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Testosterone Replacement, Low T, HCG, & Beyond
Blood Test Discussion
New Guy Here. TRT has been prescribed--but does my bloodwork warrant it?
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<blockquote data-quote="Gizmo12" data-source="post: 10997" data-attributes="member: 2275"><p>I'll try to keep it brief. I'm 36, 5'9", 183 lbs, single, work from home. For as long as I can remember, I've had recurring issues with fatigue, stress, anxiety, libido, ED, memory, "brain fog," fat deposits in my midsection, and a general sense of not feeling so great. This summer, I decided to investigate the possibility of having low testosterone. Though I wound up qualifying for TRT therapy, I wanted to do further examination of my thyroid, cortisol, etc. before making the commitment. My complete labs are below. Abnormal values per the lab are in bold. Labs I find concerning are in italics. </p><p></p><p><strong>Testosterone,Free and Total</strong></p><p><strong> <a href="http://www.steroid.com/Testosterone.php" target="_blank">Testosterone</a> , Serum 244 Low ng/dL (348 - 1197) </strong></p><p><strong> Free Testosterone(Direct) 6.1 Low pg/mL (8.7 - 25.1) </strong></p><p><strong>LH 1.4 Low mIU/mL (1.7 - 8.6) </strong></p><p><em> FSH 1.5 mIU/mL (1.5 - 12.4) </em></p><p>Prostate Specific Ag, Serum 0.6 ng/mL (0.0 - 4.0) </p><p></p><p><strong>Thyroid/Pituitary/Cortisol</strong></p><p> TSH 0.81 miU/L (Reference Range of .5 to 5.0)</p><p><em> T4 0.96 ug/dl (4.5 to 12.5) </em></p><p></p><p> Free T3 2.9 pg/ml (2.3 to 4.2)</p><p>Free T4 1.00 ng/L (.8 to 1.8)</p><p>Reverse T3 17.3 ng/dl (9 to 27)</p><p>Prolactin 4.3 ng/ml (2.1 to 17.7)</p><p></p><p> <strong>DHEA 2 ng/ml (3-10). </strong></p><p></p><p> Cortisol "load” is 27nM (22-46). </p><p>Salivary Cortisol test, 24 Hours:</p><p>8 AM: 20 (13-24nM) </p><p><em> 1 PM: 3 (5-10nM) </em></p><p>5 PM: 3 (3-8nM) </p><p><em> 10 PM: <1 (1-4nM) </em></p><p></p><p></p><p><strong>CBC With Differential/Platelet</strong></p><p>WBC 6.0 x10E3/uL (Reference Range 3.4 - 10.8) </p><p>RBC 5.60 x10E6/uL (4.14 - 5.80) </p><p>Hemoglobin 15.5 g/dL (12.6 - 17.7) </p><p>Hematocrit 44.9% (37.5 - 51.0) </p><p>MCV 80 fL (79 - 97) </p><p>MCH 27.7 pg (26.6 - 33.0) </p><p>MCHC 34.5 g/dL (31.5 - 35.7) </p><p>RDW 14.3% (12.3 - 15.4) </p><p>Platelets 207 x10E3/uL (155 - 379) </p><p>Neutrophils 61 % (40 - 74) </p><p>Lymphs 30 % (14 - 46) </p><p>Monocytes 6 % (4 - 12) </p><p>Eos 2 % (0 - 5) </p><p>Basos 1 % (0 - 3) </p><p>Neutrophils (Absolute) 3.7 x10E3/uL (1.4 - 7.0) </p><p>Lymphs (Absolute) 1.8 x10E3/uL (0.7 - 3.1) </p><p>Monocytes(Absolute) 0.4 x10E3/uL (0.1 - 0.9) </p><p>Eos (Absolute) 0.1 x10E3/uL (0.0 - 0.4) </p><p>Baso (Absolute) 0.0 x10E3/uL (0.0 - 0.2) </p><p>Immature Granulocytes 0 % (0 - 2) </p><p>Immature Grans (Abs) 0.0 x10E3/uL (0.0 - 0.1) </p><p></p><p><strong>Comp. Metabolic Panel (14)</strong></p><p>Glucose, Serum 95 mg/dL (65 - 99) </p><p>BUN 15 mg/dL (6 - 20) </p><p>Creatinine, Serum 0.98 mg/dL (0.76 - 1.27) </p><p>eGFR If NonAfricn Am 99 mL/min/1.73 >59</p><p>eGFR If Africn Am 115 