I am one month in on TRT and need help interpreting bloodwork as well as protocol. Current protocol is .5ml twice a week of cypionate and now due to high estrogen levels .5mg of anastrozole 2x weekly day of injection. Stats and bloodwork are:
First results before starting TRT:
Labs after 1 month on TRT
Estrogens 208 (confused why Dr tested total estrogens vs 1st blood test of Estrodiol and I was told 208 is extremely high)
Free testosterone 37.3
On second round of blood work there was no SHBG done or PSA. I’m not sure if this is normal.
My main questions are how to interpret Etradiol vs total Estrogen and could the high values be the cause of some of my side effects. Unable to concentrate at times (brain fog), anxiety, trouble sleeping.
Also my Dr didnt seem to be concerned that my Testosterone was over 1500. I have always run high (900ish) even before TRT several years ago which is why he considered my starting point of 609 low since I had all the classic symptoms of low T. Is there a considered safe level? The last question is what other bloodwork should I be asking for since this Dr that has very high reviews doesn’t seem to order all the bloodwork recommended in most threads. Also any thoughts on my protocol would be greatly appreciated. Thanks in advance.