Is my doc adjusting too quick? Also got bw results in..

**letsfixit** · 02-17-2013, 01:13 AM

Here is my previous quote from my other thread. Ill be continuing it to seek advice from you all.

"200mg raised my levels to 732
My before was

Testosterone , Serum (Total)---- 342 L -------ref range(ng/dl) 348-1197

Doc gave me a shot Monday and and drew blood next Monday. She gave me another 200mg shot after blood draw. Next Monday results came in and she said my test is 732 and is too high. I told her I never felt better. She says keeping it this high can cause cancer. Prostate or pancreas, I don't remember. She wants my levels to be around 5-600 out of the 348-1197 ref range. Thoughts?"

On the 7th day of being on 100mg she drew blood again. I requested estradiol because she didnt put it on the order.

Testosterone rose to 7.8.0(it keeps censoring numbers for some odd reason) same ref range, free test serum is now 226(82-280), free test dialysis 2.9(1.5-3.2)

Fsh 0.2(1.5-12.4)

Estradiol 51.4(7.6-42.6)

Tsh 1.5(0.450-4.500)

Lh 0.1(1.7-8.6)

It seems my body responds well to low dosage. But I'm concerned she's not letting it 'sit' in my body for a few weeks before drawing again. Do you understand what in trying to say? And what's up with the other stuff? Normal? I'm not on any other medication besides testosterone.

**letsfixit** · 02-17-2013, 01:33 AM

She also wants to lower dosage again. And my lipid profile came back too. Everything was good except LDL. It was 122(0-99)

**Blitz777** · 02-17-2013, 09:16 AM

Assuming your test as a sensitive assay, your estradiol is too high. Look in to an AI or other methods to lower it, Zinc, etc. I can't see why a mid-range TT count would be considered too high by your doc. Did you say that you wanted to maintain at that level and she refused to continue the dosage?

Also, could we get your stats? Age, weight, height, bf%, etc.

**letsfixit** · 02-17-2013, 10:24 AM

Originally Posted by Blitz777

Assuming your test as a sensitive assay, your estradiol is too high. Look in to an AI or other methods to lower it, Zinc, etc. I can't see why a mid-range TT count would be considered too high by your doc. Did you say that you wanted to maintain at that level and she refused to continue the dosage?

Also, could we get your stats? Age, weight, height, bf%, etc.

Her reason to lower dosage, its what standard says. Since it was *** on day seven, wouldn't that make it 900 or something on day one?

Stats: 27, 5'10", 175, maybe 15% bf. Exercise 4 times a week, diet is good

**Blitz777** · 02-17-2013, 10:45 AM

Originally Posted by letsfixit

Her reason to lower dosage, its what standard says. Since it was *** on day seven, wouldn't that make it 900 or something on day one?

Stats: 27, 5'10", 175, maybe 15% bf. Exercise 4 times a week, diet is good

I assume you are using 200mg of cypionate and my recommendations are reliant upon this. To clarify: her reasoning behind lowering the dosage is because "that's what standards dictate?" Never heard that one before. A mid range TT being "too high" for an otherwise healthy 27 year old male makes no sense to me assuming no underlying health concerns. Do you have any you failed to mention?

Your FT is elevated, but not exorbitant. What is her opinion concerning the administration of an AI/hCG ? Your estradiol is too high and you need to get it under control. Have your e2 tested via sensitive assay methodology.

As for a general point of reference Dr. Romeo Mariano, MD, a well-respected TRT specialist claims that optimal TT levels are 650 to 1050 pg/mL on the 348 - 1197 scale.

**letsfixit** · 02-17-2013, 11:49 AM

I was using 200 mg. on the 7th day she drew blood and it was 728. She said it was too high and out me on 100. On the seventh day of that it rose to 7.8.0. That's why I'm asking if she's testing too quick.

In my op quote, the main reason she said she doesn't like these levels is because it could cause cancer.

**Blitz777** · 02-17-2013, 01:22 PM

Originally Posted by letsfixit

I was using 200 mg. on the 7th day she drew blood and it was 728. She said it was too high and out me on 100. On the seventh day of that it rose to 7.8.0. That's why I'm asking if she's testing too quick.

In my op quote, the main reason she said she doesn't like these levels is because it could cause cancer.

Due to the cypionate ester of the testosterone your doc may be inferring that your TT levels are too high after just a week on cyp. If this holds true it would mean that your TT levels would plateau (at week five and beyond) above the level where she'd like them to be, most likely the upper end of the stated range.

Is your doc an endo? What's her TRT experience, specifically treating men?

**letsfixit** · 02-17-2013, 11:44 PM

She has experience with trt, but she doesn't go into too much detail. A red flag was thrown when I asked about hcg and getting a script for it. She told me at it isn't proven yada yada.

What should I tell her tomorrow if she want to lower the dosage below 100mg a week? I feel fine besides the occasional spike.

**Trific** · 02-18-2013, 12:47 AM

You could maybe tell her that you belong to a huge TRT forum and just about everyone is 100mg or more per week and that you'd like to try 100 for awhile rather than jump around so much....

**letsfixit** · 02-18-2013, 10:05 AM

My doc and I went back and of forward today. Pretty much she refuses to prescribe estrogen blockers and hcg because she doesn't have the training on it. And she lowered my dosage to 75mg because she read literature that adults my age on treatment should've 5-600 on a reframe of 340-1200. She wants to draw again Monday.

Her reason, like last time, is because adults on high test that's synthetic will get prostate cancer when they are older.

I said I'm switching to my pcp to get treatment, so ill be discussing with him Wednesday to get going with him. He seems more in tune and motivated than this doc.