+ 9 Update on rapidly metabolizing test. New labs
As I mentioned in prior posts I would update with new labs. Sure enough my SHBG is low.
Doc didn’t want to increase my TRT dose over 200mg. Instead he wanted me to split it up twice weekly. So with his approval I went to 100mg (0.5ml) E3D. Did 9 injections prior to these labs. I did also add in Proviron 12.5mg daily as I’m progressing in my knee rehab and feeling like I can push a little more. Wanted to at least have that boost as I wasn’t sure the change in timing would make a huge difference. Labs were drawn 48hrs post injection. 24hrs prior to my next. Numbers have improved but obviously not ideal for a bodybuilder.
I asked to go up to 0.7ml E3D but not likely he will. Either way, I feel better knowing one of the reasons I’m metabolizing much faster than prior- the low SHBG. Looks like I’ll just need more test from here on out and have a better idea for where numbers should be next time I make a push and repeat labs (probably November)
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Birdman323Hey that’s good info bro. Thanks!!
Proviron will lower SHBG. Exemestane will lower it too, if you take that. Do you know what your A1C is? I see your glucose level is good. My glucose level is good on my blood tests(89-91), but my A1C puts me at pre-diabetic. High blood insulin levels are linked to low SHBG.
Proviron will bind SHBG, but not actually lower it, to my knowledge. A1c was 5.1 on my last set of labs I believe it’s posted.
Oh,ok. It looks like it has a higher affinity for binding than testosterone. That's a pretty good A1C.
Correct. Proviron will bind. But Var or Winny will actually lower it. Glad you're getting this sorted out.
For me I have had problems with high shbg, which messes with the bioavailability of the exog.testosterone. luckily I have gotten out under control with the use of low dose orals
Birdman323Bro get that hematocrit down! Those are fairly high numbered for crit. It’s my understanding that the higher the number the thicker your blood is.‘which isn’t always good for things like blood clots, etc
Lol thanks for your concern bro. Your understanding isn’t wrong. Mine is hardly ever elevated though this was fasting the am with maybe a cup of water to drink. I’ve seen numbers from guys in the last as high as 60. Consistently. I’ve spoke with hematology as a consult in the last and they’ve told me the real concern starts to go up when men are over 55. (4 fold risk increase) and Critical is over 60. And it also depends on platelets.
My last three SHBG tests had me at 6, 7 and 10. Range (11 - 78 nmol/L). Welcome to the frequent pinning club, I guess it's no longer a conspiracy theory.
Yessir Lol thanks brother. Appreciate your insights on this from prior posts. I’m gonna run through this script vial I have I think and consider starting the Nebido I got. Loading it 500mg once weekly for the first four weeks and cutting in half from there. Recheck labs at 8 weeks before my next potential push
Blimey Great eGFR!!! Where does it sit normally when you are on cycle bud?
It’s the best it’s ever been bro. I’ve had my creatinine run as high as 1.47 I think. EGFR has dropped down into 70s. The Telmisartan and controlling my BP has made a huge difference. I use 40mg daily baseline and when I make my next push I’ll bump that to 80 as soon as BP starts to creep up.
Good on ya for running the telmisartan bro. I run it as well at 80mg a day. I’m considering dropping that down and splitting my dosage up to morning and evening 40mg. Telmisartan is one of those things that can just be all around beneficial. Kidneys, blood pressure, etc.
Good to know +1 bro
Your liver results look a lot better than normal too. Have you missed not being on cycle and training as much because of the knee or has it been a nice break?
I had the day off training prior to labs so that always makes a difference with LFTs. For me anyways.
I can’t say I’ve missed being on cycle much as I truly hate pinning, lol. But I do miss the increased libido, mood, recovery, and strength. It was a nice break for the first 3 mos but been a frustrating one the last two as I just wish I was further along the recovery process. But I’m slow and steady improving with pain and function. Currently thinking another 2 months of patience, rehab, TRT and then I’ll push the test up a little bit until my knee is closer to baseline function/size. Then we push to grow and get better for next comp again end of next year or mid 2025. I just want to be a better version of my last time on stage and be really competitive for nationals. I won’t settle for anything less than a first call out.
Is it a problem with tendons repairing or the actual kneecap? Have you followed any kind of protocol's for better recovery or are you just letting it sort itself out?
It’s more so the tendons around the knee weakening over time. Specifically my MCL and hamstrings insertions medially. The patellar tendon itself is slowly regaining density and strength. Per the doc it’s repaired and healed. Just takes time to build it back to where it was as well as all of the quad tendon muscles which is where I have the most atrophy. Right quad is still 2 inches smaller than the left. I’m working with a DPT. Doctor of Physical Therapy. We’ve got a solid slow progressive protocol we’re doing EOD. Isometric/Strength training twice weekly.