Initial blood work (pre-TRT)

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Rodney Stewart

New Member
These are tests I had performed by Dr. Larry Lipshulz in Houston, prior to starting TRT. I currently take Axiron (60mg per day I believe? Once for each armpit.) and will go back for follow-up blood work on 3/31. These values were tested at approximately 5:00 pm and the testing was performed by Clinical Pathology Laboratories, 9200 Wall St., Austin, TX 78754.

The doctor hasn't spoken to me about these results or what they mean, but some immediate questions that pop to mind:


Hemoglobin is at the high-end of the normal range, does this mean anything?
Somatomedin-C is near the low-end of the normal range, does that mean anything?
FSH looks way over the normal range, which I assume would be normal in primary hypogonadism(?)
SHBG is so high that they had to re-test it to confirm, any worries there?

Would love to hear any other thoughts.

Thanks!

Test

Range

Tested Value

T3 UPTAKE

20.0 - 38.5 %

30.4

T4 TOTAL

4.4 - 12.4 UG/DL

9.2

FTI

1.05 - 4.50

2.80

HEMOGLOBIN A1C

4.0 - 5.6 %

5.5

DIHYDROTESTOSTERONE

112 - 955 pg/mL

362

PROLACTIN

3.0 - 30.0 NG/ML

4.2

SOMATOMEDIN-C

77 - 250 NG/ML

78

HEMATOCRIT

37.0 - 49.0 %

41.4

HEMOGLOBIN

13.0 - 17.0 G/DL

13.6

LUTEINIZING HORMONE

6.0 - 19.0 mIU/ml

10

FOLLICLE STIMULATING HORMONE

4.0 - 10.0 mIU/ml

17

DHEA-S

1419 - 3867 ng/ml

1422

SHBG (Retested for confirmation)

10 - 55 nmol/L

153

ESTRADIOL

0.5 - 5 ng/dl

3

TESTOSTERONE LEVEL

200 - 1000 ng/dl

279

FREE TESTOSTERONE-CALCULATED

 

1.66

 
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Rodney Stewart

New Member
*crickets*

Update for anyone interested. The left is prior to starting TRT, the right is after two months of 60mg (two applications) Axiron every day. SHBG is still very high and DHEA has dropped quite a bit. Total T and Free T are looking much better, but I feel Free T could be much higher.

Would love any input / advice from people more seasoned than me.

TRTProgress.png
 

Nelson Vergel

Founder, ExcelMale.com
Rodney

Looking good. You may want to consider DHEA at 50 mg with breakfast and 5000 IU of Vitamin D daily. Those two will also help you with lowering SHBG.
 

Rodney Stewart

New Member
Heya Vince, thanks for asking. Things are definitely going better and I'm very happy with the decision to start replacement therapy. Main symptoms prior were fatigue, brain fog, and lack of libido. Everything downstairs still worked, I just didn't care about it. Also, despite a proper diet and exercise, I seemed to be building strength and lean body mass extremely slowly.

Rodney HI, how are you feeling, did you have any symptoms before you started TRT?
 

Rodney Stewart

New Member
Thanks Nelson, I'll definitely start with the Vitamin D right away (as I have some at home already). Dr. Lipshultz prescribed me an aromatase inhibitor (I'll have to check my prescription to see which one) but told me to only worry about filling it if I experienced any symptoms (I was having slight nipple tenderness).

Assuming I don't start the inhibitor, do I have to worry (excessively) about such a small amount of DHEA aromatising?

Rodney

Looking good. You may want to consider DHEA at 50 mg with breakfast and 5000 IU of Vitamin D daily. Those two will also help you with lowering SHBG.
 
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