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  1. #1
    Senior Member Mister Slicksta's Avatar
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    My endo potentially wants to drop my dosage....

    Hi Guys,

    So I've been on TRT 100mg Test Cyp per week for a while now (nearly a year). I just had a call with my endo and she wants me to go get blood tested again because she thinks that some of my levels are showing that the hormones from my pituitary gland are being repressed too much. Specifically the hormones which tell my balls to produce testosterone. So she is telling me this and I am kind of like "okkkaayyyyyy." So she wants me to go get blood tested again and from there she will make the assessment to either keep me at 100mg per week or drop me back to 75mg per week.

    I personally feel great at 100mg so the thought of going down irritates me. Obviously I know I should listen to the endo because Im sure she knows what she is talking about but still....I feel great where I'm at. I was debating maybe going in at the end of the week right before Im supposed to inject again so my levels will be lower than usual.

    This brings me to my other questions....whenever we get blood tested they always want us to do it in the morning when our testosterone is the highest and we are suppose to be fasting.

    What happens if I eat a big breakfast before I go get blood tested? (This was just for my own curiosity) Would it lower or raise my levels with a full stomach?

    Thanks for the help guys.

  2. #2
    Moderator-San Jin's Avatar
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    FSH/LH will be suppressed with ANY amount of exogenous test.

    Either you are misunderstanding her or she knows nothing.

    Keeping FSH/LH active while on TRT is not a goal any medical professional should have because it’s inherently counterproductive.

    So, not only is her reasoning unsound, but her offered solution wouldn’t affect her desired outcome.

    natural levels are more affected by time of day, sleep, diet etc. you aren’t making any testosterone, so you are dependent on how much test you are injecting and time since your last injection.

    We get bloods pulled either the day before or the day of our next injection, before the injection. You’ll want to measure your levels while they are at their lowest.
    Last edited by Jin; 05-20-2020 at 10:35 AM.

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  4. #3
    Elite CJ275's Avatar
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    What Jin said.

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  6. #4
    Elite Bro Bundy's Avatar
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    A female endo should be a crime

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    Originally Posted by Bro Bundy View Post
    A female endo should be a crime
    Unless she wants to try to help up your testosterone in "other ways".

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  10. #6
    Senior Member dragon1952's Avatar
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    Originally Posted by Mister Slicksta View Post
    .........Obviously I know I should listen to the endo because Im sure she knows what she is talking about but still....I feel great where I'm at.
    I wouldn't assume that at all. Many of these doctors are pretty clueless when it comes to TRT.

    Originally Posted by Mister Slicksta View Post
    This brings me to my other questions....whenever we get blood tested they always want us to do it in the morning when our testosterone is the highest and we are suppose to be fasting.
    When not on TRT your endogenous T will typically be highest in the morning but you're using exogenous so you levels at any one time are dependant on when you inject.

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  12. #7
    Veteran snake's Avatar
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    Originally Posted by Jin View Post
    FSH/LH will be suppressed with ANY amount of exogenous test.

    Either you are misunderstanding her or she knows nothing.

    Keeping FSH/LH active while on TRT is not a goal any medical professional should have because itís inherently counterproductive.

    So, not only is her reasoning unsound, but her offered solution wouldnít affect her desired outcome.

    natural levels are more affected by time of day, sleep, diet etc. you arenít making any testosterone, so you are dependent on how much test you are injecting and time since your last injection.

    We get bloods pulled either the day before or the day of our next injection, before the injection. Youíll want to measure your levels while they are at their lowest.
    There's not much you could add to what Jin said. Get educated, ask her to explain what she is talking about. If she say anything about your FSH/LH being low, walk out. My FSH/LH levels have been undetectable for 10 years; it just means the testosterone is doing its job.

    Originally Posted by Bro Bundy View Post
    A female endo should be a crime
    That's the first thing I saw as a problem, "So she's telling me..."
    Hard work beats talent when talent doesnít work hard.

