You’re fine. There are men walking around with Free T above the normal ranges naturally. As stated before, the standardized normal ranges for Free T is a real sh** show.
Thanks
IM or sub q? The question I always ask is 'How do you feel, physically/mentally, especially sexual function?' Numbers don't tell that story. Too many doctors go by numbers, only. No one, not even those doctors, are lab values. In TRT, IMO, it's a poor metric to use, solely, to judge the success of testosterone replacement.
Thanks.I do shallow IM on shoulders. Tried abdomen but gave up due to skin redness and hard lumps.
Understand. I think you're 61? If so, then I'm the old man at 73, LOL! I don't know what optimal is in regards to dosage, response to whatever dose and corresponding lab numbers. I'm restarting T @ 100 mg/34 mg MWF. Also taking 5 mg tadalafil, MWF. Couldn't tolerate it for so many years, then suddenly, I could! Maybe because I'm taking it with food. My urologist said to come back in December but I'll request labs in 2 months, though if I'm feeling good and have erections, I'll pull some labs with Discounted Labs and update him by email.
some others here may be more qualified to make an assessment, but why are you so concerned about keeping your estrogen so low? People forget it provides many good benefits, and at the numbers are you seeing is so low, you are very unlikely to see any adverse events. You could well be spending money and taking additional risk of adverse events from the aromasin, that you don't need. You won't get gynecomastia from levels that low. Estrogen gives you cardiovascular protection, bone health protection, hair, skin and other benefits as well. it's not going to make you overly emotional or sensitive at those levels for sure if at all. Don't bet the farm on free T levels. If your total is in range, and it is, and you are not having any adverse effects like rising hematocrit or hemoglobin, your likely accurate total T is well within the normal range, assuming you are measuring you total T early am consistently. You don't say what your regimen is, but if you are injecting when you do the bloodwork is important too. if you inject weekly, but measure the 600 total just prior to the next dose, your total may be much higher.
High Free testosterone is a good thing. Also, estradiol levels above lab values on TRT is not a bad thing because reference ranges don't take into account for TRT. You could drop the Aromasin though.
How high? 20, 30, 50, 100 ng/dl?
High free testosterone may not be good for a man with a history of previous heart attacks, heart failure.
