I started TRT about 12 weeks ago and just had my most recent labs done after getting on a good trt schedule. I was wanting to see if anyone could give me any advice on changes or things I may want to look out for based on my most recent labs. My Dr. did agree to bump my dose up to 90mg per week (he’s relatively conservative). Here’s a little history prior to starting and along the way up until this week.
Went to Dr. in December 2016 checked T again. He only did Total even though I always ask for full T work up. Surprisingly this came back at
Total T - 193 300-1100.
Dr. said he’d treat this time wanted me to do gel but for all the obvious reasons and my 4yr. old daughter and 2 yr old son I asked for injections. To no surprise he originally wanted to do 100mg T cyp every 3 weeks. I told him why this wasn’t going to be good for me and he reduced it to every 2 weeks with a recheck at 6 weeks. I started IM injects on his schedule for those 6 weeks and like one would expect there were 5-6 good days after a shot, nothing profound, but then 8 pretty bad days. Rechecked bloods after 6 weeks. I asked for a lot more BW but got full T work up and E2.
Total T - 272 250-1100
Free T - 46.9 46-224
Bio T - 102.6 110-575
SHBG - 21 10-50
Albumin - 4.8 3.6-5.1
E2 <5 0-52
These bloods were taken on day 13 about 30 hours before next inject. Dr. saw these and agreed to start weekly doses at 80mg. which I am doing 40mg 2x a week. Since I started doing the shots altogether, even on a horrible schedule, I have noticed a couple positives, and they seem to be increase in libido and way less irritability. I almost actually feel quite calm all the time in a sense. I am hoping to not have to use an AI and am highly considering HCG. although I don’t know when or how much. I would like to see where things are at after 6 weeks of my current regiment but don’t know if that feasible or advisable.
Most recent labs taken about 8hrs. before next injection:
Testosterone Total LC/MS/MS 522ng/dl 250-1100 ng/dl
Free T 120 pg/ml 46-224 pg/dl
Bioavialable 267.7 ng/dl 110-575 ng/dl
E2 12pg/ml 0-52 pg/ml
SHBG 15nmol/L 10-50 nmol/L
Albumin 4.9 g/dl 3.6-5.1 g/dl
AST 32 U/L 0-46 U/L
ALT 25 U/L 0-60 U/L
Total Cholesterol 190
Triglycerides 66 (a little higher than pre trt)
LDL 129 (about 30 points higher than pre trt)
RBCC 5.34 m/mm3 4.40-5.80 m/mm3 (up from 4.9 pre trt)
Hemoglobin 16.6 g/dl 13.8-17.2 g/dl (up from 15.10 g/dl pre trt)
Hematocrit 47.7% 41-50% (up from 44.20% pre trt)
PSA 1.00 ng/ml <4.0ml
My very amateur assessment of these number tells me there could be some room to up the T dose some, how much remains to be seen. I was also wanting to know if upping to say 100mg ultimately, how much that will continue to move my hemoglobin, hematocrit, red blood cell count. I plan on donating blood but have not yet. The other question is how would I adjust my dose or change my regimen based on what appears to be historically lower SHBG. It also appears I don’t aromatize much i.e., lower E2 levels w/o an AI. I also plan on trying HCG to see if it is of a benefit. Not sure yet how much or often. Any advice or discussion is greatly appreciated. Thanks