8 weeks Blood test

tom1959

New Member
Team,
I was experiencing several side effects that the team on Excelmale helped me to identify. I was able to communicate with my doctor and he did respond with F/U blood draw (included most the items that Nelson recommended). The doc also perscribed Armidex (1 MG per week). I have been taking the Arimidex for (3) weeks (1 MG/wk) and it did reduce my sides. However, I was still not in the "zone". Then came the F/U blood work from last week (posted below). The doc said that he would be cutting back on the next test dose (currently using pellets). He also boosted the Arimidex to (2) MG for the next (2) weeks and then I'm to test again. The doc wants my estogens at 40 or below.

Please offer your thoughts and advice!
WBC7.1x10E3/uL3.4-10.8F
RBC4.98x10E6/uL4.14-5.80F
Hemoglobin15.4g/dL12.6-17.7F
Hematocrit45.7%37.5-51.0F
MCV92fL79-97F
MCH30.9pg26.6-33.0F
MCHC33.7g/dL31.5-35.7F
RDW13.0%12.3-15.4F
Platelets318x10E3/uL155-379F
Neutrophils50%40-74F
Lymphs37%14-46F
Monocytes9%4-12F
Eos3%0-5F
Basos1%0-3F
Immature CellsX
Neutrophils (Absolute)3.6x10E3/uL1.4-7.0F
Lymphs (Absolute)2.7x10E3/uL0.7-3.1F
Monocytes(Absolute)0.7x10E3/uL0.1-0.9F
Eos (Absolute)0.2x10E3/uL0.0-0.4F
Baso (Absolute)0.1x10E3/uL0.0-0.2F
Immature Granulocytes0%0-2F
Immature Grans (Abs)0.0x10E3/uL0.0-0.1F
NRBCX
Hematology Comments:X
Glucose, Serum92mg/dL65-99F
BUN12mg/dL6-24F
Creatinine, Serum1.30mg/dL0.76-1.27F
eGFR If NonAfricn Am62mL/min/1.73>59F
eGFR If Africn Am72mL/min/1.73>59F
BUN/Creatinine Ratio99-20F
Sodium, Serum139mmol/L134-144F
Potassium, Serum3.9mmol/L3.5-5.2F
Chloride, Serum97mmol/L97-108F
Carbon Dioxide, Total28mmol/L19-28F
Calcium, Serum9.6mg/dL8.7-10.2F
Protein, Total, Serum6.8g/dL6.0-8.5F
Albumin, Serum4.6g/dL3.5-5.5F
Globulin, Total2.2g/dL1.5-4.5F
A/G Ratio2.11.1-2.5F
Bilirubin, Total0.4mg/dL0.0-1.2F
Alkaline Phosphatase, S74IU/L39-117F
AST (SGOT)33IU/L0-40F
ALT (SGPT)22IU/L0-44F
Testosterone, Serum>1500ng/dL348-1197F
Free Testosterone(Direct)41.4pg/mL7.2-24.0F
Prostate Specific Ag, Serum1.7ng/mL0.0-4.0F
Estrogens, Total86pg/mL40-115F
Ambig Abbrev CMP14 DefaultF

[TH="width: 35%"]Description[/TH]
[TH="width: 15%"]Out-of-Range[/TH]
[TH="width: 15%"]In-Range[/TH]
[TH="width: 10%"]Units[/TH]
[TH="width: 20%"]Expected[/TH]
[TH="width: 5%"]Status[/TH]

[TD="colspan: 5"][/TD]

[TD="colspan: 6, align: left"]977709 - CBC/Diff Ambiguous Default[/TD]

[TD="colspan: 6"] A hand-written panel/profile was received from your office. In [/TD]

[TD="colspan: 6"] accordance with the LabCorp Ambiguous Test Code Policy dated July [/TD]

[TD="colspan: 6"] 2003, we have assigned CBC with Differential/Platelet, Test Code [/TD]

[TD="colspan: 6"] #005009 to this request. If this is not the testing you wished to [/TD]

[TD="colspan: 6"] receive on this specimen, please contact the LabCorp Client Inquiry/ [/TD]

[TD="colspan: 6"] Technical Services Department to clarify the test order. We [/TD]

[TD="colspan: 6"] appreciate your business. [/TD]

