So, little background:
40 y/o male
6' 220ish, probably low-to-mid teens BF
Starting in January of 2015, I did a 12 week 700mg primo/250mg test cycle, after which I shifted to a TRT dose of test e rather than PCT. I have been on TRT since then, about 145 mg per week.
*Test E 250, injecting 0.25 ml E3D = 145 mg avg.
So, after almost two years of this, I finally got bloods done. I went in for my annual work physical and spoke to my primary care (NP not MD) about (finally) getting a legit scrip. She was way more receptive than I expected, and went over the different options. She ordered blood work along with my other labs so we could see where I was and make adjustments as necessary. She didn't order estrogen or SHBG, so no numbers. Didn't think I'd have to ask for those, but haven't been seeing any issues.
Serum Testosterone: >1500 ng/dL Range: 348-1197
Free Test: 26.8 pg/mL Range: 6.8 - 21.5
LH: 0.35 mIU/mL Range: 1.24 - 8.62
FSH: 0.30 mIU/mL Range: 1.27 - 19.26
Prolactin: 7.82 ng/mL Range: 2.64 - 13.13
PSA: 1.094 ng/mL Range: 0 - 4.0
So, not sure what my total test is obviously, and I don't think(?) there is a reliable way to calculate total from free. I'm sure my PC will want to lower my dosage, and I'll admit I have mixed feelings on it. I feel great where I am and with my current occupation requiring I stay in way-above-average physical condition, I'm hesitant to lower my levels.
I originally went on self-administered TRT not because I had found low T through testing, but because I got tired of the ups and downs from natural production. I like hitting the gym and not feel like I'm dragging ass for no reason - I can understand dragging ass if I didn't get much sleep, or haven't been eating well or something but when I feel good on the way to the gym, don't feel bad generally speaking, but just can't seem to do anything productive in the gym, that sucks. On the level I'm on, I feel great, a lot more consistent, and even my wife says I'm constantly in a better mood (I've always been a pretty moody guy).
So my question is, is there a legit health reason to lower my levels aside from 'this isn't normal'? Full disclosure - my total cholesterol is 204 (barely above the line at 199), but my LDL is 136 (reference range is 0 - 99) - no family history of cholesterol/heart issues. I know there are dietary things I can do to lower that, so my question stands. I've also read somewhere that current research is showing high cholesterol numbers may not be the issue we've always thought, at least in trained populations.
Side note: WBC and neutrophils are also low, but I have no idea if that is connected.