Been on TRT again since Sep 2022. I had a vertical sleeve gastrectomy in 2011. I weigh 280 now but am carrying a lot of muscle.
Now dealing with extreme fatigue in the evenings and cannot stay awake if I sit down. My feet have neuropathy but my blood sugar and A1C are good so diabetes has been ruled out. I get winded easily. My BP has been trending up, and I have not donated blood in months. The last time I did was double red.
I lift weights hard in the mornings, but dont do much cardio. I take 40mg Test C EOD IM, and 500IU HCG twice a week.5mg Cialis daily. I take Vit D daily, pregnelone 3x per week, mag citrate daily, fish oil, COQ10, Zinc w/ copper, DIM, and a probiotic.
Eat more protien and fat than carbs, but am not on Keto. I was for 11+ years after my sleeve surgery. Even when I ate low carb resting glucose was in the 90s.
My erections are good, libido is good. The first half of the day is always pretty energetic but around 2pm I crash and kind of go downhill from there. Sleep is inconsistent, I have a CPAP and use it religiously.
I found the work of Fred Vorck's on how to raise ferritin by plugging the iron drains. His work also said to not take b12. My feet are really starting to be my primary issue, which I think is b12 deficiency due to malabsorbtion from the sleeve surgery. How do I treat ferritin and b12 at the same time? Should I get on telmisrtan?
Looking to you guys for help, because I know the doctor is going to glaze over on this. Tests below ordered by Defy and have not had a consult yet.
Bloods this week:
Ferritin came back at 21
B12 came back at 375
Folate 8.1
Homocystine 12.1
METHYLMALONIC ACID is still out.
Cystatin C:
EGFR:
Tests from 10/07:
CHOLESTEROL, TOTAL 256 H
HDL CHOLESTEROL 47 L
TRIGLYCERIDES 196 H
LDL-CHOLESTEROL 173 H
CHOL/HDLC RATIO 5.4 H
NON HDL CHOLESTEROL 209 H
GLUCOSE 96
UREA NITROGEN (BUN) 20
CREATININE 1.23 H
BUN/CREATININE RATIO 16
SODIUM 139
POTASSIUM 4.5
CHLORIDE 104
CARBON DIOXIDE 28
CALCIUM 9.4
PROTEIN, TOTAL 6.9
ALBUMIN 4.4
GLOBULIN 2.5
ALBUMIN/GLOBULIN RATIO 1.8
BILIRUBIN, TOTAL 0.5
ALKALINE PHOSPHATASE 52
AST 45 H
ALT 55 H
WHITE BLOOD CELL COUNT 5.2
RED BLOOD CELL COUNT 5.79 H
HEMOGLOBIN 16.9 H
HEMATOCRIT 52.6 H
MCV 90.8
MCH 29.2
MCHC 32.1
RDW 14.5
PLATELET COUNT 216
MPV 9.9
ABSOLUTE NEUTROPHILS 2350
ABSOLUTE LYMPHOCYTES 2096
ABSOLUTE MONOCYTES 536
ABSOLUTE EOSINOPHILS 187
ABSOLUTE BASOPHILS 31
NEUTROPHILS 45.2 %
LYMPHOCYTES 40.3 %
MONOCYTES 10.3 %
EOSINOPHILS 3.6 %
BASOPHILS 0.6 %
DHT 115
Testosterone 1018 H
Free Testosterone 213.7 H
Estradiol 77
IGF1 144
SHBG 30
TSH 1.92
DHEA 69
PSA .43
Now dealing with extreme fatigue in the evenings and cannot stay awake if I sit down. My feet have neuropathy but my blood sugar and A1C are good so diabetes has been ruled out. I get winded easily. My BP has been trending up, and I have not donated blood in months. The last time I did was double red.
I lift weights hard in the mornings, but dont do much cardio. I take 40mg Test C EOD IM, and 500IU HCG twice a week.5mg Cialis daily. I take Vit D daily, pregnelone 3x per week, mag citrate daily, fish oil, COQ10, Zinc w/ copper, DIM, and a probiotic.
Eat more protien and fat than carbs, but am not on Keto. I was for 11+ years after my sleeve surgery. Even when I ate low carb resting glucose was in the 90s.
My erections are good, libido is good. The first half of the day is always pretty energetic but around 2pm I crash and kind of go downhill from there. Sleep is inconsistent, I have a CPAP and use it religiously.
I found the work of Fred Vorck's on how to raise ferritin by plugging the iron drains. His work also said to not take b12. My feet are really starting to be my primary issue, which I think is b12 deficiency due to malabsorbtion from the sleeve surgery. How do I treat ferritin and b12 at the same time? Should I get on telmisrtan?
Looking to you guys for help, because I know the doctor is going to glaze over on this. Tests below ordered by Defy and have not had a consult yet.
Bloods this week:
Ferritin came back at 21
B12 came back at 375
Folate 8.1
Homocystine 12.1
METHYLMALONIC ACID is still out.
Cystatin C:
EGFR:
Tests from 10/07:
CHOLESTEROL, TOTAL 256 H
HDL CHOLESTEROL 47 L
TRIGLYCERIDES 196 H
LDL-CHOLESTEROL 173 H
CHOL/HDLC RATIO 5.4 H
NON HDL CHOLESTEROL 209 H
GLUCOSE 96
UREA NITROGEN (BUN) 20
CREATININE 1.23 H
BUN/CREATININE RATIO 16
SODIUM 139
POTASSIUM 4.5
CHLORIDE 104
CARBON DIOXIDE 28
CALCIUM 9.4
PROTEIN, TOTAL 6.9
ALBUMIN 4.4
GLOBULIN 2.5
ALBUMIN/GLOBULIN RATIO 1.8
BILIRUBIN, TOTAL 0.5
ALKALINE PHOSPHATASE 52
AST 45 H
ALT 55 H
WHITE BLOOD CELL COUNT 5.2
RED BLOOD CELL COUNT 5.79 H
HEMOGLOBIN 16.9 H
HEMATOCRIT 52.6 H
MCV 90.8
MCH 29.2
MCHC 32.1
RDW 14.5
PLATELET COUNT 216
MPV 9.9
ABSOLUTE NEUTROPHILS 2350
ABSOLUTE LYMPHOCYTES 2096
ABSOLUTE MONOCYTES 536
ABSOLUTE EOSINOPHILS 187
ABSOLUTE BASOPHILS 31
NEUTROPHILS 45.2 %
LYMPHOCYTES 40.3 %
MONOCYTES 10.3 %
EOSINOPHILS 3.6 %
BASOPHILS 0.6 %
DHT 115
Testosterone 1018 H
Free Testosterone 213.7 H
Estradiol 77
IGF1 144
SHBG 30
TSH 1.92
DHEA 69
PSA .43
