Get rid of the AI
Bump up to 100mg twice a week.
HA, not selling anything he says 
the minute you mentioned that, is the minute i recognized your face lol.
I actually came across it by chance watching some greg doucette stuff. I watch a bit of the “ask dr rand” series but havent gotten around to mulling through that/your channel. I did plan to though, and will actually go sub right now so i dont forget
usually before bed i go through all my subs, so will add yours to the list
I’m not selling you anything lol! I have a successful business that has zero to do with TRT. This is a hobby of mine. My partner, Dr Steve Devos is a filthy rich dermatologist in Belgium. Neither of us need the money, I assure you. We really just do this to help guys out because we had shitty advice when we started and we’re both biohackers.
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yikes, are you serious? lol. Im dr prescribed you know. Not sure he’s gonna be keen on me coming in with a TT of like 1600 and my hematocrit way up there.
I don’t give a rat’s ass about your total T. What I am concerned with is your free. You said your doc was prescribing you 200mg a week, right?
Let’s get you feeling better first and then worry about your doc later 
Hematocrit is also a non-concern 99% of the time. Erythrocytosis is normal and to be expected when using exogenous T.
I have never stopped taking an AI until recently which I dont have labs for as I began taking it again long before I could pull any. I did go from taking it EoD to E3D in an attempt to lessen the amount I took. Unfortunately I felt way better when taking more/it EoD, however I surmise that was due to the higher FT readings and not the AI/E2 readings perhaps.
I was progressively trying to lower my T dose to a level where I
A) kept libido
B) kept morning wood
C) kept hematocrit from climbing
those are pretty much my only 3 conditions.
Can I assume that the January 2018 labs are where you felt your best?
well, first and foremost, i appreciate the time your taking. Ive only been on for about 1.5 years or so - and id have thought or liked to be dialed in by now. So im certainly all ears.
however as far as hematocrit goes. I dont want another inconvenience to deal with (donation or phlebotomy) and even more important than that, Im very prone to high BP and stroke/heart disease. All run in my family almost entirely.
So thicker blood at least sounds like a bad idea to me. trying to find that balance.
absolutely. 60mg E3D wasnt too bad either. But def best on the first one. He wanted me injecting 200mg 1x a week, i started right away at a bit less and twice a week.
A) everything ir ead, that sounded really high for a trt dose and longevity is important to me and
B) i didnt want to come back with a way high reading and have him cut my dose on me just in case.
ZERO need for donating blood at any of the levels you were at. Zero.
Athletes know the benefits of ‘thicker blood’ as you call it. More oxygenation. Better performance. They use things like EPO to increase red blood cell count purposely. When it goes up higher than ‘normal’ it is called Erythrocytosis which is normally and harmless. This is not to be confused with Polycythemia Vera which is adds elevated platelets. This is actually a form of blood cancer. One does not turn into the other. Your doc needs to learn the different. Check hematocrit and hemoglobin AND platelets.
nah, i was just teasing ya! its awesome that youre trying to pay it forward. TBH thats the only way with all the bad and uneducated doctors out there that can, and are willing to prescribe it when it has the potential to really screw ya up.
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This is what you tell your doc:
You prescribed me 200mg. I’ve tried EVERYTHING to get symptom resolution with lower doses (show him all the examples). I finally decided to do it your way and now I’m feeling significantly better. I simply took your 200mg and split it into two shots. Now that I’m feeling better, there is no way I want to go back to the way I felt before. If you feel my numbers are somehow ‘dangerous’ I need to see the evidence that demonstrates this (there is none).
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Your free t was higher because your shbg was lower during that protocol so it was binding less t
I hear you loud and clear. I was okay with the levels I was at. My pre TRT was like 49 or some such, so I wasnt too concerned. I just didnt know for how long it was going to continue to climb so I wanted to try and taper it off and stay ahead of it. Judging on my results, I did sort of find the range, As it seemed to stagnate and drop at the 50mg E3D. Problem was, I didnt feel super great with a freeT that low, and i imagine its the TT levels that effects hematocrit. So ive been trying to surmise how to get my FT up, but TT lower. Like the first labs.
you definitely have me strongly considering a return to the 80mg 2x a week at least.
and you think no ai huh? aka incoming zits and rage at least for awhile lol
probably due to larger shots then? They say thats what can lower it? (and it was winter time so i was admittedly eating a surplus. summer ones im usually at a deficit.
Thats what my guess would be
and that is entirely sound logic. I’d like to think he’d see it that way. He’s not too personal, but he’s a really laid back dude. Still, he doesnt need evidence. He could just be like, youre right, go get your T elsewhere though, have a nice day lol.
Im partial to him though, his insistence on a few tests i wasnt keen on led to discovering my kidney cancer and my pagets disease. Then he tried to start me on TRT and handed me off to an endo. The female endo gave me a big ole attitude and so i immeditely called him back and asked him if he would just continue treating me. He said sure. Rest is history.
The high hematocrit is a bit of uncharted tertiary in the TRT world, when patients are shown to have high hematocrit, doctors training kicks in because it’s usually associated with a type of blood cancer which causes your bone marrow to make too many red blood cells and cause clotting.
Those on TRT will see an elevation in hematocrit which is expected which is erythrocytosis, not polycythemia vera, but no one can say if high hematocrit for those on TRT is dangerous, so caution is prudent.
Those have been those who have had unpleasant symptoms with high hematocrit, high blood pressure, anxiety and just plain not feeling well. To say high hematocrit is perfectly safe is a bit premature considering there are those who are symptomatic at higher levels while others are fine.
There is a doctor I know of who prefers to air on the side of caution and keeps his patients under 52%, his position is thicker blood, more pressure in the pipes and over long term nobody knows what will happen.
This doctor was extensively educated in hormones and the heart.
good information in this thread. never saw it going in this direction - but glad it did.
As far as hct goes, i was just concerned about raising my chances for cardiac events and the like. longevity is extremely important to me even though the deck is looking a bit stacked.
even starting TRT at 37 i wonder if there are any long term ramifications from a longevity standpoint.
the range on hct on my labs tops out at 53% and I had gotten to 51.2 before i lowered my dose in an attempt to reverse it. (for all i know it would have stopped there but no idea how long it climbs for before leveling off).
@systemlord you’ll need to explain to the class how people who live their entire lives at elevation, with high levels of both, are thriving with no issue. How is this possible?
I know: because it isn’t an issue.
Some people don’t do well with higher levels of testosterone. It is not neccessarily the hematocrit causing this. A hematocrit of 50 like he has is an absolute non-concern.