Blood work at week 8

[Banarep]

Not a complete work up, doc said he would do that at 12 weeks. Just wanted some feed back,

am on 1 ml cyp and 500 mg(?) hcg a week.

 

[Gene Devine]

Yes, you are still missing some important labs like Hematocrit for example.

Need to see Free and/or Bioavailable Testosterone.

Total looks good.

Estrogen is high but this is not a "Sensitive" lab so I wouldn't trust it. You must make sure to ask for the "Sensitive" estrogen lab designed for men when evaluating E2. Don't go on any AI till you have this lab.

 

[Banarep]

Will do. I had gone in for thyroid check and he ran all of these. We are doing complete workup after week 12.

I plan lane to bring in the list here of needed blood tests.

 

[Nelson Vergel]

I agree with Gene about the need for us to see your hematocrit (TRT increases it in almost every man).

Your alkaline phosphatase is slightly low.

Here are some potential reasons:

Zinc deficiency.
Hypothyroidism.
Vitamin C deficiency/Scurvy.
Folic acid deficiency.
Excess Vitamin D intake.
Low phosphorus levels (hypophosphatasia)
Celiac disease.
Malnutrition with low protein assimilation (including low stomach acid production/hypochlorhydria).
Insufficient Parathyroid gland function.
Vitamin B[SUB]6[/SUB] insufficiency

 

[Banarep]

got new blood work, hematocrit level is at 56%.

doc has decreased dosage to .75 ml a week of cyp. does this work for now.

am currently looking for a therapeutic phlebotomy...since I cannot give blood.

 

[Vettester Chris]

How come you can't do a regular blood donation?

 

[Banarep]

Had hep C. And that Vietnam thing.

been having really bad headaches the day of and after my test shots. But when we dropped the dosage by 25%, they were not as bad. No sleep apnea.

 

[Gene Devine]

got new blood work, hematocrit level is at 56%.

doc has decreased dosage to .75 ml a week of cyp. does this work for now.

am currently looking for a therapeutic phlebotomy...since I cannot give blood.

The reduction in Testosterone dosage will help get down your serum levels to within range most likely and will help to lower estrogen as well.

Make sure to do two injections weekly as well. This will help with estrogen management as well.

You really don't look bad at 8 weeks out and this fine tuning is perfectly normal.

Keep us posted on next round of BW.

 

[Banarep]

Will do. Thanks all.

Gene,

are you saying to split the test into two injections?

if so, how would you recommend me doing the hcg?

 

[Gene Devine]

Will do. Thanks all.

Gene,

are you saying to split the test into two injections?

if so, how would you recommend me doing the hcg?

For years now I inject half my weekly dose on on Monday morning (60 mg) and Thursday night (60 mg) and still do it today. When I did this I didn't need to take an AI anymore.

I also injected 250 iu of HCG Mon, Tues and Fri mornings and I felt great.

About a year ago I switched to daily low dose, 100 units, of HCG and believe I feel better with a stronger libido if that's possible LOL!!!

 

[Banarep]

So 37 mg Monday Wednesday.

And hcg M, W, F

that is doable

thanks

and Carter Blood now offers free therapeutic phlebotomies for trt patients in the Dallas area. With no prescription.

 

[Gene Devine]

So 37 mg Monday Wednesday.

And hcg M, W, F

that is doable

thanks

and Carter Blood now offers free therapeutic phlebotomies for trt patients in the Dallas area. With no prescription.

Monday and Thursday.

What is your total weekly dosage?

 

[Banarep]

75 mg.

Just got got lowered from 100

 

[Gene Devine]

75 mg.

Just got got lowered from 100

Just do 40 mg each injection to make it easy Monday morning and Thursday night.

 

[Banarep]

Will do, as always appreciate the advice.

 

[Banarep]

Gene,

got another question. Doc wants me to go an an AI now. I am thinking about waiting and give this new pro tidal a chance to work.

thoughts?

 

[Banarep]

so the doc has given me anastrozole 1mg to take twice a week. seems excessive from what I have read. thoughts anyone.

 

[Gene Devine]

so the doc has given me anastrozole 1mg to take twice a week. seems excessive from what I have read. thoughts anyone.

You need to understand your labs to determine if your Doctor's recommendation is warranted.

Did you get a estrogen "Sensitive" lab done that warranted such a large dosage?

Are you carrying a lot of excess body fat?

What was his clinical reasoning and did you question him on it?

 

[Banarep]

I have hardly any excess body fat. he will not give me the sensitive test. i will go back at ask for one this week.

 

[Banarep]

Gene,

I am going in with this list of tests that you have posted.

1 ------- Estradiol- ultrasensitive [Quest Labs code 30289](range < 29) (Labcorp code: 140244) (baseline, week 6 or 8, month 6)
2 ------- Testosterone, Free, Bio/Total (LC/MS/MS) (baselines, week 6-8, month 6, then yearly)
3 ------- DHEAs (baseline, month 6)
4 ------- Comprehensive Metabolic Panel w/EGFR (baseline, week 6-8, month 6 and then once a year)
5 ------- CBC w/ diff/PLT (baselines, week 6-8, moth 6 and then once or twice per year)
6 ------- Lipid profile (fasting sample) (baselines, month 6, then once per year unless high)
7 ------- T3, Total (for those with low thyroid symptoms)
8 ------- T4, Total (for those with low thyroid symptoms)
9 ------- Ultrasensitive TSH (baseline, month 6, yearly after that depending on value and treatment)
10 -------- Prostatic Specific Antigen (PSA) (Baseline before testosterone treatment, 6-8 weeks after and then yearly)