Testosterone came back too high

Alistair_

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I’m on doctor prescribed TRT, testosterone cypionate 200mg every two weeks. Of course I inject 100mg every 7 days instead. Had blood work done 6 months ago 6 days after my 100mg injection and total test came back approximately 600.

Just had more blood work done 2 days after I inadvertently injected 150mg for my weekly injection instead of 100mg and my total test came back 1000. My doc is not happy to say the least. He wants me to take 200mg every 3 weeks now and come back for more blood work in 3 months. I said no, test me again in 3 weeks because the 1000 was a fluke. So how long do I wait to get tested again taking 100mg a week? I was thinking 4 weeks since my last blood test and have the blood drawn 7 days after my 100mg injection. So you guys think that’s enough time to get my test back down to 600-700?
 
drejb

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It’s tricky to get it the same every time. I tested at 830 in October and almost 1300 exactly a month later at the same dose. Lots of factors to take into account and your doc should know that. 4 weeks should be okay, Cyp has a 8-10 day ester I believe? (Members Please correct me if I’m wrong)

Regards,

Andre
 

Alistair_

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Thanks for the reply and yes cypionates half life is around 8 days.

Interesting how your levels varied that much. I had the test done at 7am in the morning on an empty stomach as I was getting other blood tests done for blood sugar, lipids, liver function, etc. I wonder if they had anything to do with it. And as far as what my doc should know, he’s just a general practitioner so TRT really isn’t his area. I know I need to go to a specialist but I’m not sure the anti aging doc in my town takes my insurance and they seem to want to drain your wallet as fast as they can.
 
drejb

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Thanks for the reply and yes cypionates half life is around 8 days.

Interesting how your levels varied that much. I had the test done at 7am in the morning on an empty stomach as I was getting other blood tests done for blood sugar, lipids, liver function, etc. I wonder if they had anything to do with it. And as far as what my doc should know, he’s just a general practitioner so TRT really isn’t his area. I know I need to go to a specialist but I’m not sure the anti aging doc in my town takes my insurance and they seem to want to drain your wallet as fast as they can.
A big reason for me was incorporating HCG into my routine and it made everything else skyrocket. But my main point was the doc shouldn’t have been alarmed by that little bump because so many things can come into play. Even before my HCG was incorporated my levels never came back the same. Timing for blood work has to be pretty precise and properly timed after most recent injection, and best to get it done at the exact same time every time. Just recently changed from a GP to anti aging and already feel 100% better about my routine. I also worry a lot less because he ensures me that if my levels are high I shouldn’t worry unless he is worried. He has over 9000 men on TRT in his practice
 
thebigt

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I almost always have a headsup on when a blood test is coming....I always put at least 8 days between injection and blood draw even if it means delaying my scheduled injection, which it invariably does since I inject every 7 days.

I worry more about high blood count than test too high, but this works for both.
 

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My plan was to wait 8 days as well, I just rushed it this time and it backfired.
 

BlockBuilder

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Why does it need to be at 600-700? 1000 is still in the normal range. I would love that number lol
 

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Yes 1000 is the very top of natural but only like 2% of the male population is that high naturally. I’m very healthy with no family history of issues that could be complicated by high testosterone so I could most likely be at 1000 for decades and never have any issues but a general practitioner isn’t going to be keen on someone being that high
 
kenpoengineer

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Your doctor is old school and is recommending protocols that will hurt your health in the long run. Is he testing for estradiol and HH? There is a great FB group called Testosterone Replacement Therapy Discussion that is run by TRT experts.
 

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Yes you are 100% on point and I have had to request he look at estrogen in my blood work. I’m quite knowledgeable about HRT myself but that doesn’t mean I wouldn’t benefit from seeing a doctor that knows what he is doing as well. What does HH stand for?

I’ll check out that FB page.
 
kenpoengineer

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Sorry -HH means Hemoglobin/Hematocrit. Being an almost 4 year TRT user myself, I have been having a very hard time finding a doctor that knows proper protocol.
 

