Experiencing Lightheadedness And Dizzy Spells The Last Few Days

[Stpfan]

I had a consultation for hernia surgery on Friday February 18, 2022. The doctor confirmed that I had a hernia at the same spot that was operated on about 14.5 years ago. He said the Mesh Plug is coming undone and surgery is required again. While he was going over the steps for surgery I became very light headed and he was about 60% through the consultation. I said doctor I have to lay down I'm sorry.... could you get me some juice? He said absolutely... let me get a nurse to get you some fluids. They brought me apple juice and orange juice. He said lay down.... on this table and let me hear your chest through the stethoscope. Apparently everything checked out ok. The nurse then checked my blood pressure. it was 111 over 72. Originally about 15 minutes ago it was 120 over 80. So it dropped a bit... but the nurse said there's nothing to be alarmed about with a small drop like that.

I was taking 140mg of Test Cyp a week... (1 shot every 3.5 days 70mg)
Also Deca 70 mg a week (1 shot every 3.5 days 35mg)
AI 0.25mg every 3.5 days (maybe even a tad less)

I stopped the Deca about 3 weeks ago because I just couldn't get a good night's rest while taking it. I'd wake up every 4 hours.... it was annoying. Since being off of it.... I've had great sleep... 8 hours no problems. But ever since that surgery consultation.... I've been feeling rather ill and not myself.

I've noticed I need a longer sleep.... to even function normally like pushing 10 hours at times. I don't feel that motivated. I have to really push myself. I was at the gym earlier on Sunday and I almost fainted again... 2nd routine.... about 10 minutes there... and I just got so angry at myself... I was like "wake the fukkk up!!" Trying to motivate myself.... like wake up!!! People probably thought I was nuts. But damn it. It's like I'm sleep walking at times. I did get through the workout... but I've felt awfully sick.... since then.

I need to run my labs for my Endocrinologist. He basically gives me the signed sheet and I can order other labs (if need be.) What labs would I need to add to the list??? So I can check what's going on with me?

Also, my surgery date is Wednesday March 2, 2022... and this is my first surgery being on TRT. I can't control my hunger pains at times... how do you guys not eat from 12 Midnight.... to like surgery time?? Which will probably be like well after 9AM. Like right when I get up.... I need to eat. How do you suppress your appetite being on TRT? Like, I'm really worried I'm going to get light headed and possibly faint. I don't even know what is causing all of this?

I'm sure my test levels are around 1100-1200.... and I'm sure my free test is probably just above optimal levels. But do I need more TEST CYP to just function? Like why is my head spinning? And dizzy at times? When I add Deca to my protocols I feel very alert and alive! The issue is... I can't sleep. I can't stand it. Even on a very small dose.

I'm going to try and do my lab work on Wednesday or Thursday this week... any Labs I should pull? ED is still horrible to.... but Viagra 100mg makes it livable. No sensitivity... severe delayed ejaculation.

 

[captain]

Symptoms Of High Hemoglobin Levels

Fatigue And Dizziness. You may feel tired or weak when your red blood cell count and hemoglobin level are high.

Waking up every 4 hours is a symptom of sleep apnea and a cause of high red cell count.

140mg of Test Cyp a week
Deca 70 mg a week
test levels are around 1100-1200

That could be the cause of all the above.

 

[madman]

I had a consultation for hernia surgery on Friday February 18, 2022. The doctor confirmed that I had a hernia at the same spot that was operated on about 14.5 years ago. He said the Mesh Plug is coming undone and surgery is required again. While he was going over the steps for surgery I became very light headed and he was about 60% through the consultation. I said doctor I have to lay down I'm sorry.... could you get me some juice? He said absolutely... let me get a nurse to get you some fluids. They brought me apple juice and orange juice. He said lay down.... on this table and let me hear your chest through the stethoscope. Apparently everything checked out ok. The nurse then checked my blood pressure. it was 111 over 72. Originally about 15 minutes ago it was 120 over 80. So it dropped a bit... but the nurse said there's nothing to be alarmed about with a small drop like that.

