TRT When Test Is Too High?

Pharma TRT
1

Hey, so im 40, 5’10 165lbs. Used to train very heavily, but 3 kids later and feeling sluggish i just started again after probably a five year break.

I went to a dr and they tested my test. They said it was super high, and my sexual test was one of the higest he has ever seen. But that my hemoglobin‘s were excessively high and blocking all my testosterone so It was like I was getting none. And they suggested I go on TRT. So I did. But then I heard from one of the other nurses mention to me that the doctor says that for a lot of people about the hemoglobin‘s being too high, and it got me thinking that maybe I was scammed?

So my question is does anybody know if I come off of it if my test will come back?
I’ve only been on it 10 weeks now. If my natural testosterone is super high, why would they have me go on TRT instead of trying to do something else?
Is there a way to lower my hemoglobin’s if they are actually that high?

2

can we see your labs?

4

Was this doctor affiliated with a TRT clinic? Its not your hemoglobin that is high its your SHBG.

3 Likes
5

Yes kinda? They do general practice but yes their focus is trt. Its a friend of a friend that’s why I trusted them.
Here is my very first bloodtest before trt.
Actually it won’t let me upload another photo for some reason because I’m a new user

6

Well I think you have the answer to your question.

How do you feel after 10 weeks of TRT? Any different? If you decide to come off you may feel shitty for a few weeks but your natural production should come back.

7

I actually feel more exhausted then when i first started. I did a new post that included all of my bloodwork.

8

Doesn’t make any sense. First, how is a “sexual test” the highest he’s ever seen? What does that mean? LH and FSH were higher than he’s seen before? TT was higher? It’s just a weird phrasing.

Hemoglobin doesn’t block testosterone, SHBG does. Maybe that’s very high, and binding up most of your TT so TRT would bring FT up.

You could come off TRT and try to lower SHBG and see if you feel better.

1 Like
9

How would i lower that? I thought it seemed strange, but i trusted him because he is a younger dude and a friend of a friend. So i figured he was legit.

10

Carbs, Boron maybe

11

You really need to read up and become your own source of information because you’re going to end up all screwed up. What’s a sexual test? Highest numbers he’s ever seen? What exactly is high T? Sounds like quackery to me. So this is how it goes:
-Natural high TT with high SHBG means your T is bound and unusable. -Lowering SHBG is what should free up your T, hence FreeT.
-TRT will over time lower your SHBG, so its a win win situation since exogenous will give you higher TT and eventually free up T.
This takes time, 10 days in and its normal to feel sluggish, tired, and sore. The T is barely making its way into your bloodstream. Its not til 6mo-1yr that the real changes will become more evident. Come off now and you can bounce back sooner, but you have to lower SHBG to make your Total T usable. Boron has been mentioned and it can help. So make a decision and stick with TRT, or come off. Test results would paint a better picture.

12

And the smart thing to do with a patient who has high hemoglobin is to put them on trt, which will raise their hemoglobin even higher.

13

image
image3023×3155 2.18 MB
image
image2334×4032 2.1 MB
image
image3024×4032 2.97 MB

14

So the first two are my bloodwork before i started trt.
The last pic is my bloodworrk 8 weeks into trt.
Im at week 10 now

15

Your hemoglobin isn’t high, that I can see, your SHBG (Sex Hormone Binding Globulin) is though. Any chance you heard globulin and mistakenly heard hemoglobin? SHBG is what would interfere with your free T that actually is utilized by the body, not hemo.

Your ALC hemoglobin is slightly high, but not out of range, which TRT may help with. That to me isn’t something that would be treated with TRT though, as I would think diet and exercise should be the first course of action then other more direct approaches if it got of hand. Which it isn’t.

Are you on an AI? Your T levels jumped but E2 looks like it barely budged.

Edit: Your T is pretty much the same so ignore the part about your T jumping. The circle going through the 1 on in it made it look like 2279 not 1279.

16

Your T is not super high. Its higher than the weak range. Stay the course and your SHBG will drop. Dont take an AI.

17

SHBG is very high. Are you on some type of a low carb diet? Any new medications. Your T is not high, its healthy and normal. I would love to see more men with this level of T. You started TRT though, and your doctor is an F idiot. He should know that you do not put a man on TRT, and bring him back to the same levels of T, because your issue was not enough production of T.

Your problem is your T is not converting into free t efficiently. This is because SHBG is high, and even though it dropped 40 points, its still at 85 and thats very high as well.

A doctor well versed in T and SHBG, would of given you more T to overcome this SHBG and also tested your free t before and after. None of which have happened. If you were on 200mg and have low t symptoms, i would have suggested 250mg, but thats based on what 200mg gives you in Free T. We do not know this very important detail. The fact that your doctor isn’t testing this or DHT means he is a fucking idiot of masterful proportions.

Really… get a new doctor… this guy knows nothing. I would leave a scatching review on his google maps warning others they are dealing with a doctor who does not even know trt.

You need to educate yourself. Go to youtube and watch some videos from Jay Cambell and buy his TRT bible E-book or whatever its called. That is the best source i can think of for you to be your own source of knowledge, because your doctor knows nothing compared to the guys on this forum.

Some folks have high shbg due to dieting like low carb diets / keto. Others get it due to medications like SSRI or whatever. Then there are unknown causes and folks go mad trying to figure it out. I have also seen guys who take T boosters get high SHBG.

If its your diet, i suggest start eating a normal mix of foods and get that moving today. Your body will either bounce back or it might not. We have no clue how to effectively lower shbg. This is why we test free t, to see how SHBG is effecting its production.

Right now your goal on Trt is to increase free t up into the 20’s, reach that level and sit on that dose for a good 3 months. if that doesn’t work, increase your dose a little bit. There is a possiblity you are close, but we have no clue, because your doctor isnt even testing the right indicators.

You need to find that book. Its the only book i can think of when i think of a one stop shop for everything TRT education.

18

I dont know about you, but i would definitely stop and work on lowering my SHBG asap.

19

I appreciate all the input. That’s why I posted here because I figure everyone on here knows 10 times more than the doctor. I went to him because he was a younger guy so I figured fresh out of school and would know more. Although their focus is more on TRT it seems. But obviously learning from you guys that he’s not testing the right stuff. I went to him originally because I was tired all the time and I was trying to figure out why. He had put me on Adderall to try and help with the fatigue, and Dan did the test on my testosterone and gave me the results.
It was globulin like you said, I was mistaken there.
But only starting it for 10 weeks that’s why I was considering getting off of it and seeing if he could prescribe me some meds to get my natural test jumpstarted again. That’s why I couldn’t understand if my natural test was a a good solid range why I would be going on TRT? I realize I’m 40, but I figure if it’s still good why mess with it?

1 Like
20

I am not on a AI. And I’m not on any crazy diet. I eat a lot of vegetables because my wife is Chinese, so it’s always a good mix of vegetables with every meal some rice and some protein. I just started working out again like I said I was on about a six year hiatus where I did not work out. Although my job I am running around all day in construction.

21

Also, after this last bloodwork at eight weeks, and they seen that my test was still high, they actually lowered my weekly dosage down to try and bring it down. Call so it’s no longer at 200 mg a week