T Nation

Need Expert Advice on Recent Labs!

I am looking for some answers to my recent blood work. I am a 46 year old male who has been on TRT for about 5 years now. I workout regularly and am somewhat muscular. My libido is not even close to what i believe it should be. Can someone please help.

Just to say I was using 200mg a week Test Cyp divided into 2 shots of 100mg Mon and Thurs along with one pump of Axiron under each arm every day. Also, 1mg of Arimidex on Mon and Thurs.

My recent lab work is below:

Total Test 2,909 Range 250/1100 ng/dl
Free Test 791 35/155 pg/ml
PSA 0.9 under 4.0 ng/ml
Estradiol 42 Under 39 pg/dl
DHEA S 151 45/345 mcg/dl
TSH 6.97 .40/4.50 miu/l
Vit D 25Hydr. 33 9/46 u/l
DHT 209 16/79 ng/dl

Can someone please decipher this and shed some light on why my libido isn’t to the moon?

Any input would be greatly appreciated.

realtor29, I’m just a noob here, but it looks like your estradiol is high, relative to what the stickies say is optimum.

Just my .02

Cheers, and good luck!


Thanks for the reply. That’s what my doc said and told me to take the Adex Mon, Weds, Fri and Sat and to stop the test shots and to go to one pump a day of Axiron.


My estradiol was at 45, on my last test, measured the day of my injection, prior to my injection. If I were to make a guess, my estradiol would’ve tested higher if I got tested the day after my injection. With that being said, my libido is great. So I’m not sure if the estradiol is your issue. But I’m new to this TRT stuff.

I’m assuming your test was done at or near your peak, because your total test is 2,909. Is this a realistic number for trt? It seems very high to a newbie like me. From what I’ve read, that seems like a total t reading of someone on a cycle, not on trt. I thought trt was testosterone REPLACEMENT therapy, meant to replace test levels that have declined.

I’m not trying to start anything. I’m just trying to learn as much as I can, so please don’t take my questions as offensive. Just inquisitive.