High Free T & Estradiol, 100mg Every 10 Days?

I just had my first 3 month check up with my doctor after being placed on Test C IM injections. At first she told me to take 200mg every 2 weeks, I talked her into letting me split the dose and have been taking 100 mg every week. Based on my lab results below, she has told me to take 100 mg every 10 days now, instead of 7 days. I was expecting her to put me on an AI but she did this instead. Is this the right approach?
I have a prolactenoma and take cabergoline as well.

TESTOSTERONE, TOTAL, MS

870

TESTOSTERONE, FREE

276.0 H

TESTOSTERONE,BIOAVAILABLE

531.5

SEX HORMONE BINDING GLOBULIN

12

ALBUMIN,SERUM

4.2

ESTRADIOL

104 H

WHITE BLOOD CELL COUNT

7.6

RED BLOOD CELL COUNT

4.77

HEMOGLOBIN

14.0

HEMATOCRIT

42.7

MCV

89.5

MCH

29.4

MCHC

32.8

RDW

12.8

PLATELET COUNT

211

MPV

11.9

ABSOLUTE NEUTROPHILS

4400

ABSOLUTE LYMPHOCYTES

2219

ABSOLUTE MONOCYTES

699

ABSOLUTE EOSINOPHILS

251

ABSOLUTE BASOPHILS

30

NEUTROPHILS

57.9

%

LYMPHOCYTES

29.2

%

MONOCYTES

9.2

%

EOSINOPHILS

3.3

%

BASOPHILS

0.4

%

PROLACTIN

9.9

PSA, TOTAL

1.3

Hey bud, need to throw up the ranges. As your total test doesnt look high. If anything would be in range or just over.

Your E2 is is high but within range.

Now that range is comparing against my labs ranges. So the could be completely different from your labs ranges.

But breaking the shots down to EOD is typically better it provides more stability

here are the ranges.

Also this test was done 3 1/2 days after injection. fasting

TESTOSTERONE, TOTAL, MS

870

250-1100 ng/dL

TESTOSTERONE, FREE

276.0 H

46.0-224.0 pg/mL

TESTOSTERONE,BIOAVAILABLE

531.5

110.0-575.0 ng/dL

SEX HORMONE BINDING GLOBULIN

12

10-50 nmol/L

ALBUMIN,SERUM

4.2

3.6-5.1 g/dL

ESTRADIOL

104 H

< OR = 39 pg/mL

WHITE BLOOD CELL COUNT

7.6

3.8-10.8 Thousand/uL

RED BLOOD CELL COUNT

4.77

4.20-5.80 Million/uL

HEMOGLOBIN

14.0

13.2-17.1 g/dL

HEMATOCRIT

42.7

38.5-50.0 %

MCV

89.5

80.0-100.0 fL

MCH

29.4

27.0-33.0 pg

MCHC

32.8

32.0-36.0 g/dL

RDW

12.8

11.0-15.0 %

PLATELET COUNT

211

140-400 Thousand/uL

MPV

11.9

7.5-12.5 fL

ABSOLUTE NEUTROPHILS

4400

1500-7800 cells/uL

ABSOLUTE LYMPHOCYTES

2219

850-3900 cells/uL

ABSOLUTE MONOCYTES

699

200-950 cells/uL

ABSOLUTE EOSINOPHILS

251

15-500 cells/uL

ABSOLUTE BASOPHILS

30

0-200 cells/uL

NEUTROPHILS

57.9

%

LYMPHOCYTES

29.2

%

MONOCYTES

9.2

%

EOSINOPHILS

3.3

%

BASOPHILS

0.4

%

PROLACTIN

9.9

2.0-18.0 ng/mL

PSA, TOTAL

1.3

< OR = 4.0 ng/mL

Through the roof wow.

So yea your test i would consider to be a healthy male. When was this test taken compared to when you injected?

However, your E2 is through the roof. How is your libido, erection, weight, water retention???

Splitting your doses will help reduce your E2 but if you are feeling great why change?

You need to be on 50mg E3.5D. That protocol is throwing you for a ride. Your SHBG is low and you would benefit from more frequent injections.