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1000 is still normal, high yes, but not insane.I was on compound trt topical and at 10mgs a day and mine came back at 300 after the first month and then came back at 2200 after the second month lol....dont know if the lab did something wrong, but I was in shock from such a small topical dose causing my test to be that high.
 
thebigt

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1000 is still normal, high yes, but not insane.I was on compound trt topical and at 10mgs a day and mine came back at 300 after the first month and then came back at 2200 after the second month lol....dont know if the lab did something wrong, but I was in shock from such a small topical dose causing my test to be that high.
2200?
either test was off....or I need to get some of that stuff!!!
 

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Sorry -HH means Hemoglobin/Hematocrit. Being an almost 4 year TRT user myself, I have been having a very hard time finding a doctor that knows proper protocol.
Ah okay, yes he does check that. Just not estrogen and SHBG unless I ask.
 

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Good for you to stand up to his desire for you to space out injections due to this. Any doctor that immediately says to space out injections further has no business giving out advice on the the subject. At the very most, he should have suggested to lower the amount and test again. Frequency changes with no dose change still keeps the initial peak the same and just increases the length and depth of trough, which is bad. Decreasing the dose and keeping the same frequency is better.
 
Nac

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Why does it need to be at 600-700? 1000 is still in the normal range. I would love that number lol
Yes, but natural diurnal levels are very different to IM peaks and troughs.

A 1000 measure 6 days after last pin doesnt mean 1000 is his peak level, it means his blood level is reading 1000 6 days after his last pin.

1000 six days after last pin means his peak level, around 3-4 days earlier, wouldve been 1500+ more than likely. Not many docs would be cool with that.
 

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Good for you to stand up to his desire for you to space out injections due to this. Any doctor that immediately says to space out injections further has no business giving out advice on the the subject. At the very most, he should have suggested to lower the amount and test again. Frequency changes with no dose change still keeps the initial peak the same and just increases the length and depth of trough, which is bad. Decreasing the dose and keeping the same frequency is better.
Yes and that’s exactly what I told the nurse on the phone to tell him. Sounds like he wants to refer me to a urologist.
 
fueledpassion

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So what is the doctor worried about with T levels @ 1000? Generally speaking, if the side effects can be mitigated, high T levels are a good thing that leads to increased cognitive function, more confidence, better and more stable mood & obviously more sexual prowess and physical capability.

As far as I know, it's the high blood pressure caused by three side effects that causes all of the known risks associated with high T:

1) Increased red blood cell count
2) Increased estrogen
3) Increased sodium retention

And with high BP comes LVH, cardiomyopathy & kidney stress/disease. The other side effect not related to blood pressure is plaque build-up, which most modern practitioners will tell you has alot more to do with inflammation and malnutrition associted with diet and lifestyle than any other leading cause.
-----------

Test has multiple pathways to how it increases sodium, one is increase in estrogen. Nonetheless, Nattokinase lowers red blood cell count very effectively - I ran 500mg per week and kept my Hematocrit levels right smack in the middle. AI's obviously control estrogen levels and sodium retention can be delt with by utilizing ample water intake, regular resistance training, a natural diueretic like Dandelion Root and if absolutely necessary, an ACE-II inhibitor. Those supps will keep the kidneys, liver & heart working in a healthy manner even with T levels @ 2000+ unless you have really crappy hereditary conditions/performance.
Keep the blood pressure @ 115/75 or lower when fasted, early in the morning, do regular LISS cardio, stay away from foods that cause inflammation & take the proven supps to keep all of your blood values and inflammatory markers within normal range and you can run however much T you want under those conditions.

List of supps I recommend for TRT and cycling enthusiasts:

Natto
Garlic
Curcumin
Vit K-2
L-Theanine
Beta Sitosterol
Pantethine
Bergamot
TUDCA
Golden Standard Kidney Stuff
ACE-II's
Trimetazidine
Dandelion Root
Vit C & D
Multi-Mineral
Multi-Vit

Yep, do all those things and in time you keep it all under control. Doc will be amazed at how you can cheat biology and enjoy alpha male while keeping the markers on point.

