Longtime lurker , TRT 3 Years, Help me sort out issues

SAB80 · Feb 16, 2017

So I started TRT a few years ago. Of course I had to direct my doc on testing and dosage. for the most part I did the standard 100mg a week split dosage. Felt better than I did with low T , but not great. Still had mood issues, libido, and mild ED. So , I started with defy over this last summer. Dr. Saya was great on the consult. My protocol was adjusted to 60MG twice weekly, HCG 400iu Twice weekly, and .125mg AI twice weekly. So far with this I honestly feel worse. I did recently have my thyroid checked out and my free T3 and T4 are on lower end of the range and I did notice my TSH fluctuates a lot. I did send defy a email asking about a that as well. I am looking for answer on my current bloodwork. I think my Test may be to high (was done day before injection). Also on the labs quest ran the wrong E2 test (the correct one was on the order). My current symptoms are mood swings, so so libido and erection. I developed a constant tension type headache as well. I have always had cold hands and feet, my body temp never get higher than 97.6 when I take readings. I also take losartan for BP. Just looking for guidance any help would be much appreciated. Also need to get a follow up with Dr. Saya , but I ran into some unwanted cost these last few months , so playing catchup from that.

CoastWatcher · Feb 16, 2017

How long have you been on your adjusted protocol?

SAB80 · Feb 16, 2017

A little over 6 months

CoastWatcher · Feb 16, 2017

SAB80 said:
A little over 6 months

These are your first labs reflecting the changes that were made? If the wrong estradiol test was run, and your values are uncertain, that could account for the symptoms you mentioned.

SAB80 · Feb 17, 2017

No there was more values they were not quite as high , I don't have them handy but I think my total t before this was always around 700., I was never was on HCG ....so I am wondering if after a while the testicles were brought back to life the 400iu twice a week and or the 60mg test twice is to much. The past 3 months have been extremely symptomatic. I tried to blame in on stress, but I think something more is up. Some other symptoms I have are heaving feeling In eyes and dark circles not sure if they pertain. Is is possible my thyroid can't keep up with the higher to I fall into the lower quartile with free t 3&4. Or even adrenals?

SAB80 · Feb 17, 2017

Lab from Jan 2016
prostate-specific ag, serum
[TABLE="class: noBottomMargin"]
[TR]
[TD="class: ccrCol1"][/TD]
[TD="class: ccrCol2"]
[TABLE="class: c650 CCRLabResultSubtable"]
[TR]
[TH="class: bodyBold ccrItemHeader LabCorpCCRViewer_LabTest"]Test
[/TH]
[TH]Low
[/TH]
[TH]Normal
[/TH]
[TH]High
[/TH]
[TH]Reference Range
[/TH]
[TH="class: bodyBold ccrItemHeader LabCorpCCRViewer_LabUnits"]Units
[/TH]
[/TR]
[TR]
[TD="class: alternatingRow ccrItemText"]prostate specific ag, serum
[/TD]
[TD="class: alternatingRow LabCorpCCRItemText"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText"]0.5
[/TD]
[TD="class: alternatingRow LabCorpCCRItemText"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText"]0.0-4.0
[/TD]
[TD="class: alternatingRow ccrItemText"]ng/mL
[/TD]
[/TR]
[/TABLE]
[/TD]
[/TR]
[/TABLE]

