As a brief overview…I’ve been the exact same weight for the last 20+ years and have been on TRT for the last 2 years. I’ve always been naturally muscular and lean/toned. It was when I suddenly started losing muscle and gaining fat that I looked to TRT (aged 52 at the time).
TRT got me back to where I had always been. Nothing extra, and I wasn’t looking for extra.
So then, I was started off at 150mg T and 1.5mg anastrozole per week and that worked fine and levels were good (albeit high) at 1600 total T and 210 free T. My doc goes by results and not numbers, so he was happy with that.
I was happy with the results but experimented with lower doses, but they always ended up with me losing muscle again and putting on fat (diet, sleep, and exercise, is tip-top and consistent).
So I went back to 150mg T along with 1.5mg anastrozole (split into twice a week SQ). Everything went back to fine and dandy except for getting back my latest labs…
2500 ng/dl total T and 574 pg/ml free T.
I was in shock. And I don’t even feel any different. Still same weight etc…
I see my doc in a couple weeks to go through the latest labs but I’d like to get a head-start on what’s happening. How can my levels swing so wildly on the same dose? As an added complication, I had my doc test me for SHBG this time and I was very high at 63nmol/L.
I’m thinking this plays a role somehow…maybe it takes a large dose to overcome the SHBG, but once it’s overcome, the levels build dramatically? Maybe I need to micro-tune a correct dose? Maybe my SHBG levels are inconsistent?
Also, my next shot is later tonight. Should I skip this shot entirely or just reduce my dose?