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Testosterone Replacement, Low T, HCG, & Beyond
Blood Test Discussion
Low T, What Would You Do?
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<blockquote data-quote="Serif12" data-source="post: 15228" data-attributes="member: 3265"><p>In October I decided to see my doctor due to fatigue and concentration issues. Thinking my cause was shiftwork and sleep disorder. </p><p></p><p></p><p>After initial blood work, it was apparent I had low Test. I had my blood checked at in the am, to see if there was an increase. Meantime I was prescribed Androgel 1.62%. 2 pumps for 1 month, did not help. 6 weeks at 3 pumps and nothing. </p><p></p><p>Updated... </p><p></p><p>Went to a Urologist and got more blood done. Im waiting on that now. Though the doc wants me to get 14 testopel's in my ass. I am not sold on that idea so far. I have 3 weeks before that can happen anyways.</p><p></p><p>I am more for personal injections. Not sure how to arrange it, and have the doc on board.</p><p></p><p></p><p></p><p>Male</p><p>34</p><p>5-11</p><p>215</p><p>Body Fat 26%</p><p>BMI 29.98</p><p></p><p></p><p></p><p></p><p>Here are my results so far...</p><p> </p><p>10/01/14 3:11pm</p><p>TEST 229 </p><p></p><p></p><p>10/03/14 7:50am</p><p>Test 303</p><p>Test Free 7.54 </p><p>%Free Test 2.49</p><p>HGB 42.9 </p><p>HCT 15.2</p><p></p><p></p><p>11/10/14 7:50am</p><p>Test 281</p><p>Test Free 7.11</p><p>%Free Test 2.53</p><p>HGB 15.2 </p><p>HCT 44.4</p><p></p><p></p><p></p><p></p><p></p><p></p><p>What would you do?</p><p></p><p></p><p>Is there anything I should ask my doctor?</p><p></p><p></p><p>What are my options?</p><p></p><p></p><p>What other prescriptions should I be open to for T Replacement/Supplementation?</p><p></p><p></p><p>Is an E blocker needed?</p><p></p><p></p><p>I read about Testicle shrinkage, what should I be taking if this occurs?</p><p></p><p></p><p>Is there any other blood work that I may be missing, or need to follow?</p><p></p><p></p><p>At what point should I seek help elsewhere?</p><p></p><p></p><p></p><p></p><p></p><p></p><p></p><p></p><p>From my research and understanding... I would like to think 700-900 on the T levels would ideal. I am open to all responses and treatments. Supplements, vitamins, herbal and mineral included. Even though I work out 3-4 times a week and eat a healthy diet, I feel like I am fighting a losing battle.</p><p></p><p></p><p>I know this may be a loaded Post, I feel that I can only get the best answers from the men and women that have tackled Test, Energy, Libido and Growth issues that we live with today. </p><p></p><p></p><p> </p><p></p><p></p><p></p><p></p><p></p><p>-Sex- Male</p><p>-Age- 34 </p><p>-Height- 5'-11</p><p>-Waist- 38</p><p>-Weight- 215-220</p><p>-Body Type- Endomorph</p><p>-Body and Facial hair - Forearms, thy and legs, average.</p><p>-Fat placement, and changes- Blessed with equal fat distribution. Gut and love handles increased in last 24 months.</p><p>-Health conditions, Symptoms [history]- Low Testosterone. Fatigue, Decreased libido, Concentration and Sleeplessness. Feel powerless, drained and hollow at gym, compared to what I know I can , should and have done. No depression initially, though I do feel a bit low or moody at times due to my inability to perform at the level I should be able to.