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re: Need Info on TRT

Posted on 7/10/26 at 11:12 am to
Posted by meeple
Carcassonne
Member since May 2011
11569 posts
Posted on 7/10/26 at 11:12 am to
Question for the board…

I donated blood today and they mentioned doing a “double red” donation instead of whole blood. It takes longer on the day-of, but I don’t have to come in for another 16 weeks (vs 8 weeks with whole blood). Anyone here gone this route?
Posted by Rize
Spring Texas
Member since Sep 2011
20012 posts
Posted on 7/10/26 at 12:27 pm to
quote:

Question for the board… I donated blood today and they mentioned doing a “double red” donation instead of whole blood. It takes longer on the day-of, but I don’t have to come in for another 16 weeks (vs 8 weeks with whole blood). Anyone here gone this route?


I don’t remember what I did when I donated but I was just out of the green. Haven’t been back in 6 months and was still in the green when I got my bloodwork done last week.
Posted by Swagga
504
Member since Dec 2009
19570 posts
Posted on 7/20/26 at 2:14 pm to
Question for the board, but mostly just looking for advice

Have done two rounds of bloodwork now and gotten results of 177 and 268 at 38 years old. I have a follow up with urologist on Thursday to discuss options. Have lots of symptoms that I’ve chalked up to getting older but it appears I do actually have low T.

What should I expect and any good questions I need to ask?
Posted by bad93ex
Walnut Cove
Member since Sep 2018
37024 posts
Posted on 7/20/26 at 8:05 pm to
quote:

What should I expect


Nothing the first week but that second week...

quote:

any good questions I need to ask?


How often are they running your bloodwork, is it covered by your insurance, how can I manage estrogen spikes, do they offer B12 injections as well?
Posted by bad93ex
Walnut Cove
Member since Sep 2018
37024 posts
Posted on 7/22/26 at 6:13 am to
July Update

Diet appears to be working but the love handles are persistent

Posted by Bleed P&G
New Orleans
Member since Aug 2003
3163 posts
Posted on 7/22/26 at 9:54 am to
I received the results of my 12 week blood work.

Total T - 1309 ng/dL
Free T - 192 pg/mL
E2 - 58 pg/mL
SHBG - 40 nmol/dL
Albumin - 4.4 g/dL
Hematocrit - 52.3%

Should I be worried about the hematocrit number?

The E2 number is technically high, but I don't have any sides other than some water retention.
Posted by bad93ex
Walnut Cove
Member since Sep 2018
37024 posts
Posted on 7/22/26 at 10:07 am to
Your Free and Total T look outstanding!

quote:

Should I be worried about the hematocrit number?



Just donate blood, my clinic will do it for me or I use Gulf Coast Blood Center.

quote:

The E2 number is technically high, but I don't have any sides other than some water retention.



What are you taking to bring it down?
This post was edited on 7/22/26 at 10:08 am
Posted by SETH6180
TEXAS
Member since Feb 2020
1464 posts
Posted on 7/22/26 at 10:13 am to
No, that isn't terribly high.

If you don't have any sides besides some retention I would not worry about it and definitely would not take any blockers for a 58pg/ml.
Posted by Uncle JackD
Member since Nov 2007
59658 posts
Posted on 7/22/26 at 10:17 am to
quote:

Should I be worried about the hematocrit number?
No. Just hydrate well.

quote:

The E2 number is technically high
It’s fine. As T goes up, so will E2. Let it ride.

As long as you’re feeling good, I’d keep it rolling.
Posted by Swagga
504
Member since Dec 2009
19570 posts
Posted on 7/23/26 at 2:17 pm to
My doctor wants to put me on androgel and then come back in a few weeks.

I’ve not heard of the gel. Any objections / advice?
Posted by Arkapigdiesel
Faulkner County
Member since Jun 2009
15833 posts
Posted on 7/23/26 at 2:24 pm to
quote:

My doctor wants to put me on androgel and then come back in a few weeks.

I’ve not heard of the gel. Any objections / advice?

Find a doctor that isn't shitty and knows about TRT protocol.

