I understand that, I’ve read many of hist posts. His stuff was great in my mind, except anything regarding E2 and AI.
I’ve read enough of this forum to understand what people argue for. In my opininion TRT is one of the most contradictory medical matters. A lot of great doctors cannot agree on topics like HCG, AI, HCT, E2, SHBG and whatever. But the best doctors at least have a lot of reference experience what works for other people and they will offer you INITIALLY the solution that works for the majority of people in their practice. Their practices differ and sometimes they offer different approaches from one another.
But to offer people what works for you based on your well being is dangerous.
Yes, thank you for reaffirming something that was in no way a part of the debate and that met with zero resistance from me. You acknowledge something is subjective and you won’t find me arguing against that.
Great conventional wisdom…which is severely lacking in this thread…
The one thing I have learned in 4 years of TRT. I am unique and what works for others does not necessarily work for me. It has been a long road of trial and error to get “dialed in”. I feel great now…not always that way. Get educated and be commit to trial and error and you can find your sweet spot.
What does individual requirements have to do with keeping your FT in supraphsyiological range for 5 years? I was not aware that it was ok for some people and not for others rolls eyes
I also did not know a condition where your red blood cells are being destroyed faster than they can be made is totally cool and a “individual” thing.
Actually it is not pandoras box either, this is actually common knowledge. This is whole reason people who do cycles do it with a time on time off ratio.
So it is not an individual thing, it is not up for debate, it is terrible for you as you can see by some of these guys lab numbers.
@NH_Watts is posting his “lab numbers” but I don’t see Ha1c, crp, cholesterol or a metabolic profile. He probably doesn’t want to show it cause I am sure his BUN is through the rough along with everything else.
So this was a good thread, I posted some really pertinent things, @dbossa and crew continued with their bro-science.
People are going to do what they want to do and most people don’t wise up until its too late, or they wind up in the ER with kidney failure. That is another thing that can’t really be debated, high doses of steroids for long periods affect your kidneys negatively.
So it is one thing if you want to travel down this road knowing full well the potential consequences.
It is entirely another thing when someone goes around telling everyone it is perfectly healthy, when everyone with a brain knows that it is not. But I am done caring about you guys, so I will move on from this thread. If you wind up on dialysis, don’t say I didn’t tell you so.
All I wanted to say today is that to tell people something general you need to have enough data and evidence to support it, but not like I feel good at number x on the hormone y
As your argue with them I have no opinion, its complicated matter to me
Why would you ever need to test SHBG? Free T is a % of TT that is not bound to SHBG. You can calculate your SHBG if you know your TT and FT.
When I said ranges are not important, I meant in the context of figuring out what is physiological and what is supra physiological. Simple math tells you that 20 ng/dl is the top of the range, and that matches EXACTLY with the ranges I posted. If you have a TT of 1,000 and if you’re a normal human being, your FT will be 20 ng/dl, because a normal ratio is 2%.
@anon18050987Are you suggesting that a 43 HCT is normal for someone on 200mg of T?
Never once, ever, have I seen ANYONE test that high naturally. Not once. When people have a higher FreeT naturally, their TT drops (homeostasis, neg feedback, all that stuff :)). SO yea you can get a 3.6% but the guys T is only going to be 400. This is merely homeostasis fighting a change in testosterone levels.
Let me ask you a question @anon18050987 if someone has a 600 ng/dl and their free t 21.6 would you say their SHBG is high or low? Is it important to have extremely accurate numbers when it comes to SHBG and please tell my why?
I didnt get any of my facts mixed up at all,
And WHO IS GOING TO ADRESS THE ELEPHANT in the room? How did this guys HCT get so low on 200mg a T per week?
You guys know an awful lot about T and FT, but I am getting the feeling you do not understand how important this is or what it means when it comes to his HCT.
My 13 year old daughter has a 41 HCT, she has crohns. So if you call that normal for a man taking 200mg of T I don’t really know what to say.
It doesn’t matter what his pre-TRT numbers are!!! Any patient, even if patient is HIV, is going to have a higher HCT on 200 mg of T.
I am not talking about any measurements, lab testing exact this or that, until you can tell my why it’s important to have extremely accurate SHBG numbers, we have never tested it, don’t need to, and we don’t have these problems.
For instance:
900/18 - This would be normal SHBG.
900/4 - SHBG too high
400/15 - SHBG low
So now if you can tell me the exact reason as to why I would need to know my exact SHBG, and how it can help me understand something I have not yet already inferred, then you can teach me all about how each different lab comes to their conclusion.
None of that makes any sense to me. Can you put it in to a real world scenario please with lab reference examples and show how a big discrepancy could alter a treatment path?