</p><p>-Rx and OTC drugs, Other - Multivitamin, Vit D w/minerals, Glucosamine and Chondroitin and Provigil -Modafinal-</p><p>Prescribed Provigil to help Shift Work Disorder and Fatigue during long days and long drives.</p><p></p><p></p><p>Stopped all Protein, Creatine and Pre-Workout Supps to give tests a solid baseline. Reduced alcohol to 3 beers/week tops.</p><p></p><p></p><p></p><p></p><p>-Lab Results with ranges</p><p>Labs being updated</p><p> </p><p>10/01/14 3:11pm</p><p>Testosterone</p><p>TESTOSTERONE 348-1197 ng/dL 229</p><p></p><p></p><p>Thyroid Cascade</p><p>TSH 0.27-4.20 mcU/mL 1.28</p><p></p><p></p><p>Comprehensive Metabolic Panel</p><p>POTASSIUM 3.5-5.5 mmol/L 4.0</p><p>SODIUM 133-145 mmol/L 140</p><p>CHLORIDE 98-110 mmol/L 103</p><p>Glucose 65-99 mg/dL 100</p><p>CALCIUM 8.4-10.4 mg/dL 9.4</p><p>ALBUMIN 3.5-5.0 g/dL 4.8</p><p>SGPT (ALT) 5-40 U/L 51</p><p>SGOT (AST) 10-37 U/L 30</p><p>BILIRUBIN TOTAL 0.2-1.2 mg/dL 0.3</p><p>Alkaline Phosphatase 25-115 U/L 105</p><p>BUN 6-22 mg/dL 19</p><p>CO2 20-32 mmol/L 22</p><p>CREATININE 0.5-1.2 mg/dL 1.1</p><p>eGFR African American >60.0 >60.0</p><p>GLOBULIN SERUM 2.0-4.0 g/dL 2.3</p><p>A/G RATIO 1.1-2.6 ratio 2.1</p><p>TOTAL PROTEIN 6.4-8.3 g/dL 7.1</p><p>ANION GAP 15.4</p><p></p><p></p><p>CBC W/Differential </p><p>WBC x 10*3 4.0-11.0 K/uL 6.2</p><p>RBC x 10*6 3.80-5.80 M/uL 5.35</p><p>HGB 13.2-17.3 g/dL 15.2</p><p>HCT 36.6-51.9 % 42.9</p><p>MCV 80-95 fL 80</p><p>MCH 26-34 pg 28</p><p>MCHC 32-36 g/dL 35</p><p>RDW 10.0-16.0 % 13.4</p><p>PLATELET 140-440 K/uL 220</p><p>MPV 6.0-10.8 fL 10.9</p><p>SEGMENTED NEUTROPHILS 40-75 % 60</p><p>LYMPHOCYTES 27-45 % 29</p><p>MONOCYTES 3-9 % 11</p><p>EOSINOPHIL 0-6 % 1</p><p>BASOPHILS 0-2 % 1</p><p>ABSOLUTE NEUTROPHILS 1.8-7.7 K/uL 3.7</p><p>ABSOLUTE LYMPHOCYTES 1.0-4.8 K/uL 1.8</p><p>ABSOLUTE MONOCYTE COUNT 0.1-0.9 K/uL 0.7</p><p>ABSOLUTE EOSINOPHIL 0.0-0.5 K/uL 0.0</p><p>ABSOLUTE BASOPHIL COUNT 0.0-0.2 K/uL 0.0</p><p></p><p></p><p></p><p></p><p></p><p></p><p>10/03/14 7:50am</p><p>TESTOSTERONE,FREE AND TOTAL</p><p>Testosterone 348 - 1197 ng/dL 303</p><p>Testosterone Free 5.00 - 21.00 ng/dL 7.54</p><p>%Free Testosterone 1.50 - 4.20 % 2.49</p><p></p><p></p><p></p><p></p><p></p><p></p><p>11/10/14 7:50am</p><p>TESTOSTERONE,FREE AND TOTAL</p><p>Testosterone 348 - 1197 ng/dL 281</p><p>Testosterone Free 5.00 - 21.00 ng/dL 7.11</p><p>%Free Testosterone 1.50 - 4.20 % 2.53</p><p></p><p></p><p>H&H</p><p>HGB 13.2-17.3 g/dL 15.2</p><p>HCT 36.6-51.9 % 44.4</p><p></p><p></p><p>PSA SCREEN</p><p>PSA SCREEN <=1.400 ng/mL 0.866</p><p></p><p></p><p>1/12/15 8:45am</p><p>TESTOSTERONE,FREE AND TOTAL</p><p></p><p></p><p>Testosterone 348 - 1197 ng/dL 277</p><p>Testosterone Free 5.00 - 21.00 ng/dL 4.68</p><p>%Free Testosterone 1.50 - 4.20 % 1.69</p><p></p><p></p><p>H&H</p><p>HGB 13.2-17.3 g/dL 14.8</p><p>HCT 36.6-51.9 % 43.4</p><p></p><p></p><p>Hepatic Function Panel</p><p>ALBUMIN 3.5-5.0 g/dL 4.1</p><p>TOTAL PROTEIN 6.4-8.3 g/dL 6.7</p><p>GLOBULIN SERUM 2.0-4.0 g/dL 2.6</p><p>A/G RATIO 1.1-2.6 ratio 1.6</p><p>BILIRUBIN TOTAL 0.2-1.2 mg/dL <0.1</p><p>BILIRUBIN DIRECT 0.0-0.3 mg/dL <0.2</p><p>SGOT (AST) 10-37 U/L 28</p><p>Alkaline Phosphatase 25-115 U/L 118</p><p>SGPT (ALT) 5-40 U/L 36</p><p></p><p></p><p>1/16/2015</p><p></p><p></p><p>ESTRADIOL 8-43 ng/L 15</p><p>CORTISOL 6.49</p><p>DHEA Sulfate 138.5 - 475.2 ug/dL 152.5</p><p></p><p></p><p></p><p></p><p>-Diet-</p><p>4-5 days a week. </p><p>Meal 1 - 4:30-5:30am </p><p>2-3 Eggs with Plain oats, Cream of Wheat or Grits.