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Testosterone Replacement, Low T, HCG, & Beyond
Blood Test Discussion
Help with Labs - High T, Low E2
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<blockquote data-quote="jasinc81" data-source="post: 82526" data-attributes="member: 16527"><p>Please excuse me if I'm not following protocol for posting this here. I started in the "introduction" section, but thought I'd re-post here and summarize. Here is the original thread if you want to review.</p><p></p><p>Here's my situation, I've been on TRT for over 2 1/2 months (Fortesta gel). Pre-TRT labs are here, mostly Total T and Free T. Started the gel on July 5th 2017:</p><p></p><p><strong><u>June 5, 2017:</u></strong></p><p>Testosterone Male 294.9 ng/dL 280.0 - 1,100.0 ng/dL</p><p>Testosterone Free Males ED 51.7 </p><p>FSH 5.7 mUnits/mL 1.4 - 18.1 mUnits/mL </p><p>LH 1.4 mUnits/mL mUnits/mL</p><p>PHOSPHORUS 3.7 mg/dL 2.4 - 4.7 mg/dL</p><p><u></u></p><p><u>Comprehensive Metabolic Panel</u>:</p><p>Fasting Status 13.0 hrs</p><p>Sodium 144 mmol/L 135 - 145 mmol/L </p><p>Potassium 4.9 mmol/L 3.4 - 5.1 mmol/L </p><p>Chloride 109 mmol/L 98 - 107 mmol/L </p><p>Carbon Dioxide 25 mmol/L 21 - 32 mmol/L </p><p>Anion Gap 15 mmol/L 10 - 20 mmol/L </p><p>Glucose 76 mg/dL 65 - 99 mg/dL </p><p>BUN 52 mg/dL 6 - 20 mg/dL</p><p>Creatinine 1.17 mg/dL 0.67 - 1.17 mg/dL </p><p>GFR Estimate, African American >90 </p><p>eGFR results = or >90 mL/min/1.73m2 = Normal kidney function.</p><p>GFR Estimate, Non African American 80 </p><p>eGFR 60 - 89 mL/min/1.73m2 = Mild decrease in kidney function.</p><p>BUN/Creatinine Ratio 44 7 - 25</p><p>CALCIUM 9.5 mg/dL 8.4 - 10.2 mg/dL </p><p>TOTAL BILIRUBIN 0.4 mg/dL 0.2 - 1.0 mg/dL </p><p>AST/SGOT 35 Units/L <38 Units/L </p><p>ALT/SGPT 45 Units/L <79 Units/L </p><p>ALK PHOSPHATASE 61 Units/L 45 - 117 Units/L </p><p>TOTAL PROTEIN 6.8 g/dL 6.4 - 8.2 g/dL </p><p>Albumin 4.3 g/dL 3.6 - 5.1 g/dL </p><p>GLOBULIN 2.5 g/dL 2.0 - 4.0 g/dL </p><p>A/G Ratio, Serum 1.7 1.0 - 2.4</p><p><span style="color: #333333"></span></p><p><span style="color: #333333">Here are the labs I took earlier this month, after being on 40mg (2 pumps to each leg) of fortesta gel. My symptoms aren't any better, gained 15-20 lbs (mostly around my waist), still have no libido but no symptoms of gyno.</span></p><p><span style="color: #333333"><strong><u></u></strong></span></p><p><span style="color: #333333"><strong><u>September 2, 2017:</u></strong></span></p><p><span style="color: #333333"><strong><u></u></strong></span>TOTAL TESTOSTERONE 1,440 ng/dL 300 - 1,080 ng/dL<span style="color: #333333"></span></p><p><span style="color: #333333"></span>SEX HORMONE BINDING GLOBULIN 30 nmol/L</p><p>TESTOSTERONE, FREE 347 pg/mL 47 - 244 pg/mL</p><p>% FREE TESTOSTERONE 2.4 %</p><p><u>AUTO HEMOGRAM/PLATE/DIFF</u></p><p>WBC 6.2 