New Bloodwork after starting TRT

[jaybigboy34]

First bloodwork after being on shots for 6 months. Taking 200 every 2 weeks. I know i need to take it more often but my dr wants me to stick with this protocol for awhile. He has now changed it to 250 every 2 weeks after this bloodwork. My question is other than my T not being high enough yet, does anything else look bad that i may need to be conserned about? Bloodwork was taken the day I was due my next shot. It was taken right before i got my shot.

Creatinine 1.14 Range 0.5-1.4
Glucose 120 Range 70-99 non fasting range 70-179 (i didn't fast)
Bun/Creatinine 15.8 Range 7-20
Estradiol 21 Range 7.63-42.6
Hemoglobin 17.1 Range 13-16
Testosterone Total 424.56 Range 250-890
Testosterone Free 1.9 Range 1.6-2.9
Testosterone Free 79.7 Range 47-244
Sex Hormone Binding Globulin 38 Range 13-71

[effinmo]

Problem is that the shots are too far apart! That test # is when you test level is at its lowest. Several days after your shot your le el would quite a bit higher. More shots more often and you will be more stable hormone levels. Switch to once or twice a week would be better.

[jaybigboy34]

Yes I know I need to take the shot more often, but I was mainly wanting to know if all my other bloodwork looked ok or not.

thanks

[bass]

Your e2 test is not the correct one, that test is for women, so we really don't know what your e2 level is. You need to donate blood ASAP, your hemoglobin is high, i bet your RBC is high as well. Your SHBG is a tad high but not too concerning, it should be around 30. I agree with the above, do weekly shots at a minimum.

[jaybigboy34]

Bass, thanks for the reply. I have a couple of questions for you. e2 is estradiol right? if it is my paper had a range that said the followin on it.

Estradiol level 21
Non-pregnant females range 12.5-166 pg/ml
Mid-follicular range 43.8-211 pg/ml
mid-luteal range 85.8-198 pg/ml
peri-ovulatory range <5.0-54.7 pg/ml
Males range 7.63-42.6 pg/ml

I told them the sensitive test for estradiol so is this not the right test? What exactly does high hemoglobin mean? Sorry for asking so many questions.

thanks

[xcraider37]

Bass, thanks for the reply. I have a couple of questions for you. e2 is estradiol right? if it is my paper had a range that said the followin on it.

Estradiol level 21
Non-pregnant females range 12.5-166 pg/ml
Mid-follicular range 43.8-211 pg/ml
mid-luteal range 85.8-198 pg/ml
peri-ovulatory range <5.0-54.7 pg/ml
Males range 7.63-42.6 pg/ml

I told them the sensitive test for estradiol so is this not the right test? What exactly does high hemoglobin mean? Sorry for asking so many questions.

thanks

The lapcorp Roche method that you had is a well respected method for checking e2 in men. If using quest go with the sensitive essay. Lab corps sensitive cannot be trusted, from the research i have done.

[steroid.com 1]

The blood work is useless to be honest.

As noted, shots every two weeks in consideration of Testosterone Cyp half life of 5 to 8 days equates that to day 10 to 16 when your serum levels are depleted.

That's why at 200mg every two weeks your Total serum level is 424 and Free at 1.9...

You need to have a serious discussion re half life of the drug with your Doctor and get on at least once weekly if not twice weekly.

[jaybigboy34]

thanks for the reply gdevine. I have a question. I know my total T is low because of just getting the shot once every 2 weeks, but are you saying this is also affecting my e2 level to read low at the end before my next shot? I thought i read somewhere where you said that it doesn't matter when you test for e2 that is should stay pretty consistant throughout?

thanks

[steroid.com 1]

thanks for the reply gdevine. I have a question. I know my total T is low because of just getting the shot once every 2 weeks, but are you saying this is also affecting my e2 level to read low at the end before my next shot? I thought i read somewhere where you said that it doesn't matter when you test for e2 that is should stay pretty consistant throughout?

thanks

I don't think I said it in quite that context; E2 doesn't have the half life of say Testosterone which peaks at about 72 hours after injection and half life of 5 to 8 days so they are a bit more stable in that regard and don't swing as wildly in such short duration.

Many variables will effect E2 levels and probably one of the biggest on a TRT protocol is timing of injections and dosage amounts.

The greater the dosage amounts and further apart the injections causes Testosterone serum levels to peak and trough where this in turn peaks E2 and then dumps it when Testosterone serum levels return to baseline essentially seating a the man on a hormonal roller coaster.

When a man injects testosterone on a more frequent and consistent basis with lower doses serum levels become much more stable and timing of the blood work less important as opposed to your scenario.

[bass]

The lapcorp Roche method that you had is a well respected method for checking e2 in men. If using quest go with the sensitive essay. Lab corps sensitive cannot be trusted, from the research i have done.

can you please clarify, is this based on your personal opinion?

[bass]

Bass, thanks for the reply. I have a couple of questions for you. e2 is estradiol right? if it is my paper had a range that said the followin on it.

Estradiol level 21
Non-pregnant females range 12.5-166 pg/ml
Mid-follicular range 43.8-211 pg/ml
mid-luteal range 85.8-198 pg/ml
peri-ovulatory range <5.0-54.7 pg/ml
Males range 7.63-42.6 pg/ml

I told them the sensitive test for estradiol so is this not the right test? What exactly does high hemoglobin mean? Sorry for asking so many questions.

thanks

high hemoglobin and high RBC means your blood has gotten thick, prolonged high levels will put you at risk of heart attack or stroke. thick blood can produce clots, so donate ASAP so you can get your levels down to normal. all of us on TRT do it, and its part of TRT. labcorp e2 sensitive assay range is 3-70, i do it all the time at labcorp. the one you did is mainly for women.

[jaybigboy34]

gdevine, thank you for clarifing that for me. So another words my e2 could be 40 when i first get my shot and then drop down to the 21 it is now?

[steroid.com 1]

gdevine, thank you for clarifing that for me. So another words my e2 could be 40 when i first get my shot and then drop down to the 21 it is now?

Yes, very possible.

Let me state again; you need to discuss Testosterone half life with your Doctor and explain that you are sick and tired of feeling good then feeling really bad bewteen injections.

Explain the peak and half life time lines with him and insist on a weekly schedule.

Are you injecting yourself or going to his office?

[jaybigboy34]

I never said i felt bad in between injections, but i am sure I would feel even better if I changed it to at least once a week. Don't quote me on this but the dr told me that he wanted my total T to be on avg around 800 during the 2 week period. So of course that means it will be higher than 800 in the beginning and lower than 800 before my next shot. But i was thinking he said that taking the shot more often could be hard on your body for some reason. Maybe something about your bones? Like I said I can't remember exatcly what he said but it was something like that. But he said that if once every 2 weeks wasn't working then he would try once every week after doing more blood work. I'm getting my injection at the office.

[xcraider37]

can you please clarify, is this based on your personal opinion?

My research was done on other forums one which is run by a certain doctor in Lansing, mi. Many have found the lab corp test to give false low results. Plus you yourself had both test done and if i remember your results were identical. I am not saying not to get the sensitive essay, my problem is saying the other test is useless.