I'm not a doctor and no, my opinion is not to be held as fact, only a well-grounded position in research and experience. In all seriousness, you can't cheat aging but you can objectively slow it down. We should be doing all those thing above regardless.
 

criticalbench

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What didn't you just be honest and tell him you f*cked up by accident..
 
solidsnake

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So what is the doctor worried about with T levels @ 1000? Generally speaking, if the side effects can be mitigated, high T levels are a good thing that leads to increased cognitive function, more confidence, better and more stable mood & obviously more sexual prowess and physical capability.

As far as I know, it's the high blood pressure caused by three side effects that causes all of the known risks associated with high T:

1) Increased red blood cell count
2) Increased estrogen
3) Increased sodium retention

And with high BP comes LVH, cardiomyopathy & kidney stress/disease. The other side effect not related to blood pressure is plaque build-up, which most modern practitioners will tell you has alot more to do with inflammation and malnutrition associted with diet and lifestyle than any other leading cause.
-----------

Test has multiple pathways to how it increases sodium, one is increase in estrogen. Nonetheless, Nattokinase lowers red blood cell count very effectively - I ran 500mg per week and kept my Hematocrit levels right smack in the middle. AI's obviously control estrogen levels and sodium retention can be delt with by utilizing ample water intake, regular resistance training, a natural diueretic like Dandelion Root and if absolutely necessary, an ACE-II inhibitor. Those supps will keep the kidneys, liver & heart working in a healthy manner even with T levels @ 2000+ unless you have really crappy hereditary conditions/performance.
Keep the blood pressure @ 115/75 or lower when fasted, early in the morning, do regular LISS cardio, stay away from foods that cause inflammation & take the proven supps to keep all of your blood values and inflammatory markers within normal range and you can run however much T you want under those conditions.

List of supps I recommend for TRT and cycling enthusiasts:

Natto
Garlic
Curcumin
Vit K-2
L-Theanine
Beta Sitosterol
Pantethine
Bergamot
TUDCA
Golden Standard Kidney Stuff
ACE-II's
Trimetazidine
Dandelion Root
Vit C & D
Multi-Mineral
Multi-Vit

Yep, do all those things and in time you keep it all under control. Doc will be amazed at how you can cheat biology and enjoy alpha male while keeping the markers on point.

I'm not a doctor and no, my opinion is not to be held as fact, only a well-grounded position in research and experience. In all seriousness, you can't cheat aging but you can objectively slow it down. We should be doing all those thing above regardless.
If I ever end up on trt I’ll be sending you a pm for more info bro
 
kenpoengineer

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So what is the doctor worried about with T levels @ 1000? Generally speaking, if the side effects can be mitigated, high T levels are a good thing that leads to increased cognitive function, more confidence, better and more stable mood & obviously more sexual prowess and physical capability.

As far as I know, it's the high blood pressure caused by three side effects that causes all of the known risks associated with high T:

1) Increased red blood cell count
2) Increased estrogen
3) Increased sodium retention

And with high BP comes LVH, cardiomyopathy & kidney stress/disease. The other side effect not related to blood pressure is plaque build-up, which most modern practitioners will tell you has alot more to do with inflammation and malnutrition associted with diet and lifestyle than any other leading cause.
-----------

Test has multiple pathways to how it increases sodium, one is increase in estrogen. Nonetheless, Nattokinase lowers red blood cell count very effectively - I ran 500mg per week and kept my Hematocrit levels right smack in the middle. AI's obviously control estrogen levels and sodium retention can be delt with by utilizing ample water intake, regular resistance training, a natural diueretic like Dandelion Root and if absolutely necessary, an ACE-II inhibitor. Those supps will keep the kidneys, liver & heart working in a healthy manner even with T levels @ 2000+ unless you have really crappy hereditary conditions/performance.
Keep the blood pressure @ 115/75 or lower when fasted, early in the morning, do regular LISS cardio, stay away from foods that cause inflammation & take the proven supps to keep all of your blood values and inflammatory markers within normal range and you can run however much T you want under those conditions.

