Summary:
- Some of your labs are not very useful because of injecting once a week.
- SHBG is very low which means that T dose should be reduced.
- Blood too thick, reduce dose and inject twice a week.
- Retested hormones after changes.
Your T is making your blood too thick.
- Donate blood if you can.
- Do not get dehydrated.
- Avoid iron fortified:
- flour and mixes
- rice
- pasta
- vitamins listing iron
SHBG is very low.
Glucose was very good. So we will not associate your low SHBG with insulin resistance or diabetes. Some guys simply have low SHBG. With low SHBG there is less T tied up in SHBG+T and there is then more FT and Bio-T. Your T status is much higher than your TT implies and again you should reduce T dose and low SHBG and these factors can be part of why your blood is getting too thick.
Avoid dehydration. Be aware of pulse and resting BP.
You should reduce T dose.
ALT may be high from lifting and sore DOMs muscles.
HDL needs improvement
Injecting twice per week reducing peaks will help.
With injections once a week your hormone levels change a lot and then lab results are strongly determined by lab timing. Inject twice a week and always do labs halfway between injections.
E2 looks good. But unknown because of above.
Reduce T to 100mg twice a week.
Take 1mg anastrozole at time of injections or calculate to 2mg/week divided EOD
Stay on this for two weeks and test:
- TT
- FT
- E2
You did E2 with a 8.0-35 range. The upper bound it a bit lower than we see for Labcorp. Do not know if that has any significance.
Then we can refine E2 further based on labs.
Example: If you get E2=28 and target is E2=22, new dose = old dose X 28/22. Same method will down calculate dose as well.
With TRT guys we often see that when SHBG is very low they simply do not find a balance very easily. Perhaps others have suggestions from there experiences.
if you stop TRT you will be miserable and then have to do all of this later again.
Thyroid: Most guys who come here have some issues. Please evaluate via oral body temperatures - see below. This is important and not a side issue.
- Age=41
- height
- weight
- waist size
- fat
- fat patterns
- diet
- supplements
- health problems
- medications Rx and OTC
Do not test prolactin again.
You are not using hCG. At your age fertility probably not a concern.
HDL:
- fish oil, flax seed oil, nuts - for EFA’s [Biotest Flameout]
- high potency B-complex multi-vit with 150-170mcg iodine, 150-200mcg selenium with other trace elements and without listed iron - aka men’s formula.
- DHEA 25mg EOD, test DHEA-S later on
- Any leg or foot cramps - magnesium deficiency [Biotest ZMA]
Now the fun part: Please read the stickies found here: About the T Replacement Category - #2 by KSman
- advice for new guys - need more info about you
- things that damage your hormones
- protocol for injections
- finding a TRT doc
Evaluate your overall thyroid function by checking oral body temperatures as per the thyroid basics sticky. Thyroid hormone fT3 is what gets the job done and it regulates mitochondrial activity, the source of ATP which is the universal currency of cellular energy. This is part of the body’s temperature control loop. This can get messed up if you are iodine deficient. In many countries, you need to be using iodized salt. Other countries add iodine to dairy or bread.
KSman is simply a regular member on this site. Nothing more other than highly active.
I can be a bit abrupt in my replies and recommendations. I have a lot of ground to cover as this forum has become much more active in the last two years. I can’t follow threads that go deep over time. You need to respond to all of my points and requests as soon as possible before you fall off of my radar. The worse problems are guys who ignore issues re thyroid, body temperatures, history of iodized salt. Please do not piss people off saying that lab results are normal, we need lab number and ranges.
The value that you get out of this process and forum depends on your effort and performance. The bulk of your learning is reading/studying the suggested stickies.