When was your test drawn in relation to injection day?

Libido is down, erections suck and I continue to gain weight. I’m 5’11 and 270lbs. No water retention and no sore nipples.

what is E3.5D?

I dosed on Friday night and the test was done on Monday Morning.

Big boy, dont stress. Were you always this big?

Ok so EOD is breaking your total requirement over the prescribed 2 week period and injecting every other day.

Or if you inject monday morning and then thursday night that every 3.5 days.

This will stabilize your test, reduce your E2.

Then after a while will drop the body fat.

Ive been there im naturally deposed to E2 and fat. Stupidity this winter saw me put on 40kgs - 88lbs from drinking with my neighbor most nights of the week.

U really need a complete metabolic panel and thyroid panel. That checks glucose and liver function. Esp since your shbg is on the low end.

I personally would not jump to more than 2 injections a week. Shbg number can vary greatly from one day to the next. Sometimes in the same day.

You may want to do 80-90 mg a week if u do 2 injections a week.

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E3.5D means Every 3.5 Days (ie. Monday morning , Thursday Night).

Test Cyp peaks at about 2-3 days after injection. This makes a little more sense. On the seven day injection cycle, with a low SHBG, your test had peaked and was coming back down a tad but your low SHBG still had your free T up there. You should schedule your tests on trough days (day before next injection) on that wide of a protocol. Your E2 is high which is suggesting that you have a high aromatase rate, which is another reason you should inject less amount at more frequent intervals.

So was mine at 3 months. Uro said don’t worry about it, come back in 3 months with new bloodwork. BINGO BANGO it settled down to LOW-NORMAL, naturally. :))))

I’m not heavy though. YMMV, just sayin’… :slight_smile:

Not stressing. I have been on this roller coaster ride for a couple of years now. they diagnosed me with a prolactenoma and put me on cabergoline. they tried to jump start my testosterone production with Clomid at first. It brought my levels up to a very high range but as soon as I stopped taking it my levels drop again. I went through 3 cycles of that before being put on the gel. the gels first round didn’t bring levels up enough, so then she put me on the max dose of gel. that didn’t bring it up high enough either. so here I am on the shots. this was my first visit upon starting them. I’m just tried of trying to get dialed in. I want to feel good for a change. I do feel better, so i guess I cant complain too much, but I know I should feel better.

I was misdiagnosed for years, so my trust in doctors is a little skewed. you hear so much on these forums and online about some doctors seemingling making bad choices when it comes to TRT and their patients, i’m just trying to make sure my doc is not one of them.

I have carried a few extra pounds my whole life, but was never too fat. Here within the last 10 years, going through these issues i have steadily increased in weight.

she is going to run those test and seems to be inline with what you are saying. she is just lowering the dose by spacing out the injections. I guess I need to just trust her and see what happens.

Interesting, i wish it was that easy for me lol

thats what she said. she said that it should trend down. i will follow what she says and see.
what does YMMV mean? Lol!

I don’t think you should lower dose by spacing out more. If you want to stay close to what she wants then stay at 1x a week and lower dose to 80 or 90.

My Dr wanted every 2 weeks then I convinced every week. Then did 2 x a week.

1x a week is possible. Whatever you decide don’t keep changing until at least 6 weeks.

@garcs082, dont trust her that will be your downfall.

Question amd reseach everything and stay on top of it. I didnt stay on top of it because i was drinking and getting fat so i didnt care.

Now im having to restart and re-stablise. But this time its basically without any support from my endo he told me the other day basically buy test, hcg and ai if needed online.

These doctors dont care they just want money. So always question and research

Doc told me to take it in the middle of each dose.that’s why I took it at 3 1/2 days. I’ll ride this one out and see how it goes. if it doesn’t normalize, I’ll tell her i want to try the E3.5D. Thanks for your comments.

Great point, pick your protocol and stick it out through the good and bad for 6 weeks.

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Are you self injecting or are you having to go to her office for your injections?

Nm… after re reading your first post it is implying that you self administer your own injections. If this is true then ignore this question…