mL/min/1.73 >59</p><p>BUN/Creatinine Ratio 15 (8 - 19)</p><p>Sodium, Serum 143 mmol/L (134 - 144) </p><p>Potassium, Serum 5.9 High mmol/L (3.5 - 5.2) </p><p>Chloride, Serum 104 mmol/L (97 - 108) </p><p>Carbon Dioxide, Total 26 mmol/L (19 - 28) </p><p>Calcium, Serum 10.1 mg/dL (8.7 - 10.2) </p><p>Protein, Total, Serum 7.0 g/dL (6.0 - 8.5) </p><p>Albumin, Serum 4.8 g/dL (3.5 - 5.5) </p><p>Globulin, Total 2.2 g/dL (1.5 - 4.5)</p><p>A/G Ratio 2.2 (1.1 - 2.5)</p><p>Bilirubin, Total 0.3 mg/dL (0.0 - 1.2) </p><p>Alkaline Phosphatase, S 76 IU/L (39 - 117) </p><p>AST (SGOT) 16 IU/L (0 - 40) </p><p>ALT (SGPT) 22 IU/L (0 - 44) </p><p></p><p><strong>Lipid Panel</strong></p><p><em> Cholesterol, Total 215 High mg/dL (100 - 199) </em></p><p>Triglycerides 68 mg/dL (0 - 149) </p><p>HDL Cholesterol 60 mg/dL >39 </p><p> VLDL Cholesterol Cal 14 mg/dL (5 - 40)</p><p>LDL Cholesterol Calc 141 High mg/dL (0 - 99)</p><p></p><p>I exercise 4-6 days a week, take zinc, fish oil, Vitamin D, and Zoloft. TRT doctor would like to put me on 150mg of Test Cyp (no HCG or AI to start with) based on my labs. I went to an endo to get my thyroid looked at, but he did not find anything that he felt would warrant treatment. I do not smoke or drink. </p><p></p><p>My hypothesis is that some significant topical hydrocortisone use as a kid (for eczema), coupled with a stressful upbringing and sleep issues did something to my HPTA that affected my hormonal output and led to some adrenal fatigue. I know SSRIs can also deplete test, and I've been on Zoloft for nearly 14 years at a moderate (50 mg) dose. I've also had three sleep studies, which ranged from "nothing wrong" to "moderate sleep disordered breathing." CPAP did nothing after a one-year trial. I just don't know if there's anything worth exploring here, or if I need to address the symptom--the low testosterone--in order to try and bolster my quality of life. Any help appreciated.</p></blockquote><p></p>
[QUOTE="Gizmo12, post: 10997, member: 2275"] I'll try to keep it brief. I'm 36, 5'9", 183 lbs, single, work from home. For as long as I can remember, I've had recurring issues with fatigue, stress, anxiety, libido, ED, memory, "brain fog," fat deposits in my midsection, and a general sense of not feeling so great. This summer, I decided to investigate the possibility of having low testosterone. Though I wound up qualifying for TRT therapy, I wanted to do further examination of my thyroid, cortisol, etc. before making the commitment. My complete labs are below. Abnormal values per the lab are in bold. Labs I find concerning are in italics. [B]Testosterone,Free and Total[/B] [B] [URL="http://www.steroid.com/Testosterone.php"]Testosterone[/URL] , Serum 244 Low ng/dL (348 - 1197) [/B] [B] Free Testosterone(Direct) 6.1 Low pg/mL (8.7 - 25.1) [/B] [B]LH 1.4 Low mIU/mL (1.7 - 8.6) [/B] [I] FSH 1.5 mIU/mL (1.5 - 12.4) [/I] Prostate Specific Ag, Serum 0.6 ng/mL (0.0 - 4.0) [B]Thyroid/Pituitary/Cortisol[/B] TSH 0.81 miU/L (Reference Range of .5 to 5.0) [I] T4 0.96 ug/dl (4.5 to 12.5) [/I] Free T3 2.9 pg/ml (2.3 to 4.2) Free T4 1.00 ng/L (.8 to 1.8) Reverse