Why Did My Testosterone Jump So Much Without TRT? (Lab Results Inside, Need Input)

I wanted to share my recent testosterone lab results because I’m honestly confused and looking for some insight. I haven't started TRT, yet my Total T jumped significantly between tests, and my Free T barely moved.

I also started Adderall & Zoloft since my last test and was diagnosed with sleep apnea (still working on CPAP compliance). Not sure if these factors played a role, so I’d love to hear if anyone else has experienced this and what might explain the increase!

Key Observations

  • Total Testosterone jumped from 749 → 1018 ng/dL (without TRT?!)
  • Free Testosterone barely moved (14.0 → 14.7 pg/mL)
  • Estradiol is now normal (24.5 pg/mL), but my previous test used the standard E2 assay, not the sensitive one.
  • SHBG was 44.4 nmol/L (mid-high), possibly limiting Free T.

What Changed Since My Last Lab Test?

Here are a few things that could have contributed:

  1. Started Adderall & Zoloft
    • I wasn’t on these before. Could stimulants (Adderall) or SSRIs (Zoloft) impact testosterone?
  2. Diagnosed with Sleep Apnea & Started CPAP (But Not Fully Compliant Yet)
    • Only had 1 full night of use could it even impact my testosterone?
  3. Estradiol Testing Was Different
    • My previous E2 (51.5 pg/mL) was from a standard test, NOT the Sensitive E2 assay, so it may have been artificially high.
    • My new E2 (24.5 pg/mL) is from a Sensitive test, so it’s probably more accurate.
  4. Supplements & Diet
    • Been consistently taking:
      • Vitamin D (5000-10,000 IU daily)
      • Zinc Piconate
      • Magnesium Glycinate
      • Fish Oil
      • Olive Oil, High Protein, Medium Carb Diet
      • Seed Probiotic
    • I was already doing this before. Minus the Olive Oil and probiotic.
  5. Also, if you’ve used CPAP, Adderall, or Zoloft, did you notice any impact on your hormones?

https://preview.redd.it/hoyfp0kekjje1.png?width=1603&format=png&auto=webp&s=83dda0e1d12fdb288b1d1e0bbed41f71d999664c

https://preview.redd.it/sjnzb0uckjje1.png?width=1624&format=png&auto=webp&s=7c529b7e04f74df83dd879f27c111d80c6195e26