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Testosterone Replacement, Low T, HCG, & Beyond
Blood Test Discussion
7 weeks in, minimal improvement in total T, high estradiol
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<blockquote data-quote="Amaes" data-source="post: 52901" data-attributes="member: 14308"><p>Apologies, posted the basic test results and didn't think to include all of the usual tests mentioned here on ExcelMale. I asked for T to be tested as part of my normal annual checkup due to difficulty losing weight, being hella out of shape, and significant decline in libido over the past year or so. Height is 5'8". Initial protocol was 100mg E7D for four weeks, followed by 100mg E14D - so I completed the initial 4 week cycle then went in to update my test results before starting E14D to see where I was at in the trough. </p><p></p><p>Edit: 41 years old, no prior fertility issues (3 sons plus a couple other failed pregnancies in the past; vasectomy 7 years ago). Initial test results from 31 August (CBC, HLVC, CS, UA, TSH, Total Testosterone):</p><p></p><p> Testosterone,Total,Male,Adult,IA (ng/dL) 246 250-827</p><p> WHITE BLOOD CELL COUNT (Thousand/uL) 8.9 3.8-10.8</p><p> RED BLOOD CELL COUNT (Million/uL) 4.68 4.20-5.80</p><p> HEMOGLOBIN (g/dL) 14.9 13.2-17.1</p><p> HEMATOCRIT (%) 45.1 38.5-50.0</p><p> MCV (fL) 96 80-100</p><p>MCH (pg) 31.9 27-33</p><p> MCHC (g/dL) 33.1 32-36</p><p> PLATELET COUNT (Thousand/uL) 230 140-400</p><p> RDW (%) 13.6 11.0-15.0</p><p> MPV (fL) 8.6 7.5-11.5</p><p> ABSOLUTE NEUTROPHILS (cells/uL) 5767 1500-7800</p><p>ABSOLUTE LYMPHOCYTES (cells/uL) 2367 850-3900</p><p>ABSOLUTE MONOCYTES (cells/uL) 641 200-950</p><p>ABSOLUTE EOSINOPHILS (cells/uL) 98 15-500</p><p>ABSOLUTE BASOPHILS (cells/uL) 27 0-200</p><p>NEUTROPHILS (%) 64.8 </p><p>LYMPHOCYTES (%) 26.6</p><p>REACTIVE LYMPHOCYTES (%) 0.0</p><p>MONOCYTES (%) 7.2</p><p>EOSINOPHILS (%) 1.1</p><p>BASOPHILS (%) 0.3</p><p>SPECIFIC GRAVITY 1.029 1.001-1.035</p><p>PH 5.5 5.0-8.0</p><p>PROTEIN NEG. NEG.</p><p>GLUCOSE NEG. NEG.</p><p>KETONES NEG. NEG.</p><p>BILIRUBIN NEG. NEG.</p><p>OCCULT BLOOD NEG. NEG.</p><p>LEUKOCYTE ESTERASE TRACE NEG.</p><p>NITRITE NEG. NEG.</p><p>WBC (/HPF) 0-5 0-5</p><p>RBC NONE SEEN 0-2</p><p>SQUAMOUS EPITHELIAL CELLS NONE SEEN 0-5</p><p>HYALINE CASTS NONE SEEN NONE SEEN</p><p>BACTERIA NONE SEEN NONE SEEN</p><p>SODIUM (mmol/L) 140 135-146</p><p> POTASSIUM (mmol/L) 4.3 3.5-5.3</p><p>CHLORIDE (mmol/L) 104 98-110</p><p>CARBON DIOXIDE (mmol/L) 26 20-31</p><p>GLUCOSE (MG/DL) 92 65-99</p><p>UREA NITROGEN (MG/DL) 13 7-25</p><p>CREATININE (mg/dL) 1.19 0.60-1.35</p><p>BUN/CREATININE RATIO N/A 6-22</p><p>CALCIUM (MG/DL) 9.1 8.6-10.3</p><p>PHOSPHATE (MG/DL) 3.7 2.5-4.5</p><p>URIC ACID (MG/DL) 6.5 4.0-8.0</p><p>PROTEIN, TOTAL (G/DL) 6.9 6.1-8.1</p><p>ALBUMIN (G/DL) 4.2 3.6-5.1</p><p>GLOBULIN, CALCULATED (G/DL) 2.7 1.9-3.7</p><p>A/G RATIO 1.6 1.0-2.5</p><p>BILIRUBIN, TOTAL (MG/DL) 0.6 0.2-1.2</p><p>BILIRUBIN, DIRECT (MG/DL) 0.1 0.0-0.2</p><p>AST (U/L) 15 10-40</p><p>ALT (U/L) 24 9-46</p><p>LDH (U/L) 157 100-220</p><p>ALKALINE PHOSPHATASE (U/L) 60 40-115</p><p>GGT (U/L) 25 3-95</p><p>IRON (mcg/dL) 91 50-180</p><p>CHOLESTEROL (mg/dL) 185 125-200</p><p>TRIGLYCERIDES (mg/dL) 123 <150</p><p>HDL CHOLESTEROL (mg/dL) 47 > or = 40</p><p>LDL CHOLESTEROL, CALCULATED (mg/dL) 113 <130</p><p>VLDL CHOLESTEROL,CALCULATED (MG/DL) 25 <30</p><p>TSH (mIU/L) 3.17 0.40-4.50</p><p>NON-AFRICAN AMERICAN eGFR (mL/min/1.73m2) 76 > OR = 60</p><p>AFRICAN AMERICAN eGFR (mL/min/1.73m2) 88 > OR = 60</p><p></p><p>Tests on 19 October (specifically asked for total/free test, T3, and sensitive estradiol):</p><p></p><p> Testosterone,Total,LCMSMS (ng/dL) 282 250-1100</p><p>Testosterone, Free (pg/mL) 72.2 35.0-155.0</p><p>T3, TOTAL (ng/dL) 81 76-181</p><p> ESTRADIOL (pg/mL) 63 < or = 39</p><p></p><p>Based on what you said (and my results to date), I'm pretty sure you're right about needing a new doctor. I'll probably look into getting the Defy Medical recommended initial panels done this week, and see what those look like.</p></blockquote><p></p>