I was taking 140mg of Test Cyp a week... (1 shot every 3.5 days 70mg)
Also Deca 70 mg a week (1 shot every 3.5 days 35mg)
AI 0.25mg every 3.5 days (maybe even a tad less)

I stopped the Deca about 3 weeks ago because I just couldn't get a good night's rest while taking it. I'd wake up every 4 hours.... it was annoying. Since being off of it.... I've had great sleep... 8 hours no problems. But ever since that surgery consultation.... I've been feeling rather ill and not myself.

I've noticed I need a longer sleep.... to even function normally like pushing 10 hours at times. I don't feel that motivated. I have to really push myself. I was at the gym earlier on Sunday and I almost fainted again... 2nd routine.... about 10 minutes there... and I just got so angry at myself... I was like "wake the fukkk up!!" Trying to motivate myself.... like wake up!!! People probably thought I was nuts. But damn it. It's like I'm sleep walking at times. I did get through the workout... but I've felt awfully sick.... since then.

I need to run my labs for my Endocrinologist. He basically gives me the signed sheet and I can order other labs (if need be.) What labs would I need to add to the list??? So I can check what's going on with me?

Also, my surgery date is Wednesday March 2, 2022... and this is my first surgery being on TRT. I can't control my hunger pains at times... how do you guys not eat from 12 Midnight.... to like surgery time?? Which will probably be like well after 9AM. Like right when I get up.... I need to eat. How do you suppress your appetite being on TRT? Like, I'm really worried I'm going to get light headed and possibly faint. I don't even know what is causing all of this?

I'm sure my test levels are around 1100-1200.... and I'm sure my free test is probably just above optimal levels. But do I need more TEST CYP to just function? Like why is my head spinning? And dizzy at times? When I add Deca to my protocols I feel very alert and alive! The issue is... I can't sleep. I can't stand it. Even on a very small dose.

I'm going to try and do my lab work on Wednesday or Thursday this week... any Labs I should pull? ED is still horrible to.... but Viagra 100mg makes it livable. No sensitivity... severe delayed ejaculation.

Definitely need to get labs done!

Need to see where your trough TT, FT, estradiol sit let alone RBCs/hemoglobin/hematocrit.

Do you donate blood and if so when was the last time?

I would also be checking iron/ferritin.

High hematocrit let alone low iron/ferritin can cause fatigue, dizziness and can easily make one feel run down.

Although you are only on 140 mg T/week (70mg every 3.5 days) your trough FT level may be very high which can easily drive up RBCs/hemoglobin/hematocrit let alone your peak TT, FT, and estradiol will be even higher.

If you are hitting a very high trough TT 1000-1200 ng/dL then your trough FT will be high even if you have high/highish SHBG.

Definitely do not need to increase your T if you are already hitting a trough TT 1000+ ng/dL.....only labs will tell.

Keep in mind that although you stopped the ND 3 weeks ago it has not cleared your system due to the half-life of the decanoate ester.

Critical when you have blood work done that you use the most accurate assays TT/E2 (LC/MS-MS) and FT (Equilibrium Dialysis or Ultrafiltration), especially when using ND!

As captain states sleep apnea can also cause high hematocrit.

Running too high an FT level let alone combined with sleep apnea is a recipe for disaster.



This is the test you want TT (LC/MS-MS) and FT (Equilibrium Ultrafiltration)

070038: Testosterone, Free, Equilibrium Ultrafiltration With Total Testosterone, LC/MS-MS | Labcorp

Labcorp test details for Testosterone, Free, Equilibrium Ultrafiltration With Total Testosterone, LC/MS-MS

www.labcorp.com

 

[Nelson Vergel]

I was taking 140mg of Test Cyp a week... (1 shot every 3.5 days 70mg)
Also Deca 70 mg a week (1 shot every 3.5 days 35mg)
AI 0.25mg every 3.5 days (maybe even a tad less)

Are you taking any blood pressure medication or other meds?