K/mcL 4.2 - 11.0 K/mcL </p><p>RBC 4.42 mil/mcL 4.50 - 5.90 mil/mcL </p><p>HGB 13.8 g/dL 13.0 - 17.0 g/dL </p><p>HCT 41.9 % 39.0 - 51.0 % </p><p>MCV 94.8 fl 78.0 - 100.0 fl </p><p>MCH 31.2 pg 26.0 - 34.0 pg </p><p>MCHC 32.9 g/dL 32.0 - 36.5 g/dL </p><p>RDW-CV 13.2 % 11.0 - 15.0 % </p><p>PLT 187 K/mcL 140 - 450 K/mcL </p><p><u>DIFF TYPE AUTOMATED DIFFERENTIAL</u> </p><p>Neutrophil 51 % % </p><p>LYMPH 34 % % </p><p>MONO 8 % % </p><p>EOSIN 6 % % </p><p>BASO 1 % % </p><p>Absolute Neutrophil 3.1 K/mcL 1.8 - 7.7 K/mcL </p><p>Absolute Lymph 2.1 K/mcL 1.0 - 4.8 K/mcL </p><p>Absolute Mono 0.5 K/mcL 0.3 - 0.9 K/mcL </p><p>Absolute Eos 0.4 K/mcL 0.1 - 0.5 K/mcL </p><p>Absolute Baso 0.1 K/mcL 0.0 - 0.3 K/mcL</p><p>PSA, Total 0.16 ng/mL <4.01 ng/mL</p><p><span style="color: #333333"></span></p><p><span style="color: #333333">After receiving advice from the previous forum post, I ordered an Estradiol, sensitive test and a CBC test. </span></p><p><span style="color: #333333"><strong><u>Estradiol:</u></strong></span></p><p><span style="color: #333333"></span>[ATTACH]4130[/ATTACH]</p><p><strong><u></u></strong></p><p><strong><u>CBC:</u></strong></p><p><strong><u></u></strong>[ATTACH]4131[/ATTACH]</p><p></p><p>After the high T test, I visited my doctor and he lowered the dose of Fortesta to 1 pump per leg each morning (20mg) and re-ordered tests in 2 months. I've been on that dosage for over a week now and don't feel any different. Do I still not feel right because of low E2? Or do I need to give it more time to stabilize? My biggest concern is the libido and weight gain even though I workout 6 days a week and eat 2000-2300 calories a day. On top of testosterone gel, here are the other supplements I'm taking:</p><p></p><p>krill oil - 2g daily</p><p>Multi-vitamin</p><p>Adrenal Support (2x daily)</p><p>Metformin 500mg (3x daily w/meals - just started 1 week ago)</p><p>DHEA 100mg</p><p></p><p>Any help would be greatly appreciated! Thanks!</p></blockquote><p></p>
[QUOTE="jasinc81, post: 82526, member: 16527"] Please excuse me if I'm not following protocol for posting this here. I started in the "introduction" section, but thought I'd re-post here and summarize. Here is the original thread if you want to review. Here's my situation, I've been on TRT for over 2 1/2 months (Fortesta gel). Pre-TRT labs are here, mostly Total T and Free T. Started the gel on July 5th 2017: [B][U]June 5, 2017:[/U][/B] Testosterone Male 294.9 ng/dL 280.0 - 1,100.0 ng/dL Testosterone Free Males ED 51.7 FSH 5.7 mUnits/mL 1.4 - 18.1 mUnits/mL LH 1.4 mUnits/mL mUnits/mL PHOSPHORUS 3.7 mg/dL 2.4 - 4.7 mg/dL [U] Comprehensive Metabolic Panel[/U]: Fasting Status 13.0 hrs Sodium 144 mmol/L 135 - 145 mmol/L Potassium 4.9 mmol/L 3.4 - 5.1 mmol/L Chloride 109 mmol/L 98 - 107 mmol/L Carbon Dioxide 25 mmol/L 21 - 32 mmol/L Anion Gap 15 mmol/L 10 - 20 