I've been on 200mg cyp per week and blood tests have come back twice showing me hovering around 1000 ng/dl total test but around 44 ng/dl free. Doc is going to cut me down to 150 mg every week. Dont really want to cuz I'm feelin pretty good right now. Is there any reason why my free so high when compared to my total and is that dangerous enough to warrant the lowering of my dose?
When on TRT
TotalTestosterone value is of secondary importance.
NEWER measure FreeT using direct assay, most of them are absolutely wrong.
Best way to monitor TRT is to have blood testing done
for Testosterone, at Quest Diagnostics
this test
Testosterone, Free, Bio/Total (LC/MS/MS) Code: 14966X
for Estradiol at LabCorp
this test
Estradiol, sensitive 140244 (3-70)
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One wants to achieve two goals when aiming at testosterone level
SHBG(15-25)
and
BAT~575
BAT-BioAvailableTestosterone
When SHBG>25 aim at BAT~650
that should result with SHBG getting lower, given time
When SHBG<15 aim at
BAT~350
also keep E2 as high as possible, barring nipple issues
check and adjust thyroid, insulin/glucose and cholesterol
TT3-high
FT3-high
RT3-low
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Quest Diagnostics do not have reliable Estradiol tests.
But their (very good) BAT test can be approximated using dr Vermulen chart.
This chart:
Invalid Link Removed
To monitor TRT
get from LabCorp (same blood draw):
43 --------- Estradiol, sensitive 140244 (3-70)
44 --------- Estrone, Serum
45 --------- Total Testosterone
46 --------- SHBG
47 --------- Albumin
48 --------- Dihydrotestosterone
49 --------- 3a-Androstanediol Glucuronide
BAT~575
corresponds to
FreeT(300-350)
obtained from chart.
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Without more information,
assuming that you need 200mg/week
make following changes:
Use EOD schedule (EveryOtherDay)
Use HCG
T-shot=29units=0.29cc=58mg=203mg/week
HCG-shot=160iu
do both shots one day next day free
use this needle for both shots:
BD Ultrafine II U-100 Insulin Syringe 31 Gauge 3/10cc 5/16inch Short Needle--1/2 Unit Markings 100/b Price: $27.80
It cost a lot, buy one box, then buy other syringes, see if you like them.
Post names if you find something worth recommending.
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DHT must be within range.
Most of the time it is ok while on injectable testosterone
If it is low, that is the only situation when using Androgel is called for.
When chasing DHT, do not use any other transdermal testosterone, possibly with exception of Testogel.
Compounded T-crem/gels are of poor quality and their quality does not repeat from one to the next purchase.
..............
When forced to deal with very high SHBG newer use
Stanozolol, Winstrol
or
Danazol
either high TotalT will help
or
look for problems in
cholesterol
glucose/insulin
thyroid
adrenals
/
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