Blood test results - how does this look?

[doggone]

Please see attachment. I couldn't figure out how to insert the text and keep the columns clean.

Have already started TRT, so missed the chance to get true baselines, but wanted to get some information for reference as I progress.
History and stats are in an earlier post, but to recap…
48 Y/O started with 241 Test level.
Testim Gel for 3 months and level dropped to 91 while on.
Switched to Test E injections 11/11/09 100mg/week
Was not happy with the short list of tests my Dr. has planned in Feb, so I had tests run through private lab. Complete results are attached. Blood was drawn on the morning of the 7th day after 100mg Test injection (12/23/09).

• I expected / hoped my T level would be higher than 544. My Dr prescribed 200mg/EOW. I’ll switch back to that before my next Dr. ordered tests and maybe my levels will be low enough at the end of 2 weeks that he’ll bump my prescription.
• Should I be surprised that my FSH and LH levels are so low? I have no idea what they were before starting TRT and am not taking any other support. Maybe I should consider HCG?
• Prolactin – Dr has this on the short list he’s testing for on my next visit. Anything I should do in the mean time?
• The Iron saturation and UIBC have me concerned as does the Ferritin. I give blood regularly and always test okay on iron there. I know nothing about this.

Only other thing I’m on besides regular vitamins is Cymbalta - an SSRI.

I’m finally starting to see some gains in the gym, but nothing major and certainly haven't felt any significant kick being on TRT.

Thanks for any comments or suggestions.

 

[doggone]

Re: Blood test results - Lowlights - please help

Didn't get any response, so I recapped the highlights / lowlights below in hopes of some help.
Some of these values are out of whack
It's 6-8 weeks until my next Dr's appointment and I'd like some suggestions about what needs immediate attention and what can wait.

FSH, Serum 0.3 mIU/mL .....1.5-12.4 LOW
LH, SLH 0.1 mIU/mL .....1.7-8.6 LOW
Prolactin 19.6 ng/mL .....4.0-15.2 HIGH
Testosterone, Serum 544 ng/dL .....280-800
Test % F&Wkly Bnd 27.0 % .....9.0-46.0
Test Free+W Bound 146.9 ng/dL ....40.0-250.0
Estradiol 26.9 pg/mL .....7.6-42.6
SHBG 24.7 nmol/L .....14.5-48.4
DHEA- Sulfate 212.9 ug/dL .....44.3-331.0
IGF-1 185 ng/mL .....94-252
T4 0.92 ng/dL .....0.82-1.77
TSH 2.38 uIU/mL .....0.45-4.5

Iron and TIBC
UIBC 393 ug/dL .....150-375 HIGH
Iron Saturation 9 % .....15-55 ALERT
Ferritin, Serum 3 ng/mL .....22-322 LOW
I started taking an iron supplement when I saw this, but don't konw if that's the right solution.

Glucose, Serum 115 mg/dL 65-99 HIGH

Thanks

 

[manboy]

I would like the test higher myself, but its not horrible being that the lowest it goes

 

[Nemisis RR]

cut your sugar intake to get your lipids and sugar more in line. This will make you feel better. Try 50mg 2x a week. This will lower your estrogen and possibly your prolactin. The high prolactin may be affecting your sex life.

 

[doggone]

Thanks - Diet is not bad in those areas, but there is room for improvement.

 

[dayman]

__-

 

[doggone]

Posted some of this in the main forum, but didn't get any response. I
I'm curious to see if folks think I'm on the right track or not.

When taking 200mg Test E e2w, my labs came back.
Total Test ... 276 (241-827)
Prolactin 8.5 (2.0-18.0)

Dr was frustrated by the T level so gave me 400mg in his office and ordered labs again for 21 days later.

That time...
Total Test ... 389 (250-1100) ((same lab, don't know why the change in range))
Free Test % ... 1.78 (1.5-2.2)
Free Test pg/mL ... 69.2 (35-155)
Prolactin ... 12 (2-18)

He thinks that's high enough (@ 400mg / e3w) or I can try pellets (which I don't want to do.)
He's not concerned with Prolactin since it's now in normal range.
I'd sure like to see my test higher than that though, but that is 3 weeks after 400mg injection.

My Plan....
Take the test e 133 mg every week

• get some Prami .25mg/day - I still think that Prolactin's a little high.
• get some Aromasin - 10mg / day for possible Estrogen although no symptoms (should I use a-dex instead?)
• Start back on the Unleashed - to lower sex hormone binding globulin & raise free Test
• Start back on the POST CYCLE - to help reduce Estrodiol / Estrogen
• Have my own labs done while on the 133mg/wk to see what that's giving me

Is that 389 still to low considering it's 3 weeks after an injection?
Think the above be a good solution?
Can I keep that up long term as HRT if it works?
Any suggestions from others with HRT experience?

Feeling decent with modest gains in the gym, but still never have felt "Like a new man" though.

Don't go back to Dr. now for 3-4 months. I've ended up with an extra vial and am thinking about bumping my dose and seeing what happens.

Comments or suggestions?

Thanks

 

[thelion2005]

I think you have health and gym growth mixed up.
Health ... you are doing fine because of your place within the ranges. You could
probably clean some more sugar/starch out and that will give you more energy over time.
Work out ... sleep and be in pretty good shape. We sometimes forget about health.

BUT ... If you want that big growing every day, pushing big iron, POWER ... you have to do a cycle with your aas in the 400mg p/w range. Freaky will be more and a stack. And it is fun!

So ... decide. You win either way.

 

[doggone]

Good point.
I'm hoping to make up for some lost time since I've probably been low for many years, but trying to make sure I have a decent, Dr approved HRT plan before I start anything creative.

I think I've gotten all I'll get from my Dr. with the prescription for 133mg/wk.
He doesn't seem concerned with all the other levels, so probably no prescribed ancillaries.

I plan to do labs again on my own while I'm doing weekly 133mg injections and see how much difference that makes. Will post the results if anyone is interested.

After that I think I'll try a moderate cycle.

Thanks