon codes, you can get free stuff from them too (such as a sharps container). You can buy just the needles, needles with syringes, insulin pins, etc. Good place.


EDIT: I hope I did not break any rules by posting that site - it is perfectly legal to buy from them in my state.

 

[lucius11]

I intend on getting a female panel tested in two more troughs of which should end up testing on my 37th day ...

This sounds like a perfectly fine plan to me.

I do the same thing as cybrsage ... not sure about the rules on posting which vendor. For supplies, I like the BD - 305193 23G x 1 in. (Thin Wall IM) or 305194 23G x 1 1/2 in. (Thin Wall IM). These happen to be thin wall needles that say they are specifically made for intramuscular injections (I think that means standard bevel but I'm no expert). Thin wall - the inner diameter is bigger without any increase in the outside diameter. The BD_Hypo_Catalog is out there if you want a little more information. They are not particularly expensive in boxes of 100. I find they work well. I also like BD 305195 18 G x 1 in. for drawing. Not a big deal, plenty of sources for these and others that no doubt work as well.

PS: you can get also get a 3mL syringe with the BD thin wall needles - these are BD 309588 (23G x 1) and BD 309589 (23G x 1.5). The a box of 305195 18 G x 1 in. can then be ordered separate.

 

[Madhaya]

>> update <<

Overall update:

I don't feel the overall psychological wellness I'd expect from what is apparently a high HRT dosage, in fact, I've been physically sick for over a week with some bronchial congestion, but I am patient. I have made a conscious decision to be more aware of what I eat, and I am down from vascilating around 265# pre-HRT to now around 247# 9 weeks in. I had purchased a plan from 3J, but have yet to begin as I have been on the road straight since before I received it. I am looking to get going on that ASAP now that it seems things are stabilizing.

I have been in out of town for 3-4 weeks now, and finally have an appointment for bloodwork on Monday that I hope to not have to reschedule. This will be my 9th trough.

I just had an appointment with my doc as my script is up, and I asked for my (20) 1mg anastrozole to be offered as (40) 1/2mg caps. He told me he'd do it for a $70 fee of which I find cost prohibitive. I'll have to split my caps if I choose to go 1/2mg.; what a pain in the ass!

I asked for my 10ml T to be split, and he said it was not possible. I did not want to rock the boat.

I asked for him to split my (1) 11,000iu HCG vial, and he gave me a Rx for (2)5,000iu vials now... at the same cost.

After this dialogue, he asked me if I had any other questions, and I said, "You have any tips for my tennis elbow"? We then discussed how I'm in PT employing MPS, Ultrasound, Acupuncture, & Massage, and he said I should consider Deca as a "band-aid" while the PT hopefully mitigates the injury. He went on to warn me it's more than twice the cost of T, but he's confident it will help. I don't know if I made a bad choice by opting in as I'm now reading about Deca-Dick, but I'm grasping at straws to get rid of this tennis elbow issue. It's not so much that it hurts; I can deal with pain. It's that it hurts ALL THE FUCKING TIME. Anyhow, it cost me an additional $*** (may I post prices?) for a 4ml vial of 800mg Deca, and he prescribed, in addition to my 200mg of T, a 100mg dosage for 8 weeks as a "band-aid". I reckon, I'll just do 80mg for the whole 10 week T script. You guys think that's logical? I'm reading about "Deca-Dick" and then possibly requiring DopamineAgonists of which is not that appealing after only being on HRT for 9 weeks. I'm trying to improve my life here; not turn into a liver processing plant.

SAGE <> Thank you for the link. I ended up getting a deal I couldn't pass up on NIPRO 25g x 1". I have to study the stickies for calf, delt, & quad sites. Now after nine IM injections, I have noticed I experienced a lump in my glute after 2 or 3 of them. No visible site infection, and only painful if pressured. It seems multiple site rotation is the name of the game, but after such a short time on HRT, this is not exactly promising.

 

[Madhaya]

>> Do you find fault? <<

No one has any thoughts on if they agree with my logic? Does anyone find fault in it?

• Do you think 10 weeks @80mg is likely enough for joint pain relief?
• Do you think 2 weeks less @100mg will have less of an effect on HPTA?
• Do you think I should subscribe to the one part Deca: 3 part T logic, and if so, is 65mg likely enough for joint pain relief?
• DO you think anything about my logic?

These are all questions floating around my head; I'm sure someone must have some thoughts about the question I pose in the last post.