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  14. #8
    Senior Member Mister Slicksta's Avatar
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    Thanks guys I appreciate this help. Now I feel ready to back in there and handle her

  15. #9
    Senior Member Mister Slicksta's Avatar
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    So two days ago I went into the lab for bloods. Then this morning I sent my Endo an email outlining (in a nice way) what you guys said. Thanks for the help. See what she says.

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  17. #10
    Senior Member Mister Slicksta's Avatar
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    Routine Chemistry


    • Total Protein


      7.4 Gm/dL

      Date:May 22, 2020 09:54 a.m. EDT
      Reference Range:6.0 Gm/dL - 8.4 Gm/dL



    • Albumin Lvl


      4.2 Gm/dL

      Date:May 22, 2020 09:54 a.m. EDT
      Reference Range:3.2 Gm/dL - 5.0 Gm/dL



    • Bilirubin Total


      1.0 mg/dL

      Date:May 22, 2020 09:54 a.m. EDT
      Reference Range:0.2 mg/dL - 1.2 mg/dL



    • Bilirubin Direct


      0.2 mg/dL

      Date:May 22, 2020 09:54 a.m. EDT
      Reference Range:0.0 mg/dL - 0.3 mg/dL



    • Alkaline Phosphatase


      77 Units/L

      Date:May 22, 2020 09:54 a.m. EDT
      Reference Range:30 Units/L - 117 Units/L



    • AST


      22 Units/L

      Date:May 22, 2020 09:54 a.m. EDT
      Reference Range:6 Units/L - 40 Units/L



    • ALT


      39 Units/L

      Date:May 22, 2020 09:54 a.m. EDT
      Reference Range:6 Units/L - 55 Units/L





    Endocrine


    • Estradiol Lvl


      47.4 pGm/ml

      Date:May 22, 2020 09:54 a.m. EDT




    • FSH


      < 0.3 mInt_Unit/ml

      Date:May 22, 2020 09:54 a.m. EDT
      Reference Range:1.4 mInt_Unit/ml - 18.1 mInt_Unit/ml



    • Hemoglobin A1c


      4.6 %

      Date:May 22, 2020 09:54 a.m. EDT
      Reference Range:<= 5.6 %



    • Est Average Glucose (eAG)


      85 mg/dL

      Date:May 22, 2020 09:54 a.m. EDT




    • LH


      < 0.1 mInt_Unit/ml

      Date:May 22, 2020 09:54 a.m. EDT




    • Prolactin


      5.6 nGm/ml

      Date:May 22, 2020 09:54 a.m. EDT




    • PSA


      0.33 nGm/ml

      Date:May 22, 2020 09:54 a.m. EDT
      Reference Range:0.00 nGm/ml - 4.00 nGm/ml



    • Vitamin D 25 OH Lvl


      26 nGm/ml

      Date:May 22, 2020 09:54 a.m. EDT
      Reference Range:30 nGm/ml - 100 nGm/ml





    Thyroid Testing


    • 3rd Gen TSH


      1.250 mclU/ml

      Date:May 22, 2020 09:54 a.m. EDT
      Reference Range:0.358 mclU/ml - 3.740 mclU/ml





    Lipid Profile


    • Chol


      96 mg/dL

      Date:May 22, 2020 09:54 a.m. EDT
      Reference Range:<= 200 mg/dL



    • HDL


      33 mg/dL

      Date:May 22, 2020 09:54 a.m. EDT
      Reference Range:>= 40 mg/dL



    • LDL


      48 mg/dL

      Date:May 22, 2020 09:54 a.m. EDT
      Reference Range:<= 130 mg/dL



    • Trig


      75 mg/dL

      Date:May 22, 2020 09:54 a.m. EDT
      Reference Range:<= 150 mg/dL





    Routine Blood Counts


    • WBC


      6.6 thous/mm3

      Date:May 22, 2020 09:54 a.m. EDT
      Reference Range:4.0 thous/mm3 - 11.0 thous/mm3



    • RBC


      6.19 Mil/mm3

      Date:May 22, 2020 09:54 a.m. EDT
      Reference Range:4.20 Mil/mm3 - 5.90 Mil/mm3



