On TRT, total test within normal range, Free T sky high

[tareload]

Zat right?

What is footnote 1 on your labsheet? That will tell you the laboratory.

Esoterix / Endo Sciences ref range owned by Labcorp is 52 to 280 pg/ml.

 

[tareload]

Zat right?

On second look, nevermind. Your test is equilibrium ultrafiltration NOT dialysis.

See my lab result above. That is the only lab Labcorp is doing ED. I feel for guys. This is such a mess for the regular dude.

 

[Deleted member 16042]

On second look, nevermind. Your test is equilibrium ultrafiltration NOT dialysis.

View attachment 32901


See my lab result above. That is the only lab Labcorp is doing ED. I feel for guys. This is such a mess for the regular dude.

Harmonization will be harmonious if they ever get to that point.

 

[tropicaldaze1950]

So I have been on TRT for a while, my Total T levels are fine, around 600 but my Free T levels are very high, over 150...

SHBG levels are very low, usually between 8-10 and estradiol is normal around 25 as I take Aromasin to keep that in line.

Do I need to adjust my dose down to lower my free T back to within normal range? Worried about the potential long term risks for sky high free T levels...would this be similar to being on steroids even tho my total T levels are well within normal range?

So I have been on TRT for a while, my Total T levels are fine, around 600 but my Free T levels are very high, over 150...

SHBG levels are very low, usually between 8-10 and estradiol is normal around 25 as I take Aromasin to keep that in line.

Do I need to adjust my dose down to lower my free T back to within normal range? Worried about the potential long term risks for sky high free T levels...would this be similar to being on steroids even tho my total T levels are well within normal range?

IMO, irrelevant. Your interpretation of 'sky high' is in relation to the lab range you're looking at, which is arbitrary, based on a pool of numbers. You're not on a high dose of T, either. Incompetent doctors treat by lab values, not how a patient is feeling and functioning. I'd also question why you're taking Aromasin, unless you have extreme sensitivity to estradiol or, your doctor automatically prescribes it as part of TRT. From my reading, it comes across that your protocol is being micro managed.

 

[matter2003]

IMO, irrelevant. Your interpretation of 'sky high' is in relation to the lab range you're looking at, which is arbitrary, based on a pool of numbers. You're not on a high dose of T, either. Incompetent doctors treat by lab values, not how a patient is feeling and functioning. I'd also question why you're taking Aromasin, unless you have extreme sensitivity to estradiol or, your doctor automatically prescribes it as part of TRT. From my reading, it comes across that your protocol is being micro managed.

Well that's good to know Quests interpretation of what is high is pretty much garbage and that I don't have anything to worry about.

I feel pretty good, lift 4x a week, pilates/yoga one day, walk 3-4 miles 4-5x a week and mix in some weighted vest hill climbs.

I am a high aromatizer unfortunately. After a few months my E levels were over 50. Aromasin twice a week keeps it in check in the mid-upper 20s.

Only other thing that sucks is I am susceptible to polythecemia and my Hematocrit levels get into the 53-54% range so I have to donate blood pretty much every 8 weeks like clockwork to stay good.

 

[Systemlord]

Only other thing that sucks is I am susceptible to polythecemia and my Hematocrit levels get into the 53-54% range so I have to donate blood pretty much every 8 weeks like clockwork to stay good.

I previously was forced to get phlebotomies for over a year until a hematologist put a stop to it due to a lack of symptoms and blood pressure (110/64) on the lower end. Phlebotomies didn’t do me any favors, it took me 3 weeks to recover my ferritin levels, only to crash them a week later, rinse and repeat.

I’m currently 51-52% and not getting phlebotomies. I swear after stopping the frequent phlebotomies, this is when I started making progress on TRT.

If you can still get symptom relief after reducing your dosage, I would do it rather than risk crashing, suppressing your ferritin levels long term!

 

[matter2003]

I previously was forced to get phlebotomies for over a year until a hematologist put a stop to it due to a lack of symptoms and blood pressure (110/64) on the lower end. Phlebotomies didn’t do me any favors, it took me 3 weeks to recover my ferritin levels, only to crash them a week later, rinse and repeat.

I’m currently 51-52% and not getting phlebotomies. I swear after stopping the frequent phlebotomies, this is when I started making progress on TRT.

If you can still get symptom relief after reducing your dosage, I would do it rather than risk crashing, suppressing your ferritin levels long term!