 

[lucius11]

I did not see any posts with your current blood work on your current protocol. I would kinda want to know where things are at before adding yet another compound. But if you can't exercise, you have to do something.

Given your circumstances, would I consider taking Deca - sure. Mind you I have never taken Deca. I did have a few conversations with my TRT clinic about Deca. A few years ago, if I had pushed it I probably could have gotten a Deca prescribed. I took Var instead and it helped. Now I don't need either, the joints are hanging in there.

The TRT clinic said, Deca basically pushes water into your joints. This really really helps with joint pain. It gives you some space in the joints, like when you were younger. It obviously also helps build muscle. It has some side effects as well. I'm not sure of the dosing. If 80-100 is a TRT dose, that should help keep the side effects minimized. You are probably going to have to find the right dose that works for you - to keep those side effects in check. You are not going to get the dosing perfect right out of the gate. There are a few guys that run low dose Deca as part of their TRT that may be able to help.

Since you are not dialed in on your current protocol, adding Deca adds yet another variable. Supposedly, it does not effect E2 so much. It may have some effect on the liver (there is some over the counter stuff you can take to help with this I believe). Others will have to chime in with some suggestions.

Good luck

 

[WhatTRTmayCome]

Why do some of you advocate donating blood to make your T look lower?

 

[Madhaya]

>> Pre-HRT Blood <<

LUCIUS <> Thank you as always for your input. As you mentioned, I am hoping others will chime in, as well.

Current blood will be tested in about 5 hours, and will be my first labs on HRT. Pre-treatment, 10 weeks ago is as follows. FYI: the liver enzymes I attribute to having had drank like a fish the day/night before:

COMPLETE BLOOD COUNT
WHITE BLOOD CELL 7.1 3.9 - 11.1 K/ul
RED BLOOD CELL 5.30 4.2 - 6.0 M/ul
HEMOGLOBIN 15.0 13.2 - 18.0 g/dl
HEMATOCRIT 45.0 38.5 - 54.0 %
MCV 85 80.0 - 100.0 fl
MCH 28.2 26.0 - 34.0 pg
MCHC 33.3 31.0 - 37.0 g/dl
RDW 13.8 11.0 - 15.5 %
PLATELET COUNT 174 140 - 400 k/ul
MPV 9.5 7.5 - 11.6 fl

GENERAL CHEMISTRY
GLUCOSE 78 65 - 100 mg/dl
BUN 12 6 - 20 mg/dl
CREATININE, SERUM 1.2 0.5 - 1.2 mg/dl
SODIUM 141 133 - 145 mmol/L
POTASSIUM 3.7 3.3 - 5.1 mmol/L
CHLORIDE 100 96 - 108 mmol/L
CO2 33 H 22 - 32 mmol/L
CALCIUM 9.5 8.5 - 10.5 mg/dl
TOTAL PROTEIN 7.2 6.4 - 8.3 g/dl
ALBUMIN 4.5 3.2 - 4.8 g/dl
GLOBULIN 2.7 2.1 - 3.6 g/dl
BILIRUBIN, TOTAL 0.5 0.0 - 1.0 mg/dl
ALKALINE PHOSPHATASE 79 35 - 129 U/L
ALT 104 H <42 U/L
Verified by repeat analysis
AST 61 H <39 U/L
Albumin/Globulin Ratio 1.7 0.8 - 2.0
BUN/CREAT RATIO 10.0 7.3 - 21.7
GFR, estimated 72 ml/min

CORONARY RISK
TRIGLYCERIDES 87 <150 mg/dl
CHOLESTEROL, TOTAL 214 H <200 mg/dl
HDL CHOLESTEROL 69 >40 mg/dl
LDL CHOLESTEROL, calc. 128 H <100 mg/dl
CHOL/HDL RATIO 3.1 <5.0

THYROID TESTING
T3, FREE 3.1 1.8 - 4.6 pg/ml
T4, FREE 1.24 0.9 - 1.7 ng/dl
TSH 3.640 0.27 - 4.2 uIU/ml

TUMOR MARKERS
PSA, TOTAL 0.107 0.0 - 4.0 ng/ml
ENDOCRINE EVALUATION
ESTRADIOL (E2) 19.4 7.6 - 42.6 pg/ml
TESTOSTERONE, TOTAL 240 L 280 - 1100 ng/dl
SEX HORMONE BIND GLOBULIN 28 10 - 80 nmol/L
TESTOSTERONE, FREE 4.96 1.9 - 27 ng/dl
IGF-1 215.0 H 124 - 181 ng/ml

As for your comments about Deca pushing water into the joints. I think I'm just going to hold onto it before I just jump in & take it because my issue is not my joints... it's tendon pain. I think I will just sit with it while I dial in my HRT.

