Newbie here to the forums although I have been on trt for several years. I am a 54 yo male with a long history of physical ailments including major back surgery, shoulder surgery, and surgery on both knees along with some other less serious problems. I am currently taking an average of 10 to 20 mg of oxycodone per day and injecting 150 ml of testosterone cypionate every week. Have been in the gym regularly 5 days per week plus for the last 8 years.
When I get my blood tested at the end of my weekly cycle my free t levels would always drop below the recommended amount of 7.2 pg/ml - 24.0 pg/ml. Although my total t might be within the range but a little low say 350 to 500 ng/dl.
So recently met with my primary doc who prescribes the trt and he thought it’s possible the oxycodone is having an effect on the free t levels. Anyway, 3 months ago he upped the cypionate to 150 ml per week and I had my first test recently at the end of my weekly cycle. My total t was up to 605 ng/dl and my free t was up to 8.5 pg/ml which was just barely in the range of 7.2 to 24.0.
So my question is about the ratio of free t to total t. It seems like I have a big difference between them. Is it likely that the pain medicine is causing this? I don’t have a lot of confidence in this doctor managing this for me, it’s just not his specialty as a primary care doctor. I tried to transfer into an endocrinologist but he pretty much wouldn’t do anything until I completely quit the pain meds. I’m assuming it affects my t-levels too much for him to accurately prescribe trt.
Any info and tips would be great appreciated. Thanks