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Testosterone Replacement, Low T, HCG, & Beyond
Blood Test Discussion
Fatigue? Depression? Anxiety? Here is the blood work
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<blockquote data-quote="stlstudent" data-source="post: 155537" data-attributes="member: 12108"><p>This has been probably the worst 4 months of my life in regards to fatigue, mental fog, motivation, etc... Both my primary and Defy have been open to different ideas and suggestions and so far we have not nailed it. Most recently my primary suggested depression/anxiety and started me on a low dose SSRI which within a short period sent me into panic attacks/anxiety that the ER had to give me low dose Ativan. Primary took me off that particular SSRI and put me on another which led to same result, so he then referred me to a psychiatrist. He determined that I have an sensitivity to serotonin so has ruled those out for any further treatment. He started me on Wellbutrin and Provigil and where they may have helped a little, I'm still 90% where I was. Even he agrees that this may not be mental illness but will continue to treat me as such until we can find another motive. </p><p></p><p>The biggest issue is that I jolt awake around 6 am every morning and cannot go back to sleep. I feel like I got very little if any sleep. I'll usually end up on the couch and unable to get up and get going for a few hours. Then throughout the day I get hit with episodes of crippling brain fog, lack of motivation, fatigue, etc... These used to happen once or twice a day now its nearly every day for over 3/4 the day. </p><p></p><p>I've been on TRT for many years any my regiment is the following: </p><p>0.2 Test Cyp 200mg/ml every other day sub q</p><p>400 units HCG 2x week</p><p>.125 Anastrozole 2x a week or as needed</p><p>1 grain Armour Thyroid in the morning</p><p></p><p></p><p> So my primary and I tried to come up with as many tests as we could that might explain it. Here are the results of the labs I did through discountedlabs.com</p><p></p><p>Glucose: 155 (65-99) *first time its ever been this high? I fasted for 8 hours</p><p>A1C: 5.7 (4.8-5.6)</p><p>ALT: 91 (0-44)</p><p>GGT: 39 (0-65)</p><p>B12: 625 (232-1245)</p><p></p><p>EBV Ab VCA, IgM <36</p><p>EBV Early Antigen Ab, IgG <9</p><p>EBV AbVCA, IgG >600</p><p>EVB Nuclear Antigen Ab, IgG 99.9</p><p></p><p>Iron Bind 334 (250-450)</p><p>UIBC 276 (111-343)</p><p>Iron 58 (38-169) *maybe a little low because of blood donation, taking iron supplement now</p><p>Iron Saturation 17 (15-55)</p><p>Ferratin 35 (30-400)</p><p></p><p>T4 free 0.91 (0.82-1.77)</p><p>TSH 2.780</p><p>Reverse T3 13.5 (9.2-24.1)</p><p>Thyroglobulin Antibody <1 </p><p>Thyroid Peroxidase 31 (0-34)</p><p>T3 Free 3.1 (2.0-4.4)</p><p></p><p>Total Testosterone 742</p><p>Free T 33 (8.7-25)</p><p>DHT 49 (30-85)</p><p>Estradiol 35 (8-35)</p><p></p><p></p><p></p><p>Anything stick out to anyone? Are there any others tests maybe I should look at? I'm at a point where I've got to figure this out because I have not doubt it is leading to depression/anxiety if not already there.</p></blockquote><p></p>
[QUOTE="stlstudent, post: 155537, member: 12108"] This has been probably the worst 4 months of my life in regards to fatigue, mental fog, motivation, etc... Both my primary and Defy have been open to different ideas and suggestions and so far we have not nailed it. Most recently my primary suggested depression/anxiety and started me on a low dose SSRI which within a short period sent me into panic attacks/anxiety that the ER had to give me low dose Ativan. Primary took me off that particular SSRI and put me on another which led to same result, so he then referred me to a psychiatrist. He determined that I have an sensitivity to serotonin so has ruled those out for any further treatment. He started me on Wellbutrin and Provigil and where they may have helped a little, I'm still 90% where I was. Even he agrees that this may not be mental illness but will continue to treat me as such until we can find another motive. The biggest issue is that I jolt awake around 6 am every morning and cannot go back to sleep. I feel like I got very little if any sleep. I'll usually end up on the couch and unable to get up and get going for a few hours. Then throughout the day I get hit with episodes of crippling brain fog, lack of motivation, fatigue, etc... These used to happen once or twice a day now its nearly every day for over 3/4 the day. I've been on TRT for many years any my regiment is the following: 0.2 Test Cyp 200mg/ml every other day sub q 400 units HCG 2x week .125 Anastrozole 2x a week or as needed 1 grain Armour Thyroid in the morning So my primary and I tried to come up with as many tests as we could that might explain it. Here are the results of the labs I did through discountedlabs.com Glucose: 155 (65-99) *first time its ever been this high? I fasted for 8 hours A1C: 5.7 (4.8-5.6) ALT: 91 (0-44) GGT: 39 (0-65) B12: 625 (232-1245) EBV Ab VCA, IgM <36 EBV Early Antigen Ab, IgG <9 EBV AbVCA, IgG >600 EVB Nuclear Antigen Ab, IgG 99.9 Iron Bind 334 (250-450) UIBC 276 (111-343) Iron 58 (38-169) *maybe a little low because of blood donation, taking iron supplement now Iron Saturation 17 (15-55) Ferratin 35 (30-400) T4 free 0.91 (0.82-1.77) TSH 2.780 Reverse T3 13.5 (9.2-24.1) Thyroglobulin Antibody <1 Thyroid Peroxidase 31 (0-34) T3 Free 3.1 (2.0-4.4) Total Testosterone 742 Free T 33 (8.7-25) DHT 49 (30-85) Estradiol 35 (8-35) Anything stick out to anyone? Are there any others tests maybe I should look at? I'm at a point where I've got to figure this out because I have not doubt it is leading to depression/anxiety if not already there. [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Blood Test Discussion
Fatigue? Depression? Anxiety? Here is the blood work
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