Donating blood for men is actually pretty healthy...in fact researchers now believe it is the main reason why women have longer life expectancy than men do...they release iron from their bodies monthly for decades while men do not...just like iron rusts outside from oxidation, the same rusting occurs internally from oxidation.

 

[Jerajera]

my Free T levels are very high, over 150...

What are the units here? 150ng/dL sounds impossible with TT at 600ng/dL; if it's 150pg/mL based on the equilibrium dialysis method, 150pm/dL is not high at all

 

[Systemlord]

Donating blood for men is actually pretty healthy...

I’m not trying to imply that donating blood is bad for you, but donating too frequently isn’t good if your ferritin is subpar for a significant amount of time in between donations.

Whenever I donate blood, my diabetes gets real bad for about a week. Obviously over the long term that’s not healthy.

 

[tropicaldaze1950]

Well that's good to know Quests interpretation of what is high is pretty much garbage and that I don't have anything to worry about.

I feel pretty good, lift 4x a week, pilates/yoga one day, walk 3-4 miles 4-5x a week and mix in some weighted vest hill climbs.

I am a high aromatizer unfortunately. After a few months my E levels were over 50. Aromasin twice a week keeps it in check in the mid-upper 20s.

Only other thing that sucks is I am susceptible to polythecemia and my Hematocrit levels get into the 53-54% range so I have to donate blood pretty much every 8 weeks like clockwork to stay good.

My free T has always been in the 200's. My urologist doesn't use labs as the end all, be all; just one aspect of clinical assessment.

 

[tareload]

Wow, few seem to read the thread. Ok.

 

[tareload]

Harmonization will be harmonious if they ever get to that point.

You did not answer my question. So I assume you got the point.

 

[tareload]

Also related....

Thread 'Free Testosterone Results, Equilibrium Ultrafiltration vs Calculators' Free Testosterone Results, Equilibrium Ultrafiltration vs Calculators

 

[Deleted member 16042]

You did not answer my question. So I assume you got the point.

I don't live for this forum nor do I catch everything. What are you referring to?

 

[tareload]

I don't live for this forum nor do I catch everything. What are you referring to?

You ask the "experts" extremely nuanced technical questions on here but you don't live for the forum? I guess fortunate for you there are others who do pay attention to details.

No worries, no need to continue. You can read above if you want answers to you latest question.

Take care.

 

[Deleted member 16042]

You ask the "experts" extremely nuanced technical questions on here but you don't live for the forum? I guess fortunate for you there are others who do pay attention to details.

No worries, no need to continue. You can read above if you want answers to you latest question.

Take care.

I lost track.

You take care too!

 

[matter2003]

You ask the "experts" extremely nuanced technical questions on here but you don't live for the forum? I guess fortunate for you there are others who do pay attention to details.

No worries, no need to continue. You can read above if you want answers to you latest question.

Take care.

I'd appreciate if you took the petty bickering somewhere outside of my thread. Maybe DM each other back and forth instead of polluting this thread.

 

[tareload]

I'd appreciate if you took the petty bickering somewhere outside of my thread. Maybe DM each other back and forth instead of polluting this thread.

My pleasure. You're welcome for the detailed answers to your questions BTW.

 

[AJB1975]

Well that's good to know Quests interpretation of what is high is pretty much garbage and that I don't have anything to worry about.

I feel pretty good, lift 4x a week, pilates/yoga one day, walk 3-4 miles 4-5x a week and mix in some weighted vest hill climbs.

I am a high aromatizer unfortunately. After a few months my E levels were over 50. Aromasin twice a week keeps it in check in the mid-upper 20s.

Only other thing that sucks is I am susceptible to polythecemia and my Hematocrit levels get into the 53-54% range so I have to donate blood pretty much every 8 weeks like clockwork to stay good.

I'd run test only for 8 weeks without aromasin and see how you feel. My E runs between 50-70 and I feel way better.

 

[DJXS]

So I have been on TRT for a while, my Total T levels are fine, around 600 but my Free T levels are very high, over 150...

SHBG levels are very low, usually between 8-10 and estradiol is normal around 25 as I take Aromasin to keep that in line.

Do I need to adjust my dose down to lower my free T back to within normal range? Worried about the potential long term risks for sky high free T levels...would this be similar to being on steroids even tho my total T levels are well within normal range?

Maybe reduce your dose till your estradiol level is in the normal range without taking an aromatise inhibitor.