Blood Works After 4 Months of TRT

Hi guys… thanks in advance for all your help
I have been on test enanthate 125mg once weekly dose for 4 months

               BEFORE                                AFTER

Total test 264 547

Free T 5.4. 16

Oestradiol 20 111
(41-159)

Shbg. 25. 16

Haematocrit 0.47 0.51
(0.38-0.5)

Creatine kinase 244. 880

Ferritin. 100. 30

The estradiol is the Uk test… range is in brackets below

Symptoms wise I have had increase in morning erections and moderate increase in libido
I have been working out regular at gym and seen good results in terms of fat loss body shape and overall strength and recovery
Compared to say week 4-5 it’s been plateau in terms of energy
Mental benefits not seen much difference but had no issues with that before starting

Cholesterol slightly raised but need to get diet on point

Any pointers? Initial thought was to increase to 150mg but split dose to twice weekly

Haematocrit is that an issue?

Thanks!!

Why? It sounds like you’re getting good results as is. Yeah, yeah, ‘grass is greener’ and all that.

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how do you feel?

why?

Feel good but plateaued compared to earlier on week 4/5
Libido is good but could be a lot better and morning erection not as frequent as before
Shbg has lowered although still feel good compared to before trt
Also best results have been in the gym… man boobs 80% reduced and abs are actually showing :joy:
Ferritin has tanked though
Haematocrit slightly raised?

You mean to tell me that you don’t feel as good now as you did during your honeymoon phase? lol

Yes lol I know that was honeymoon phase… but looking at numbers and with oestrogen in check was thinking slight increase could improve numbers and symptoms

by improve you mean make your crit even higher?

don’t change anything. revisit in 6 months.

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every time you perceive a plateau you will look to increase the dose?

Cognitive dissonance at it’s finest.

Try it and report back.

Thanks for your input… and would you say increasing frequency could help?

Ferritin has tanked without anaemic symptoms? Should i supplement to increase ferritin?

help what?

what is the ref range? it’s expected to have lower fer on trt. presuming you are not critically low, it’s fine.

are you eating a well-balanced diet?

you could have low ferratin because you are utilizing your iron properly and for it’s intended purpose.

do not supplement with iron.

Heard increasing frequency could reduce sides such as increased hct
Also having a bit more hair loss than normal… no other side effects
Would you have an idea of what my peak would be if trough is 550?
Thanks so much

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Roughly ~2x trough if injecting 1x/wk.

For your own reading:

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Ref range is 30-400… mine has dropped from
100 before trt to 30 now

Thanks… also shbg decreased from 25 to 16 in 4 months

Testosterone increases metabolism, and therefore appetite so you’re probably eating more.

No, TRT guidelines (in the USA) instruct doctors to take action if hematocrit reaches 55% by either decreasing the dosage or ordering reoccurring therapeutic phlebotomies.

However, some doctors like to take action at 52%. Also up to date doctors focus more on the hemoglobin values.

A decrease in SHBG is expected, unless you have type 2 diabetes and or metabolic syndrome.

Your Total T and Free T levels are underwhelming and so you may not reap the full benefits of TRT. The majority of men feel best with Free T high normal or higher.

Thanks… this blood draw was right before my weekly dose
So this is the trough value… peak likely to be higher?

Yes.