I just got my labs back and my emotions are a mixture of concern and confusion. I will try to summarize this:
12/25 Dr prescribes test gel 150 mg daily
3/26 3 month checkup
Total test- 775 ng/dl
SHBG- 60 nmol/L HIGH
Test Free- 66.3 pg/ml
Bioavailable Test- 127.8ng/dl
Hematocrit- 48%
Hemoglobin- 16.3 g/dl
PSA- 1.76
Estradiol- 47 ng/dl HIGH
Standard Immunoassay tests
I tell Dr the gel sucks ass and the last couple weeks of the gel doesnt absorb well. I also was concerned about complete shutdown. He switches to injectable Test Enanthate 200mg/ml inject .30ml 3 times a week, and gives me a super small Anastrazole 0.25 mg a week. Finally he prescribes 250 units of HCG 3 x a week.
My primary Dr was unhappy when I told him I was on TRT because of my dads prostate cancer and my previous DVT due to COVID 4 years ago. He ordered more accurate testing for my hormones after my physical this month. So my new labs just 1 month later. Im only attaching/highlighting concerns that were high.
Hematocrit-51.6% HIGH
Hemoglobin- 18g/dl HIGH
Triglycerides 235mg/dl HIGH
HDL- 28mg/dl LOW
LDL- 118 mg/dl HIGH
Apolipoprotein B 121 mg/dl HIGH
Iron -212 ug/dl HIGH
Iron saturation - 63 ugdl HIGH
ADMA 120 ng/ml HIGH
Total Test-2154 ng/dl using LC/MS assay testing EXTREMELY HIGH
Free Test(direct)- 35.1 pg/ml HIGH
Estradiol sensitive 55.9pg/ml HIGH using LC/MS essay testing
SHBG- 76.4 nmol/L
How the hell can my test go from 775 to 2100+ in one month time?
1. Is the standard immunoassay that inaccurate?
2. Would the timing of when I administered my testosterone throw the 2100+ number off? My primary said just use your Test as normal prior to test. The day I had my labs I injected in the morning.
3. How can my free test be high on one test and in range on another? Is it because one goes off of Standard immunoassay and the other LC/MS?
Of note:
My entire family has genetic cholesterol issues. My triglycerides are actually lower than anyone else.
I eat a ton of almonds, drink a shot of EVOO high phenol olive oil a day and do 180 minutes of cardio with lifting a week. The highest my HDL has ever been was 36. My diet is not horrible. I eat smart M-F and cheat on the weekends. I do intermittent fasting on Wednesdays.
I dont see how my total is 2100+. No aggression, no acne, libido is good. BP is normal. No issues peeing.
I have another appointment with my TRT Dr in two months. If I want to talk about my labs I have to pay him $250 lab viewing and consult fee.
Thanks!
12/25 Dr prescribes test gel 150 mg daily
3/26 3 month checkup
Total test- 775 ng/dl
SHBG- 60 nmol/L HIGH
Test Free- 66.3 pg/ml
Bioavailable Test- 127.8ng/dl
Hematocrit- 48%
Hemoglobin- 16.3 g/dl
PSA- 1.76
Estradiol- 47 ng/dl HIGH
Standard Immunoassay tests
I tell Dr the gel sucks ass and the last couple weeks of the gel doesnt absorb well. I also was concerned about complete shutdown. He switches to injectable Test Enanthate 200mg/ml inject .30ml 3 times a week, and gives me a super small Anastrazole 0.25 mg a week. Finally he prescribes 250 units of HCG 3 x a week.
My primary Dr was unhappy when I told him I was on TRT because of my dads prostate cancer and my previous DVT due to COVID 4 years ago. He ordered more accurate testing for my hormones after my physical this month. So my new labs just 1 month later. Im only attaching/highlighting concerns that were high.
Hematocrit-51.6% HIGH
Hemoglobin- 18g/dl HIGH
Triglycerides 235mg/dl HIGH
HDL- 28mg/dl LOW
LDL- 118 mg/dl HIGH
Apolipoprotein B 121 mg/dl HIGH
Iron -212 ug/dl HIGH
Iron saturation - 63 ugdl HIGH
ADMA 120 ng/ml HIGH
Total Test-2154 ng/dl using LC/MS assay testing EXTREMELY HIGH
Free Test(direct)- 35.1 pg/ml HIGH
Estradiol sensitive 55.9pg/ml HIGH using LC/MS essay testing
SHBG- 76.4 nmol/L
How the hell can my test go from 775 to 2100+ in one month time?
1. Is the standard immunoassay that inaccurate?
2. Would the timing of when I administered my testosterone throw the 2100+ number off? My primary said just use your Test as normal prior to test. The day I had my labs I injected in the morning.
3. How can my free test be high on one test and in range on another? Is it because one goes off of Standard immunoassay and the other LC/MS?
Of note:
My entire family has genetic cholesterol issues. My triglycerides are actually lower than anyone else.
I eat a ton of almonds, drink a shot of EVOO high phenol olive oil a day and do 180 minutes of cardio with lifting a week. The highest my HDL has ever been was 36. My diet is not horrible. I eat smart M-F and cheat on the weekends. I do intermittent fasting on Wednesdays.
I dont see how my total is 2100+. No aggression, no acne, libido is good. BP is normal. No issues peeing.
I have another appointment with my TRT Dr in two months. If I want to talk about my labs I have to pay him $250 lab viewing and consult fee.
Thanks!
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