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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Basics & Questions
Ended up in ER last month
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<blockquote data-quote="madman" data-source="post: 200985" data-attributes="member: 13851"><p>Definitely need to look into bringing down your trough FT let alone using an accurate assay (gold standard Equilibrium Dialysis or Ultrafiltration) when testing.</p><p></p><p>Again running a trough TT 1300s with an SHBG 30s is going to have your trough FT through the roof.</p><p></p><p>Looking over some of your previous threads on here seems clear that you are being overmedicated when it comes to T as at one time you were hitting an absurdly high trough TT 1500 ng/dL which would have had your trough FT insanely high.</p><p></p><p>To top it off that although your FT was flagged as (highish/high) on both sets of labs, unfortunately, it was tested using the piss poor direct immunoassay which is known to be inaccurate and I would put money on it that your FT is much higher than you think!</p><p></p><p>The only way to truly know such is to have it tested using accurate assays (ED or UF).</p><p></p><p>Running too high FT is going to have a significant impact on driving up your RBCs/hemoglobin/hematocrit let alone estradiol which you were well aware of as you needed to control with the use of an AI.</p><p></p><p></p><p>[URL unfurl="true"]https://www.excelmale.com/forum/threads/feeling-tired-in-the-afternoon.18794/[/URL]</p><p></p><p></p><p><strong><em>40mg Test cyp 3x/week</em></strong></p><p>250 IU HCG 3x/week</p><p>.<strong><em>125 Anastrozole 2x/week</em></strong></p><p>15 mcg/ Cytomel everyday</p><p>DHEA 25 mg one BY MOUTH EVEY NIGHT</p><p>Vitamin D 5000IU EVERY DAY</p><p>Selenium 250mcg EVERY DAY</p><p>Fish Oil 2grams EVERY DAY</p><p></p><p><strong><em><u>I was not taking the Anastrozole until after my 12/10/18 Labs</u>, so that is really the only thing that has changed. </em></strong>Here are my last 2 sets of labs. Can anyone think of any reason why I am getting these tired spells pretty much everyday for the past couple of months?</p><p></p><p><strong>3/27/19 Labs(Taking Anastrozole and Cytomel since the last labs)</strong></p><p><strong></strong></p><p><strong><em>Testosterone, Serum 859 ng/dL </em></strong><em>264-916</em></p><p><strong><u><em>Free Testosterone(Direct) 23.4 pg/mL</em></u> </strong>8.7-25.1</p><p>DHEA-Sulfate 521.1 H ug/dL 102.6-416.3</p><p>TSH 2.760 uIU/mL 0.450-4.500</p><p>Triiodothyronine (T3), Free 3.6 pg/mL 2.0-4.4</p><p>Vitamin D, 25-Hydroxy 56.7 ng/mL 30.0-100.0</p><p>Estradiol, Sensitive 22.8 pg/mL 8.0-35.0</p><p><em><strong>Sex Horm Binding Glob, Serum 32.9 nmol/L </strong></em>16.5-55.9</p><p></p><p><strong>12/10/18 Labs(Was not taking Anastrozole or Cytomel)</strong></p><p><strong></strong></p><p><strong><u><em>Testosterone, Serum 1494 ng/dL</em></u></strong><em> 264-916</em></p><p><u><strong><em>Free Testosterone(Direct) 29.8 pg/mL</em> </strong></u>8.7-25.1</p><p>DHEA-Sulfate 425.0 ug/dL 102.6-416.3</p><p>TSH 3.020 uIU/mL 0.450-4.500</p><p>T4,Free(Direct) 1.02 ng/dL 0.82-1.77</p><p>Triiodothyronine (T3), Free 2.8 pg/mL 2.0-4.4</p><p>Reverse T3, Serum 20.3 ng/dL 9.2 - 24.1</p><p><strong><em>Estradiol, Sensitive 52.3 H pg/mL</em></strong> 8.0-35.0</p><p><strong><em>Sex Horm Binding Glob, Serum 42.4 nmol/L</em></strong> 16.5-55.9</p><p>Ferritin, Serum 50 ng/mL 30-400</p></blockquote><p></p>
[QUOTE="madman, post: 200985, member: 13851"] Definitely need to look into bringing down your trough FT let alone using an accurate assay (gold standard Equilibrium Dialysis or Ultrafiltration) when testing. Again running a trough TT 1300s with an SHBG 30s is going to have your trough FT through the roof. Looking over some of your previous threads on here seems clear that you are being overmedicated when it comes to T as at one time you were hitting an absurdly high trough TT 1500 ng/dL which would have had your trough FT insanely high. To top it off that although your FT was flagged as (highish/high) on both sets of labs, unfortunately, it was tested using the piss poor direct immunoassay which is known to be inaccurate and I would put money on it that your FT is much higher than you think! The only way to truly know such is to have it tested using accurate assays (ED or UF). Running too high FT is going to have a significant impact on driving up your RBCs/hemoglobin/hematocrit let alone estradiol which you were well aware of as you needed to control with the use of an AI. [URL unfurl="true"]https://www.excelmale.com/forum/threads/feeling-tired-in-the-afternoon.18794/[/URL] [B][I]40mg Test cyp 3x/week[/I][/B] 250 IU HCG 3x/week .[B][I]125 Anastrozole 2x/week[/I][/B] 15 mcg/ Cytomel everyday DHEA 25 mg one BY MOUTH EVEY NIGHT Vitamin D 5000IU EVERY DAY Selenium 250mcg EVERY DAY Fish Oil 2grams EVERY DAY [B][I][U]I was not taking the Anastrozole until after my 12/10/18 Labs[/U], so that is really the only thing that has changed. [/I][/B]Here are my last 2 sets of labs. Can anyone think of any reason why I am getting these tired spells pretty much everyday for the past couple of months? [B]3/27/19 Labs(Taking Anastrozole and Cytomel since the last labs) [I]Testosterone, Serum 859 ng/dL [/I][/B][I]264-916[/I] [B][U][I]Free Testosterone(Direct) 23.4 pg/mL[/I][/U] [/B]8.7-25.1 DHEA-Sulfate 521.1 H ug/dL 102.6-416.3 TSH 2.760 uIU/mL 0.450-4.500 Triiodothyronine (T3), Free 3.6 pg/mL 2.0-4.4 Vitamin D, 25-Hydroxy 56.7 ng/mL 30.0-100.0 Estradiol, Sensitive 22.8 pg/mL 8.0-35.0 [I][B]Sex Horm Binding Glob, Serum 32.9 nmol/L [/B][/I]16.5-55.9 [B]12/10/18 Labs(Was not taking Anastrozole or Cytomel) [U][I]Testosterone, Serum 1494 ng/dL[/I][/U][/B][I] 264-916[/I] [U][B][I]Free Testosterone(Direct) 29.8 pg/mL[/I] [/B][/U]8.7-25.1 DHEA-Sulfate 425.0 ug/dL 102.6-416.3 TSH 3.020 uIU/mL 0.450-4.500 T4,Free(Direct) 1.02 ng/dL 0.82-1.77 Triiodothyronine (T3), Free 2.8 pg/mL 2.0-4.4 Reverse T3, Serum 20.3 ng/dL 9.2 - 24.1 [B][I]Estradiol, Sensitive 52.3 H pg/mL[/I][/B] 8.0-35.0 [B][I]Sex Horm Binding Glob, Serum 42.4 nmol/L[/I][/B] 16.5-55.9 Ferritin, Serum 50 ng/mL 30-400 [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Basics & Questions
Ended up in ER last month
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