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Testosterone Replacement, Low T, HCG, & Beyond
Blood Test Discussion
Advice on HRT
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<blockquote data-quote="EastCoast" data-source="post: 6480" data-attributes="member: 1010"><p>Thanks for the reply.</p><p>I've been able to surf around some more and find great resources here.</p><p>You guys have done a great job.</p><p></p><p></p><p></p><p></p><p>Free T3: pg/mL</p><p>Total T3: ng/dL</p><p>Reverse T3: ng/dL</p><p></p><p>Note: I did not have Total T3 or Reverse T3 tested on most recent labs.</p><p>However, my TSH did improve.</p><p></p><p></p><p></p><p></p><p>Yeah its odd. The way the Thyroid labs were ordered this most recent time around were as a "thyroid panel"; as opposed to individually selected labs.</p><p>The TgAb test is apparently a routine inclusion on that panel.</p><p></p><p>Not quite sure what an elevation in TgAb, coupled with an absence of other thyroid lab derangements, as well as lack of clear evidence of typical thyroid related symptoms actually means.</p><p></p><p></p><p></p><p></p><p>Yeah, the middle value from Dec 2013 is likely the outlier. I have had low platelets all my life; since I was young.</p><p>I recall seeing a hematologist as a teenager; but he didn't think anything needed to be done at the time.</p><p>Of note, I don't bleed or bruise easily; no frequent bloody gums while brushing teeth or anything either.</p><p></p><p></p><p></p><p></p><p>All labs were drawn at the lab first thing in the morning; prior to 9am.</p><p>Pretty much right around the time where you would expect Cortisol to be peaking as you alluded to.</p><p></p><p>Like you also noted; this was a one-time early morning serum test.</p><p>This was not a 4x saliva test.</p><p>Nor was this a 24-hour urinary cortisol collection.</p><p></p><p>Regardless, I was quite happy to see the adrenal labs normalize on the most recent set of labs as I was seriously contemplating possibly getting a CT scan to rule out anything like an adrenal adenoma, etc..</p><p></p><p>If I had to attribute the improvement to something, I'd say the most likely explanation would be the improved sleep I've experienced ever since having the tonsillectomy in Nov 2013.</p><p></p><p></p><p></p><p></p><p>Yeah I agree that my total T level is not terrible. From my research, I believe it is below average for my demographic.</p><p>As noted above in the OP, I've been hitting the gym hard and really cleaned up my diet in hopes of optimizing quality of life.</p><p>It has been frustrating not seeing the T rise at all and thereby not seeing more dramatic results in the gym and in between the sheets either.</p><p></p><p>My main goal is to maximize my quality of life...</p><p>But I obviously don't want to sacrifice long-term health but rushing into any treatments prematurely/unnecessarily.</p><p></p><p>I want to be firing on all cylinders.</p><p>But also want to make sure I do all my due diligence prior to committing to any long term treatments.</p><p></p><p></p><p></p><p></p><p>I noticed that as well.</p><p>I had previously mulled the idea of possibly starting with sole hCG therapy. However, as the trends of my labs show ... my pituitary was actually able to increase both LH and FSH in response to the changes I made in diet, exercise, sleep, etc.. Despite this increase in LH and FSH, there was no commensurate rise in T.</p><p></p><p>Therefore, I can't really see sole hCG therapy being the best course of action (<u><em>if</em></u> I decide to move forward with HRT.)</p><p>The best course would probably be going straight to T therapy ... and not mucking around with any sort of "re-start" or anything like that.</p></blockquote><p></p>
[QUOTE="EastCoast, post: 6480, member: 1010"] Thanks for the reply. I've been able to surf around some more and find great resources here. You guys have done a great job. Free T3: pg/mL Total T3: ng/dL Reverse T3: ng/dL Note: I did not have Total T3 or Reverse T3 tested on most recent labs. However, my TSH did improve. Yeah its odd. The way the Thyroid labs were ordered this most recent time around were as a "thyroid panel"; as opposed to individually selected labs. The TgAb test is apparently a routine inclusion on that panel. Not quite sure what an elevation in TgAb, coupled with an absence of other thyroid lab derangements, as well as lack of clear evidence of typical thyroid related symptoms actually means. Yeah, the middle value from Dec 2013 is likely the outlier. I have had low platelets all my life; since I was young. I recall seeing a hematologist as a teenager; but he didn't think anything needed to be done at the time. Of note, I don't bleed or bruise easily; no frequent bloody gums while brushing teeth or anything either. All labs were drawn at the lab first thing in the morning; prior to 9am. Pretty much right around the time where you would expect Cortisol to be peaking as you alluded to. Like you also noted; this was a one-time early morning serum test. This was not a 4x saliva test. Nor was this a 24-hour urinary cortisol collection. Regardless, I was quite happy to see the adrenal labs normalize on the most recent set of labs as I was seriously contemplating possibly getting a CT scan to rule out anything like an adrenal adenoma, etc.. If I had to attribute the improvement to something, I'd say the most likely explanation would be the improved sleep I've experienced ever since having the tonsillectomy in Nov 2013. Yeah I agree that my total T level is not terrible. From my research, I believe it is below average for my demographic. As noted above in the OP, I've been hitting the gym hard and really cleaned up my diet in hopes of optimizing quality of life. It has been frustrating not seeing the T rise at all and thereby not seeing more dramatic results in the gym and in between the sheets either. My main goal is to maximize my quality of life... But I obviously don't want to sacrifice long-term health but rushing into any treatments prematurely/unnecessarily. I want to be firing on all cylinders. But also want to make sure I do all my due diligence prior to committing to any long term treatments. I noticed that as well. I had previously mulled the idea of possibly starting with sole hCG therapy. However, as the trends of my labs show ... my pituitary was actually able to increase both LH and FSH in response to the changes I made in diet, exercise, sleep, etc.. Despite this increase in LH and FSH, there was no commensurate rise in T. Therefore, I can't really see sole hCG therapy being the best course of action ([U][I]if[/I][/U] I decide to move forward with HRT.) The best course would probably be going straight to T therapy ... and not mucking around with any sort of "re-start" or anything like that. [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Blood Test Discussion
Advice on HRT
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