mmol/L Glucose 76 mg/dL 65 - 99 mg/dL BUN 52 mg/dL 6 - 20 mg/dL Creatinine 1.17 mg/dL 0.67 - 1.17 mg/dL GFR Estimate, African American >90 eGFR results = or >90 mL/min/1.73m2 = Normal kidney function. GFR Estimate, Non African American 80 eGFR 60 - 89 mL/min/1.73m2 = Mild decrease in kidney function. BUN/Creatinine Ratio 44 7 - 25 CALCIUM 9.5 mg/dL 8.4 - 10.2 mg/dL TOTAL BILIRUBIN 0.4 mg/dL 0.2 - 1.0 mg/dL AST/SGOT 35 Units/L <38 Units/L ALT/SGPT 45 Units/L <79 Units/L ALK PHOSPHATASE 61 Units/L 45 - 117 Units/L TOTAL PROTEIN 6.8 g/dL 6.4 - 8.2 g/dL Albumin 4.3 g/dL 3.6 - 5.1 g/dL GLOBULIN 2.5 g/dL 2.0 - 4.0 g/dL A/G Ratio, Serum 1.7 1.0 - 2.4 [COLOR=#333333] Here are the labs I took earlier this month, after being on 40mg (2 pumps to each leg) of fortesta gel. My symptoms aren't any better, gained 15-20 lbs (mostly around my waist), still have no libido but no symptoms of gyno. [B][U] September 2, 2017: [/U][/B][/COLOR]TOTAL TESTOSTERONE 1,440 ng/dL 300 - 1,080 ng/dL[COLOR=#333333] [/COLOR]SEX HORMONE BINDING GLOBULIN 30 nmol/L TESTOSTERONE, FREE 347 pg/mL 47 - 244 pg/mL % FREE TESTOSTERONE 2.4 % [U]AUTO HEMOGRAM/PLATE/DIFF[/U] WBC 6.2 K/mcL 4.2 - 11.0 K/mcL RBC 4.42 mil/mcL 4.50 - 5.90 mil/mcL HGB 13.8 g/dL 13.0 - 17.0 g/dL HCT 41.9 % 39.0 - 51.0 % MCV 94.8 fl 78.0 - 100.0 fl MCH 31.2 pg 26.0 - 34.0 pg MCHC 32.9 g/dL 32.0 - 36.5 g/dL RDW-CV 13.2 % 11.0 - 15.0 % PLT 187 K/mcL 140 - 450 K/mcL [U]DIFF TYPE AUTOMATED DIFFERENTIAL[/U] Neutrophil 51 % % LYMPH 34 % % MONO 8 % % EOSIN 6 % % BASO 1 % % Absolute Neutrophil 3.1 K/mcL 1.8 - 7.7 K/mcL Absolute Lymph 2.1 K/mcL 1.0 - 4.8 K/mcL Absolute Mono 0.5 K/mcL 0.3 - 0.9 K/mcL Absolute Eos 0.4 K/mcL 0.1 - 0.5 K/mcL Absolute Baso 0.1 K/mcL 0.0 - 0.3 K/mcL PSA, Total 0.16 ng/mL <4.01 ng/mL [COLOR=#333333] After receiving advice from the previous forum post, I ordered an Estradiol, sensitive test and a CBC test. [B][U]Estradiol:[/U][/B] [/COLOR][ATTACH=CONFIG]4130[/ATTACH] [B][U] CBC: [/U][/B][ATTACH=CONFIG]4131[/ATTACH] After the high T test, I visited my doctor and he lowered the dose of Fortesta to 1 pump per leg each morning (20mg) and re-ordered tests in 2 months. I've been on that dosage for over a week now and don't feel any different. Do I still not feel right because of low E2? Or do I need to give it more time to stabilize? My biggest concern is the libido and weight gain even though I workout 6 days a week and eat 2000-2300 calories a day. On top of testosterone gel, here are the other supplements I'm taking: krill oil - 2g daily Multi-vitamin Adrenal Support (2x daily) Metformin 500mg (3x daily w/meals - just started 1 week ago) DHEA 100mg Any help would be greatly appreciated! Thanks! [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Blood Test Discussion
Help with Labs - High T, Low E2
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