Lab resuls in. Please help

bw2506

New member
Ok about 3-4 months ago requested my dr check my test... It was low. Just a little under the bottom number on the spectrum.. Started injections. Was prescribed 1 cc every 2 weeks but decided to split and take .5cc every week. Dr never mentioned coming in for retesting or checking other things so i went to another dr last week. He wanted to check other things and see where i was. Well i just got my test back and test levels are 402 out of 249-846. E level is 31.1. The problem appears to be lh and fsh levels. Both show <0.2. I take injections on saturday and the test was done on friday morning. Can someone please explain to me what could b going on. Hair growth is normal but i do notice that th "boys" stay shrunk up most of the time
 
Have you asked him about Human Chorionic Gonadotropin (HCG) along with your TRT?

If your LH levels are that low, and the boys are shrunk all the time, Human Chorionic Gonadotropin (HCG) is what you need.
 
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Also i have arimidex but wanted to wait before starting it til after the test. Like i said th test was on friday, injections on sat. Should i be taking it and if so at what dose
 
When on testosterone replacement therapy (TRT), it is expected that FSH and LH hormones drop. The brain detects enough serum testosterone in the blood and does not release the FSH and LH hormones because the testosterone is adequate. Again, that is what is supposed to happen.

Be worried if the LH or FSH hormones are high which suggests a testicular tumor.
 
So your levels are 402 on testosterone replacement therapy (TRT)? You should check your SHBG. Chip knows more than anyone and I would go with him if I were you to make sure you are getting all the benefits.
 
402 on testosterone replacement therapy (TRT) yes.. Shbg wasnt on the recent test but were normal pre injections...us 402 too low. Im 31 6'3" 275lbs
 
Ok i will look and include ir on my next test. What is the fix for a shbg number being too high... What about my estrogen. Im gonna start arimidex at 1 mg split up a week. Does this sound about right for starting out
 
It also depends on when the labs were drawn from the last day of injection. If you wait the day before your injection to have your labs drawn, testosterone will be lower. However, testosterone replacement therapy (TRT) shouldn't be evaluated solely on numbers but how you feel. For example you may be hitting 800ng/dL levels but came back at 400ng/dL at the time you were drawn. So my question to you is; How do you feel on that dosage?
 
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I really cant tell any difference. Morn wood is back since i started injections and mayb a little mire libido. However i do feel tired alot. Had an inj sunday and went to gym today and was the weakest id been a while. Prob unrelated and from not sleeping well the past 2 nights. Do u think i should start spliiting th dose to 2 times a week? And im gonna try to get scrip changed to cc a week and see what happens
 
I really cant tell any difference. Morn wood is back since i started injections and mayb a little mire libido. However i do feel tired alot. Had an inj sunday and went to gym today and was the weakest id been a while. Prob unrelated and from not sleeping well the past 2 nights. Do u think i should start spliiting th dose to 2 times a week? And im gonna try to get scrip changed to cc a week and see what happens

every thing came out as I would expect it too. If you can get your trough up around 7-800 you will feel much better. probably could do that with 150mg a week and a Aromatase inhibitor (AI) and some HCG.

I think you need an Aromatase inhibitor (AI) cause your estro is creeping up on a small dose of test. In a properly functioning HPTA the T/E conversion rate should be about .3%
 
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this is where all the bullshit comes into play on testosterone replacement therapy (TRT). (where the real good doctors who are willing to spend the time vs. the business men making some $) the only way to know what would be correct dose and or others meds. needed would be to draw blood at several different points after last injection; that is the only way to see how the individuals body is assuming the "t" during the week and what is being converted to "e"..wouldnt it be smart to find the exact dose of "t" that you can use without converting too much to "e" so u dont need any other drugs!
 
this is where all the bullshit comes into play on testosterone replacement therapy (TRT). (where the real good doctors who are willing to spend the time vs. the business men making some $) the only way to know what would be correct dose and or others meds. needed would be to draw blood at several different points after last injection; that is the only way to see how the individuals body is assuming the "t" during the week and what is being converted to "e"..wouldnt it be smart to find the exact dose of "t" that you can use without converting too much to "e" so u dont need any other drugs!

im sorry i dont see how that would be of benefit?..........once you know the trough you can guess pretty close what the peak was, since it falls on a slow decline, now you can also assume whats in the middle.

most people take blood test's way too seriously anyway, as far as T levels.
 
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I take injections on saturdays and plan on another test. What day would be ideal? My injections are 50mg a week, on saturdays. I just started .25 arimidex eod

100mg a cc


What do u think my peak was?
 
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I take injections on saturdays and plan on another test. What day would be ideal? My injections are 50mg a week, on saturdays. I just started .25 arimidex eod

100mg a cc


What do u think my peak was?

I wouldn't worry too much about your peak levels. How are you feeling?
To answer your question about when to get checked you should to get it done the day before or the day of your injections when the levels are at or near the lowest. You should be aiming so your T levels are in the mid range when they are at their lowest levels. I usually get my blood checked on the day of my injection prior to injecting my weekly dose.
Not sure what your bf % is but the higher the bf the more T will be converted to E.
One more thought, IMO your dose of 50mg/weekly is quite low. Usually starting doses are in the 100-200mg weekly range. 50mg is enough to shut down your bodies production of T and leave you feeling the same or worse than the way your did when you started.
Everyone is different and it takes time to find your sweet spot.
Hope this helps and best of luck.
 
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Thx for the help. Im 6'3" 275 lbs..the test was the day before my injection. 407 test 31 estrogen...seeing these numbers what amount of test and arimidex would u dose a week..and how would u dose it
 
Thx for the help. Im 6'3" 275 lbs..the test was the day before my injection. 407 test 31 estrogen...seeing these numbers what amount of test and arimidex would u dose a week..and how would u dose it

As mentioned everyone is different. For me my stats are 46, 5'8", 160lbs low body fat % and always has been. I'm on 100mg/w with no Aromatase inhibitor (AI) or HCG. My T levels are in the 600 range, free T is usually in the higher side of the normal range and E levels are mid range on the lab results.
I'm not sure how much leeway your doc has given you but it's best to talk to your doc and mention that although you feel somewhat better your libido is still low and you are still experiencing other symptoms associated with low T. I have tweaked my doses to 150mg on occasion which has pushed me above the high range but because I have no Aromatase inhibitor (AI) meds I don't do it very often.
I believe that 100mg/w is a good starting point, keep your Aromatase inhibitor (AI) dose the same and keep researching the Aromatase inhibitor (AI) issue as someone with more experience should be able to help in that department.
If you still plan on having kids, talk to your doc and get some Human Chorionic Gonadotropin (HCG) which will keep your boys working.
Cheers
 
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