jger242 labs - questions

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jger242

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Beyond Testosterone Book by Nelson Vergel
I have several different problems. Any assistance is appreciated.

1. Low average daily body temp (97.1 average daily temp) occassionally rises to 98.0 - 98.5 after training.
2. Inability to lose weight. I have tried several different plans: increased activity (cardio, etc) reduced calories, carbs increased protein, etc.

I take the following:

a) 80 mg test cypionate once per week
b) 500 iu HCG 2 times per week (3 days prior to and 1 day prior to my wkly Testosterone injection)
c) 30 - 35 mg hydrocortisone per day (5 mg xtra on weight training days) this caused an additional 12 lbs of weight gain in 5 weeks.
d) 1500 mg metformin per day
e) 1/2 mg anastrozole 2 times per week. Thinking about reducing it to 1/2 mg per week.
f) Cynomel 25 mcg per day (worked up to 62.5 mcg per day but T3 seemed to be pooling and causing increased
heart pounding and anxiety, both reduced after that dose was lowered)
g) Therapeutic phlebotomy once per month usually between 7-10th of the month. (1 pint whole blood)
(my ferritin is low, under range, so I will wait a few weeks to have phlebotomy.
Iron, serum 66 (40 - 155)
Iron saturation 18 (15 - 55)
Feritin, Serum 19 LOW (30 - 400)
h) additional vitamins & minerals

I train (weights) 3 times per week and do cardio, 20 minutes 2 times per day 4 days per week.

I injured my back (2006) and could not work out for about 1 1/2 years. Maintained stable weight until 2011.
Gained 35 lbs in 1 ½ yrs. (2011-2013) Also 12 lbs of weight gain in 5 weeks after started hydrocortisone (Sept. 2013).
From 2005 until 2011 went through several extensive stressful events.

In the last 3 months everything has stabilized except body temperature and ability to lose weight. Maybe one is blocking the other?
My mood, personality and desires are almost back to pre-stress levels.

Any ideas on how to fix the body temp (without overstressing the adrenals) and weight loss problems?

With those corrected I would be good to go or 100%.

thanks,

Jger242 (Jim)

_______________________________________________________________

2013 Pre-TRT Symptoms: (most were corrected or improved by TRT/adex, HCG)

I feel fatigued & sluggish both reduced 50% after 4th week of TRT
Unexplained Weight gain (35 lbs in 1 ½ yrs) * No reduction in activity or increase in calories
Water retention (veins no longer visible)
Unable to loose weight with exercise and 35% calorie decrease
Hands and feet feel cold all the time
Low body temp (97.1 average daily temp) occassionally rises to 98.0-98.5 after training
highest P.M. temp has been 98.5 after workouts.
Heart palpitations & pounding at-rest heartbeat at times
loss of sex drive & additional related symptoms (many reduced after TRT)
Mild Depression & Anxiety (increased irritability / impatient / moody)
Hair loss - scalp
Infections and cuts take longer to heal
Eyes always dry
Ringing in ears
Infections and cuts take much longer to heal
hot flashes * Night sweats * both reduced 70% after 3rd week of TRT
loss of outer 3rd part of eyebrow hair and remaining eb hair is thinner (beginning to grow back in)
lost overall motivation-desire (food, sex, workout, work, friends, etc)
After workout takes 2-3 days to recover * I feel overly drained for days
instead of prev. a little drained for a few hours
* this was corrected after I began hydrocortisone (30 mg per day)
I still need 2-3 days between strenous workouts.


=============================================================



Here are my latest lab results:
Blood drawn fasting at 8:30 a.m. - 6 days after my weekly Testosterone cypionate Injection (80 mg)
March 29, 2014

