1st blood work since starting TRT,HCG and Anastrozle.

[kram22]

[FONT=&apos, serif] Below is my blood work I did recently with my diabetes doctor. Based on the results I was wondering if I should make any adjustments? I noticed a big spike in my triglycerides and LDL compared to my previous history and a drop in my Estradiol. On the day this blood work was taken I was on the last day of my weekly 140mg Test cyp shot. I took the shot that same day after I saw the doctor. I've had moments when my libido was great but not consistent. I was consider changing my routine to 60mg of Test cyp twice per week, .25mg of anastrozole once per week and continue HCG 500iu twice per week. Has anybody elso had a spike in their [/FONT]triglycerides while using Anastrozole? My SHGB has always been high b4 starting TRT and i'm only seeing a slight drop in my SHGB since starting treatment. Also and[FONT=&apos, serif] suggestions to keep my lidido more consistent would be much appreciated. [/FONT]


MEDICATIONS

Medication Instructions Dosage Frequency Start Date End Date Duration Status

Cod Liver Oil Orally once per day 1 tabl

Armour Thyroid 15 MG Orally Once a day 1 tablet on an empty stomach

Anastrozole 0.25 Orally twice per wk

Vitamin B Complex-C Orally once a day

Flaxseed Oil 1 tbl 24h
Zinc 100 MG Orally Once a day 1 tablet with a meal

human chorionic gonadotropin 500 iu twice per week

Vitamin D Orally once a day 1 tablet

Testosterone Cypionate 200 MG/ML Intramuscular once per wk140 mg
RESULTS
*Fingerstick Glucose 82947 2015-02-18

