Blood is only 20% of the equation. It does not show the full story at the cellular and receptor level. Example if you are under oxidative stress and glutathione is depleted your thyroid will not activate at the receptor. I see this all the time with optimal blood levels but functional deficiency
Check thyroid and insulin serum.
I am checking cellular insulin resistance starting at insulin >7 and ha1c 5.2 or higher.
Consider focusing on lifestyle and sleep hygiene. I would suggested to get tested for sleep apnea by your doctors as I see this and insulin resistance go hand in hand
Can not go by e2 blood alone even proper levels or sensitive assay. I am finding huge clinical discrepancy in the symptoms not matching up. When I look at the urine it shows a different picture matching the current symptoms. Addressing the hormone imbalance of the urine, clinical symptoms...
Total testosterone is basically a worthless number and one needs to look at the factors preventing it from being utilized properly. In hormones it not absolute it’s about ratios and relationships. This is what I have been teaching and educating doctors for years on
it’s called Nebo shot.
It’s really no different than the pellets and just pain in the ass literally. Basically you are stuck with what they gave you. If you have issue well you are sh!t out of luck and just need to ride it out.
That is not history. History is where pathology is often found where the patients tells the doctor their diagnosis if they listen ...
Over training, not eat carbs Keto diet? Too
many unknown variables to consider ...
Shbg rises as a response to pro inflammatory insult on the body. I am seeing it more and more. I have been studying this for over decade no one is looking at obvious. We are collecting data now from numerous cases with hopes of possible publishing a study on it. Reduce cellular and Gi...
First I would question the doctors true understand of TRT. If a doctor is testing total estrogens that is a red Flag to how much they actually know about TRT administration and proper monitoring. It would be suggested to find another Dr ASAP, but if he is actually trainable then he’s a keeper lol
I think shooting into scar tissue is causing the testosterone to get trapped between different layers in of adipose where aromatase activity is greatest especially if needle is shorter. I do not think guys start out on TRT with have this issue unless they were previous steroid users. I brought...
Here’s a theory I have been tossing around
Since I used to inject into my a$$ all the time I developed scar tissue. I notice when I rotate to area of less scar tissue my aromatase does not seem to be an issue. When I start injecting into glute more often weekly, I notice e2 symptoms come back...
Once a week injection, blood work should be taken day 4 or 5 not on the 7 th. I suspect you will be in the 300-350 range if lucky lol
Inject after the blood draw
I been at 50-60 mgs of test once a week and doing fine. Levels are still 650 on trough with upper level free testosterone and e2...
I often the following SHBG elevated these cases - all pubmed supported.
low carb or Ketogenic diet leading to low insulin, high fiber diets
Low cortisol
Low growth hormone
Thyroid medicine (T3) or other meds
Gi, pancreatic or liver inflammation
dysbiosis, malabsorption, SIBO
Enviromental...
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