I think I am also going to pull back on dosage of Testosterone for a bit as well.
A bit?
What then to end up back at square one.
Looking over your labs it is clear as day that running a TT 1324 ng/dL with an SHBG of only 31.4 nmol/L would have your FT through the roof and these are most likely your trough levels so peak TT/FT/e2 levels would be much higher.
Top it off that although your FT is flagged as high you had it tested using the piss poor direct immunoassay which is known to be inaccurate.
You have been on the forum long enough to know that FT needs to be tested using the most accurate assays such as the gold standard Equilibrium Dialysis or Ultrafiltration to know where it truly sits.
Why you would waste your time let alone use/rely upon the direct immunoassay is beyond me.
If you would have tested your FT using such then you would clearly see how absurdly high your FT would be with a TT 1324 ng/dL (most likely trough) and SHBG of 31.4 nmol/L.
You are battling high RBCs/hemoglobin/hematocrit due to running absurdly high FT levels!
What is your protocol (dose T/injection frequency)?
Take a close look at how high FT can be with a TT 1300s and yes with an SHBG of almost 50 nmol/L.....who knew!
My protocol, 16 mg of testosterone cypionate daily, 500 iu of hcg twice weekly and no AI. Pregnenolone 10 mg and 25 mg of DHEA. My last injection before labs, about 28 hr.s. Labs are from LabCorp. Testosterone, Serum 1319 ng/dL range 264-916 Free Testosterone 47.9 ng/dL range...
www.excelmale.com
I am running 26 mg Test Cyp every other day and 210 IU/HCG
I was running 26 mg of Deca every other day to help with shoulder pain, but I stopped taking that a couple weeks ago.
I came tired to come off of TRT for a bit in Janurary using Defys protocol. I did my labs on last day i took clomid and these were my numbers.
March 8, 2021 (Last pill of clomid)
CBC With Differential/Platelet WBC 6.1 x10E3/uL 3.4-10.8
RBC 5.76 x10E6/uL 4.14-5.80
Hemoglobin 17.0 g/dL 13.0-17.7
Hematocrit 50.0 % 37.5-51.0
MCV 87 fL 79-97 01 MCH 29.5 pg 26.6-33.0
MCHC 34.0 g/dL 31.5-35.7
RDW 12.9 % 11.6-15.4
Platelets 248 x10E3/uL 150-450
Neutrophils 55 % Not Estab.
Lymphs 32 % Not Estab.
Monocytes 10 % Not Estab.
Eos 2 % Not Estab.
Basos 1 % Not Estab.
Neutrophils (Absolute) 3.4 x10E3/uL 1.4-7.0
Lymphs (Absolute) 1.9 x10E3/uL 0.7-3.1
Monocytes(Absolute) 0.6 x10E3/uL 0.1-0.9
Eos (Absolute) 0.1 x10E3/uL 0.0-0.4
Baso (Absolute) 0.1 x10E3/uL 0.0-0.2
Immature Granulocytes 0 % Not Estab.
Immature Grans (Abs) 0.0 x10E3/uL 0.0-0.1 01
Glucose 90 mg/dL 65-99
BUN 12 mg/dL 6-24
Creatinine 1.03 mg/dL 0.76-1.27
eGFR If NonAfricn Am 90 mL/min/1.73 >59
eGFR If Africn Am 105 mL/min/1.73 >59
BUN/Creatinine Ratio 12 9-20
Sodium 139 mmol/L 134-144
Potassium 4.3 mmol/L 3.5-5.2
Chloride 103 mmol/L 96-106
Carbon Dioxide, Total 26 mmol/L 20-29
Calcium 9.6 mg/dL 8.7-10.2
Protein, Total 6.9 g/dL 6.0-8.5
Albumin 4.4 g/dL 4.0-5.0
Globulin, Total 2.5 g/dL 1.5-4.5
A/G Ratio 1.8 1.2-2.2
Bilirubin, Total 0.7 mg/dL 0.0-1.2
Alkaline Phosphatase 94 IU/L 39-117
AST (SGOT) 17 IU/L 0-40 01 ALT (SGPT) 23 IU/L 0-44
Testosterone,Free and Total Testosterone, Serum 503 ng/dL 264-916
Free Testosterone(Direct) 13.4 pg/mL 6.8-21.5
LH 6.3 mIU/mL 1.7-8.6
Estradiol, Sensitive 25.5 pg/mL 8.0-35.0
Ferritin, Serum 148 ng/mL 30-400
The numbers on paper looked decent on paper, but I felt like shit and knew those numbers would go down because they were artificially raised because of clomid. I went 2 weeks after and notice no change and was feeling like garbage and super depressed feelings and decided to go back on my Test/Deca/HCG mix, which I would do all the time in the past. I would only run the deca 1-2 month period to help lubercate my shoulder joint and wrist joint then I would come off of it until I felt my joints start to ache again then Deca again for a bit. I am prescribed these meds and done it plenty of times in the past. I didn't donate any blood at this point because everything looked good on paper.
Right now I just need to focus on getting blood out and see if symptoms resolve.
Cardiologist has me on Diltiazem to help with BP and heart rate. Last visit the nurse said my holter monitor report did say I had 3 different SVT episodes that lasted a short period of time. I have a treadmill stress test on June 4th.