 

[Vince]

When your blood sugar is low, your brain tries to preserve as much energy as possible, so you may feel lightheaded as a result.

 

[Stpfan]

I appreciate all of your posts fellas. Yes... I was worried that maybe my Red blood cell count was running high.

Last blood donation was October 19, 2021

Last lab drawn CBC was September 30, 2021

WBC	9.7 bil/L	3.5 - 10.1 bil/L
RBC	6.32 tril/L	4.31 - 5.48 tril/L	H
Hemoglobin	15.8 g/dL	13.5 - 17.0 g/dL
Hematocrit	50.3 %	40.1 - 50.1 %	H

My surgical doctor told me... if I donate blood now. We won't be able to do surgery for 30 days.

Is there a way I could lower my Test dosage temporarily so I can get this surgery out of the way? Like would it lower my RBC? I'm sure I'll still feel like sh## because I don't have enough Test in my system...???

My surgical doctor wrote 2 labs to get.... I think I'm going to do them right now before they close today...

CBC
Comprehensive Metabolic Profile

I'll post later. Thanks fellas!

 

[madman]

I appreciate all of your posts fellas. Yes... I was worried that maybe my Red blood cell count was running high.

Last blood donation was October 19, 2021

Last lab drawn CBC was September 30, 2021

WBC	9.7 bil/L	3.5 - 10.1 bil/L
RBC	6.32 tril/L	4.31 - 5.48 tril/L	H
Hemoglobin	15.8 g/dL	13.5 - 17.0 g/dL
Hematocrit	50.3 %	40.1 - 50.1 %	H

My surgical doctor told me... if I donate blood now. We won't be able to do surgery for 30 days.





Is there a way I could lower my Test dosage temporarily so I can get this surgery out of the way? Like would it lower my RBC? I'm sure I'll still feel like sh## because I don't have enough Test in my system...???

My surgical doctor wrote 2 labs to get.... I think I'm going to do them right now before they close today...

CBC
Comprehensive Metabolic Profile

I'll post later. Thanks fellas!

These labs are from Sept.30/2021.

Your RBCs are high, hemoglobin on the high-end, and hematocrit is hitting 50%.

Let alone you are still using an AI to manage the elevated estradiol due to high FT.

Clear as day that you were most likely still running too high trough FT.

Going through some of your previous threads and looking over your protocols (dose of T/injection frequency) I would say you are running too high a trough FT.

Your SHBG has been 14-low 20s.

It has been almost 5 months since you last had a CBC and 4 months since you last donated yet you never even tested important blood markers iron/ferritin.

You were known to donate blood frequently in the past trying to constantly manage your elevated RBCs/hemoglobin/hematocrit.

Since your last CBC you added in low dose ND which you just recently stopped.

You need to sit back and think deeply on this one.

I would bet when you get the new labs requested by your surgeon that your RBCs/hemoglobin/hematocrit will be high especially seeing as you stated that you are injecting 140 mg T/week split (70 mg every 3.5 days) and that you may be hitting a trough TT 1100-1200ng/dL which would surely have your trough FT high.

Would still be wise to know where your trough TT, FT, and estradiol sit let alone iron/ferritin.

Lowering your dose now will make a s**t lick a difference in lowering your RBCs/hemoglobin/hematocrit as it will take time for levels to drop.

Hard to believe you would even state such as you have been on the forum long enough.

*I'm sure my test levels are around 1100-1200.... and I'm sure my free test is probably just above optimal levels. But do I need more TEST CYP to just function? Like why is my head spinning? And dizzy at times?

Remember what I stated in your previous threads.....seems as though you are still having a hard time understanding this.

 

[Stpfan]

Madman - I always appreciate your posts. Life catches up with you. I understand what you say. I understand I have to be on top of things. Life has been super busy the last 5 months. If it's not one thing... it's another... and another.