LabCorp

Test Name / Result / Flag / Reference Range
CBC With Differential / Platelet
WBC 6.7 (4.0-10.5 x10E3/uL)
RBC 6.02 HIGH (4.14-5.80 x10E6/uL )
Hemoglobin 16.0 (12.6-17.7 g/dL )
Hematocrit 50.0 (37.5-51.0 % )
MCV 83 (79-97 fL )
MCH 26.6 ( 26.6-33.0 pg)
MCHC 32.0 (31.5-35.7 g/dL )
RDW 14.2 (12.3-15.4 % )
Platelets 199 (140-415 x10E3/uL )
Neutrophils 51 (40-74 % )
Lymphs 29 (14-46 % )
Monocytes 8 ( 4-13 % )
Eos 2 (0-7 % )
Basos 0 (0-3 % )
Neutrophils (Absolute) 4.1 (1.8-7.8 x10E3/uL )
Lymphs (Absolute) 1.9 ( 0.7-4.5 x10E3/uL )
Monocytes(Absolute) 0.5 (0.1-1.0 x10E3/uL )
Eos (Absolute) 0.2 (0.0-0.4 x10E3/uL )
Baso (Absolute) 0.0 (0.0-0.2 x10E3/uL )
Immature Granulocytes 0 (0-2 % )
Immature Grans (Abs) 0.0 ( .0 0.0-0.1 x10E3/uL )
Comp. Metabolic Panel (14)
Glucose, Serum 88 (65-99 mg/dL )
BUN 15 (6-24 mg/dL )
Creatinine, Serum 1.27 (0.76-1.27 mg/dL )
eGFR If NonAfricn Am 65 (>59 mL/min/1.73 )
eGFR If Africn Am 75 ( >59 mL/min/1.73 )
BUN/Creatinine Ratio 12 (9-20 )
Sodium, Serum 142 (134-144 mmol/L )
Potassium, Serum 4.1 (3.5-5.2 mmol/L )
Chloride, Serum 105 (97-108 mmol/L )
Carbon Dioxide, Total 24 (19-28 mmol/L )
Calcium, Serum 9.2 0 (8.7-10.2 mg/dL )
Protein, Total, Serum 6.9 (6.0-8.5 g/dL )
Albumin, Serum 4.4 (3.5-5.5 g/dL )
Globulin, Total 2.5 (1.5-4.5 g/dL )
A/G Ratio 1.8 (1.1-2.5 )
Bilirubin, Total 0.4 (0.0-1.2 mg/dL )
Alkaline Phosphatase, S 98 (44-102 IU/L )

AST (SGOT) 31 ( 0-40 IU/L )
ALT (SGPT) 31 ( 0-44 IU/L )
Lipid panel
Cholesterol, total 116 ( 100 - 199 )
Triglycerides 148 ( 0 - 149 )
HDL Cholesterol 27 LOW ( >39 )
VLDL Cholesterol Cal 30 ( 5 - 40 )
LDL Cholesterol Calc 59 ( 0 - 99 )

Vitamin B12 922 ( 211 - 946 )
Testosterone, Serum 546 ( 348-1197 ng/dL )
(this test was 6 days after injection, 4 days after T level is usually 900's)
Testosterone, Free, Direct 10.2 (7.2 - 24)
Estradiol Rothe ECLIA methodology 18.6 (7.6 - 42.6)
Proastate Specific Ag, Serum 0.8 (0.0 - 4.0)

DHEA-Sulfate 198.3 ( 71.6 - 375 )
TSH 0.049 Low ( 0.45 - 4.50 )

Thyroxine (T4) Free 0.48 Low ( 0.82 - 1.77 )
Triiodothyronine (T3) 228 High ( 71 - 180 )

Iron and TIBC
Iron Bind. cap. (TIBC) 377 (250 - 450 )
UIBC 311 (150 - 375)
Iron, serum 66 (40 - 155)
Iron saturation 18 (15 - 55)
Feritin, Serum 19 LOW (30 - 400)
They were supposed to have checked for free T3 but instead checked serum T3.
They will not check for reverse T3.
I will have SHBG and prolactin independently tested in a few weeks.

___________________________________________________________________

Prior labs


November 14, 2013 Blood Work (FASTING)
LabCorp

Test Name / Result / Flag / Reference Range

Comp. Metabolic Panel (14)
Glucose, Serum 82 (65-99 mg/dL )
BUN 18 (6-24 mg/dL )
Creatinine, Serum 1.16 (0.76-1.27 mg/dL )
eGFR If NonAfricn Am 73 (>59 mL/min/1.73 )
eGFR If Africn Am 84 ( >59 mL/min/1.73 )
BUN/Creatinine Ratio 16 (9-20 )
Sodium, Serum 146 HIGH (134-144 mmol/L )
Potassium, Serum 4.7 (3.5-5.2 mmol/L )
Chloride, Serum 107 (97-108 mmol/L )
Carbon Dioxide, Total 20 (19-28 mmol/L )
Calcium, Serum 9.2 (8.7-10.2 mg/dL )
Protein, Total, Serum 6.7 (6.0-8.5 g/dL )
Albumin, Serum 4.2 (3.5-5.5 g/dL )
Globulin, Total 2.5 (1.5-4.5 g/dL )
A/G Ratio 1.7 (1.1-2.5 )
Bilirubin, Total 0.5 (0.0-1.2 mg/dL )
Alkaline Phosphatase, S 88 (44-102 IU/L )

AST (SGOT) 37 ( 0-40 IU/L )
ALT (SGPT) 39 ( 0-44 IU/L )

