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Testosterone Replacement, Low T, HCG, & Beyond
Blood Test Discussion
proposed tests and timing: ruling out thyroid 16 weeks in to hCG mono
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<blockquote data-quote="Re-Ride" data-source="post: 23233" data-attributes="member: 8395"><p>Hi, Anything missing from this proposed test lineup (below last labs)?</p><p></p><p>62 y.o. d hypoG >20 yrs, no recent TRT, past gel</p><p> hCG mono beginning April 2015. baseline TotT 200-300 went to 700 in 6 weeks </p><p>Arimidex added in July, 1/4 2xWeek</p><p>diagnoses: hyperestrogenism, gyno, hypogonadism,metabolic syndrome with improvement, </p><p></p><p>I've undergone a battery of tests over the last two years complaining of severe fatigue. Oddly Testo of 199 wasn't flagged. </p><p></p><p>current lab results:</p><p></p><p> Kidney function creatinine and eGFR are stellar, no pulmonary issues, liver enzymes normal,</p><p> PSA 0.64, see prior post for full labs.</p><table class='post-table ' style='width: 100%'><tr><td ><p>IGF I Somatomedin C</p></td><td ><p><strong>316H</strong></p></td><td ><p> (41-279 ng/mL</p></td><td ><p>H)</p></td></tr></table>Z SCORE: 2.1 (H)</p><table class='post-table ' style='width: 100%'><tr><td ><p>Hemoglobin</p></td><td ><p>15.5</p></td><td ><p>(13.5-18.0 g/dL)</p></td></tr></table> <table class='post-table ' style='width: 100%'><tr><td ><p>magnesium</p></td><td ><p>2.2</p></td><td ><p>(1.8-2.4 mg/dL)</p></td></tr></table><table class='post-table ' style='width: 100%'><tr><td ><p>Total cholesterol</p></td><td ><p>211</p></td><td ><p>mg/dL</p></td><td ><p>H</p></td></tr><tr><td ><p>Triglyceride</p></td><td ><p>173</p></td><td ><p>mg/dL</p></td><td ><p>H</p></td></tr><tr><td ><p>HDL cholesterol</p></td><td ><p>45</p></td><td ><p>mg/dL</p></td><td></td></tr><tr><td ><p>LDL Calculated</p></td><td ><p>131</p></td><td ><p>mg/dL</p></td><td ><p>H</p></td></tr><tr><td ><p>Cholesterol to HDL Ratio</p></td><td ><p>4.7</p></td><td></td><td></td></tr><tr><td ><p>VLDL (Calculated)</p></td><td ><p>35</p></td><td ><p>5.0-40.0 mg/dL</p></td></tr></table> </p><p>test dates: 12/3/14 5/21/15</p><table class='post-table ' style='width: 100%'><tr><td ><p>[TD="class: name fixed"]Average Glucose<br /> [/TD]<br /> [TD="class: scroll"]108<br /> [/TD]<br /> [TD="class: scroll"] 97[/TD]<br /> [TD="class: buffer scroll"][/TD]</p></td></tr><tr><td ><p>[TD="class: name fixed"]Hemoglobin A1c4.8 - 5.6 %<br /> [/TD]<br /> [TD="class: scroll"]5.4<br /> [/TD]<br /> [TD="class: scroll"] 5.0[/TD]</p></td></tr></table>The baseline from march was missing important hormone tests. I hope to obtain a differential diagnoses for fatigue and periods of reduced cognition, espc. mornings. </p><p></p><p>Past THYROID results:</p><table class='post-table ' style='width: 100%'><tr><td ><p>[TH="class: name fixed"][/TH]<br /> [TH="class: scroll"]1/22/15(4pm) <br /> [/TH]<br /> [TH="class: scroll"]2/10/15[/TH]<br /> [TH="class: buffer scroll"](2pm)<br /> [/TH]<br /> </p></td></tr><tr><td ><p> [TD="class: name fixed"]TSH 0.34 - 4.82 uIU/mL<br /> [/TD]<br /> [TD="class: scroll"]1.57[/TD]<br /> [TD="class: scroll"]2.71<br /> [/TD]</p></td></tr></table>(3rd generation Siemens)</p><table class='post-table ' style='width: 100%'><tr><td ><p>[TD="class: nameCol srchbl"]T4 Free<br /> [/TD]<br /> [TD="class: infoCol"] -- 0.59 (1.61 ng/dL<br /> [/TD]<br /> [TD="class: importantCol"]0.81)<br /> [/TD]</p></td></tr></table> Past LH:</p><table class='post-table ' style='width: 100%'><tr><td ><p>[TD="class: nameCol srchbl"]2/10/15 2pm 3.4 ( <br /> [/TD]<br /> [TD="class: infoCol"]0.8 - 7.6 uIU/mL)<br /> [/TD]<br /> [TD="class: importantCol"][/TD]</p></td></tr></table> Testosterone (baseline on 2/10 )</p><table class='post-table ' style='width: 100%'><tr><td ><p>[TD="class: nameCol srchbl"]Testosterone Free<br /> [/TD]<br /> [TD="class: infoCol"] 35.0 (155.0 pg/mL<br /> [/TD]<br /> [TD="class: importantCol"]87.8)[/TD]</p></td></tr></table><table class='post-table ' style='width: 100%'><tr><td ><p>[TD="class: nameCol srchbl"]Testoserone, Total 298 (250 -1100 ng/dL) <br /> [/TD]<br /> [TD="class: infoCol"] <br /> <br /> [/TD]<br /> [TD="class: importantCol"][/TD]</p></td></tr></table>after six weeks hCG mono: total: 693 (240 - 871 ng/dL) free not done</p><p></p><p>O.K. I've finally got in with a new internist who has a great reputation for male health. To get the most out of the this upcoming round I need to know time of day to test, fasting and what supplements to be off.</p><p></p><p>PROPOSED TESTS: </p><p></p><p>comp metabolic panel</p><p>comp blood count</p><p>lipids (fasting)</p><p>A1C</p><p>IGF1</p><p>PSA with Rflex to free (not seen this one)</p><p></p><p>TSH, T3,T4,Free T3,fT4,reverse T3, Thyroid peroxidase antibody</p><p></p><p>estrodiol and E2 LC/MS/MS</p><p>estradiol</p><p>Vit B12</p><p></p><p>Testosterone total and free, LH, FSH, prolactin</p><p></p><p>DHEA-S</p><p></p><p>SBGH</p><p></p><p>Missing DHT but advised to ask for it. Anything else t get? </p><p></p><p>note: I'm still not sure why I have been diag secondary hypo. Take a look at the pre-treatment FSH,LH in my earlier post</p><p>.</p><p>Re-Ride</p></blockquote><p></p>
[QUOTE="Re-Ride, post: 23233, member: 8395"] Hi, Anything missing from this proposed test lineup (below last labs)? 62 y.o. d hypoG >20 yrs, no recent TRT, past gel hCG mono beginning April 2015. baseline TotT 200-300 went to 700 in 6 weeks Arimidex added in July, 1/4 2xWeek diagnoses: hyperestrogenism, gyno, hypogonadism,metabolic syndrome with improvement, I've undergone a battery of tests over the last two years complaining of severe fatigue. Oddly Testo of 199 wasn't flagged. current lab results: Kidney function creatinine and eGFR are stellar, no pulmonary issues, liver enzymes normal, PSA 0.64, see prior post for full labs. [TABLE] [TR="class: even alertItem"] [TD]IGF I Somatomedin C [/TD] [TD][B]316H[/B][/TD] [TD] (41-279 ng/mL[/TD] [TD]H)[/TD] [/TR] [/TABLE] Z SCORE: 2.1 (H) [TABLE] [TR="class: even"] [TD]Hemoglobin[/TD] [TD]15.5[/TD] [TD](13.5-18.0 g/dL)[/TD] [/TR] [/TABLE] [TABLE] [TR="class: even"] [TD]magnesium [/TD] [TD]2.2[/TD] [TD](1.8-2.4 mg/dL) [/TD] [/TR] [/TABLE] [TABLE] [TR="class: even