tim123
New member
I need a lot knowledgeable input!
I’m 55 years old. Low T, hormones, endocrinology a mess. Suffering terribly, highly debilitated (mentally, emotionally and physically). Many conditions, symptoms, complex situation. Long story. I can tell you what you wish. I run into road blocks with something, my meds or what, each time I try to go forward to try heal these conditions. I wish to focus my post my low T and hormonal, endocrine and topics related to low T.
Thanks for your patience with the complexity of my situation.
How can I lower my high Total testosterone? Isn’t it far too high, dangerous?
I can’t raise up my low Free testosterone without raising my Total testosterone far too much. To lower my Total testosterone to 1,000 ng/dL, I would have to lower my Free testosterone to low 100’s pg/ml, or lower than 100 pg/ml.
This is a constant guessing game of trying to keep my Estradiol within safe range with gauging how much Anastrozole to compound, and how much T cypionate to inject.
What are the healthy ranges?
I thought that, for TRT, healthy range (despite what most doctors or testing places say) is:
Free T: 250 to ? pg/mL.
Total T: 800 to 1100 ng/dL.
Estradiol: 20 pg/mL to mid 20’s, with low mid 20’s ideal
All tests are done by an ordinary blood testing facility (not sure if I can say the name, so I will leave it out.)
I can supply more data from test results if you ask for specifics, and can test for what you wish with my future tests.
My body responds a lot to tiny changes in doses of T, and Anastrozole, making it particularly hard to balance. After months, I can get a balance, but then Free T is too low or Total T is too high, a mess.
I am sure and know a lot of other hormones are all off.
[One example: I also have adrenal exhaustion and had for probably a lot of my life, not from blood tests but from what I read and feel, and that a trainer highly into nutrition told me a couple of years ago. I found a symptom diagnosis sheet that a naturopathic Dr. uses for all his patients which shows that I have the highest, severe adrenal exhaustion. I do not go to a naturopathic doctor: I can't afford it, and not sure that has any answers for me (didn't in past) plus the following. Road block: can’t take most or all herbs or supplements for adrenal exhaustion, or other conditions, from serious interactions with my other meds I take).
Present Dose of Testosterone Cypionate (since Feb 27, 2015, which is since March)
(my testosterone bottle says 2,000 mg/10mL or 200mg/m):
1 injection (front thigh) every 3 days
per injection: 35 mg = 0.175ml = 0.18 ml (I draw my syringe to .19ml)
Present Dose of Anastrozole: (since May 19, 2015)
1 compounded capsule every 3 days, same day and time I take my T injection
1 compounded capsule = 0.3125 mg (or 5/16 of 1mg pill, or 1/16 more than ¼ of a 1 mg pill.
June 29, 2015, 8:02 AM test results (fasted from 12:00PM prior night, 8 hours)
Total T................ 2143 ng/dL
Free T.................. 225.6 pg/mL
Bioavailable T.......522.8 ng/dL
SHBG.....................64 nmol/L
Albumin, serum....... 5.1 g/dL
Hemoglobin............17 g/dL
Hematocrit............. 51.9 %
DHEA sulfate......... 89 mcg/dL
Estradiol................. 24 pg/mL
I am speaking to my Dr. in the following days about this. I think he wants me to get a therapeutic phelobomy (Red Cross will not let me donate, so I have to get a “therapeutic phlebotomy” to bring down Hemoglobin, Hemocrit), as I have done at times this year.
I don’t know but wonder if my doctor will ask me to cut down on my T cypionate dose, which means
to cut down on my Estradiol...to what..fraction of a fraction of a small pill to be compounded. If Iower my T dose just slightly, my Free T drops sooner or later, many points, so then we raise it with the same stupid problems.
This is what we are doing, playing games just going back and forth raising my T because it leaves me with so little energy and symptoms with unhealthy low T...though I still have little energy and symptoms on my present dose of T;
and then lowering my T when my Total T is too much for my doctor (and me, scares me that high). I am not getting anywhere and still are symptomatic. I must lay in my bed 11 or 12 hours a day from how tired my body is, and my worst symptoms are in the morning (actual terror, and other symptoms, which last 24 hours a day though are most torturous as the morning progresses).
(FYI. I can’t afford doctors who know how to treat low T and male hormonal, anti-aging conditions; I’m on disability, only have Medicare/medicade. Someone suggested an affordable Dr. who I can’t go for other reasons. My present doctor is smart, though this is not his area of expertise, and he doesn’t know much what to say about my low T, like most other doctors. I don’t myself know what to say. My doctor is the best I can find who, past my staring T cypionate injections, at least listened to finally let me take Anastrozole to lower my Estradiol, and told me to get therapeutic phlebotomies for my hemoglobin and Hematocrit. All other doctors I went to, including the “best” endocrinologists, were highly ignorant, clueless, and cared little or not at all. So, I must work with what I have, to do my research, which I am limited to from my conditions, and try to work with my doctor.)