[TD="colspan: 6"][/TD]

[TD="colspan: 6, align: left"]322000 - Comp. Metabolic Panel (14)[/TD]

[TD="colspan: 6"][/TD]

[TD="colspan: 6, align: left"]140103 - Testosterone,Free and Total[/TD]

[TD="colspan: 6"][/TD]

[TD="colspan: 6, align: left"]010322 - Prostate-Specific Ag, Serum[/TD]

[TD="colspan: 6"] Roche ECLIA methodology. [/TD]

[TD="colspan: 6"] . [/TD]

[TD="colspan: 6"] According to the American Urological Association, Serum PSA should [/TD]

[TD="colspan: 6"] decrease and remain at undetectable levels after radical [/TD]

[TD="colspan: 6"] prostatectomy. The AUA defines biochemical recurrence as an initial [/TD]

[TD="colspan: 6"] PSA value 0.2 ng/mL or greater followed by a subsequent confirmatory [/TD]

[TD="colspan: 6"] PSA value 0.2 ng/mL or greater. [/TD]

[TD="colspan: 6"] Values obtained with different assay methods or kits cannot be used [/TD]

[TD="colspan: 6"] interchangeably. Results cannot be interpreted as absolute evidence [/TD]

[TD="colspan: 6"] of the presence or absence of malignant disease. [/TD]

[TD="colspan: 6"][/TD]

[TD="colspan: 6, align: left"]004549 - Estrogens, Total[/TD]

[TD="colspan: 6"][/TD]

[TD="colspan: 6, align: left"]977206 - Ambig Abbrev CMP14 Default[/TD]

[TD="colspan: 6"] A hand-written panel/profile was received from your office. In [/TD]

[TD="colspan: 6"] accordance with the LabCorp Ambiguous Test Code Policy dated July [/TD]

[TD="colspan: 6"] 2003, we have completed your order by using the closest currently [/TD]

[TD="colspan: 6"] or formerly recognized AMA panel. We have assigned Comprehensive [/TD]

[TD="colspan: 6"] Metabolic Panel (14), Test Code #322000 to this request. If this [/TD]

[TD="colspan: 6"] is not the testing you wished to receive on this specimen, please [/TD]

[TD="colspan: 6"] contact the LabCorp Client Inquiry/Technical Services Department [/TD]

[TD="colspan: 6"] to clarify the test order. We appreciate your business. [/TD]
 
Your estrogen will come down when you reduce your Testosterone dosage so be careful about going to 2 mg of the AI for the long haul.

Everything else looks good.

You're getting dialed in and you're not to far off now.
 
I been reading alot about the need to donate blood to help maintain correct hematocrit levels below 54%.

My level is at 45.7%. and I've been on TRT for (8) weeks

What is the frequency in which this level should be checked? Please help me to understand this complex issue.
 
I been reading alot about the need to donate blood to help maintain correct hematocrit levels below 54%.

My level is at 45.7%. and I've been on TRT for (8) weeks

What is the frequency in which this level should be checked? Please help me to understand this complex issue.


It's just good to give blood anyway TRT or not.

Every two months here in the States is the minimum time between each pull.
 
Normally we test for estradiol (E2) The total estrogens assay is for women as I recall. So not sure this result is valid. Peter
 
Ratbag is right. We only have data on estradiol in men, not total estrogens (estrone+estradiol)

estradiol.webp
 
Doc perscribed; Estrogens, sensitive LC" in my upcoming test. I reached out to him regarding estradiol and he respond that it IS the estradiol test.

Understanding that I'm the guy that know the least here, just want to share to recuit feedback from the team
 
Very often what is prescribed is not necessarily what's rec'd. They make mistakes like crazy on this aspect. The only way to tell and I do this myself is to have a copy of the lab assays and there is usually a website you can go to to verify exactly the type of lab assay that was performed. This ensures you know exactly what your looking at is wrong or right. This removes all doubt. Peter
 
I say this because total estrogen is a known assay for women only. Not sure if this aids you towards this direction but I get my labs done at my hospital where my primary physician is and I go to the hospital website and they have a section lab dept there I can go to online... and every type of lab test has a full description to it and how much blood is required and the ranges are there for the different age groups, whether it's for male for female etc. Hope this helps. Peter
 

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