Maybe, I dose 200mg once a week and 80-90% of those I know personally do weekly injections, so yeah, I would be ok with it. But, I figure he’s doing twice weekly for a reason.
Yeah I was just thinking that if he’s been doing a x2 protocol, the couple of weeks of single higher dose injections without AI could temporarily spike the E2 back up and lower his overall Test dose at the same time. Then he could split back up lowering his dose again to try and stabilize.
Again, thinking out loud. I’m definitely not an expert lol!
Plenty of Olympic endurance athletes with numbers like that. Plus, his platelets are lower, very good, 212.
Great point but they’re also working out 10 hours a day. Not sure an average joe’s heart could deal with those levels for a sustained period.
Edit…No offense meant to you @thewafa, you could be an Olympic athlete for all I know lol!
I think that is reasonable. And the experts disagree with each other.
Millions living at altitude with erythrocytosis, they have longer life expectancies and decreased incidence of heart disease.
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So why do we think the right verdict is
Also a great point. I can’t remember if the bloods he posted way back contained hematocrit. If they did, and if they comparatively show a rising trend, then there is still validity to the concern. If not, as you pointed out, it may be a red herring.
Could you fill in the gaps on some of the things we were discussing above? Do you live at a high altitude? Has your hematocrit been showing a rising trend or does it normally run high like that?
Sorry, it’s tough to figure out sometimes. The American College of Urologists, at their national convention almost three years ago, came out with a position statement that TRT does not increase the risk of heart disease, stroke, or blood clots. There are doctors that do this who recommend phlebotomy not because they are worried about TRT causing blood clots, but worried about being sued if the patient gets a blood clot because if they do, they’ll blame the test.
Listen to everything. Go with what makes sense to you.
Not sure on the hematocrit.
I’m trying to figure out how and what to run. I can switch docs but that comes with a heavy price as everyone says they can dial me in and my doc I have had for the past few years just kept pumping the t-dose up as I didn’t fee any different.
11-13-18 hematocrit 51.9/ test 772/ e2 70.1
On 11-8-16 hematocrit was 48…/ Test 1363 /e2 48.6
3-5-15 hematocrit 46.2/ test 528/ e2 37.3
11-25-12 it was 46.3 (was running a test cycle then also) test 1026 / e2 85.2
11-8-12 it was 46.1/ test 1049/ e2 45.6
10-27-12 hematocrit 50.5 / test 964/e2 23.2
I live in Washington state.
So you live at somewhat of a higher altitude. As highpull pointed out, your platelets are great, but your hct is kind of indicating a rising trend. May not be an immediate issue, but something to watch either way. I think that, combined with your test levels on the latest bloods, still indicate that you need to lower your dose.
That being said, do you take any other meds/drugs (prescription or not)? Do you consume alcohol regularly? Just trying to think of any other influences that could be affecting the way you feel other than just Test levels?
Do you sleep well? That’s another biggie…
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I sleep ok. I drink a beer or two a few nights a week recently
My cardiologist looks at hemoglobin. Says gets concerned when it hits 18. You are exactly at 18.
Btw cardiologist is from St Francis heart center/hospital in Roslyn NY. They top of the line.
Gotcha. I think your issues with up and down E2 has completely masked any intended and perceived improvements of higher levels of Test.
I stick with my original assertion that you should walk down to 150mg once a week for a couple of weeks, and then split dose a 100mg per week for 4 - 6 weeks after and then draw bloods. I’d leave the AI and HCG out of the equation until I got this Test dosage stabilized and somewhat dialed in.
I wouldn’t even try to argue there. They would know better than me for sure.
So 150mg 1x a week for week 1-4 and then week 5-6 split dosage and increase to 200mg a week 100mg x 2 or are you saying to go down to 100mg total so 50mg x 2 at week 5-6
Then go donate run labs end of week 6 before week 7 first shot
Should I test SHBG or not necessary ?
Any harm in not running HCG or AI? Should i go donate blood ?
Also where can you just walk in and donate blood ?
Red Cross.
You are taking 1000 IU a week of HCG. Reducing that by 1/2 can help alot with e2. Drop ai.
I would do 150 t a week. You can even do 100.
500 HCG split in 2.
No ai. For 6-8 weeks.
Had you not started HCG then I would have started just t.
Personally I felt bad with just 500 units hcg a week. I just do t.