I am new to TRT and have just had my bloodwork return after 6 weeks of TRT @ 100mg subQ per week. I am hoping some of you gentlemen might help me interpret the results as I have a DR appt tomorrow and basically don’t know what to ask. Thanks! The first numbers will be from 6 mos ago when I first started looking into doing something about feeling lousy. I am 67 and basically walking for exercise having normal health and at 6’3” 205 lbs.
Testost., % Free+Weakly Bound 14.1 /free test direct was at 3.6
Testost., F+W Bound 111.5
SHBG 43.9 down from 45.3
Dihydrotestosterone 61 up from 41
Estrogens 133 up from 77
I think this is most of it and if anyone could help it would be appreciated. Overall I’ve felt stronger, libido eh and the only real problem has been the nipples being a bit firm and I’ll bet you guys will say something about the estrogens. Well, anything you are willing to contribute would be great. I’ve never even met my DR tomorrow as my regular DR took ill during my treatment so wish me luck!
The lab ranges are useless, but the problem is those numbers don’t seem right. Your Estrogen (should be E2) tops out at 40 for men, you can be over it but 77 is way too high for most on TRT, let alone 177. You said estrogen(s), it that a total of E1,E2,E3? If so, that’s not a useful number. E2 is what you need to look at.
DHT is usually around 10-60 so that’s good.
SHBG is usually around 10-60 but all labs are different, and also different per region.
Lab reference ranges aren’t treatment ranges, they’re just a bell curve of the tests that lab does. Any doc that uses them that way needs to be replaced.
At any rate, nothing wrong with 791! But you need to look at your E2 number, E2 to high (or) too low, and you have problems. If the nips are firm, sounds like too much for you, if they get burn-y, that’s when you have to drop it quick.
Here is what I was able to piece together and thanks to all for any help!
SHBG Reference Interval: 19.3-76.4, Unit: nmol/L for SHBG result 43.9
DHT is Reference Range:
Adult Male: 30 - 85 I am at 61
The Estrogen was a total of 133 and the reference range was 56-213 I was at 77 6 mos before beginning TRT. I am assuming this is what lfod14 was referring to it is a total not broken down.
Testost., % Free+Weakly Bound 14.1 with a reference range of 9/0 - 46.0
Testost., F+W Bound 111.5 no reference range but a scale from 46.0 -250.
PS the nipples have settled down without any burning I have taken one shot since the test and had to deal with them switching between Aurobindo and now Hikma.
Well my test was a combo of all 3 so I guess I don’t know what the E2 is but a little research probably shows it has surged in the first 6 weeks. What to do now? I tried googling percentages on these Estrogen(s) tests and E3 is usually insignificant so my E2 must be high. I am not really having any pain and the nipple issue has settled down the last couple of days but I’m due for a shot and a dr visit tomorrow. 6 mos ago the total was at 77 and now after six weeks at 100mg it’s at 133.
I am going to have an E2 specific test done on 12/27 along with an advanced lipid panel. I will post the results gentlemen and hopefully someone will be kind enough for an opinion. Thanks all and Merry Christmas!
I was tested after 7 injections for Low T @100mg per week and all my numbers were good except the test for Estrogen Totals was apparently useless and had doubled from my original testing. I am now waiting for both an Estradiol Free and Estradiol ultrasensitive sensitve LC/MS. I am really new to all of this and have been following your lead. If you read my posts it seems I could benefit from going to 50mg twice a week as I am experiencing lows by the end of the week. My GP was well versed in this process, but has been on leave and a stand-in ordered the tests, but I haven’t got much needed access. Would anyone think I could start splitting today as it would be a regular day for 100mg while I wait for the E2 results to come back. Thanks!
So I am still waiting for my Estradiol test to come back after receiving a total estrogen number of 133 which everyone said was worthless. My regular DR looked at total estrogen without knowing his stand-in ordered the Estradiol tests and is precribing 1mg Anastrozole every two days. I am contending I should wait for the E2 to come back. I am flying blind and need some opinions I expect the results in a couple days. As I have posted my regular PCP has been out sick so he reacted to my prior results I posted and I guess he did not even know his DR covering is waiting for the comprehensive test to comeback. I’m lost any advice??? I went to .25mL twice per week and have added Boron to my supplements. Not really sleeping great but the nipples have backed off from being firm all the time without any other problems.
I was taking .5mL 100mg once per week and split it to .25mL twice per week because well no real DR till he comes back from sick leave. Morning erections disappeared around week 9 and started around 5-6 weeks in. I am ten weeks in and since splitting the dose weekly to 2x i feel less rollercoaster effect and the nipples have calmed down. BW?
Thanks but what is BW? I’m old son lol I am waiting for Estradiol free and ultrasensitive to come back what am i looking for? Thanks! TT at 791 was a couple weeks earlier than the Estradiol test result will be.
BW equals blood work. Crazy possible jump in e2 from such small test dose but my reference range is 20 years your junior. Also seemingly crazy amount of Armidex. Only thing I will contribute is that I now see a remote doctor that basically only does this and has so much experience in it. Super convenient and so glad that I did it. My last non-morning wood was such an easier fix.
I guess I will wait for the result obviously the Total estrogen test isn’t giving the E2 number but he is already prescribing anastrozole 1 mg tablet every other day. I feel fine and see no sign of anything changing. I jumped on 2x per week by reading internet posts and decided on Boron which seemed an alternative. I will post the E2 results in a couple of days hopefully. After using the Boron and going to 2x per week 100mg I have dropped 5 lbs. and feel good. Thanks for listening!
