Beginner Questions Regarding Libido

Pharma TRT
21

Nope not saying that all. Whoever told you that may have meant just ratio. As in you should be somewhere in a 15:1 -18:1 ratio or whatever range they told you

To get percentage that is how you should be doing it, dividing E2 by TT. Percentages are always 2 decimal points to the right of the number given. For example 49/749=0.0654 which is 6.5%. Saying that your E2 is 6.5% of your TT. The other way, 749/49=15.2857 is 1528.5% saying that your TT is 1528.5% of your E2. Hope that makes sense.

Like I said ratio is probably what they meant, but the percentage part is throwing people off.

22

Ok. Maybe it was the ratio that seems best between 15-18 or so. I think I read Dr. Marciano likes that range.

So how does one calculate their ratio? Or am I just putting the word ā€œpercentageā€ in there when it shouldnā€™t be?

I apologize with all the questionsā€¦

23

No need to apologize at all.

You are just putting the word percentage in there when it shouldnā€™t be. Calculating ratio you would do as you are. Your ratio would be 15:1 with your current numbers. If you had say a total T of 882 and your E2 at your current 49 you would have a 18:1 ratio. Or your total T of 749 with a E2 of 41 would also put you at 18:1 ratio. Does that make sense? The ratio is telling you for every 1 point of estrogen you have 15-18 points of total T.

1 Like
24

Gotcha.

Big picture though is I seem to do best at the ratio of about 15:1 or soā€¦ which is where dr. Marciano says makes sense.

25

Good discussion rise80 and roscoe, If I may ask about the ratio thing. Does SHGB come into play here? You guys are using TT not Free T. Does Free T not play a huge role in how one feels?

I feel my best with TT 1000, FT 30, E2 27, SHGB is 29 (std labcorp ranges)
I define best as high libido, no ED, strong in the gym with fast recovery. If I let my E2 hit 40 I can not maintain an errection I lose it in mid stroke

26

I honestly donā€™t know how accurate these ratio and percentage guidelines are and how much stock should be put in them. A lot of doctors seem to use them though and Iā€™m not a doctor so what do I know lol. I admit I have been guilty of doing that very thing based on my observations too.

The 3% rule for free t to total t is a good example that it not always true. From what I have observed those that have high shbg are still able to feel good with only 1-2% as long as their free t gets up high enough. Showing that free T amount means more than a certain percentage. As you questioned the SHBG though it would make more sense to me that the ratio that would matter, would be between free T and E2, eliminating the SHBG factor. I have yet to see anyone state a guideline on that.