    • Hgb


      18.0 Gm/dL

      Date:May 22, 2020 09:54 a.m. EDT
      Reference Range:13.0 Gm/dL - 17.5 Gm/dL



    • Hct


      53.3 %

      Date:May 22, 2020 09:54 a.m. EDT
      Reference Range:39.0 % - 53.0 %



    • Platelet


      208 thous/mm3

      Date:May 22, 2020 09:54 a.m. EDT
      Reference Range:150 thous/mm3 - 400 thous/mm3



    • MCV


      86.1 fL

      Date:May 22, 2020 09:54 a.m. EDT
      Reference Range:80.0 fL - 100.0 fL



    • MCH


      29.1 pGm

      Date:May 22, 2020 09:54 a.m. EDT
      Reference Range:26.0 pGm - 34.0 pGm



    • MCHC


      33.8 Gm/dL

      Date:May 22, 2020 09:54 a.m. EDT
      Reference Range:31.0 Gm/dL - 37.0 Gm/dL



    • RDW-SD


      37.6 fL

      Date:May 22, 2020 09:54 a.m. EDT
      Reference Range:35.0 fL - 51.0 fL



    • MPV


      11.4 fL

      Date:May 22, 2020 09:54 a.m. EDT
      Reference Range:9.4 fL - 12.4 fL



    • Absolute Neutro Count


      3.63 thous/mm3

      Date:May 22, 2020 09:54 a.m. EDT
      Reference Range:1.48 thous/mm3 - 7.95 thous/mm3



    • Absolute Lymphs Count


      2.29 thous/mm3

      Date:May 22, 2020 09:54 a.m. EDT
      Reference Range:0.74 thous/mm3 - 5.04 thous/mm3



    • Absolute Mono Count


      0.46 thous/mm3

      Date:May 22, 2020 09:54 a.m. EDT
      Reference Range:0.00 thous/mm3 - 1.34 thous/mm3



    • Absolute Eos Count


      0.14 thous/mm3

      Date:May 22, 2020 09:54 a.m. EDT
      Reference Range:0.00 thous/mm3 - 0.45 thous/mm3



    • Absolute Baso Count


      0.03 thous/mm3

      Date:May 22, 2020 09:54 a.m. EDT
      Reference Range:0.00 thous/mm3 - 0.22 thous/mm3



    • Neutrophils


      55.2 %

      Date:May 22, 2020 09:54 a.m. EDT




    • Lymphocytes


      34.9 %

      Date:May 22, 2020 09:54 a.m. EDT




    • Monocytes


      7.0 %

      Date:May 22, 2020 09:54 a.m. EDT




    • Eosinophils


      2.1 %

      Date:May 22, 2020 09:54 a.m. EDT




    • Basophils


      0.5 %

      Date:May 22, 2020 09:54 a.m. EDT




    • Immature Granulocytes


      0.3 %

      Date:May 22, 2020 09:54 a.m. EDT
      Reference Range:0.0 % - 2.0 %



    • NRBCs Percent


      0.0 %

      Date:May 22, 2020 09:54 a.m. EDT
      Reference Range:0.0 % - 0.0 %



    • Absolute NRBC Count



    Last edited by Mister Slicksta; 05-26-2020 at 09:16 AM.

  18. #11
    Senior Member Mister Slicksta's Avatar
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    Those were my results. I just copy and pasted from my app on my phone which is why they’re screwed up. I’m n addition to this she sent me an email after I told her I had done some research on the internet regarding the stuff everyone mentioned. Here is her message:

    Good morning

    I received your email from over the weekend, and thought I would message you directly here, so I could include the current test results.

    While the internet may have different information regarding goals of testosterone supplementation, generally I aim to normalize testoteorne levels without suppression of associated gonadotrophs-which is the case in the majority of patients I see for testosterone therapy.