Already went to the lab.... those 2 labs are complete (waiting on the results.. and I will post when they become available.) I couldn't do all my labs because I have to go to a different medical network for those. I would have never been in and out on time. So I did what I could do.

 

[Stpfan]

Like I said numerous times. I believe there's something worse going on than just low Testosterone. But nothing has been diagnosed. I have tried for 3 months being on Test Cyp for 100mg a week. I feel like sh##. What am I supposed to do??? Just stay on 100mg of Test Cyp because Testosterone levels are sufficient in your eyes? Or on a Lab report? 130mg - 140mg I feel much better on. So.... we're all trying to survive man. We're all trying to just enjoy some time on this Earth.... as healthy as we can be.

 

[Stpfan]

Are you taking any blood pressure medication or other meds?

I just take 25 mcg of Levothyroxine every 24 hours based on what my Endocrinologist wants. I asked him to bump it to 50mcg.... I think my TSH could be dialed in better? He was ready to try it.... then changed his mind and said no.

I don't do any other drugs... I don't smoke. I will drink alcohol 1-2 times a month.

 

[madman]

Like I said numerous times. I believe there's something worse going on than just low Testosterone. But nothing has been diagnosed. I have tried for 3 months being on Test Cyp for 100mg a week. I feel like sh##. What am I supposed to do??? Just stay on 100mg of Test Cyp because Testosterone levels are sufficient in your eyes? Or on a Lab report? 130mg - 140mg I feel much better on. So.... we're all trying to survive man. We're all trying to just enjoy some time on this Earth.... as healthy as we can be.

Do not put words in people's mouths.

No one stated you have to lower your dose let alone that you have to stay at a certain level.

Stressing the point that running too high a trough FT is going to cause numerous issues for some and it is a given that hematocrit will be driven up as it is a common side-effect when using exogenous T.

I previously stated You need to sit back and think deeply on this one.

You are injecting twice weekly (every 3.5 days) and there is going to be a big difference between peak--->trough!

If anything you can look into manipulating your protocol such as injecting lower doses more frequently and yes many can still easily achieve a healthy, high FT.

Comes down to the individual.

Do what is best for you.

If anything you need a full set of labs using accurate assays to find out where your trough TT, FT, and estradiol truly sit let alone RBCs/hemoglobin/hematocrit.

Need to know where your iron/ferritin sits.

 

[Systemlord]

Twice weekly dosing isn't optimal for everyone, you may need smaller injections more frequently. I never responded well to weekly or twice-weekly injections, I needed frequent dosing.

 

[Systemlord]

I think my TSH could be dialed in better?

TSH isn't a hormone, it's a stimulating hormone. If your doctor isn't measuring the Free T3, the active hormone that soaks into your cells and does all the amazing things, then it's time for a new doctor.

 

[Nelson Vergel]

I really don't think your dizziness is related to high hematocrit (low hematocrit usually can indicate anemia and cause dizziness).

Dizziness is listed as one of the potential side effects of levothyroxine. It could also be related to low blood sugar.

Levothyroxine Side Effects: Common, Severe, Long Term

Learn about the side effects of levothyroxine, from common to rare, for consumers and healthcare professionals.

www.drugs.com

 

[Systemlord]

I felt dizziness right before I was diagnosed with vitamin D deficiency, it is a time of year when we are spending less time in the sunlight.