----Value(60 - 99 mg/dL) 134

CBC w/DIFF, PLATELET CT. 2015-02-18

----IMMATURE GRANULOCYTES(0.0-1.6) 0.0

----BASOS(0.0-2.0) 1.9

----EOS(0.0-8.0) 5.0

----MONOS(0.0-13.0) 8.4

----LYMPHS(12.0-48.0) 29.0

----RDW(10.9-16.9) 13.6

----POLYS(36.0-78.0) 55.7

----MCH(25.0-34.1) 32.2

----MCHC(29.0-35.0) 34.9

----PLATELET COUNT(144-400) 135

----HCT(39.3-52.5) 41.5

----MPV(8.2-11.9) 10.6

----MCV(80.0-100.0) 92.0

----RBC(4.20-5.90) 4.51

----HGB(12.3-17.0) 14.5

----WBC(3.40-11.80) 3.59

*Hemoglobin A1C 2015-02-18

----Value(4.0 - 5.6 %) 5.3% lower

TESTOSTERONE, SERUM 2015-02-18

----TESTOSTERONE, TOT.,S.(249.0-836.0) 1019.0

*T3 2015-02-18

----T3 Total(0.7 - 1.7 ng/mL) 0.41

TESTOSTERONE, FREE, SERUM (30.00-150.00) 129.88

*Free T4 2015-02-18

----Free T4(0.75 - 1.54 ng/dL) 0.88

SEX HORMONE BINDING GLOB. 2015-02-18

----SEX HORM.BIND.GLOB.(10-57) 79

VITAMIN D, 25-HYDROX, SERUM 2015-02-18

----25OH, VITAMIN D(32.0-100.0) 73.2

PROLACTIN, SERUM 2015-02-18

----PROLACTIN, SERUM(4.0-15.2) 8.3

ALBUMIN 2015-02-18

----Albumin(3.5-5.2) 4.5

CHEM PROFILE 29 2015-02-18

----Alk Phos(40-156) 65

----LD(135-225) 152

----GGTP(10-71) 15

----Cholesterol(<200) 219

----Phosphorus(2.7-4.5) 2.8

----ALT(<41) 21

----HDL as % of Cholesterol(>14) 29

----Chol/HDL Ratio(<7.4) 3.4

----Triglycerides(<150) 152

----HDL CHOL., DIRECT(>40) 64

----Albumin(3.5-5.2) 4.5

----Total Protein(5.9-8.4) 6.3

----Glucose(70-99) 104

----Globulin(1.7-3.7) 1.8

----Potassium(3.3-5.3) 3.6

----Sodium(133-145) 136

----AST(<40) 30

----CO2(22-29) 25

----Chloride(96-108) 96

----BUN(6-20) 12

----LDL/HDL Ratio(<3.56) 1.95

----Creatinine(0.90-1.30) 0.97

----e-GFR(>60) 83

----e-GFR, African American(>60) 100

----LDL Cholesterol(<100) 125

----BUN/Creat Ratio(10.0-28.0) 12.4

----Calcium(8.6-10.4) 9.3

----Uric Acid(3.4-8.5) 5.8

----Iron(45-160) 104

----Bilirubin, Total(<1.2) 0.6

*TSH 2015-02-18

----TSH(0.5 - 6.0 uIU/mL) 2.39

*Urinalysis, Routine 2015-02-18

----OCCULT BLOOD(negative - ) negative

----BILIRUBIN(negative - ) negative

----UROBILINOGEN,SEMI-QN (mg/dL)(negative - ) negative

----NITRITE, URINE(negative - ) negative

----MICROSCOPIC EXAMINAT()

----URINALYSIS GROSS EXA()

----SPECIFIC GRAVITY(1.003 - 1.030 ) 1.030

----KETONES(negative - ) negative

----PROTEIN(negative - ) negative

----GLUCOSE (mg/dL)(negative - ) negative

----APPEARANCE(clear - ) clear

----WBC ESTERASE(negative - ) negative

----PH(5 - 8 ) 6.0

----URINE-COLOR(clear - yellow ) yellow

MICROALBUMIN, URINE RANDOM/CREAT RATIO 2015-02-18

----MICROALBUMIN,RANDOM(Not Estab.) <1.2

----MICROALB/CREAT RATIO(<30.0) Can't Calc

----CREAT.URN.TIMED/RAND(Not Estab.) 81.3

GROWTH HORMONE 2015-02-18

----GROWTH HORMONE(<3.0) 0.3

LH (LEUTINIZING HORMONE) 2015-02-18

----LH(1.7-8.6) <0.1

ESTRADIOL, SERUM 2015-02-18

----ESTRADIOL(7.63-42.60) 12.24

FSH (FOLLICLE STIM.HORMONE) SERUM 2015-02-18

----FSH(1.5-12.4) 0.2

 

[JNole]

Estradiol is low. Given the range you illustrate for estradiol, was this a "non-sensitive" estradiol test? If so, your actual estradiol value may be even lower. Either way, you may need to lower your anastrozole dosage (learned all this stuff on this forum!).

 

[CoastWatcher]

How long have you been following your current protocol? Split-dosing, as you're considering, helped me even out some of the peaks/troughs that I was having.

 

[Vettester Chris]

Kram, thanks for joining and posting your results up. I'm sure there's a variety of topics to touch on here, but I'll keep it focused on your thyroid for the moment on my end ...

On your Armour dosage, am I reading that correct at 15mg/day? Surely you're not just taking 1/4 grain for thyroid treatment (and yes, I know your name is not Shirley)?

From there, I look at your T3 and T4, which tells me that you indeed might be on a 1/4 grain of NDT. Your FT4 is only at 16% of its reference range value, no FT3 (that I see) but Total T3 is below the reference range. Your TSH is probably in exhaust mode, as I'm probably sure there's a constant demand due to low thyroid hormone levels. In time, TSH will just exhaust itself and it will stop being produced by the pituitary.

Would really like to see your Reverse T3, and know if antibodies have been reviewed, or if you know of any autoimmune disorders that you have? I know you're looking at the testosterone, E2, SHBG, and other items, but IMO you need to also put the thyroid topic at the top of the list. If that's a reflection of where your thyroid is at, an optimal TRT program will be like a fine tuned supercharged race car that's running on tires with 10lbs of air pressure and low octane gas.

 

[Vettester Chris]

Estradiol is low. Given the range you illustrate for estradiol, was this a "non-sensitive" estradiol test? If so, your actual estradiol value may be even lower. Either way, you may need to lower your anastrozole dosage (learned all this stuff on this forum!).

Excellent!

 

[kram22]

Thanks for all the replies..I was following that protocol for over a month but last week i started to split the TRT dosage to 60mg twice per week, 25mg of anastrozole once per week and HCG 500iu twice per week. I wasn't really focused on the thyroid issues but I'll do whatever I have to in order to reach optimal results. I'll consider whatever suggestions you can give me regarding the thyroid protocol and i'll discuss it with my doctor. I'm currently being treated by Dr, Saya at Defy Medical but haven't discuss any of this with him yet. I really want to fine tune my protocel and appreciate whatever advise you can share from your experiences. Thanks again!

 

[Vince Carter]

I'd discuss specifically your E2 readings and your Thyroid, I read that >2 on the TSH can be an indicator of hypothyroid(?)