</p><p>1 pint of 2% Milk</p><p></p><p></p><p>Snack 1 - 10:00am While Working</p><p>Apple or Orange</p><p></p><p></p><p>Meal 3 - Noon Lunch Break</p><p>1 Bag of BBQ Baked Chips <-guilty</p><p>2-3 Hard boiled eggs</p><p></p><p></p><p>Snack 2 - 4:00pm In Car</p><p>Apple or Orange </p><p></p><p></p><p>Snack 3 - 5:00pm</p><p>1 can of Tuna fish or Fruit Smoothy -Frozen berrys and water-</p><p>or</p><p>1-2 Hard boiled eggs</p><p></p><p></p><p>Meal 3 - 7:00-8:00pm 50%</p><p></p><p></p><p>Home cooked meal, boneless meat and veggies</p><p>or</p><p>Mom and Pop Diner, Chain Restaurant, Take out Chinese or Pizza. <- Guilty</p><p></p><p></p><p></p><p></p><p>-Current Training- Gym 3-4 days/week. Med weight/Med Reps.</p><p>-Testes ache, ever, with a fever? - Only once have I had a noticeable pain in the left testicle. Recently.</p><p>-Morning/Night wood - Yes. Fully operational. No changes that I am aware of.</p></blockquote><p></p>
[QUOTE="Serif12, post: 15228, member: 3265"] In October I decided to see my doctor due to fatigue and concentration issues. Thinking my cause was shiftwork and sleep disorder. After initial blood work, it was apparent I had low Test. I had my blood checked at in the am, to see if there was an increase. Meantime I was prescribed Androgel 1.62%. 2 pumps for 1 month, did not help. 6 weeks at 3 pumps and nothing. Updated... Went to a Urologist and got more blood done. Im waiting on that now. Though the doc wants me to get 14 testopel's in my ass. I am not sold on that idea so far. I have 3 weeks before that can happen anyways. I am more for personal injections. Not sure how to arrange it, and have the doc on board. Male 34 5-11 215 Body Fat 26% BMI 29.98 Here are my results so far... 10/01/14 3:11pm TEST 229 10/03/14 7:50am Test 303 Test Free 7.54 %Free Test 2.49 HGB 42.9 HCT 15.2 11/10/14 7:50am Test 281 Test Free 7.11 %Free Test 2.53 HGB 15.2 HCT 44.4 What would you do? Is there anything I should ask my doctor? What are my options? What other prescriptions should I be open to for T Replacement/Supplementation? Is an E blocker needed? I read about Testicle shrinkage, what should I be taking if this occurs? Is there any other blood work that I may be missing, or need to follow? At what point should I seek help elsewhere? From my research and understanding... I would like to think 700-900 on the T levels would ideal. I am open to all responses and treatments. Supplements, vitamins, herbal and mineral included. Even though I work out 3-4 times a week and eat a healthy diet, I feel like I am fighting a losing battle. I know this may be a loaded Post, I feel that I can only get the best answers from the men and women that have tackled Test, Energy, Libido and Growth issues that we live with today. -Sex- Male -Age- 34 -Height- 5'-11 -Waist- 38 -Weight- 215-220 -Body Type- Endomorph -Body and Facial hair - Forearms, thy and legs, average. -Fat placement, and changes- Blessed with equal fat distribution. Gut and love handles increased in last 24 months. -Health conditions, Symptoms [history]- Low Testosterone. Fatigue, Decreased libido, Concentration and Sleeplessness. Feel powerless, drained and hollow at gym, compared to what I know I can , should and have done. No depression initially, though I do feel a bit low or moody at times due to my inability to perform at the level I should be able to. -Rx and OTC drugs, Other - Multivitamin, Vit D