Current Labs (16 July 2018)
- Total T: 996 ng/dL (264 – 916)
- Free T: 28.7 pg/mL (6.6 - 18.1)
- DHT: 103 ng/dL (30 – 85)
- SHBG: 37.3 nmol/L (19.3 - 76.4)
- Estradiol: 22.4 pg/ mL (8.0 - 35.0)
- TSH: 4.2 uIU/mL (0.45 - 4.5)
- T3: 2.9 pg/mL (2.0 - 4.4)
- T4: 1.4 ng/dL (0.82 - 1.77)
- Prolactin: 13.5 pg/mL (4.0 - 15.2)
- IGF-1: 123 ng/mL (49 – 188)
Notes & Conclusions from Current Labs
- This test evaluates the effect of current (higher) Saw & Pygeum protocol with a lower dose TRT protocol at 100% of prescribed dose (previously 114% of prescribed)
But more than one test (as you know) will be needed to properly evaluate it.
DHT: Still of the range. Cost of this much Say/Pygeum is prohibitive. Need to lower T dose more and/or live with borderline high DHT. Plan to decrease Saw/Pygeum dose down to label recommended dose (2X caps each 2X per day). Not interested in trialing Finasteride at this time.
Your DHT isn't high at all imho. I've found over the years that most everyone on TRT has an elevated dht level. Mine surely is as well before fina.
Total T: Up slightly from prior lab, probably due to a slight increase in SHBG. Higher than my target 800-900 ng/dL and slightly higher than the upper end of the 'normal' range.
Snapshot in time though
SHBG: About perfect at 5 mg Stanozolol per day, but thyroid hormones are at the low end of the range. Therefore, I suspect that SHBG might go up when I increase Armour Thyroid back to 60 mg/day. This will help to bring Free T closer to range but may bump up Total T a little more. May need to reduce Total T a little more to optimize. Consider 40mg/day (0.2 mL of pure T-cyp), which is about 98% of prescribed dose, but at a steadier state than with T-Prop mixed in.
Yes and yes.
IGF-1: This test was supposed to evaluate optimization of amounts and ratios of IPA and CJC-1295 200/250 mcg 2X daily (Total daily dose of 400/500) to 300/125 2X daily (total daily dose 600/250). It's difficult to determine if the drop in IGF-1 is serendipitous or an actual result of the change in protocol. Plan to increase frequency to 3X per day and increasing dose to about 900 mcg IPA per day (300 3X), while keeping the more expensive CJC-1295 relatively constant at about 250-300 mcg. Need to reformulate with HCG to account for 3X dosing and need to evaluate cost of the program too. Goal is to maintain >200 ng/mL IGF-1, which is about the 50th percentile for a 25-35 year old man.
Always found it hard to obtain consistency with peptides.
Estradiol: I dropped the dose of anastrozole from 0.5 to 0.3 mg per week (5 drops per day to 3 drops per day). is well within range at 3 drops (0.3 mg) anastrozole per day. E did not change at all and is in a good range. There may be benefit for GH secretion to letting E drift up a little. I plan to discontinue all anastrozole to see whether E control is even needed with my protocol, particularly if I drop T-prop from the mix.
Solid! In my opinion you'd be fine with your E2 at the top of the range or slightly higher. For me there's a noticable difference in libido from mid range E2 to slightly above range. It also allows for higher IGF-1 and GH levels as well.
Liver Enzymes: This test evaluated the effect of 5 mg stanozolol in combination with 1 naproxen per day on liver enzymes. AST, ALT and Alk. Phos. were all within range. Therefore, current protocol does not appear to overly tax the liver.
Thyroid Hormones: Decreased Armour Thyroid dose from 60 mg to 45 mg per day. It looks like 45 mg may be too low. T3, T4 and TSH were all within range, but nearing the low range for T3/T4 and high range for TSH. I plan to increase the dose back to 60 mg per day and leave it there. There appears to be enough suppression of SHBG with Stanozolol to compensate.