    Additionally, you will note below that your hematocrit/hemoglobin levels (red blood cell measures) are now elevated, which is a known side effect of testosterone therapy, and can lead to clotting issues, including stroke/heart disease ni some cases.

    I am still waiting on your testoteorne level. However, based on the current information I recommend that we decrease your testosterone dose as we discussed, to 75 mg weekly dosing.

    Sincerely,
    Last edited by Mister Slicksta; 05-26-2020 at 09:16 AM.

  19. #12
    Elite CJ275's Avatar
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    Get some sun, your Vit D level stinks.

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  21. #13
    Senior Member Mister Slicksta's Avatar
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    Originally Posted by CJ275 View Post
    Get some sun, your Vit D level stinks.
    I saw that too. I was like oh shit!

  22. #14
    Elite CJ275's Avatar
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    Originally Posted by Mister Slicksta View Post
    Those were my results. I just copy and pasted from my app on my phone which is why they’re screwed up. I’m n addition to this she sent me an email after I told her I had done some research on the internet regarding the stuff everyone mentioned. Here is her message:

    Good morning

    I received your email from over the weekend, and thought I would message you directly here, so I could include the current test results.

    While the internet may have different information regarding goals of testosterone supplementation, generally I aim to normalize testoteorne levels without suppression of associated gonadotrophs-which is the case in the majority of patients I see for testosterone therapy.

    Additionally, you will note below that your hematocrit/hemoglobin levels (red blood cell measures) are now elevated, which is a known side effect of testosterone therapy, and can lead to clotting issues, including stroke/heart disease ni some cases.

    I am still waiting on your testoteorne level. However, based on the current information I recommend that we decrease your testosterone dose as we discussed, to 75 mg weekly dosing.

    Sincerely,

    H
    Doesn't she know that taking exogenous Test will cause the body to NOT produce it's own?!?

    That's kind of the point, your body isn't making enough, so that's why you take exogenous Test.

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  24. #15
    Senior Member Mister Slicksta's Avatar
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    She brought up that my red blood cells level is elevated (barely IMO) now which is another reason she wants to decrease my dose
    Last edited by Mister Slicksta; 05-26-2020 at 09:18 AM.

  25. #16
    Elite CJ275's Avatar
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    Originally Posted by Mister Slicksta View Post
    She brought up that my red blood cells level is elevated (barely IMO) now which is another reason she wants to decrease my dose
    That could be a valid reason, but the other thing....?!?

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  27. #17
    Veteran snake's Avatar
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    Originally Posted by Mister Slicksta View Post
    Good morning


    While the internet may have different information regarding goals of testosterone supplementation, generally I aim to normalize testoteorne levels without suppression of associated gonadotrophs-which is the case in the majority of patients I see for testosterone therapy.

    Additionally, you will note below that your hematocrit/hemoglobin levels (red blood cell measures) are now elevated, which is a known side effect of testosterone therapy, and can lead to clotting issues, including stroke/heart disease ni some cases.

    I am still waiting on your testoteorne level. However, based on the current information I recommend that we decrease your testosterone dose as we discussed, to 75 mg weekly dosing.

    Sincerely,
    I think we called that one. For future reference, make sure you drink plenty of water the day before the BW; dehydration will spike RBC.

    I'd love to see how she pulls off getting your TT in a solid range and not effecting your FSH and LH.

    That reply was a cut and paste, right? How do spell that male hormone again? I say drop and run before she has you growing ovaries.
    Hard work beats talent when talent doesnít work hard.

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  29. #18
    Senior Member Mister Slicksta's Avatar
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    OK Im going to call my primary and ask for a reference to a new Endo. Thanks guys. You guys were super helpful!

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  31. #19
    Senior Member El Gringo's Avatar
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    Next thing you know she’ll be testing your sperm count and taking you off Test and putting you on HCG

  32. #20
    Moderator-San Jin's Avatar
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    I think a new Endo is the route to go.

    Or, unless you have other hormonal issues, a urologist can often be a better fit.

    We live on an island of knowledge surrounded
    by a sea of ignorance.
    As our island of knowledge grows,
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