alertItem"] [TD]Total cholesterol [/TD] [TD]211[/TD] [TD] mg/dL[/TD] [TD]H[/TD] [/TR] [TR="class: odd alertItem"] [TD]Triglyceride [/TD] [TD]173[/TD] [TD] mg/dL[/TD] [TD]H[/TD] [/TR] [TR="class: even"] [TD]HDL cholesterol [/TD] [TD]45[/TD] [TD] mg/dL[/TD] [TD][/TD] [/TR] [TR="class: odd alertItem"] [TD]LDL Calculated [/TD] [TD]131[/TD] [TD] mg/dL[/TD] [TD]H[/TD] [/TR] [TR="class: even"] [TD]Cholesterol to HDL Ratio [/TD] [TD]4.7[/TD] [TD][/TD] [TD][/TD] [/TR] [TR="class: odd"] [TD]VLDL (Calculated) [/TD] [TD]35[/TD] [TD]5.0-40.0 mg/dL[/TD] [/TR] [/TABLE] test dates: 12/3/14 5/21/15 [TABLE] [TR="class: odd"] [TD="class: name fixed"]Average Glucose [/TD] [TD="class: scroll"]108 [/TD] [TD="class: scroll"] 97[/TD] [TD="class: buffer scroll"][/TD] [/TR] [TR] [TD="class: name fixed"]Hemoglobin A1c4.8 - 5.6 % [/TD] [TD="class: scroll"]5.4 [/TD] [TD="class: scroll"] 5.0[/TD] [/TR] [/TABLE] The baseline from march was missing important hormone tests. I hope to obtain a differential diagnoses for fatigue and periods of reduced cognition, espc. mornings. Past THYROID results: [TABLE] [TR="class: header bottomheader"] [TH="class: name fixed"][/TH] [TH="class: scroll"]1/22/15(4pm) [/TH] [TH="class: scroll"]2/10/15[/TH] [TH="class: buffer scroll"](2pm) [/TH] [/TR] [TR="class: odd"] [TD="class: name fixed"]TSH 0.34 - 4.82 uIU/mL [/TD] [TD="class: scroll"]1.57[/TD] [TD="class: scroll"]2.71 [/TD] [/TR] [/TABLE] (3rd generation Siemens) [TABLE] [TR="class: odd"] [TD="class: nameCol srchbl"]T4 Free [/TD] [TD="class: infoCol"] -- 0.59 (1.61 ng/dL [/TD] [TD="class: importantCol"]0.81) [/TD] [/TR] [/TABLE] Past LH: [TABLE] [TR="class: odd"] [TD="class: nameCol srchbl"]2/10/15 2pm 3.4 ( [/TD] [TD="class: infoCol"]0.8 - 7.6 uIU/mL) [/TD] [TD="class: importantCol"][/TD] [/TR] [/TABLE] Testosterone (baseline on 2/10 ) [TABLE] [TR] [TD="class: nameCol srchbl"]Testosterone Free [/TD] [TD="class: infoCol"] 35.0 (155.0 pg/mL [/TD] [TD="class: importantCol"]87.8)[/TD] [/TR] [/TABLE] [TABLE] [TR="class: odd"] [TD="class: nameCol srchbl"]Testoserone, Total 298 (250 -1100 ng/dL) [/TD] [TD="class: infoCol"] [/TD] [TD="class: importantCol"][/TD] [/TR] [/TABLE] after six weeks hCG mono: total: 693 (240 - 871 ng/dL) free not done O.K. I've finally got in with a new internist who has a great reputation for male health. To get the most out of the this upcoming round I need to know time of day to test, fasting and what supplements to be off. PROPOSED TESTS: comp metabolic panel comp blood count lipids (fasting) A1C IGF1 PSA with Rflex to free (not seen this one) TSH, T3,T4,Free T3,fT4,reverse T3, Thyroid peroxidase antibody estrodiol and E2 LC/MS/MS estradiol Vit B12 Testosterone total and free, LH, FSH, prolactin DHEA-S SBGH Missing DHT but advised to ask for it. Anything else t get? note: I'm still not sure why I have been diag secondary hypo. Take a look at the pre-treatment FSH,LH in my earlier post . Re-Ride [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Blood Test Discussion
proposed tests and timing: ruling out thyroid 16 weeks in to hCG mono
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