Hello and thanks for any help you can offer. My apologies for the long post but wanted to be thorough since I am asking for your help rather than you having to pull teeth to get info!!
I know there are a lot of experts here and an abundance experience so I really could use some practical advice. Perhaps others can benefit because I am probably not unique but I am new to this board.
New to TRT and 12 weeks in on 100mg/wk cypionate by IM, usually thigh. I’m 53 years old, 5’9" and 185 lbs and about 16% body fat (down from around 18% at start of TRT already with a few other changes in diet). Been in the gym and religiously there 3x/week with few exceptions for 3 years now lifting pretty heavy. Doc not taking blood work often enough for my liking so I’ve ordered from PrivateMD labs with great service from them and I use LabCorp. Take all the usual supplements including whey, casein, zinc, curcumin, garlic extract, B, omega 3, CoQ10, creatine.
I drink wine, usually red, almost every night anywhere from 2-4 glasses.
Feeling mostly pretty good overall, sleeping better, more energy, more positive, but erections are weaker than before starting TRT which may be the E2. I am looking to increase my dosage to 200mg/week occasionally as a cycle to gain some extra muscle but not maintain that dose long-term. My blood work suggests I may actually need to decrease the dose which has me a little bit bummed because I am concerned I won’t feel as well.
HCT has crept up to 54.9% in recent trough test (day 6 actually, not 7 before weekly injection) with Total T at 785 and Free T at 28. I gave blood 12/11/18 and that seemed to keep it down around 46 to 48%. I recently restarted taking ashwaghanda which has a lot of iron and I eat a lot of spinach and other high iron stuff. I stopped creatine and ashwaghanda and have increased water intake which I have been sloppy on lately. Could the higher iron intake and dehydration have caused the high HCT? Ideas on how to best manage HCT?
Same bloods as above showed everything else ok except:
MCHC 30.8 LOW (range 31.5-35.7 g/dL)
Monocytes(Absolute) 1.1 HIGH (range 0.1-0.9 x10E3/uL 01)
Both slightly out of norm. Thoughts on those? Do they matter much?
- Mid-week blood on day 3 after injection (was trying to estimate peak) on Jan 11; about week 7 into TRT:
Total T: 975
Free T: 36
HCT 46.2% (about 4 weeks after blood donation)
E2 Sensitive 49.5 HIGH (range 8.0-35.0 pg/mL) - remember this is day 3 after weekly injection; this is up from E2 of 26 at start of treatment but doc didn’t order sensitive apparently so these are not apples to apples?)
Haven’t tested E2 again recently but at nearly 50 mid week could this be too high back then over a month ago and would it likely be even higher now a month later? Best way to manage E2? Should I be testing E2 or E2 sensitive?
- For one other data point on progression, blood at week 6 trough, day 7 before injection:
Total T: 527 (this is up from 190 at start of treatment)
Free T: 21 (up from 10 at start of treatment)
PSA: 0.2 (same as start of treatment)
Thanks for any advice and insight you can offer.