Hi all, received my test results and am a little confused. Need help. Sorry for the long post.
49 Male, low T (254 initial test scale 250-1100)
First 18 months was feeling good and had good gains. Still struggled with sleep and energy at times.
Last Sept my Dr increased my Test dosage to 1.2CC/week 210MG from .8CC/week.
I started to have acne issues and elevated E2. He then prescribed Exemestane 20MG/week, acne settled after a few weeks and E2 stayed on the high range or normal.
Dec labs were perfect, slightly elevated E2 but manageable (never did get as high as 1.2CC was feeling great at .9CC/wk, higher than that and I started to get acne again).
In Mar I had a lab result with a spike in PSA, my Dr lowered my Test to .7CC/wk 210MG, removed the Exemestane. In May I still had a slightly high E2, still high PSA, Total test now at 800. I lowered my Test to .4/wk as recommended by my Urologist. Not feeling great on .4/wk and continue at this dose today…
Now to current. I just received my latest lab results and am perplexed. Good news is my PSA is back to normal, likely unrelated to TRT as per my Urologist… Test is higher than expected as is my E2, DHEA is borderline low, LH and FSH are low.
E2 = 66(H) range <=39 PG/ML - that is my highest E2 to date…
Total T = 779 range 250-1100 (thought it would be lower with such a lower TRT dose)
Free T = 111 range 35-155
TSH, T3, T4 all in normal range
FSH <.7(L) range 1.6-8
LH = <.2(L) range 1.5-9.3
Full metabolic panel all in normal range
IGF 1 = 95 range 52-328 — Z Score (MALE) -0.8 range range -2.0 - + 2.0
DHEA = 171 range 147-1760 (this is lower than expected)
CBC & Cortisol all in normal range
SHBG = 40 range 10-50
Any thought on above? Higher E2 is making me feel bloated, energy not where it normally was and not getting as good a pump in the gym, likely due to lower energy I suppose. Now that I have the clear on my PSA’s I need to readjust my dosage, however with my total and free where they are, not sure that’s the best idea. I did start the Exemstane again - 20MG/week to address the E2, left my test where it is. My Dr tends to prescribe much higher than I take so he isn’t much help.