59 year old with supraphysiological numbers

[Pete Cunningham]

After two years on Clomid therapy as first line, I have been on TRT for 20 weeks. I was prescribed 200mg test cyp per week, and .25 mg arimidex twice per week.
After eight week I got labs on day 7.
Total T 964
Free T 104
BAT 196.8
SHBG 50
E2 (not sensitive test) 18
All reasonable numbers so doc continued me on the same regimen
At 16 weeks I tested on day 3 AM
Total test 3396
Free T 632
BAT 1217
SHBG 55
E2 74

Feeling great but doc is concerned so I am reducing to 100 mg per week. I am injecting 50 mg on Wed AM and 50 mg on Sat PM
Today got labs for CBC, lipids, and metabolic panel

Two questions
1) what should I look out for on my new labs
2) when should I get new testosterone levels and on what day? (I do have an order for ultrasensitive E2)
Thanks

 

[Loki]

Even injecting once per week I wouldn't expect the peak to be so much higher than your trough... Why did you pull the labs on day 3 on the second test and not on the same day as the first test? I wonder too if you accidently injected too much... Seems really high for 200MG....

 

[Sean Mosher]

Yeah, I don't see how there's any way 200mg could produce a Total T of 3396.
Something's not right there at all............

 

[ERO]

Sounds like a bad test. That can and does happen. Weird that your doc didn't think of that and retest you before adjusting your dosages.

 

[Pete Cunningham]

I did get retested the following week...same results....drawing from 1ml vial 200mg/ml

 

[Pete Cunningham]

Got retested the following week...total T 3025

 

[Loki]

I did get retested the following week...same results....drawing from 1ml vial 200mg/ml

Is it compounded? So it's a 10ML vial and you are injecting 1ML per week?

 

[luismota]

Only thing I can see happening is that your source is overdosed. Possibly a whole batch is overdosed to 300mg/ml+

 

[Loki]

Only thing I can see happening is that your source is overdosed. Possibly a whole batch is overdosed to 300mg/ml+

I think so as well... I had a batch once that was compounded at 250MG per ML... So a weekly shot of 200MG needed to be .8 not 1ml... Confused me a little bit a first because it looked exactly the same...

 

[Pete Cunningham]

1 ml vial...was injecting 1ml per week...now .25 twice per week

 

[Pete Cunningham]

The first test I wanted to see the trough...the second test I wanted to see the peak.

 

[Vince Carter]

Ok so you intended to get the numbers you got. What help are you looking for?

 

[maxadvance]

1ml vial won't be compounded, definitely pharma

 

[MikeXL]

Something is way off. I saw a doc on a video. He claimed that he has treated 10,000 patients. He gives evryone 200mg cyp per week. We he was asked what was the highest level he has seen at that dose, he said 2,490

 

[Pete Cunningham]

What would be red flags on my CMP, lipid, and CBC panels?