Please help me understand my Lab results before i talk with TRT Nation

Kraken · Jan 20, 2022

Send0 said:
... I don't need AI either, but I always have it on hand. You might want to grab some with the intention of not using it unless sides appear.

They sent it with my first delivery, and told me not to use it unless they told me to. So it's on hand if needed.

Kraken · Jan 20, 2022

Pretty sure the answer to this is no, but... I started a DNP cycle a few days ago. Will that impact any new lab work?

Send0 · Jan 20, 2022

Kraken said:
Pretty sure the answer to this is no, but... I started a DNP cycle a few days ago. Will that impact any new lab work?

Nope, it should not effect hormone panels at all. And if you remain hydrated then none of your other bio markers should be effected either.

Jonjon · Jan 20, 2022

Your estradiol is in a good range compared to your testosterone
Retest bloods at your lowest point right before injecting

Kraken · Jan 20, 2022

Jonjon said:
Your estradiol is in a good range compared to your testosterone
Retest bloods at your lowest point right before injecting

Thanks very much. I need to talk with the Dr. tomorrow afternoon. We'll see what he says. And I do expect them to pay for the retest. It's not like they gave me instructions.

Jonjon · Jan 20, 2022

When you tell him the shot was hours before injection he’ll understand surely

It will be interesting how the results look at trough

JoelR314 · Jan 21, 2022

Kraken said:
Just got my 8 week labs back, very hard to believe these numbers. I had injected about 2 or 3 hours before the blood was drawn, could that have influenced it? I'm supposed to talk with the Dr. soon and I don't want him to reduce the dosage, I just don't feel that different. I may need an estrogen blocker.

Could you guys please take a look, and comment? Thanks!

All 4 of my doctors who managed my TRT over the years said to take the blood test at the mid point between shots. So I inject Mon and do the labs on Thursday or Friday. Last year I took like 6 months off TRT and then when I started up again I had a blood test 1 day after my 3rd shot (70mg weekly) and my levels were 1300. I re-tested at the mid-point and was 600. Needing an estrogen blocker for TRT would probably mean you are doing a cycle rather than TRT. On normal TRT your hormone levels should all be high/normal. There is a video on Dorian Yates youtube channel where he interviews his cardiologist and he warns against estrogen blockers. You would have to watch the video for details.
When I told my doctor that I took the lab 1 day after the shot she was not alarmed at all, she just said "that's why it's so high, re-test next week after 3-4 days".

Be_A_Hero · Jan 21, 2022

I take a combo of calcium d and DIM to manage estrogen if need be, I kinda bro science it, tbh I use my dick and my emotions to know if my estrogen is high, I only needed them one week. I’m taking 140 mgs a week, 2 70mg injections a week and I’m getting my first bloods done early February

Kraken · Jan 21, 2022

The Dr. was not the least bit concerned about the test number. I told him I had just injected and he said that number was just a peak, not to worry about it. No more labs soon. He was just a little concerned about the estradiol, so he said to start 1/2 of the 1mg Anastrozole tablets weekly. He guessed that I have been doing cardio which also helps keep it lower. He also noticed that the Hematocrit, although still normal, is climbing so he said to do an 81mg aspirin with dinner daily. Finally, he increased the test from 0.4 to 0.5mg twice weekly.

He said my bloodwork shows me as being basically healthy and he is much more concerned about how I feel than the numbers. He thinks the increase in test will have me feeling much better, and said he'll call me in a month or so.

So, all good.

Send0 · Jan 21, 2022

Kraken said:
The Dr. was not the least bit concerned about the test number. I told him I had just injected and he said that number was just a peak, not to worry about it. No more labs soon. He was just a little concerned about the estradiol, so he said to start 1/2 of the 1mg Anastrozole tablets weekly. He guessed that I have been doing cardio which also helps keep it lower. He also noticed that the Hematocrit, although still normal, is climbing so he said to do an 81mg aspirin with dinner daily. Finally, he increased the test from 0.4 to 0.5mg twice weekly.

He said my bloodwork shows me as being basically healthy and he is much more concerned about how I feel than the numbers. He thinks the increase in test will have me feeling much better, and said he'll call me in a month or so.

So, all good.

Your "doctor" is going purely off the ranges provided by the lab, and nothing else. I would not use any AI for an estradiol of 40; only a few points out of range, when my total test is 1400-1500 peak.

If he's more concerned about how you feel, then why is he telling you to take an AI without asking questions that would confirm if symptoms exist that require it.

Do what you like, but I'd advise you to skip the AI personally.

I don't understand why he's bumping your dose either.. your trough is going to be in the neighborhood of 900-1000. If he's concerned with your HCT then it'd be much easier to just lower your dose slightly instead of telling you to take aspirin; afterall, your trough is already going to be at the edge of the top of the range. More test is just going to push your HCT higher.

This is one reason I hate TRT clinics.

Either way, I'm glad you're happy with the results.

Kraken · Jan 21, 2022

Send0 said:
Your "doctor" is going purely off the ranges provided by the lab, and nothing else. I would not use any AI for an estradiol of 40; only a few points out of range, when my total test is 1400-1500 peak.

If he's more concerned about how you feel, then why is he telling you to take an AI without asking questions that would confirm if symptoms exist that require it.

Do what you like, but I'd advise you to skip the AI personally.

I don't understand why he's bumping your dose either.. your trough is going to be in the neighborhood of 900-1000. If he's concerned with your HCT then it'd be much easier to just lower your dose slightly instead of telling you to take aspirin; afterall, your trough is already going to be at the edge of the top of the range. More test is just going to push your HCT higher.

This is one reason I hate TRT clinics.

Either way, I'm glad you're happy with the results.

All good points, I think I'll call him back early next week and ask about the AI at least.

He told me the plan was to go from 0.4 to 0.5 on the test from the beginning, it was in his notes, but I don't recall that. I may have forgotten, but he asked me about how I feel, how is it different. I told him that I no longer feel the need for a mid-afternoon nap and some nights I sleep better, but not every night and still don't feel like I have a ton of energy. So I guess since I didn't want a test reduction I can understand the asprin.

He also asked about acne, which I have not seen.

Also I was expecting to start waking up with an erection every morning, which is happening occasionally but not routinely. I didn't remember to tell him that.

The AI is a different story. What would the symptoms of too much estrogen be, other than a craving for Lifetime TV? What are the downsides of taking it?

Thanks @Send0 !

Kraken · Feb 14, 2022

Reading some of the stickies around this board, I'm wondering how much impact 0.5mg of the AI will have? Seems like some people take 1mg ED or EOD.

Please help me understand my Lab results before i talk with TRT Nation

Kraken

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