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Testosterone Replacement, Low T, HCG, & Beyond
Blood Test Discussion
Lab Review
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<blockquote data-quote="MarkM" data-source="post: 114882"><p>Lots of information in these labs and it is possible I will miss something with all that data. </p><p></p><p>The low WBC and RBC jumps right out at you. Are you taking an anti-inflammatory by chance? Your hemoglobin and hematocrit looks good but could start inching up on you after you have been on TRT for a while. </p><p></p><p>Your lipid panel looks really good. LDL and triglycerides look outstanding and super HDL. Do you take any statins?</p><p></p><p>Glucose at 99 is okay but you really want that down in the low 80"s. I didn't see an A1C measurement. </p><p></p><p>Test levels look good. Total T is over the range but not terrible and Free T is mid range if I recall and has lots of room to go up. I would be more concerned about increasing the Free T a little bit more to the upper end of normal and not worry so much about the Total T being high. Most of it is inactive and it is the Free T that makes things happen for you. </p><p></p><p>SHBG looks good in the mid range. Injections twice a week, every 3.5 days should work nicely for you. You could probably go every 3 days or EOD if you wanted but every 3.5 days works for a lot of people, myself included.</p><p></p><p>Estradiol at 17 pg/ml. DO you know if that is the Sensitive assay, LC/MS/MS? I could not tell by reviewing the labs or maybe I just missed it. If it is the Roche ECLIA test it is the wrong one. If it is the sensitive test you don't want that estradiol going any lower. Would be best to push it up to 25 to 30 pg/ml unless you feel good with it being that low. It's how you feel that most important verse a number. </p><p></p><p>Cortisol AM looks low t 10.4 but that really depends on the actual time of day the blood was drawn and as I understand it the only way to truly measure cortisol is with a saliva test. But it still looks low.</p><p></p><p>I think the reason you may be struggling with fatigue, mood, and energy is it doesn't seem like your thyroid is performing well. Free T3 and Free T4 are low, especially Free T3. Your TPO anti-bodies are high and your Reverse T3, while the number itself is not terribly high at 15.8, your Free T3:Reverse T3 ratio is sitting at 13.9 and it should be greater than 20. </p><p></p><p>So, you have something going on with the WBC and RBC so having that looked at is a good thing. I see you already have an appointment with the oncologist. A poorly performing thyroid can make you feel like you are feeling. I bet if you address the thyroid you will feel like a new person. Be patient, correcting an under performing thyroid can be difficult without a knowledgeable and well-versed thyroid specialist.</p><p></p><p>These are things you probably already know and I am sure I haven't noted anything new for you. I am surely no expert but sometimes its nice to have another layman offer what they can see.</p></blockquote><p></p>
[QUOTE="MarkM, post: 114882"] Lots of information in these labs and it is possible I will miss something with all that data. The low WBC and RBC jumps right out at you. Are you taking an anti-inflammatory by chance? Your hemoglobin and hematocrit looks good but could start inching up on you after you have been on TRT for a while. Your lipid panel looks really good. LDL and triglycerides look outstanding and super HDL. Do you take any statins? Glucose at 99 is okay but you really want that down in the low 80"s. I didn't see an A1C measurement. Test levels look good. Total T is over the range but not terrible and Free T is mid range if I recall and has lots of room to go up. I would be more concerned about increasing the Free T a little bit more to the upper end of normal and not worry so much about the Total T being high. Most of it is inactive and it is the Free T that makes things happen for you. SHBG looks good in the mid range. Injections twice a week, every 3.5 days should work nicely for you. You could probably go every 3 days or EOD if you wanted but every 3.5 days works for a lot of people, myself included. Estradiol at 17 pg/ml. DO you know if that is the Sensitive assay, LC/MS/MS? I could not tell by reviewing the labs or maybe I just missed it. If it is the Roche ECLIA test it is the wrong one. If it is the sensitive test you don't want that estradiol going any lower. Would be best to push it up to 25 to 30 pg/ml unless you feel good with it being that low. It's how you feel that most important verse a number. Cortisol AM looks low t 10.4 but that really depends on the actual time of day the blood was drawn and as I understand it the only way to truly measure cortisol is with a saliva test. But it still looks low. I think the reason you may be struggling with fatigue, mood, and energy is it doesn't seem like your thyroid is performing well. Free T3 and Free T4 are low, especially Free T3. Your TPO anti-bodies are high and your Reverse T3, while the number itself is not terribly high at 15.8, your Free T3:Reverse T3 ratio is sitting at 13.9 and it should be greater than 20. So, you have something going on with the WBC and RBC so having that looked at is a good thing. I see you already have an appointment with the oncologist. A poorly performing thyroid can make you feel like you are feeling. I bet if you address the thyroid you will feel like a new person. Be patient, correcting an under performing thyroid can be difficult without a knowledgeable and well-versed thyroid specialist. These are things you probably already know and I am sure I haven't noted anything new for you. I am surely no expert but sometimes its nice to have another layman offer what they can see. [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Blood Test Discussion
Lab Review
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