Scary change in blood work

[Frank0]

Was on 100mg test cyp (weekly) for about 6 months and total test was 440. Everything else was in the normal range. Not feeling great so Dr bumped to 200mg a week. This goes on for 2.5 month before I was just retested.

Tested on 4th day after injection-

Total test 1440 (348-1197)
Free test 39 (7.2-24)
Estradiol 81 (7.6-42)

LH .2 (1.7-8.6)
FHS .2 (1.5-12.4)

I actually feel about the same, only difference is not sleeping quite as well. I am seeing a hormone specialist in a week, but I wanted to see if I could get an opinion or two here as to what he'll likely change. I assume an estrogen blocker and reduction in test?


Thank you!

[kelkel]

Why do so many doc's want to slam that dose up high so quickly instead of smaller, incremental titrations. Simply makes no sense to me.....

A reduction in dose as you assumed.
The proper estrogen test would be a positive change. Needs to be a sensitive assay. I can give you the lab-corp codes if needed.
Go easy if you use an AI as you'll be reducing your T dose as well. AI's are most effective the day after your test shot.
Consider splitting whatever your new dose will be in half and injecting every 3-4 days. It maintains serum levels better and helps manage E2 better. Think less injected at one time = less spike in E2.
Keep a close eye on your hematocrit every time you pull blood. Donate routinely if needed.

LH/FSH will always bottom out on TRT. No need to test them any further.

[jump100]

I'll let the experts chime in, but you really need to bring that estradiol down as soon as possible. What I find interesting is that with just 100mg of test cyp your serum really built up in six month with such low dose.

[Frank0]

Why do so many doc's want to slam that dose up high so quickly instead of smaller, incremental titrations. Simply makes no sense to me.....

A reduction in dose as you assumed.
The proper estrogen test would be a positive change. Needs to be a sensitive assay. I can give you the lab-corp codes if needed.
Go easy if you use an AI as you'll be reducing your T dose as well. AI's are most effective the day after your test shot.
Consider splitting whatever your new dose will be in half and injecting every 3-4 days. It maintains serum levels better and helps manage E2 better. Think less injected at one time = less spike in E2.
Keep a close eye on your hematocrit every time you pull blood. Donate routinely if needed.

LH/FSH will always bottom out on TRT. No need to test them any further.

Yes my hematocrit was 51.3 (37.5-51)


Thank you kelkel for the insights and advice. Always good to be prepared for a doctor visit.

As a side note I find it strange that with a level as high as mine I've noticed few changes other than the sleep and growing a little hair in a spot on my back. I would have thought I'd see something more dramatic. I take it that the estrogen must be blocking some of the effects of the testosterone.

[lovbyts]

Why do so many doc's want to slam that dose up high so quickly instead of smaller, incremental titrations. Simply makes no sense to me.....

A reduction in dose as you assumed.
The proper estrogen test would be a positive change. Needs to be a sensitive assay. I can give you the lab-corp codes if needed.
Go easy if you use an AI as you'll be reducing your T dose as well. AI's are most effective the day after your test shot.
Consider splitting whatever your new dose will be in half and injecting every 3-4 days. It maintains serum levels better and helps manage E2 better. Think less injected at one time = less spike in E2.
Keep a close eye on your hematocrit every time you pull blood. Donate routinely if needed.

LH/FSH will always bottom out on TRT. No need to test them any further.

Do you like using Lab-Corp? I tried to use them a few times and find the site hard to use. I find Private MD much easier and everything is right there. You dont have to schedule an appointment either, just go in when you have time.