Lab opinions please. Not sure what I am missing.

[Weasel49]

Component Results
Component Your Value Standard Range Flag
TESTOSTERONE 995 ng/dL -- 241 - 827 ng/dL H
TESTOSTERONE, FREE 28.15 ng/dL -- 3.00 - 29.00 ng/dL
TESTOSTERONE, % FREE 2.83 %-- 1.3 - 3.5 %
SEX HORMONE BINDING GLOBULIN 23.5 nmol/L-- 10 - 57 nmol/L

My doctor says my testosterone is too high and my blood counts show early signs of erythrocytosis. My current is dosage 200mg of cyp once a week and he suggested cutting my dosage to 150mg. He said we should be shooting towards 400 - 600 levels. To me everything looks like I should feeling like a rocket ship but I just feel just ok. Besides just feeling ok my erections are weird. Until here recently even before TRT I could get erections whenever and could hold them for as long as I wanted. Now I only stay rock hard if I am being stimulated and if I have second round of sex I have a hard time getting an erection and I have been losing it a few mins in. Oh my balls are literally half size.

In spring/summer of 14 I was taking 250mg of enanthate that purchased offline and felt unstoppable.

What am I missing here?

 

[halfwit]

I'd like to know how the genius made such a call without a CBC TELLING him your red blood cell count is nutty. Sounds more like another case of clueless doctor to me. Tip: You need to donate blood every 56 days for the rest of your life when on TRT, I don't care if your dose is 75mg or 300mg per week - red marrow is silly that way.

Unless your diet severely lacks iron of course.

I don't see estradiol on that panel either. Estradiol is just as important as testosterone when looking at the big picture here. Too high, you feel like crap; too low, you feel like crap. I'm guessing by your free testosterone and SHBG he hasn't looked at your estradiol and prescribed an aromatase inhibitor?

My .02c

 

[Weasel49]

WBC 8.7 K/uL 4.5 - 11.0 K/uL
RBC 5.98 M/uL 4.3 - 5.7 M/uL H
HEMOGLOBIN (HGB) 16.3 g/dL 13.2 - 17.3 g/dL
HEMATOCRIT (HCT) 50.1 % 39.0 - 49.0 % H
MEAN CELL VOLUME 83.8 fL 80.0 - 99.0 fL
Mean Cell HGB 27.3 pg 27.0 - 34.0 pg
MEAN CELL HGB CONCENTRATION 32.6 g/dL 32 - 36 g/dL
RBC DISTRIBUTION 13.2 11.6 - 14.8
PLATELET COUNT, MANUAL ENTER 289 K/uL 150 - 400 K/uL
MEAN PLATELET VOLUME 8.4 fL 7.5 - 11.2 fL

So does your SEX HORMONE BINDING GLOBULIN have a connection with your estradiol?

 

[halfwit]

WBC 8.7 K/uL 4.5 - 11.0 K/uL
RBC 5.98 M/uL 4.3 - 5.7 M/uL H
HEMOGLOBIN (HGB) 16.3 g/dL 13.2 - 17.3 g/dL
HEMATOCRIT (HCT) 50.1 % 39.0 - 49.0 % H
MEAN CELL VOLUME 83.8 fL 80.0 - 99.0 fL
Mean Cell HGB 27.3 pg 27.0 - 34.0 pg
MEAN CELL HGB CONCENTRATION 32.6 g/dL 32 - 36 g/dL
RBC DISTRIBUTION 13.2 11.6 - 14.8
PLATELET COUNT, MANUAL ENTER 289 K/uL 150 - 400 K/uL
MEAN PLATELET VOLUME 8.4 fL 7.5 - 11.2 fL

So does your SEX HORMONE BINDING GLOBULIN have a connection with your estradiol?

Ah ha! That's why he told you you're at risk. Are you donating blood regularly?

Controlling estradiol with an AI has a synergistic effect with exogenous testosterone (any androgen really) in decreasing SHBG. As your SHBG and free test are totally in range, I can only speculate that estradiol is gobbling up some of that testosterone, and elevating SHBG (slowing decline).

 

[Weasel49]

I just emailed my doctor for my estradiol level. I have some anastrozole but really haven't committed to taking it for fear of getting my estrogen levels too low. I have only been on trt for 60'ish day and just recently learned about giving blood and plus I have had pneumonia so I have felt like a pile of shit for a few weeks.
So what should my SHBG and estradiol levels ideally be?

Thanks for your replies..

 

[halfwit]

I just emailed my doctor for my estradiol level. I have some anastrozole but really haven't committed to taking it for fear of getting my estrogen levels too low. I have only been on trt for 60'ish day and just recently learned about giving blood and plus I have had pneumonia so I have felt like a pile of shit for a few weeks.
So what should my SHBG and estradiol levels ideally be?

Thanks for your replies..

That is VERY individualistic, but many prefer to be between 20-30pg/ml for estradiol. SHBG is going to differ as well as some men stop seeing the benefits of TRT once it dips too low. I would find out estradiol, get that in check, see how you feel - and go from there.

 

[THE-DET-OAK]

Blood work looks great to me, for liability purposes though I am not a doctor

 

[trtbaldguy]

Your balls will always shrink unless you use hCG. When you're providing all the testosterone via injection, your body produces very little of it's own, if any at all.

I've seen a lot of people say they use 200 mg a week of test cyp but no hCG, which is fine if you don't want to maintain the use or size/appearance of your testicles, but many can (probably) drop their cyp dose to 100 mg a week and use hCG to tell their testes to produce the remaining testosterone to get them to their target numbers. This is something i'd recommend discussing with a TRT specialized doctor but even some of them don't really know a ton of this stuff. Mine doesn't. Most of what I've learned I've read in medical studies and pieced it together with peoples posts on multiple forums and a few articles.