List of supps I recommend for TRT and cycling enthusiasts:

Natto
Garlic
Curcumin
Vit K-2
L-Theanine
Beta Sitosterol
Pantethine
Bergamot
TUDCA
Golden Standard Kidney Stuff
ACE-II's
Trimetazidine
Dandelion Root
Vit C & D
Multi-Mineral
Multi-Vit

Yep, do all those things and in time you keep it all under control. Doc will be amazed at how you can cheat biology and enjoy alpha male while keeping the markers on point.

I'm not a doctor and no, my opinion is not to be held as fact, only a well-grounded position in research and experience. In all seriousness, you can't cheat aging but you can objectively slow it down. We should be doing all those thing above regardless.
Nice write up!
 
fueledpassion

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Nice write up!
I'm about 2 isolated weekends + a Kratom-binge away from signing up for med school and pursuing cardiology. It would take 9-10 years but if I had credentials behind my name I think I could contribute to how people view heart health & that would include society's view on steroids & cholesterol medicine. A certain group of people have successfully set out to condition our society into being unable to think critically or to think for themselves. For those into bodybuilding and self-improvement lifestyles, in order to be good at it, you need to think critically for yourself and not depend on your doctor for any significant portion of your knowledge-base, unless you literally want to learn nothing.

Call it an early mid-life crisis.
 

Alistair_

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What didn't you just be honest and tell him you f*cked up by accident..
I did. He still insists that I go to 200mg every 3 weeks or he will refere me to a urologist to take over my TRT since it’s not his area of expertise.
 

Alistair_

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So what is the doctor worried about with T levels @ 1000? Generally speaking, if the side effects can be mitigated, high T levels are a good thing that leads to increased cognitive function, more confidence, better and more stable mood & obviously more sexual prowess and physical capability.

As far as I know, it's the high blood pressure caused by three side effects that causes all of the known risks associated with high T:

1) Increased red blood cell count
2) Increased estrogen
3) Increased sodium retention

And with high BP comes LVH, cardiomyopathy & kidney stress/disease. The other side effect not related to blood pressure is plaque build-up, which most modern practitioners will tell you has alot more to do with inflammation and malnutrition associted with diet and lifestyle than any other leading cause.
-----------

Test has multiple pathways to how it increases sodium, one is increase in estrogen. Nonetheless, Nattokinase lowers red blood cell count very effectively - I ran 500mg per week and kept my Hematocrit levels right smack in the middle. AI's obviously control estrogen levels and sodium retention can be delt with by utilizing ample water intake, regular resistance training, a natural diueretic like Dandelion Root and if absolutely necessary, an ACE-II inhibitor. Those supps will keep the kidneys, liver & heart working in a healthy manner even with T levels @ 2000+ unless you have really crappy hereditary conditions/performance.
Keep the blood pressure @ 115/75 or lower when fasted, early in the morning, do regular LISS cardio, stay away from foods that cause inflammation & take the proven supps to keep all of your blood values and inflammatory markers within normal range and you can run however much T you want under those conditions.

List of supps I recommend for TRT and cycling enthusiasts:

Natto
Garlic
Curcumin
Vit K-2
L-Theanine
Beta Sitosterol
Pantethine
Bergamot
TUDCA
Golden Standard Kidney Stuff
ACE-II's
Trimetazidine
Dandelion Root
Vit C & D
Multi-Mineral
Multi-Vit

Yep, do all those things and in time you keep it all under control. Doc will be amazed at how you can cheat biology and enjoy alpha male while keeping the markers on point.

I'm not a doctor and no, my opinion is not to be held as fact, only a well-grounded position in research and experience. In all seriousness, you can't cheat aging but you can objectively slow it down. We should be doing all those thing above regardless.
I agree with all of what you’re saying here. We know 1000 is no big deal but GP’s tend to be very conservative with things that are out of their level of expertise. I had blood work for lipids, liver, kidneys, thyroid, blood sugar, etc. come back the same day and all my tests were good. I’m moving on to a different doctor.

Thanks for taking the time to write all of that. I take a lot of the supplements you listed.
 