 

[Stpfan]

Madman - With all due respect you come on strong with your posts at times. Insinuating I'm brain dead with TRT. I gain easily 4 lbs of water weight without the AI on or around 140mg of Test Cyp a week. It may not seem much to you or anyone else... but lugging around 4 lbs of water weight wears me out. I do the stairclimber always at a set level and I'm struggling for air/oxygen. Blood pressure is much higher around the 140+ mark. Heart rate is also much higher pushing around 178 beats per minute. Then when I take the AI at around 0.25mg (possibly a tad less) every 3.5 days... blood pressure comes back to around 120.... and heart rate on the stair climber comes back down to around 163 beats per minute. So is it all in my head? No. I'm constantly observing and analyzing... writing things down as I go. I have all my injections written down... the amounts... the time... date... since I started March 7, 2019. I want to know how many total test cyp mg's were in system.... and the length of days... and compare it to RBC and to every blood donation. You know what the funny thing is??? Based on all my research it seems my body makes more RBC while on straight Test Cyp without mixing anything else. When I was taking Test Cyp along with Deca the RBC didn't jump nor did the Hematocrit/Hemoglobin as much. In fact... it didn't even come close to how the RBC multiplies quicker on Test Cyp alone. Why? Does anyone know?


Systemlord - I will definitely take into consideration injecting lower amounts more frequently. I will also run a Free T3 on my next labs.... Thanks!


Nelson - I'm hoping you're right! I'm fearing the worst... but I'll just have to adjust to what the lab throws at me. I keep logging in to see if the labs are ready... they aren't ready yet. I did take my Thyroid pill that Friday morning about 2 hours before seeing the surgical doctor.... perhaps it is causing dizziness? I'm hoping to run TSH labs Wednesday or Thursday this week. Thanks for all of your help! Much appreciated!

 

[Stpfan]

Here are the test results.

Labs taken on February 21, 2022

CBC

Component	Your Value	Standard Range
WBC Count	5.6 K/uL	3.8 - 10.6 K/uL
RBC Count	6.24 M/uL	4.40 - 6.00 M/uL
Hemoglobin	15.8 g/dL	13.5 - 17.0 g/dL
Hematocrit	47.1 %	41 - 53 %
MCV	75.5 fl	80 - 100 fl
MCH	25.3 pg	26 - 34 pg
MCHC	33.5 g/dL	31 - 37 g/dL
RDW	18.2 %	<14.5 %
Platelet Count	208 K/uL	150 - 450 K/uL

Comprehensive Metabolic Profile

Component	Your Value	Standard Range
Glucose	88 mg/dL	60 - 140 mg/dL
Sodium	139 mmol/L	135 - 145 mmol/L
Potassium	4.1 mmol/L	3.5 - 5.0 mmol/L
Chloride	105 mmol/L	98 - 111 mmol/L
Carbon Dioxide	27 mmol/L	21 - 35 mmol/L
Anion Gap	7	3 - 13
Blood Urea Nitrogen	36 mg/dL	10 - 25 mg/dL
Creatinine	1.04 mg/dL	<1.28 mg/dL
IDMS Standardized.
AST/SGOT	28 IU/L	<35 IU/L
ALT/SGPT	33 IU/L	<52 IU/L
Alkaline Phosphatase	60 IU/L	40 - 140 IU/L
Bilirubin, Total	0.7 mg/dL	<1.2 mg/dL
Calcium	9.0 mg/dL	8.6 - 10.4 mg/dL
Protein, Total, Serum	7.0 g/dL	6.0 - 8.3 g/dL
Albumin	4.3 g/dL	3.7 - 4.8 g/dL
Globulin	2.7 g/dL	1.7 - 3.6 g/dL
A/G Ratio	1.6	0.9 - 1.8
Corrected Calcium	9.1 mg/dL	8.7 - 10.1 mg/dL
GFR nonafrican american	87 ml/min/1.73m2	>60 ml/min/1.73m2

Well.... does anything on this list show a sign of dizziness?? Anything look odd?

 

[Stpfan]

Just a question. When you're running thyroid related labs....

1. Do you take your thyroid pill "as normal" in the morning when you wake up.... and then do the labs?

2. Do the labs first thing in the morning.... then take your thyroid pill afterwards?

3. It doesn't matter at all?

Thanks.

 

[captain]

Levothyroxine has a long half life it doesn't matter.

 

[Stpfan]

Levothyroxine has a long half life it doesn't matter.

Thank you!