w/minerals, Glucosamine and Chondroitin and Provigil -Modafinal- Prescribed Provigil to help Shift Work Disorder and Fatigue during long days and long drives. Stopped all Protein, Creatine and Pre-Workout Supps to give tests a solid baseline. Reduced alcohol to 3 beers/week tops. -Lab Results with ranges Labs being updated 10/01/14 3:11pm Testosterone TESTOSTERONE 348-1197 ng/dL 229 Thyroid Cascade TSH 0.27-4.20 mcU/mL 1.28 Comprehensive Metabolic Panel POTASSIUM 3.5-5.5 mmol/L 4.0 SODIUM 133-145 mmol/L 140 CHLORIDE 98-110 mmol/L 103 Glucose 65-99 mg/dL 100 CALCIUM 8.4-10.4 mg/dL 9.4 ALBUMIN 3.5-5.0 g/dL 4.8 SGPT (ALT) 5-40 U/L 51 SGOT (AST) 10-37 U/L 30 BILIRUBIN TOTAL 0.2-1.2 mg/dL 0.3 Alkaline Phosphatase 25-115 U/L 105 BUN 6-22 mg/dL 19 CO2 20-32 mmol/L 22 CREATININE 0.5-1.2 mg/dL 1.1 eGFR African American >60.0 >60.0 GLOBULIN SERUM 2.0-4.0 g/dL 2.3 A/G RATIO 1.1-2.6 ratio 2.1 TOTAL PROTEIN 6.4-8.3 g/dL 7.1 ANION GAP 15.4 CBC W/Differential WBC x 10*3 4.0-11.0 K/uL 6.2 RBC x 10*6 3.80-5.80 M/uL 5.35 HGB 13.2-17.3 g/dL 15.2 HCT 36.6-51.9 % 42.9 MCV 80-95 fL 80 MCH 26-34 pg 28 MCHC 32-36 g/dL 35 RDW 10.0-16.0 % 13.4 PLATELET 140-440 K/uL 220 MPV 6.0-10.8 fL 10.9 SEGMENTED NEUTROPHILS 40-75 % 60 LYMPHOCYTES 27-45 % 29 MONOCYTES 3-9 % 11 EOSINOPHIL 0-6 % 1 BASOPHILS 0-2 % 1 ABSOLUTE NEUTROPHILS 1.8-7.7 K/uL 3.7 ABSOLUTE LYMPHOCYTES 1.0-4.8 K/uL 1.8 ABSOLUTE MONOCYTE COUNT 0.1-0.9 K/uL 0.7 ABSOLUTE EOSINOPHIL 0.0-0.5 K/uL 0.0 ABSOLUTE BASOPHIL COUNT 0.0-0.2 K/uL 0.0 10/03/14 7:50am TESTOSTERONE,FREE AND TOTAL Testosterone 348 - 1197 ng/dL 303 Testosterone Free 5.00 - 21.00 ng/dL 7.54 %Free Testosterone 1.50 - 4.20 % 2.49 11/10/14 7:50am TESTOSTERONE,FREE AND TOTAL Testosterone 348 - 1197 ng/dL 281 Testosterone Free 5.00 - 21.00 ng/dL 7.11 %Free Testosterone 1.50 - 4.20 % 2.53 H&H HGB 13.2-17.3 g/dL 15.2 HCT 36.6-51.9 % 44.4 PSA SCREEN PSA SCREEN <=1.400 ng/mL 0.866 1/12/15 8:45am TESTOSTERONE,FREE AND TOTAL Testosterone 348 - 1197 ng/dL 277 Testosterone Free 5.00 - 21.00 ng/dL 4.68 %Free Testosterone 1.50 - 4.20 % 1.69 H&H HGB 13.2-17.3 g/dL 14.8 HCT 36.6-51.9 % 43.4 Hepatic Function Panel ALBUMIN 3.5-5.0 g/dL 4.1 TOTAL PROTEIN 6.4-8.3 g/dL 6.7 GLOBULIN SERUM 2.0-4.0 g/dL 2.6 A/G RATIO 1.1-2.6 ratio 1.6 BILIRUBIN TOTAL 0.2-1.2 mg/dL <0.1 BILIRUBIN DIRECT 0.0-0.3 mg/dL <0.2 SGOT (AST) 10-37 U/L 28 Alkaline Phosphatase 25-115 U/L 118 SGPT (ALT) 5-40 U/L 36 1/16/2015 ESTRADIOL 8-43 ng/L 15 CORTISOL 6.49 DHEA Sulfate 138.5 - 475.2 ug/dL 152.5 -Diet- 4-5 days a week. Meal 1 - 4:30-5:30am 2-3 Eggs with Plain oats, Cream of Wheat or Grits. 1 pint of 2% Milk Snack 1 - 10:00am While Working Apple or Orange Meal 3 - Noon Lunch Break 1 Bag of BBQ Baked Chips <-guilty 2-3 Hard boiled eggs Snack 2 - 4:00pm In Car Apple or Orange Snack 3 - 5:00pm 1 can of Tuna fish or Fruit Smoothy -Frozen berrys and water- or 1-2 Hard boiled eggs Meal 3 - 7:00-8:00pm 50% Home cooked meal, boneless meat and veggies or Mom and Pop Diner, Chain Restaurant, Take out Chinese or Pizza. <- Guilty -Current Training- Gym 3-4 days/week. Med weight/Med Reps. -Testes ache, ever, with a fever? - Only once have I had a noticeable pain in the left testicle. Recently. -Morning/Night wood - Yes. Fully operational. No changes that I am aware of. [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Blood Test Discussion
Low T, What Would You Do?
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