Test E TRT, Bloodwork Results

Pharma TRT
1

I’m 25 and have been on TRT for the last 4 months, coming into 5 months.

I’m on 250mg Test E per week at the moment. Here in AUS they are pre-filled syringes through the pharmacies at 250mg Test per pre filled syringe.

I’m using 0.5mg Arimidex every second day, as my Estrogen blew up to 176 pmol/L whereas the reference ranges here for males should be below 150. As of this blood test, the increased AI dosage to this dose has my Estrogen down to 100. (It should be the E2 essay looking at the request form).

Anyway, I got rid of Trest because I was running that alongside 1,500 IU of HCG per week. So now it’s the Test, HCG and arimidex.

I’ve been getting my bloods done when I am 5 days after my Test and HCG shot.
Each time I get the results back my Test is extremely high, as is my free test.

I am 220lbs, 6 feet tall and am around 15% body fat or so at the moment so I would have thought my body might metabolise it fast.

Anyway, my results came back as follows:

Total Test: 1815 ng/dl
Free Test: 2300 pmol/L (reference range is 300 to 750)
SHBG: 11 nmol/L (reference range is 11 to 71)

Does anyone else here find that by the 5-7 day mark their test levels are still very high?

I understand Test E’s half life and it’s function, but I find it unusual my numbers are all this high 5 days after my shot.

One thing to note is i did my 1,500 HCG 3 days before this test however previous tests with Test + HCG on the same day everything is usually high, but this is my highest result for total test and free test.

Thoughts and opinions appreciated!

2

Your high free t indicates that your are injecting to much. A good starting protocol is injecting 50 mg 2 x a week.
HCG of 250 mg EOD and NO AI. Injecting 1500 HCG at once will usually increase your estrogen.

3

Looks about right. You are injecting a shitload of testosterone. Have you had your blood counts done? You need to look at your counts to make sure you are within safe numbers?

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4

You got a doc… in AUSTRALIA, to prescribe 250mg of test/wk? As to your results, you seem to absorb testosterone very well, seriously, don’t want to go off on a tangent but 110mg/wk has me peak at 600 and nadir and 350, it’s crazy to think if you took my exact dose you’d be at roughly 800ng/dl five days post shot! long term, your results are a bit high for long term testosterone replacement, you could run into some issues with regards to hematocrit, blood pressure and whatnot. How do you feel?

As to finding your situation “unusual”, everyone metabolises hormones differently, i’m much smaller than you yet it would probably take me around double the dose you are taking to get to where you currently are

You say you “got rid of the trest”, by trest are you refering to trestolone (7a-methyl-19 nortestosterone), out of curiousity were you running it as TRT as some evidence indicates it may be a decent contraceptive as it reliably causes a reversible state of infertility while maintaining adequate androgenicity to maintain sexual function, therefore it actually can be used without testosterone.

Your SHBG is quite low, has it always been this way? This is off topic but have you gotten your glucose tolerance tested? Low SHBG is linked to insulin resistance, and although Low SHBG is genetic many times, such as in my case I also found out I have insulin resistance, which is suprising as I am lean and have a muscular build, so it may be something worth getting tested. (another interesting note is that trestolone doesn’t bind to SHBG like most interesting androgens do)

They actually sell the stuff on Ebay in Aus (trestolone)… and methylstenbolone. I wonder how they managed to slip under the radar

5

Thanks for the replies guys! Appreciate it.

Charlie12 - The original plan was to inject 250mg once every 14 days but my Doc and I discussed this and it would have been seriously flawed with the drop off rate / half life of the Test E. I would have hit some serious lows in this time, and after talking with him about it the best we could do is the 250mg Test E (Pre filled syringe, Cypionate out of a vial and others is harder to get here in AUS at is seems).

My Estrogen was decently high to begin with, and even before the HCG my estrogen was creeping higher due to the test dosage.

NH_Watts - Everything else seems to be fine on the Full Blood Count. Red Cell Counts, all other blood cell markers, platelets etc all seem to be within range and fine.

Yes it is a lot of Test, just had no idea my numbers would be THIS high.

Previous blood tests done on day 5 have had me at 45 or so nmol/L for Total Testosterone and Free Test at like 1,200 or 1,300 or so from memory… but this is just a massive increase.
I assume the HCG has a bit to do with this as well.

Unreal24278 - Yeah, he is a fan of the Testosterone Creams and Test E. I opted for the Test E because I did not want to go down the cream route.

Interesting about your 110mg/wk. That is good! It could be something we talk about in the future about the dosage but like I said the only other options would be to wait longer between injections of my pre-filled Test E syringes (250mg/1ml syrings).

Yes, I was using Trestolone for a month or so while on TRT as a bit of a “blast”.
I did regret it dearly though, just flared up my nipples and gave me some gyno/lumps that were very sore. This was sorted out when I stopped the Trestolone and upped my Arimidex to 0.5mg basically EOD for the moment.

SHBG has always been pretty low, except for when I would use Nolva post Andro cycle or something back before I was on TRT (Numbers went up to the 40’s in nmol/L).

My SHBG last blood count was actually 6 nmol/L, extremely low, but this was when I was using Epistane.

I have had Insulin Resistance issues in the past in my teen years, I fixed this through losing bodyfat and eating just better and managing my carb intake. I will ask for those tests on my next blood draw though for sure, thanks for bringing that up!