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A big reason for me was incorporating HCG into my routine and it made everything else skyrocket. But my main point was the doc shouldn’t have been alarmed by that little bump because so many things can come into play. Even before my HCG was incorporated my levels never came back the same. Timing for blood work has to be pretty precise and properly timed after most recent injection, and best to get it done at the exact same time every time. Just recently changed from a GP to anti aging and already feel 100% better about my routine. I also worry a lot less because he ensures me that if my levels are high I shouldn’t worry unless he is worried. He has over 9000 men on TRT in his practice
Do you feel better with adding HCG? Or was it just added for fertility reasons?
 
kenpoengineer

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Do you feel better with adding HCG? Or was it just added for fertility reasons?
Not directed at me but personally I feel better adding in HCG. Sense of wellbeing and libido both improved. Energy level rose as well. 250 IU every 3.5 days.
 
thebigt

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I'm about 2 isolated weekends + a Kratom-binge away from signing up for med school and pursuing cardiology. It would take 9-10 years but if I had credentials behind my name I think I could contribute to how people view heart health & that would include society's view on steroids & cholesterol medicine. A certain group of people have successfully set out to condition our society into being unable to think critically or to think for themselves. For those into bodybuilding and self-improvement lifestyles, in order to be good at it, you need to think critically for yourself and not depend on your doctor for any significant portion of your knowledge-base, unless you literally want to learn nothing.

Call it an early mid-life crisis.
in my experience the biggest obstacle to trt has been female nurses...they are very anti-viral males these days, imo...they are the ones who will recommend reducing dose of testosterone if results are even a little on high side-some may argue this, but it has been my experience!!!
 
fueledpassion

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in my experience the biggest obstacle to trt has been female nurses...they are very anti-viral males these days, imo...they are the ones who will recommend reducing dose of testosterone if results are even a little on high side-some may argue this, but it has been my experience!!!
It's possible, given the broadsweep of conditioning feminism has performed on society in regards to all things manhood. Just look at the news today. Manhood is under attack & unfortunately for women, MGTOW is on the rise. Woe to society & God help us if the majority of men jump onto the bitter side of that train.

But even with women doctors who admit to their wild desire for a masculine and confident man, our chrony, entitled, envious and greedy society has perverted our legal system and attorneys hope to take all that doctors are worth from them every chance they get. It seems like all doctors have to do is make a mistake - never mind it is a PRACTICE, which means calculated risks are going to have to be taken to learn something new about a something we currently don't know much about. But I digress.
 

Alistair_

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Not directed at me but personally I feel better adding in HCG. Sense of wellbeing and libido both improved. Energy level rose as well. 250 IU every 3.5 days.
I’m switching to a new doctor and HCG is something I’ll be considering. Just hate that estrogen will be harder to manage with HCG.
 

kisaj

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in my experience the biggest obstacle to trt has been female nurses...they are very anti-viral males these days, imo...they are the ones who will recommend reducing dose of testosterone if results are even a little on high side-some may argue this, but it has been my experience!!!
Nope, this is 100% my experience as well. Twice I have gone in for routine blood work and for scheduling purposes I have decided to use the PA instead of my doc and they have been female. Each time it was like talking to an alien about my protocol and both times when labs came back very well within range, they stated that I should move to a longer dosing schedule. When questioned, it was apparent they had no idea, but just felt like they needed input. Which to someone that wasn't educated in the subject, may follow, and then start feeling crappy.
 
kenpoengineer

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I’m switching to a new doctor and HCG is something I’ll be considering. Just hate that estrogen will be harder to manage with HCG.
For me, adding HCG at 250 IU every 3.5 days did nothing to my estradiol. I dose anastrozole at 0.25 mg every 3.5 days, day after testosterone cypionate injection. HCG is from Empower pharmacy.
 

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For me, adding HCG at 250 IU every 3.5 days did nothing to my estradiol. I dose anastrozole at 0.25 mg every 3.5 days, day after testosterone cypionate injection. HCG is from Empower pharmacy.
That’s good that it doesn’t effect your estrogen. I take exemestane as I like it a lot better than Arimidex. I take 12.5mg the day after my shot and then I take DIM once daily and that keeps estrogen in check.
 