Lipid panel
Cholesterol, total 121 ( 100 - 199 )
Triglycerides 139 ( 0 - 149 )
HDL Cholesterol 30 LOW ( >39 )
VLDL Cholesterol Cal 31 ( 5 - 40 )
LDL Cholesterol Calc 57 ( 0 - 99 )
Hemoglobin A1c 5.5 ( 4.8 - 5.6 )
Vitamin B12 939 ( 211 - 946 )

(6 days after 2nd phlebotomy / 12 days after Tcyp Inj.)
Testosterone, Serum 470 ( 348-1197 ng/dL )
Testosterone, Free, Direct 7.9 (7.2 - 24)
DHEA-Sulfate 187.3 ( 71.6 - 375 )
TSH 0.047 Low ( 0.45 - 4.50 )

Thyroxine (T4) Free 0.45 Low ( 0.82 - 1.77 )
Triiodothyronine (T3) 236 High ( 71 - 180 )

RBC 5.84 HIGH 4.14 - 5.80 range
Hemoglobin 16.9 12.6 - 17.7
Hematocrit 51.0 37.5 - 51.0
(6 days after 2nd phlebotomy / 12 days after wkly 80 mg Tcyp Inj.)

------------------------------------------------------------------------------------------------------------
July 15 * Blood Work:
T-test, Estradiol, FSH, LH, CMP, CBC
*Blood drawn 24 hrs after Tcyp injection / reason for misc. high results
LabCorp (was not done fasting.............)

Test Name / Result / Flag / Reference Range
CBC With Differential / Platelet
WBC 9.2 / 4.0-10.5 x10E3/uL
RBC 6.69 HIGH / 4.14-5.80 x10E6/uL
Hemoglobin 19.4 HIGH / 12.6-17.7 g/dL
Hematocrit 59.4 HIGH / 37.5-51.0 %
MCV 89 / 79-97 fL
MCH 29.0 / 26.6-33.0 pg
MCHC 32.7 / 31.5-35.7 g/dL
RDW 13.8 / 12.3-15.4 %
Platelets 168 / 140-415 x10E3/uL
Neutrophils 59 / 40-74 %
Lymphs 31 / 14-46 %
Monocytes 8 / 4-13 %
Eos 2 / 0-7 %
Basos 0 / 0-3 %
Neutrophils (Absolute) 5.4 / 1.8-7.8 x10E3/uL
Lymphs (Absolute) 2.9 / 0.7-4.5 x10E3/uL
Monocytes(Absolute) 0.7 / 0.1-1.0 x10E3/uL
Eos (Absolute) 0.2 / 0.0-0.4 x10E3/uL
Baso (Absolute) 0.0 / 0.0-0.2 x10E3/uL
Immature Granulocytes 0 / 0-2 %
Immature Grans (Abs) 0 / .0 0.0-0.1 x10E3/uL

Comp. Metabolic Panel (14)
Glucose, Serum 98 / 65-99 mg/dL
BUN 10 / 6-24 mg/dL
Creatinine, Serum 1.16 / 0.76-1.27 mg/dL
eGFR If NonAfricn Am 73 / >59 mL/min/1.73
eGFR If Africn Am 84 / >59 mL/min/1.73
BUN/Creatinine Ratio 9 / 9-20
Sodium, Serum 143 / 134-144 mmol/L
Potassium, Serum 4.2 / 3.5-5.2 mmol/L
Chloride, Serum 103 / 97-108 mmol/L
Carbon Dioxide, Total 25 / 19-28 mmol/L
Calcium, Serum 9.3 / 8.7-10.2 mg/dL
Protein, Total, Serum 6.7 / 6.0-8.5 g/dL
Albumin, Serum 4.2 / 3.5-5.5 g/dL
Globulin, Total 2.5 / 1.5-4.5 g/dL
A/G Ratio 1.7 / 1.1-2.5
Bilirubin, Total 0.4 / 0.0-1.2 mg/dL
Alkaline Phosphatase, S 86 / 44-102 IU/L

**Please note reference interval change**
AST (SGOT) 46 HIGH / 0-40 IU/L
ALT (SGPT) 47 HIGH / 0-44 IU/L
Testosterone, Serum
Testosterone, Serum 1501 HIGH 348 - 1197 ng/dL
* Blood drawn 24 hrs after Tcyp injection / reason for high result
Results confirmed on dilution.
Luteinizing Hormone(LH), S
LH <0.2 LOW / 1.7-8.6 mIU/mL
FSH, Serum
FSH <0.2 LOW / 1.5-12.4 mIU/mL
Estradiol
Estradiol 159.8 HIGH / 7.6 - 42.6 pg/mL
* Blood drawn 24 hrs after Tcyp injection / reason for xtra high result
____________________________________________________
 
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