I have no idea what your total test and free test numbers are, but what he should've done is start you on about 150 mg per week of test C, injected at the minimum of twice per week. I'd recommend an every other day injection, but if that's too much for you, twice a week is a good start.
Posted by Swagga
504
Member since Dec 2009
19570 posts
Posted on 7/23/26 at 3:05 pm to
quote:

injected at the minimum of twice per week. I'd recommend an every other day injection, but if that's too much for you, twice a week is a good start.



I was referred to this urologist by my GP, and I think the gel vs injections is an insurance thing.

The gel would be 2 pumps daily.
Posted by SETH6180
TEXAS
Member since Feb 2020
1464 posts
Posted on 7/24/26 at 6:44 am to
Not a fan of the gel. Be careful not to physically contact your children or wife for awhile after, it could transfer to them.
Posted by Swagga
504
Member since Dec 2009
19570 posts
Posted on 7/24/26 at 2:09 pm to
quote:

Be careful not to physically contact your children or wife for awhile after, it could transfer to them.


This is one of the big concerns I have. The gel seems both convenient and inconvenient at the same time. I avoid needles but have to worry about transferring it to my son or wife.
Posted by Uncle JackD
Member since Nov 2007
59658 posts
Posted on 7/27/26 at 7:50 am to
quote:

I’ve not heard of the gel. Any objections / advice?
I’ve never heard a single positive thing about the gel. Creams are pretty good but I’d avoid the gel. And you’ve gotta be careful with young kids if you’ve got the cream. Injections are the way to go imo.
Posted by bad93ex
Walnut Cove
Member since Sep 2018
37024 posts
Posted on 8/28/26 at 11:40 am to
This was a "free" scan from my gym, I think the bodyfat % is wayyy off.

Posted by dangerousdon
Baton Rouge
Member since Jun 2008
678 posts
Posted on 8/29/26 at 7:19 am to
Okay so…

Just got some labs back from my primary for my annual wellness visit. Had an RBC that appears to be slightly high. Nothing I think that warrants concern. My hematocrit was high at a 54. I have seen some on here that say no big deal and others that say maybe at 54 should pay attention. Not sure what I think about it in general. I go in October to my urologist who is currently prescribing me testosterone, when I will get more bloodwork done and to check test levels. Just trying to figure out what I can do about things so I don’t get a lecture. I will likely be switching docs/clinics in the future. But for now I put up with the BS because I can get what I need and cheap, ie through insurance. I lift weights min 3 days a week and I’m trying to do some more cardio but I’m working through a foot issue. I’m 6’3 and sitting right at 270. Yes I’m fat according to you all. Don’t care because I’m working through it. Lost about 40 pounds since October and am happy with the “slow” progress. I do have sleep apnea. I have had sleep apnea basically since I’ve got back from Afghanistan more than 20 years ago. Been trying to adhere to a CPAP, but for years couldn’t tolerate it. I finally got an oral appliance for OSA, actually just yesterday, and slept with it almost all night. This is promising to me. So once I get it dialed in and adjusted correctly. I am very excited to see what happens with this. I know sleep apnea affects hematocrit. So maybe by October when I do my labs again, hopefully my htc and RBC will be in check.

Anyway just looking for thoughts.
This post was edited on 8/29/26 at 7:23 am
Posted by dangerousdon
Baton Rouge
Member since Jun 2008
678 posts
Posted on 8/29/26 at 7:49 am to
Forgot to mention that I inject 3 days a week. Wondering if moving to every other day would help.
Posted by bad93ex
Walnut Cove
Member since Sep 2018
37024 posts
Posted on 8/29/26 at 8:39 am to
quote:

Anyway just looking for thoughts.



1. Go donate a unit of blood to bring down the hematocrit.

2. Slowly build up your cardio, I started with just jogging lightly around my block and right now I am satisfied with my 2 miles evey morning.

3. Losing weight will help with your sleep apnea.

4. Keep the diet clean and manageable

Posted by dangerousdon
Baton Rouge
Member since Jun 2008
678 posts
Posted on 8/29/26 at 10:00 am to
Yup I figured as much. Doing all this about 90% of the time. Except for cardio, I’ve been lax on that lately. And yeah I’ll probably donate blood soon.

Thanks
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