My endo potentially wants to drop my dosage....

Mister Slicksta

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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.
 

Jin

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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.
 
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dragon1952

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.........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.

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.
 

snake

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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.

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.

A female endo should be a crime

That's the first thing I saw as a problem, "So she's telling me..."
 

Mister Slicksta

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Thanks guys I appreciate this help. Now I feel ready to back in there and handle her
 

Mister Slicksta

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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.
 

Mister Slicksta

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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
    AST

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



  • ALT


    39 Units/L
    ALT

    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
    FSH

    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
    LH

    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
    PSA

    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
    Chol

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



  • HDL


    33 mg/dL
    HDL

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



  • LDL


    48 mg/dL
    LDL

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



  • Trig


    75 mg/dL
    Trig

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




Routine Blood Counts


  • WBC


    6.6 thous/mm3
    WBC

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



  • RBC


    6.19 Mil/mm3
    RBC

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



  • Hgb


    18.0 Gm/dL
    Hgb

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



  • Hct


    53.3 %
    Hct

    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
    MCV

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



  • MCH


    29.1 pGm
    MCH

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



  • MCHC


    33.8 Gm/dL
    MCHC

    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
    MPV

    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



 
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Mister Slicksta

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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,
 
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CJ

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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,

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.
 

Mister Slicksta

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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
 
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snake

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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.
 

El Gringo

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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
 

Jin

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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.
 

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