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I am Male 31 year old . Attached are my reports with hormone . I am hovering on the low borderline of testosterone. What are my treatment options if I want to reach testosterone level between 450-500? Note - my hemoglobin/RBC are always on higher end of the range and some time they go out by little . I know TRT makes blood thicker so wonder what are my options here . My overall goal is to feel little bit better compare to where I am at with testosterone. 8 weeks in on TRT. New blood work is showing high free T along with high Estradiol. Feeling pretty good overall but not as good as I was a few weeks ago. I'm going to break up my schedule from two shots a week of testosterone cypionate 200 (total of 100 ml) to every other day to see if it helps bring my Estradiol down. Is this much free T a good thing? Testosterone:** Result Reference Units Total 807. 240 - 1022 ng/dL Free 159.9. 35.0 - 155.0 pg/mL

AlphaMD's Answer

Let your symptoms be your guide. That much free T isn’t a bad thing, though like you say you have noticed a recent decline in your well-being. Maybe that is from your reported high estrogen. It wouldn’t be from the slightly above normal free T.

Your labs would suggest you could come down in dose and still be in the therapeutic range. This might be an easier way to control your E2 and maybe improve how you feel.

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