TRT Blood Tests OPINION ASKED

[Edutuc78]

Hello to all.

DATA:

• Male
• 44 years old
• 102 Kg (225 pounds)
• Training 5 days a week at gym + 2 days playing senior rugby

I would like to have your opinion on my blood tests during my TRT (The test results are in Spanish, so I appeal to your kind understanding) . I started with TESTOVIRON DEPOT in 2021 with a dosis of 1ml (1 injection) every 21 days because I was diagnosed with andropause. [

TESTOVIRON DEPOT 250 250 mg/1 ml

](Ficha de TESTOVIRON DEPOT 250 250 mg/1 ml Sol. iny. de Argentina 🥇)

During almost 2 years of doing that dose every 21 days, I really never felt any significant changes like strength increase or libido or anything.

In February 2023 I started a new approach with a TRT of 0.5ml every 5 days. After almost 2 month I saw huge changes on strength, mood, performance and libido. I ran a complete test (you can see below as INITIAL TEST AFTER STARTING TRT), and we changed dosis for 1ml every 7 days. With same results: feeling great and good strength. I also passed from 96kg to 102-105 kg of weight very lean and with the lowest percentage of body fat that I can remember having.

The situation is that I have also attached 2 exams that I took later. The first is from June 7, where you can see that the hematocrit levels are very high and the estradiol levels are also very high. I had told my doctor that I had been feeling that when I went to the gym and worked hard my head began to ache and my doctor, seeing the hematocrits and the issue of the headache, recommended that I donate blood to lower the hematocrit, which I did (you can see the result in the second exam on June 28). We also changed the periodicity of the injections and went to 21 days between one and the other, which I would be doing now.

I consulted with my doctor what he recommended for me to lower estradiol and maintain high testosterone levels, without harming my health, and he told me to try another month with this dose (1 injection every 21 days) and do tests again. If ESTRADIOL continues to be elevated, we will not do a T injection, but I will take pills to lower estradiol levels for 40 days (I think they are aromatase inhibitors, I don’t know).

I wanted to donate blood to lower hematocrit levels, but the legislation in my country (Argentina) only allows blood to be donated every 6 months, which makes it a bit difficult for me because I will have to see how to do so that they accept the donation. Perhaps you know how to help lower hematocrits apart from donating blood and I thank you in advance for your collaboration.

More than anything, I would like to know your opinion about these tests, the dose that I have been doing and if you have additional recommendations that you can give me to stay healthy without unnecessary health risks.

INITIAL TEST AFTER STARTING TRT

JUNE 7th 2023

JUNE 28th 2023

[Edutuc78]

Hi @anon18050987 and thanks for your quick reply. On the initial dosis 250mg every 21 days, I really didn’t feel anything. So I talked with my doc and told him I was thinking of doing 250mg every 10 days and he said ok. One of my friend he is also in TRT told me to split it into 125mg every 5 days. And that’s how I saw very good changes. Then I ran the tests and we decided to do 250mg every 7 days just because it was easier to to the injection once every week rather than doing every 5 days.

The “problems” are the estradiol and the hematocrits as my doc mentioned. So that’s why he suggested me to go back to a 21 days between every dosis (250 mg) and check if estradiol lowers (which it has as you can see from the test results. But still are high for what i would like it to be) and hematocrits also are lower but closer to risk levels (and I want to lower it too).

What do you suggest then? Thanks!

[Edutuc78]

Just because it was “easier” to do the whole dosis. But yes, you are right: it was going fine, so better to keep it.

[systemlord]

Injections every 21 days is stupid given the half-life of these relatively short acting esters, because by day 10-12, levels are outside the therapeutic ranges leaving you hypogonadal 50% of the time.

This might work for an outlier, but the vast majority of men will not respond to therapy.

Men on TRT will typically have higher estrogen when aiming for high testosterone, as long as it’s within reason, this is perfectly fine if you’re not symptomatic.

[Edutuc78]

Thanks @systemlord! What would be the symptoms to consider? And what about the hematocrits?

Thanks you

[Edutuc78]

Yes @anon18050987 I belive going back to 0.5 every 7 days it’ll be better. Thanks! Just want to know how to lower hematocrits and also if I have to check or be aware of another things or symptoms.

Thank you!

[Voluminous]

Guessing you get vials like I do of 250mg.

I bought medical 10g vials and put the months supply into one. That way its easier to manage without having open vials around. Can buy them on Amazon for dirt cheap.

[systemlord]

@Edutuc78

What would be the symptoms to consider?

Crying excessively during sad movies, low libido and erectile problems.

@Edutuc78

And what about the hematocrits?

I believe the jury is still out on TRT induced erythrocytosis. A recent placebo controlled trial recently came out and did show a low number of pulmonary embolism‘s and A fib in the TRT group with high risk, cardiovascular disease, heart disease.

My problem is the levels achieved throughout the trial was between 300-400, sissy levels.

Testosterone is a vasodilator, it widens the blood vessels, so sissy levels you don’t get an optimum affect.

[Edutuc78]

Thanks @systemlord

I want to do things the best way I can. Here in Argentina there not good doctors for TRT (at least I don’t know of anyone) and every time you talk about it they ask you “what for do you want to do that? Just because of physique?” NO!. I’m not only doing because of esthetics (of course it’s a part of it), but because and mainly it makes you feel generally good (energy, strength, etc). So the question to me is WHY NOT DOING IT IF IT’LL MAKE YOU FEEL PLENTY AND GREAT (doing it under a profesional supervision well).

Once again, thanks