WHATTRT <> I have not heard of anyone advocating what you explain. I have heard of donating blood to lower iron levels because...

...if you are going to be on TRT with a big ass dose, you need to manage your blood iron levels (Hemoglobin, Hematocrit). Your doc should have told you this, but he/she may not have. You need to donate blood, plain and simple. If you are like me, you will need to donate blood every 2 months. You should probably start in about 2 weeks. If you just ignore this, your blood will get super thick, your doc will see it on the follow up blood work and he/she will cut your dose or take you off TRT. This is not optional for most of us. You should plan on donating blood about a week before your blood test for your doc. It pays to plan ahead rather than get blind sided with Hemoglobin, Hematocrit levels that are dangerously high.

If you were simply asking why would one want to lower their T levels, in this context it would be to not come into my Dr.'s evaluation with T levels that were absurdly high. It makes more sense to me to monitor myself by private blood work, and if my Rx is more than I need to administer, it works out better to always have a reserve that way. This was my first vial, and I was 1cc short. If I had reserves, I wouldn't have had to ask my Doc for an early order... like I just did.

 

[Alpin]

That drinking probably raised your estradiol level.

 

[Madhaya]

APOLLON <> Do you think 19.4 is high? I thought it seemed quite low in the range; especially considering how overweight I am.

 

[lucius11]

I was thinking that he meant to say that drinking probably raised the liver values - AST/ALT. Your pre-TRT Estradiol (E2) looks like it was OK, maybe just a little low.

 

[3J]

your liver looks like its taking a beating

 

[Madhaya]

One Bourbon, one Scotch, and one Beer... (credit to George)

I drink. Should that have been my "cheat food" on your questionaire?

 

[lucius11]

Easier said than done but ... you probably want to be cutting down on the alcohol consumption. That 3J diet + a happy liver + exercise + TRT will help you cut that body fat down. The liver is an important part of this. Plus, if you are going to be on Deca for the next few months, you probably need that liver to be functioning as best as possible.

 

[Alpin]

APOLLON <> Do you think 19.4 is high? I thought it seemed quite low in the range; especially considering how overweight I am.

240 TT is pretty low. Estradiol could be lower if u go in to do labs after abstaining from alcohol for a week or so.
Your estradiol is not high, and it's in decent balance with the amount of T you have. You don't want anymore Estradiol with T levels in that range. Trust me.

 

[Madhaya]

LUCIUS <> I have cut down on my drinking though I still drink more than many. I have lost 20# in the last 4 weeks by doing nothing more than being more conscious about what I eat & how much I drink. I leave out of town again on Thursday, but hope to start the 3J plan when I return next week at which point I am sure weight will drop quickly.

With regard to the Deca, I think I am just going to sit on it. I was excited when the Doc proposed it, but the more I think about it, it seems it would be helpful if I was having joint issues but I am not. My issue is a tendon issue, and I do not see how the joint lubrication afforded by Deca will help that. 3J was kind enough to bring the TB500 peptide to my attention, and from all sources I have researched it seems to be more appropriate. I just wish I had not already spent $150 on the Deca script. I am still extremely under-employed, and can't be throwing money around.

APOLLON <> Unfortunately, one week of abstinence was not the case with my last blood work that is currently in the lab. In fact, I had drunk the night before. I did follow the 12 hour fast, but my girlfriend & I were drinking up to that mark. Furthermore, the blood test was done one day late. My 1x week shot was due on Monday. As such, I had scheduled the bloodwork to be done Monday, yesterday. I had missed said appointment because I was in my Docs office for physical therapy on my tennis elbow, and the therapist said I should see the doc after she was done. He saw me, unscheduled, and that turned into an evaluation & that turned into a 40mg Kenalog injection. The xylocaine & marcaine numbed it nicely, but a few hours later it was back to the typical pain. Two days now, and I do not feel much of an improvement. Anyhow, that ran into the blood appointment I had following my PT, and I had to reschedule for the following day, today. So as is, I submitted my blood for a PrivateMD female panel as of 11am today. We will see soon where I am now after 10 weeks of HRT.

 

[Madhaya]

>> New Blood <<

I'm heading out-of-town real soon so I can't spend much time here, but I wanted to update you all on the new blood results. This is my first panel on HRT. This test WAS one day late; meaning I tried to test the morning my weekly shot was due, but the test was done one day later. So this 9th trough reading was on Tuesday, 16 @11a following a 200mg T, 500iu HCG shot, and 1mg Rimidex administation from the previous Monday, the 8th @9a (8 days) & an additional 500iu HCG & 1mg Rimidex taken on Thursday, 11.



CBC With Differential/Platelet
WBC 6.6 3.4-10.8 x10E3/uL 01
RBC 5.48 4.14-5.80 x10E6/uL 01
Hemoglobin 15.4 12.6-17.7 g/dL 01
Hematocrit 46.6 37.5-51.0 % 01
MCV 85 79-97 fL 01
MCH 28.1 26.6-33.0 pg 01
MCHC 33.0 31.5-35.7 g/dL 01
RDW 14.5 12.3-15.4 % 01
Platelets 187 150-379 x10E3/uL 01
Neutrophils 64 % 01
Lymphs 26 % 01
Monocytes 7 % 01
Eos 3 % 01
Basos 0 % 01
Neutrophils (Absolute) 4.2 1.4-7.0 x10E3/uL 01
Lymphs (Absolute) 1.7 0.7-3.1 x10E3/uL 01
Monocytes(Absolute) 0.5 0.1-0.9 x10E3/uL 01
Eos (Absolute) 0.2 0.0-0.4 x10E3/uL 01
Baso (Absolute) 0.0 0.0-0.2 x10E3/uL 01
Immature Granulocytes 0 % 01
Immature Grans (Abs) 0.0 0.0-0.1 x10E3/uL 01

Comp. ********* Panel (14)
Glucose, Serum 70 65-99 mg/dL 01
BUN 14 6-20 mg/dL 01
Creatinine, Serum 1.31 HIGH 0.76-1.27 mg/dL 01
eGFR If NonAfricn Am 69 >59 mL/min/1.73 01
eGFR If Africn Am 80 >59 mL/min/1.73 01
BUN/Creatinine Ratio 11 8-19 01
Sodium, Serum 144 134-144 mmol/L 01
Potassium, Serum 4.9 3.5-5.2 mmol/L 01
Chloride, Serum 98 97-108 mmol/L 01
Carbon Dioxide, Total 22 18-29 mmol/L 01
Calcium, Serum 9.6 8.7-10.2 mg/dL 01
Protein, Total, Serum 6.5 6.0-8.5 g/dL 01
Albumin, Serum 4.8 3.5-5.5 g/dL 01
Globulin, Total 1.7 1.5-4.5 g/dL 01
A/G Ratio 2.8 HIGH 1.1-2.5 01
Bilirubin, Total 0.5 0.0-1.2 mg/dL 01
Alkaline Phosphatase, S 77 39-117 IU/L 01
AST (SGOT) 23 0-40 IU/L 01
ALT (SGPT) 22 0-44 IU/L 01

Testosterone, Serum
Testosterone, Serum 879 348-1197 ng/dL 01
Comment: Comment 01
Adult male reference interval is based on a population of lean males
up to 40 years old.
Luteinizing Hormone(LH), S
LH 0.1 LOW 1.7-8.6 mIU/mL 01
FSH, Serum
FSH 0.2 LOW 1.5-12.4 mIU/mL 01
1 of 2Estradiol
Estradiol 22.8 7.6-42.6 pg/mL 01

 

[lucius11]

That looks pretty good to me. Looks like your doc was kinda on the money with the protocol. Your trough is probably a little over 900 one day earlier. Your peak is certainly over 1000 so you have plenty of T. If this were me, I would not adjust much of anything. This same dose would have my trough in the 1200-1400 range with the same basic timing. Everyone is different. You are 80 lbs heavier than me and heavier guys typically need larger doses. To the extent TRT is going to help (and it should), you should feel better soon. Could take another month but hopefully not.

You can see your Hemo is going up. It's still OK, just need to keep tabs on it. My hemo goes up 1 point per month. So if I start at 14.5 within 2 months I'm at 16.5, 2 more months I'm at 18.5 ... you can see where this is going. Donation drops my hemo by 2 points - so I have to donate every 2 months just to keep status quo. If you are so inclined, you could donate blood in another month or two and they will test your hemo for you. You probably do not need to donate blood as often as I do.

PS - the liver (AST/ALT)looks pretty happy as well. The rest of the high values are not too far out of range. I would be pretty happy with numbers like this.