[QUOTE="Amaes, post: 52901, member: 14308"] Apologies, posted the basic test results and didn't think to include all of the usual tests mentioned here on ExcelMale. I asked for T to be tested as part of my normal annual checkup due to difficulty losing weight, being hella out of shape, and significant decline in libido over the past year or so. Height is 5'8". Initial protocol was 100mg E7D for four weeks, followed by 100mg E14D - so I completed the initial 4 week cycle then went in to update my test results before starting E14D to see where I was at in the trough. Edit: 41 years old, no prior fertility issues (3 sons plus a couple other failed pregnancies in the past; vasectomy 7 years ago). Initial test results from 31 August (CBC, HLVC, CS, UA, TSH, Total Testosterone): Testosterone,Total,Male,Adult,IA (ng/dL) 246 250-827 WHITE BLOOD CELL COUNT (Thousand/uL) 8.9 3.8-10.8 RED BLOOD CELL COUNT (Million/uL) 4.68 4.20-5.80 HEMOGLOBIN (g/dL) 14.9 13.2-17.1 HEMATOCRIT (%) 45.1 38.5-50.0 MCV (fL) 96 80-100 MCH (pg) 31.9 27-33 MCHC (g/dL) 33.1 32-36 PLATELET COUNT (Thousand/uL) 230 140-400 RDW (%) 13.6 11.0-15.0 MPV (fL) 8.6 7.5-11.5 ABSOLUTE NEUTROPHILS (cells/uL) 5767 1500-7800 ABSOLUTE LYMPHOCYTES (cells/uL) 2367 850-3900 ABSOLUTE MONOCYTES (cells/uL) 641 200-950 ABSOLUTE EOSINOPHILS (cells/uL) 98 15-500 ABSOLUTE BASOPHILS (cells/uL) 27 0-200 NEUTROPHILS (%) 64.8 LYMPHOCYTES (%) 26.6 REACTIVE LYMPHOCYTES (%) 0.0 MONOCYTES (%) 7.2 EOSINOPHILS (%) 1.1 BASOPHILS (%) 0.3 SPECIFIC GRAVITY 1.029 1.001-1.035 PH 5.5 5.0-8.0 PROTEIN NEG. NEG. GLUCOSE NEG. NEG. KETONES NEG. NEG. BILIRUBIN NEG. NEG. OCCULT BLOOD NEG. NEG. LEUKOCYTE ESTERASE TRACE NEG. NITRITE NEG. NEG. WBC (/HPF) 0-5 0-5 RBC NONE SEEN 0-2 SQUAMOUS EPITHELIAL CELLS NONE SEEN 0-5 HYALINE CASTS NONE SEEN NONE SEEN BACTERIA NONE SEEN NONE SEEN SODIUM (mmol/L) 140 135-146 POTASSIUM (mmol/L) 4.3 3.5-5.3 CHLORIDE (mmol/L) 104 98-110 CARBON DIOXIDE (mmol/L) 26 20-31 GLUCOSE (MG/DL) 92 65-99 UREA NITROGEN (MG/DL) 13 7-25 CREATININE (mg/dL) 1.19 0.60-1.35 BUN/CREATININE RATIO N/A 6-22 CALCIUM (MG/DL) 9.1 8.6-10.3 PHOSPHATE (MG/DL) 3.7 2.5-4.5 URIC ACID (MG/DL) 6.5 4.0-8.0 PROTEIN, TOTAL (G/DL) 6.9 6.1-8.1 ALBUMIN (G/DL) 4.2 3.6-5.1 GLOBULIN, CALCULATED (G/DL) 2.7 1.9-3.7 A/G RATIO 1.6 1.0-2.5 BILIRUBIN, TOTAL (MG/DL) 0.6 0.2-1.2 BILIRUBIN, DIRECT (MG/DL) 0.1 0.0-0.2 AST (U/L) 15 10-40 ALT (U/L) 24 9-46 LDH (U/L) 157 100-220 ALKALINE PHOSPHATASE (U/L) 60 40-115 GGT (U/L) 25 3-95 IRON (mcg/dL) 91 50-180 CHOLESTEROL (mg/dL) 185 125-200 TRIGLYCERIDES (mg/dL) 123 <150 HDL CHOLESTEROL (mg/dL) 47 > or = 40 LDL CHOLESTEROL, CALCULATED (mg/dL) 113 <130 VLDL CHOLESTEROL,CALCULATED (MG/DL) 25 <30 TSH (mIU/L) 3.17 0.40-4.50 NON-AFRICAN AMERICAN eGFR (mL/min/1.73m2) 76 > OR = 60 AFRICAN AMERICAN eGFR (mL/min/1.73m2) 88 > OR = 60 Tests on 19 October (specifically asked for total/free test, T3, and sensitive estradiol): Testosterone,Total,LCMSMS (ng/dL) 282 250-1100 Testosterone, Free (pg/mL) 72.2 35.0-155.0 T3, TOTAL (ng/dL) 81 76-181 ESTRADIOL (pg/mL) 63 < or = 39 Based on what you said (and my results to date), I'm pretty sure you're right about needing a new doctor. I'll probably look into getting the Defy Medical recommended initial panels done this week, and see what those look like. [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Blood Test Discussion
7 weeks in, minimal improvement in total T, high estradiol
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