6

You have very low SHBG, if you can’t get your doctor to understand you require small injections every day, you might have a real problem controling hematocrit and hemoglobin in the near future and may never truly feel your best on TRT. You will always be fighting estrogen injecting this insane amount of testosterone. Compare your protocol to my own and you see how far off the mark you really are, 16mg EOD do to low SHBG, no AI.

Loading you up with a large amount of testosterone is increasing the need for a large dosages AI. Body weight and size have nothing to do with test dosages. You can load the testosterone into a couple of syringes provided you seal the needle with a plastic cap and inject more frequently.

This can’t be the only TRT doctor in AUS, you have other options. This is pure quackery at its finests.

7

I’m also on primoteston depot, you can split up the dosages via pre filling seperate syringes with the prinoteston. .5ml/wk = 125mg/wk, however given your low SHBG you may benefit from more frequent injections like systemlord said. That being said everyone is different, I’m low SHBG but I don’t seem to clear out T at an accelerated rate, I just don’t seem to reach the same concentrations most do from the same dose. A typical replacement dose (100mg weekly) won’t get me past an average of like 400-500ng/dl.

Out of curiousity, if you got bloods on epistane what was your cholesterol like on it? Just curious as to exactly how harsh it is on the lipid profile.

As to the trest were you using injectable, oral or transdermal form (just asking out of curiousity)

8

systemlord - Interesting dosage you have going there, and that makes sense about the lower dosage yet higher frequency to fight off estrogen issues as opposed to a one big injection.

Unfortunately a lot of other doctors here in AUS won’t consider TRT unless Total Test levels are below 8 nmol/L and even then they are hesitant.

unreal - You are using the Primoteston 250 I assume then? Sounds like we are similar - low SHBG yet not clearing it out at a fast rate. The last few blood tests have confirmed this since I started.

Unfortunately Cholesterol wasn’t on the blood test request form. It was under “Full Blood Count” as well as my androgen tests, and forgot to ask to check Cholesterol.
Next time I will definitely ask for it though - skipped my mind.

Outside of that, everything with the TRT has been feeling really good. Biggest mistake was adding the oral Trest as this made me feel like garbage and highly estrogenic.

9

Cypionate is used in the US, half life is shorter (8 day half life) than Sustanon and is easier to get stable levels. Infrequent injections don’t mimic the natural rhythm, it’s why men don’t typically feel well on TRT with longer esters.

Doctors have this idea that TRT is bad for you perpetrated by flawed studies, so there are hesitant to prescribe it even when there’s a clinical need.

10

Yea, I don’t seem to clear it out as fast however for some reason I seem to require a higher dose to get where other people would be at an otherwise much lower dose. Also it’s no longer 8nmol the requirement, they’ve lowered it to 6nmol for PBS subsidisation otherwise it’s all out of pocket

@systemlord I was under the impression the reason TRT wasn’t commonly prescribed due to the unfair stigma testosterone and anabolic steroids have in general. When the compounds were made schedule 3 substances there was all this propaganda and bullshit saying how bad they were, there was that football player that supposedly got “brain cancer from using steroids”, and that wrestler who killed his wife and kid, the media blamed it on AAS when the truth was he had the brain of an 80 something year old Alzheimer’s patient from being knocked around so much. (While there is now a small body of evidence to suggest there may be a deleterious effect of brain function and structure it’s nothing like the media makes it out to be, alcohol is far worse). Anyhow with these laws and the public thinking so negatively of these compounds, the government cracked down on the prescription of AAS, resulting in doctors being too scared to prescribe them, the result was patients with AIDS and individuals with other wasting related diseases (hypogonadism can cause muscle wasting) to die of completely preventable causes. I may be wrong, I was unaware doctors ever thought testosterone was bad for you, I thought the scare of prostate cancer was in the elderly population, and to be fair estrogen has a massive role in the progression and cause of prostate cancer + men with hypogonadism with prostate cancer tend to have more aggressive prostate cancer.

That being said due to my beliefs I don’t blame doctors for not prescribing trt, even though it puts a population at risk, I can totally understand their reasoning, if I was a doctor I wouldn’t want to risk having my medical license revoked in order to help one individual. It’s more the government/ societies fault for putting unfair stigmatisation with these drugs, steroids are the reefer madness of this generation. I wonder if in the future testosterone will be OTC like it already is in quite a few countries.

If the best option for trt is one that mimics natural T production theoretically wouldn’t testosterone propionate or suspension be the ideal candidate for trt? That or methyltestosterone, however methyltestosterone is quite toxic if taken over a prolonged period of time and due to the alteration behaves slightly differently to unaltered testosterone, still it’s an interesting thought as if taken in the morning it should in theory be closest to the bodies naturally rhythm of T production.

11

It’s true estrogen dominance can lead to problems with prostate cancer, which is even more strange that doctors refuse to test for estrogen and manage it while on TRT. I believe if a doctor has no training in administering testosterone, they should be excluded from prescribing it.

There’s too many men suffering at the hands of clueless doctors who have no idea what their doing or understand the negative consequences of large single infrequent injections. Those incharge of writing the guidelines are to blame, almost nothing is written except 200mg every two weeks.

Propionate is painful to inject.

12

That strange, because I was just reading this about trest:

"Side effects of trestolone include low estrogen levels and associated symptoms such as reduced sexual function and decreased bone mineral density among others.[5][3][6] "

13

Even if it doesn’t aromatise much it aromatises into 7-alpha methyl estriadol. This is a very potent form of estrogen that can cause side effects very easily and is hard to combat. Also Wikipedia is unreliable sometimes, did you check out the sources from the statement and do they check out?

14

To the best of my ability, but I’m still new to all this :slight_smile: