Hey all. I am new to T-Replacement and hoping to ask a few questions. Been through quite a few posts here, but still really new to all of this.
Its been 7 weeks since I started TRT via an Endocrinologist. I won’t bore everyone too much with the 2 years of tests and re-tests and different doctors before I finally got to that point. However, I should mention that I did all the MRI’s and other tests that from what I understand from this forum and others are necessary before taking that first step.
For reference my last test at the Endocrinologist before I started T was:
Cortisol Total Volume - 3000 ml
Cortisol Free, Urine - 41.2 mcg/24 Range 4.0-50.0
Creatine, 24-hour urine 2.89 g/24 Range 0.63-2.50
Prolactin 4.70 ng/ml Range 2.1-17.7
FSH 3.20 mIU/ml Range 1.4-18.1
LH 2.60 mIU/ml Range 1.5-9.3
Free T-4 0.91 ng/ml Range 0.60-1.55
TSH, Sensitive 2.08 mIU/ml Range 0.35-5.50
T-3, Free 3.08 pg/ml Range 2.3-4.2
Insulin-Like Growth Fact I 240 ng/ml Range 86-220
Testosterone, Total 213 ng/dl Range 250-1100
Free Testosterone % 1.80 Range 1.50-2.20
Testosterone, Free 38.3 pg/ml Range 35.0-155.0
Waking body-temperature 96.8
My starting protocol is 200ml bi-weekly. After 6 weeks and the day before my 4th shot I went to get an independent blood test for DHT (I have some male pattern baldness), Testosterone and Estrogen.
All of which I did so I could get some facts together before I see the doc again, as from these posts I sense that I should ask for Hcg and an AI. I also choose that day as the doc wants to re-test my blood the day before my 6th shot. My tests came back today with the following
Dihydrotestosterone 21 ng/dL Range 30-85
Testosterone, Serum 418 ng/dL Range 280-800
Free Testosterone(Direct) 29.5 pg/mL Range 6.8-21.5
Estradiol 14.9 pg/mL Range 7.6-42.6
Estrogens, Total 55 pg/mL Range 40-115
Estriol, Serum <0.3
Waking body-temperature 96.8 (still)
Finally, I am a 6’4" 42 year old male, weighing 260lb (I was 300 5 months ago) and bent on getting to 220lb (or whatever level, gets my body fat below 14%) Not sure of % now, but I do have plenty of fat to lose. I am a lifetime sports guy with about 15 years of lifting experience, so I do have a fair bit of muscle under there. I am also on a 2,200 calories a day regimen (all good food, steel rolled oats and all), with one day a week at 3,400 calories. Bike 30+ minutes a day, 5 days a week and workout (medium intensity) 30 minutes 2-4 times a week. Shooting to lose 2lb a week. I supplement with OxyElite Pro, 1 DHEA 25, a Multi-vitamin and two Gaspari Novadex Xt
So on to my question. My test results surprised me both with low DHT and lower Estrogen (I do take two Gaspari Novedex Xt every night). Though what really got me was the high Free Testosterone. I had been planning to ask the doc to increase the dose and make it weekly as I do feel better than before in that if I was at 0% before I feel 60-70% now and want to get to that banging 100% if that makes any sense. So now with this high Free, moderate total, low DHT and Estrogen I am wondering if I can even make that request.
So to the point, please let me know what you think of my tests, what I might want to consider going forward and what I might be missing here. Would certainly like to get the dose to 150ml weekly with some Hcg at the very least. AI option as well if possible. Certainly do not want him to reduce the dose as this is the best I have felt in 5 years even if it is still sub-optimal.