question from a user
I have been on the same protocol (200mg/week; inject EOD) for two years now. I was told I am a “hyper-responder” as my total testosterone levels are consistently over 1500 total T. The only two lab results I’ve had consistently outside of recommended ranges are my total T (last result was 1654 ng/dL), SHBG (54.9 nmol/L) and RBC (6.09). My Free T was 188.2 pg/mL. I typically donate double-red every 4 months and my hemoglobin averages around 18 gm/dL. Physically and mentally I feel great. My question is: Should I be worried about the increased stroke risks associated with the high RBC and lower my dose as suggested? My doctor was only concerned about the fact that my Total T was outside the range (regardless of my Free T being in range).
AlphaMD's Answer
If you're happy with where you're at I'd say: If your RBC values are still high when donating every 4 months, the very first step before adjusting dosing would be to donate more frequently. I personally donate every 2 months for this reason, and we have ordered therapeutic blood draws for patients before to get them into normal ranges and on more regular donation cycles.
(Though having to donate blood on TRT is not very common, it does happen, as I personally experience.)
Related Questions
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 ...
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... See Full Answer
If my T/E ratio is good, SHBG is 38, my Free T/TT ratio is good, hematocrit is 44, PSA is 1, but my TT is over 2500 ng/dL 3 days post (E3.5D protocol)...
Happy to help. So this is a good example of why adding more Testosterone to a dose doesn't always increase benefits. You only have so many androgen receptors that can take that T in, so at a point, it... See Full Answer
I have had a "sensitivity" to testosterone. I'm on 160mg weekly (SubQ once with 0.5mg Anastrozole). My trough Total T is 1400ng/dL and Free T is 46ng...
You certainly would expect enhanced muscle growth and improved metabolism at that level. Supraphysiologic levels can often translate to higher libido and improved self confidence. Beyond that, you typ... See Full Answer
Ready to get answers?
Ask your own question today.
Get $30 off your first month’s order
Enter your email address now to receive $30 off your first month’s cost, other discounts, and additional information about TRT.
Legal Disclaimer
This website is a repository of publicly available information and is not intended to form a physician-patient relationship with any individual. The content of this website is for informational purposes only. The information presented on this website is not intended to take the place of your personal physician's advice and is not intended to diagnose, treat, cure, or prevent any disease. Discuss this information with your own physician or healthcare provider to determine what is right for you. All information is intended for your general knowledge only and is not a substitute for medical advice or treatment for specific medical conditions. The information contained herein is presented in summary form only and intended to provide broad consumer understanding and knowledge. The information should not be considered complete and should not be used in place of a visit, phone or telemedicine call, consultation or advice of your physician or other healthcare provider. Only a qualified physician in your state can determine if you qualify for and should undertake treatment.