My search found one forum that discussed high Total testosterone, though it did not help to resolve my situation. The post was over my head, and focused on the specific conditions of the person who posted it, which is logical and good. So here goes for my questions, predicament.
I need a lot knowledgeable input.
I am 55 years old. Low T, hormones, endocrinology a mess. Suffering terribly, highly debilitated (mentally, emotionally and physically). Many conditions, symptoms, complex situation. Long story. I can tell you what you wish. I run into road blocks with something, my medications or what, each time I try to go forward to try heal these conditions.
Thanks for your patience with the complexity of my situation. I wish to focus my post on low T, hormonal, endocrinology and related topics.
Main question: How can I lower my high Total testosterone? It looks far too high, double what it should, dangerous - is it? I cannot raise up my low Free testosterone without raising my Total testosterone far too much. To lower my Total testosterone to 1,000 ng/dL, I would have to lower my Free testosterone to low 100 pg/ml, or lower than 100 pg/ml.
This is a constant guessing game of trying to keep my Estradiol within safe range with gauging how much Anastrozole to compound, and how much T cypionate to inject.
What are the healthy ranges?
I thought that, for TRT, healthy range (despite what most doctors or testing places say) is:
Free T: 250 to ? pg/mL.
Total T: 800 to 1100 ng/dL.
Estradiol: 20 pg/mL to mid 20â??s, with low mid 20â??s ideal
All tests are done by ordinary blood testing facility (not sure if I can say the name, so I will leave it out.) I can supply more data from test results if you ask for specifics, and can test for what you wish with my future tests. Just ask, say what to test.
My body responds a lot to tiny changes in doses of T, and Anastrozole, making it particularly hard to balance. After months, I can get a balance, but then Free T is too low or Total T is too high, a mess.
I am sure a lot of my other hormones and endocrinology are all off.
I also have adrenal exhaustion (not from blood tests but from how trainers have to told me; a symptom diagnosis sheet that a naturopathic uses for all his patients shows I have the highest, severe adrenal exhaustion. Road block: I cannot take most or all herbs or supplements for adrenal exhaustion, or other conditions, from serious interactions with my other medications).
Present Dose of Testosterone Cypionate (since February 27, 2015, which is since March)
(my testosterone bottle says 2,000 mg/10mL or 200mg/mL):
1 injection (front thigh) every 3 days
per injection: 35 mg = 0.175ml = 0.18 ml (I draw my syringe to 0.19ml)
Present Dose of Anastrozole: (since May 19, 2015)
1 compounded capsule every 3 days, same day and time I take my T injection
1 compounded capsule - 0.3125 mg (or 5/16 of 1mg pill, or 1/16 more than 1/4 of a 1 mg pill.
June 29, 2015, 8:02 AM test results (fasted from 12:00PM prior night, 8 hours)
Total T................ 2143 ng/dL
Free T.................. 225.6 pg/mL
Bioavailable T.......522.8 ng/dL
Albumin, serum....... 5.1 g/dL
Hematocrit............. 51.9 %
DHEA sulfate......... 89 mcg/dL
Estradiol................. 24 pg/mL
I am speaking to my Dr. in the following days about this. I think he wants me (and I also want) to get a therapeutic phlebotomy (at the Red Cross, which will not let me donate, so I have to get a therapeutic phlebotomy) to bring down Hemoglobin, Hematocrit, as I have done at times this year.
I am not sure but suspect that my doctor will ask me to cut down on my T cypionate dose, which means to cut down on my Estradiol...to our guess of what...fraction of a fraction of a small pill to be compounded. If I Iower my T dose just slightly, my Free T drops many points, so then we wait, and watch, then raise it with the same problems.
This is what we are doing, playing games just going back and forth raising my T because it leaves me with so little energy and symptoms with unhealthy low T...though I still have little energy and symptoms on my present dose of T; and then lowering my T when my Total T is too much for my doctor (and me, scares me that high). I am not getting anywhere and still am symptomatic. I must lay in my bed 11 or 12 hours a day from how tired my body is, and my worst symptoms are in the morning (actual terror, and other symptoms, which last 24 hours a day though are most torturous as the morning progresses).
(FYI. I cannot afford doctors who know how to treat low T and male hormonal, anti-aging conditions; I am on disability, only have Medicare/Medicaid. Someone suggested an affordable Dr. who I cannot go to for other reasons. My present doctor is smart, though this is not his area of expertise, and he does not know what to say about my low T, like most other doctors. I also do not know what to say or do. My doctor is the best I can find who, past my staring T cypionate injections, at least listened to finally let me take Anastrozole to lower my Estradiol. He told me to get therapeutic phlebotomies for my hemoglobin and Hematocrit when I asked if we could do something other back and forth lowering my T dose and raising it to control Hematocrit. All other doctors I went to, including the best endocrinologists, were highly ignorant, clueless, and cared little or not at all. So, I must work with what I have, to do my research, which I am limited to from my conditions, and try to work with my doctor, and hope somehow my my low T, hormones and endocrinology and health will work out successfully.)
Thanks so much for reading my post.