Age: 25 Height: 5’11 Weight: 190 lbs
Previous Labs (Oct 3, 2019):
TT: 938 ng/dl
FT: 232 pg/ml
DHT: 44 ng/dl
New Labs (Dec 5, 2019):
TT: 783 ng/dl
FT: 170 pg/ml
DHT: 22 ng/dl
E2: 22 pg/ml
SHBG: 23 nmol/L
The information above shows both of my labs on TRT (75 mg 2x/week) that I have been on for about 4 months now. The T:DHT ratio has me particularly concerned because of the comparison between both values that indicate a possible 5AR deficiency. I expressed this concern to my doctor, but based on my physical appearance, he does not think that I do have a 5AR deficiency. He would likely know because he treats patients in the LGBT community - some of whom have rare genetic disorders (5ar, XXY syndrome, etc.). After 4 months on my TRT regimen, I don’t feel that much different than before. Why are my lab values lower than before? What should be my next course of action?