Thanks so much for reading my post.
I’m 55 years old. Low T, hormones, endocrinology a mess. Suffering terribly, highly debilitated (mentally, emotionally and physically). Many conditions, symptoms, complex situation. Long story. I can tell you what you wish. I run into road blocks with something, my meds or what, each time I try to go forward to try heal these conditions. I wish to focus my post my low T and hormonal, endocrine and topics related to low T.
Thanks for your patience with the complexity of my situation.
How can I lower my high Total testosterone? Isn’t it far too high, dangerous?
I can’t raise up my low Free testosterone without raising my Total testosterone far too much. To lower my Total testosterone to 1,000 ng/dL, I would have to lower my Free testosterone to low 100’s pg/ml, or lower than 100 pg/ml.
This is a constant guessing game of trying to keep my Estradiol within safe range with gauging how much Anastrozole to compound, and how much T cypionate to inject.
What are the healthy ranges?
I thought that, for TRT, healthy range (despite what most doctors or testing places say) is:
Free T: 250 to ? pg/mL.
Total T: 800 to 1100 ng/dL.
Estradiol: 20 pg/mL to mid 20’s, with low mid 20’s ideal
All tests are done by an ordinary blood testing facility (not sure if I can say the name, so I will leave it out.)
I can supply more data from test results if you ask for specifics, and can test for what you wish with my future tests.
My body responds a lot to tiny changes in doses of T, and Anastrozole, making it particularly hard to balance. After months, I can get a balance, but then Free T is too low or Total T is too high, a mess.
I am sure and know a lot of other hormones are all off.
[One example: I also have adrenal exhaustion and had for probably a lot of my life, not from blood tests but from what I read and feel, and that a trainer highly into nutrition told me a couple of years ago. I found a symptom diagnosis sheet that a naturopathic Dr. uses for all his patients which shows that I have the highest, severe adrenal exhaustion. I do not go to a naturopathic doctor: I can't afford it, and not sure that has any answers for me (didn't in past) plus the following. Road block: can’t take most or all herbs or supplements for adrenal exhaustion, or other conditions, from serious interactions with my other meds I take).
Present Dose of Testosterone Cypionate (since Feb 27, 2015, which is since March)
(my testosterone bottle says 2,000 mg/10mL or 200mg/m):
1 injection (front thigh) every 3 days
per injection: 35 mg = 0.175ml = 0.18 ml (I draw my syringe to .19ml)
Present Dose of Anastrozole: (since May 19, 2015)
1 compounded capsule every 3 days, same day and time I take my T injection
1 compounded capsule = 0.3125 mg (or 5/16 of 1mg pill, or 1/16 more than ¼ of a 1 mg pill.
June 29, 2015, 8:02 AM test results (fasted from 12:00PM prior night, 8 hours)
Total T................ 2143 ng/dL
Free T.................. 225.6 pg/mL
Bioavailable T.......522.8 ng/dL
SHBG.....................64 nmol/L
Albumin, serum....... 5.1 g/dL
Hemoglobin............17 g/dL
Hematocrit............. 51.9 %
DHEA sulfate......... 89 mcg/dL
Estradiol................. 24 pg/mL
I am speaking to my Dr. in the following days about this. I think he wants me to get a therapeutic phelobomy (Red Cross will not let me donate, so I have to get a “therapeutic phlebotomy” to bring down Hemoglobin, Hemocrit), as I have done at times this year.
I don’t know but wonder if my doctor will ask me to cut down on my T cypionate dose, which means
to cut down on my Estradiol...to what..fraction of a fraction of a small pill to be compounded. If Iower my T dose just slightly, my Free T drops sooner or later, many points, so then we raise it with the same stupid problems.
This is what we are doing, playing games just going back and forth raising my T because it leaves me with so little energy and symptoms with unhealthy low T...though I still have little energy and symptoms on my present dose of T;
and then lowering my T when my Total T is too much for my doctor (and me, scares me that high). I am not getting anywhere and still are symptomatic. I must lay in my bed 11 or 12 hours a day from how tired my body is, and my worst symptoms are in the morning (actual terror, and other symptoms, which last 24 hours a day though are most torturous as the morning progresses).
(FYI. I can’t afford doctors who know how to treat low T and male hormonal, anti-aging conditions; I’m on disability, only have Medicare/medicade. Someone suggested an affordable Dr. who I can’t go for other reasons. My present doctor is smart, though this is not his area of expertise, and he doesn’t know much what to say about my low T, like most other doctors. I don’t myself know what to say. My doctor is the best I can find who, past my staring T cypionate injections, at least listened to finally let me take Anastrozole to lower my Estradiol, and told me to get therapeutic phlebotomies for my hemoglobin and Hematocrit. All other doctors I went to, including the “best” endocrinologists, were highly ignorant, clueless, and cared little or not at all. So, I must work with what I have, to do my research, which I am limited to from my conditions, and try to work with my doctor.)
Thanks so much for reading my post.