T3 17.3 ng/dl (9 to 27) Prolactin 4.3 ng/ml (2.1 to 17.7) [B]DHEA 2 ng/ml (3-10). [/B] Cortisol "load” is 27nM (22-46). Salivary Cortisol test, 24 Hours: 8 AM: 20 (13-24nM) [I] 1 PM: 3 (5-10nM) [/I] 5 PM: 3 (3-8nM) [I] 10 PM: <1 (1-4nM) [/I] [B]CBC With Differential/Platelet[/B] WBC 6.0 x10E3/uL (Reference Range 3.4 - 10.8) RBC 5.60 x10E6/uL (4.14 - 5.80) Hemoglobin 15.5 g/dL (12.6 - 17.7) Hematocrit 44.9% (37.5 - 51.0) MCV 80 fL (79 - 97) MCH 27.7 pg (26.6 - 33.0) MCHC 34.5 g/dL (31.5 - 35.7) RDW 14.3% (12.3 - 15.4) Platelets 207 x10E3/uL (155 - 379) Neutrophils 61 % (40 - 74) Lymphs 30 % (14 - 46) Monocytes 6 % (4 - 12) Eos 2 % (0 - 5) Basos 1 % (0 - 3) Neutrophils (Absolute) 3.7 x10E3/uL (1.4 - 7.0) Lymphs (Absolute) 1.8 x10E3/uL (0.7 - 3.1) Monocytes(Absolute) 0.4 x10E3/uL (0.1 - 0.9) Eos (Absolute) 0.1 x10E3/uL (0.0 - 0.4) Baso (Absolute) 0.0 x10E3/uL (0.0 - 0.2) Immature Granulocytes 0 % (0 - 2) Immature Grans (Abs) 0.0 x10E3/uL (0.0 - 0.1) [B]Comp. Metabolic Panel (14)[/B] Glucose, Serum 95 mg/dL (65 - 99) BUN 15 mg/dL (6 - 20) Creatinine, Serum 0.98 mg/dL (0.76 - 1.27) eGFR If NonAfricn Am 99 mL/min/1.73 >59 eGFR If Africn Am 115 mL/min/1.73 >59 BUN/Creatinine Ratio 15 (8 - 19) Sodium, Serum 143 mmol/L (134 - 144) Potassium, Serum 5.9 High mmol/L (3.5 - 5.2) Chloride, Serum 104 mmol/L (97 - 108) Carbon Dioxide, Total 26 mmol/L (19 - 28) Calcium, Serum 10.1 mg/dL (8.7 - 10.2) Protein, Total, Serum 7.0 g/dL (6.0 - 8.5) Albumin, Serum 4.8 g/dL (3.5 - 5.5) Globulin, Total 2.2 g/dL (1.5 - 4.5) A/G Ratio 2.2 (1.1 - 2.5) Bilirubin, Total 0.3 mg/dL (0.0 - 1.2) Alkaline Phosphatase, S 76 IU/L (39 - 117) AST (SGOT) 16 IU/L (0 - 40) ALT (SGPT) 22 IU/L (0 - 44) [B]Lipid Panel[/B] [I] Cholesterol, Total 215 High mg/dL (100 - 199) [/I] Triglycerides 68 mg/dL (0 - 149) HDL Cholesterol 60 mg/dL >39 VLDL Cholesterol Cal 14 mg/dL (5 - 40) LDL Cholesterol Calc 141 High mg/dL (0 - 99) I exercise 4-6 days a week, take zinc, fish oil, Vitamin D, and Zoloft. TRT doctor would like to put me on 150mg of Test Cyp (no HCG or AI to start with) based on my labs. I went to an endo to get my thyroid looked at, but he did not find anything that he felt would warrant treatment. I do not smoke or drink. My hypothesis is that some significant topical hydrocortisone use as a kid (for eczema), coupled with a stressful upbringing and sleep issues did something to my HPTA that affected my hormonal output and led to some adrenal fatigue. I know SSRIs can also deplete test, and I've been on Zoloft for nearly 14 years at a moderate (50 mg) dose. I've also had three sleep studies, which ranged from "nothing wrong" to "moderate sleep disordered breathing." CPAP did nothing after a one-year trial. I just don't know if there's anything worth exploring here, or if I need to address the symptom--the low testosterone--in order to try and bolster my quality of life. Any help appreciated. [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Blood Test Discussion
New Guy Here. TRT has been prescribed--but does my bloodwork warrant it?
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