8 weeks Blood test

[tom1959]

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!

A hand-written panel/profile was received from your office. Inaccordance with the LabCorp Ambiguous Test Code Policy dated July2003, we have assigned CBC with Differential/Platelet, Test Code#005009 to this request. If this is not the testing you wished toreceive on this specimen, please contact the LabCorp Client Inquiry/Technical Services Department to clarify the test order. Weappreciate your business.Roche ECLIA methodology..According to the American Urological Association, Serum PSA shoulddecrease and remain at undetectable levels after radicalprostatectomy. The AUA defines biochemical recurrence as an initialPSA value 0.2 ng/mL or greater followed by a subsequent confirmatoryPSA value 0.2 ng/mL or greater.Values obtained with different assay methods or kits cannot be usedinterchangeably. Results cannot be interpreted as absolute evidenceof the presence or absence of malignant disease.A hand-written panel/profile was received from your office. Inaccordance with the LabCorp Ambiguous Test Code Policy dated July2003, we have completed your order by using the closest currentlyor formerly recognized AMA panel. We have assigned ComprehensiveMetabolic Panel (14), Test Code #322000 to this request. If thisis not the testing you wished to receive on this specimen, pleasecontact the LabCorp Client Inquiry/Technical Services Departmentto clarify the test order. We appreciate your business.

[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]
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[TD="colspan: 6, align: left"]977709 - CBC/Diff Ambiguous Default[/TD]
WBC		7.1	x10E3/uL	3.4-10.8	F
RBC		4.98	x10E6/uL	4.14-5.80	F
Hemoglobin		15.4	g/dL	12.6-17.7	F
Hematocrit		45.7	%	37.5-51.0	F
MCV		92	fL	79-97	F
MCH		30.9	pg	26.6-33.0	F
MCHC		33.7	g/dL	31.5-35.7	F
RDW		13.0	%	12.3-15.4	F
Platelets		318	x10E3/uL	155-379	F
Neutrophils		50	%	40-74	F
Lymphs		37	%	14-46	F
Monocytes		9	%	4-12	F
Eos		3	%	0-5	F
Basos		1	%	0-3	F
Immature Cells					X
Neutrophils (Absolute)		3.6	x10E3/uL	1.4-7.0	F
Lymphs (Absolute)		2.7	x10E3/uL	0.7-3.1	F
Monocytes(Absolute)		0.7	x10E3/uL	0.1-0.9	F
Eos (Absolute)		0.2	x10E3/uL	0.0-0.4	F
Baso (Absolute)		0.1	x10E3/uL	0.0-0.2	F
Immature Granulocytes		0	%	0-2	F
Immature Grans (Abs)		0.0	x10E3/uL	0.0-0.1	F
NRBC					X
Hematology Comments:					X
[TD="colspan: 6"]	[/TD]
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[TD="colspan: 6"][/TD]
[TD="colspan: 6, align: left"]322000 - Comp. Metabolic Panel (14)[/TD]
Glucose, Serum		92	mg/dL	65-99	F
BUN		12	mg/dL	6-24	F
Creatinine, Serum	1.30		mg/dL	0.76-1.27	F
eGFR If NonAfricn Am		62	mL/min/1.73	>59	F
eGFR If Africn Am		72	mL/min/1.73	>59	F
BUN/Creatinine Ratio		9		9-20	F
Sodium, Serum		139	mmol/L	134-144	F
Potassium, Serum		3.9	mmol/L	3.5-5.2	F
Chloride, Serum		97	mmol/L	97-108	F
Carbon Dioxide, Total		28	mmol/L	19-28	F
Calcium, Serum		9.6	mg/dL	8.7-10.2	F
Protein, Total, Serum		6.8	g/dL	6.0-8.5	F
Albumin, Serum		4.6	g/dL	3.5-5.5	F
Globulin, Total		2.2	g/dL	1.5-4.5	F
A/G Ratio		2.1		1.1-2.5	F
Bilirubin, Total		0.4	mg/dL	0.0-1.2	F
Alkaline Phosphatase, S		74	IU/L	39-117	F
AST (SGOT)		33	IU/L	0-40	F
ALT (SGPT)		22	IU/L	0-44	F
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[TD="colspan: 6, align: left"]140103 - Testosterone,Free and Total[/TD]
Testosterone, Serum	>1500		ng/dL	348-1197	F
Free Testosterone(Direct)	41.4		pg/mL	7.2-24.0	F
[TD="colspan: 6"][/TD]
[TD="colspan: 6, align: left"]010322 - Prostate-Specific Ag, Serum[/TD]
Prostate Specific Ag, Serum		1.7	ng/mL	0.0-4.0	F
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[TD="colspan: 6, align: left"]004549 - Estrogens, Total[/TD]
Estrogens, Total		86	pg/mL	40-115	F
[TD="colspan: 6"][/TD]
[TD="colspan: 6, align: left"]977206 - Ambig Abbrev CMP14 Default[/TD]
Ambig Abbrev CMP14 Default					F
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[Gene Devine]

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.

 

[ratbag]

That estrogens total isn't estradiol is it?

 

[tom1959]

thank you. your input has been very helpful. Much appreciated

 

[tom1959]

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.

 

[Gene Devine]

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.

 

[tom1959]

thank you


I've never donated before. Are there any pointers you can offer? I dont want to feel bad afterwards.

 

[ratbag]

That estrogens total isn't estradiol is it?

 

[tom1959]

No. Total estrogens

 

[ratbag]

Normally we test for estradiol (E2) The total estrogens assay is for women as I recall. So not sure this result is valid. Peter

 

[Nelson Vergel]

Ratbag is right. We only have data on estradiol in men, not total estrogens (estrone+estradiol)

 

[tom1959]

got it and thank you. Greatly appreciate the guidance. I will post results in about a week.

 

[tom1959]

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

 

[ratbag]

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

 

[tom1959]

Helpful but still scratching my head. I posted my labs. There is not a website listed anywhere. Tom

 

[ratbag]

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