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It’s tricky to get it the same every time. I tested at 830 in October and almost 1300 exactly a month later at the same dose. Lots of factors to take into account and your doc should know that. 4 weeks should be okay, Cyp has a 8-10 day ester I believe? (Members Please correct me if I’m wrong)

Regards,

Andre
testosterone enanthate and cyp have a half life closer to 4-5 days.

Pharmacology of testosterone preparations
H.M. Behre, C. Wang, D.J. Handelsman and E. Nieschlag
 
thebigt

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Nope, this is 100% my experience as well. Twice I have gone in for routine blood work and for scheduling purposes I have decided to use the PA instead of my doc and they have been female. Each time it was like talking to an alien about my protocol and both times when labs came back very well within range, they stated that I should move to a longer dosing schedule. When questioned, it was apparent they had no idea, but just felt like they needed input. Which to someone that wasn't educated in the subject, may follow, and then start feeling crappy.
I once had a female doc....notice I said once-never again. now I just have to deal with knowitall nurses, who actually know nothing about trt and should not have input on a subject they are not knowledgeable about, imo. actually I think it doesn't have anything to do with knowledge, I think they are just plain anti-testosterone.
 

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I once had a female doc....notice I said once-never again. now I just have to deal with knowitall nurses, who actually know nothing about trt and should not have input on a subject they are not knowledgeable about, imo. actually I think it doesn't have anything to do with knowledge, I think they are just plain anti-testosterone.
As far as i know. Nurses aren’t allowed to give medical advice.
 
thebigt

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As far as i know. Nurses aren’t allowed to give medical advice.
sorry man, but I think this is one of the most naïve posts I've read.....
 
fueledpassion

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sorry man, but I think this is one of the most naïve posts I've read.....
Well, I assumed you meant nurse practitioners. TBH, this is a topic possibly worthy of its own thread. We should get out ahead of the feminists - sounds like that ideology is starting to indoctrinate men's clinic, and lets be honest, that would be a solid long term strategy for them too!

But in all seriousness, from a more anecdotal standpoint, women in the men's medical field is concerning since they wouldn't know the dramatic difference being at the top of the range is compared to being at the bottom, assuming each scenario manages blood & arterial health properly.

Having high T is not as unnecessary as having really high hematocrit, for instance. Some things that we track have no benefits to outweigh their drawbacks when they are busting out of the reference range, however, testosterone is not one of those examples.

It wouldn't be fair to have this position without also suggesting that men get out of the practice of gynocology. However, men aren't generally "anti-estrogen" in terms of treating women in a medical sense, lol. Estrogen creates the hour-glass look. We like the hour-glass look on women. As far as I know, most alpha men aren't trying to pressure or convert women into masculine figures. Yeah this could get off topic fast. I'll stop.
 
kenpoengineer

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I created an IOS app to track all these bloodwork tests over time. As a TRT patient myself, I use it to show my doctor my trends:
For the price of a coffee, you can use this iPhone app to track your bloodwork:

myBloodTracker
https://appsto.re/us/vvMndb.i
 
kenpoengineer

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do you have one available for the Android platform?
Unfortunately no but willing to work with an Android developer on one.
 
Cgkone

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It's possible, given the broadsweep of conditioning feminism has performed on society in regards to all things manhood. Just look at the news today. Manhood is under attack & unfortunately for women, MGTOW is on the rise. Woe to society & God help us if the majority of men jump onto the bitter side of that train.

But even with women doctors who admit to their wild desire for a masculine and confident man, our chrony, entitled, envious and greedy society has perverted our legal system and attorneys hope to take all that doctors are worth from them every chance they get. It seems like all doctors have to do is make a mistake - never mind it is a PRACTICE, which means calculated risks are going to have to be taken to learn something new about a something we currently don't know much about. But I digress.
Well said
 
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I created an IOS app to track all these bloodwork tests over time. As a TRT patient myself, I use it to show my doctor my trends:
For the price of a coffee, you can use this iPhone app to track your bloodwork:

myBloodTracker
https://appsto.re/us/vvMndb.i
repped for being such a helpful guy!!!!

good man!!!
 

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