cbc, platelet, no differential
[TABLE="class: noBottomMargin"]
[TR]
[TD="class: ccrCol1"][/TD]
[TD="class: ccrCol2"]
[TABLE="class: c650 CCRLabResultSubtable"]
[TR]
[TH="class: bodyBold ccrItemHeader LabCorpCCRViewer_LabTest"]Test
[/TH]
[TH]Low
[/TH]
[TH]Normal
[/TH]
[TH]High
[/TH]
[TH]Reference Range
[/TH]
[TH="class: bodyBold ccrItemHeader LabCorpCCRViewer_LabUnits"]Units
[/TH]
[/TR]
[TR]
[TD="class: alternatingRow ccrItemText"]platelets
[/TD]
[TD="class: alternatingRow LabCorpCCRItemText"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText"]177
[/TD]
[TD="class: alternatingRow LabCorpCCRItemText"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText"]150-379
[/TD]
[TD="class: alternatingRow ccrItemText"]x10E3/uL
[/TD]
[/TR]
[TR]
[TD="class: ccrItemText"]rdw
[/TD]
[TD="class: LabCorpCCRItemText"][/TD]
[TD="class: LabCorpCCRItemText"]13.3
[/TD]
[TD="class: LabCorpCCRItemText"][/TD]
[TD="class: LabCorpCCRItemText"]12.3-15.4
[/TD]
[TD="class: ccrItemText"]%
[/TD]
[/TR]
[TR]
[TD="class: alternatingRow ccrItemText"]mchc
[/TD]
[TD="class: alternatingRow LabCorpCCRItemText"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText"]34.1
[/TD]
[TD="class: alternatingRow LabCorpCCRItemText"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText"]31.5-35.7
[/TD]
[TD="class: alternatingRow ccrItemText"]g/dL
[/TD]
[/TR]
[TR]
[TD="class: ccrItemText"]mch
[/TD]
[TD="class: LabCorpCCRItemText"][/TD]
[TD="class: LabCorpCCRItemText"]30.6
[/TD]
[TD="class: LabCorpCCRItemText"][/TD]
[TD="class: LabCorpCCRItemText"]26.6-33.0
[/TD]
[TD="class: ccrItemText"]pg
[/TD]
[/TR]
[TR]
[TD="class: alternatingRow ccrItemText"]mcv
[/TD]
[TD="class: alternatingRow LabCorpCCRItemText"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText"]90
[/TD]
[TD="class: alternatingRow LabCorpCCRItemText"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText"]79-97
[/TD]
[TD="class: alternatingRow ccrItemText"]fL
[/TD]
[/TR]
[TR]
[TD="class: ccrItemText"]hematocrit
[/TD]
[TD="class: LabCorpCCRItemText"][/TD]
[TD="class: LabCorpCCRItemText"]44.6
[/TD]
[TD="class: LabCorpCCRItemText"][/TD]
[TD="class: LabCorpCCRItemText"]37.5-51.0
[/TD]
[TD="class: ccrItemText"]%
[/TD]
[/TR]
[TR]
[TD="class: alternatingRow ccrItemText"]hemoglobin
[/TD]
[TD="class: alternatingRow LabCorpCCRItemText"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText"]15.2
[/TD]
[TD="class: alternatingRow LabCorpCCRItemText"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText"]12.6-17.7
[/TD]
[TD="class: alternatingRow ccrItemText"]g/dL
[/TD]
[/TR]
[TR]
[TD="class: ccrItemText"]rbc
[/TD]
[TD="class: LabCorpCCRItemText"][/TD]
[TD="class: LabCorpCCRItemText"]4.96
[/TD]
[TD="class: LabCorpCCRItemText"][/TD]
[TD="class: LabCorpCCRItemText"]4.14-5.80
[/TD]
[TD="class: ccrItemText"]x10E6/uL
[/TD]
[/TR]
[TR]
[TD="class: alternatingRow ccrItemText"]wbc
[/TD]
[TD="class: alternatingRow LabCorpCCRItemText"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText"]7.4
[/TD]
[TD="class: alternatingRow LabCorpCCRItemText"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText"]3.4-10.8
[/TD]
[TD="class: alternatingRow ccrItemText"]x10E3/uL
[/TD]
[/TR]
[/TABLE]
[/TD]
[/TR]
[/TABLE]

testosterone,free and total
[TABLE="class: noBottomMargin"]
[TR]
[TD="class: ccrCol1"][/TD]
[TD="class: ccrCol2"]
[TABLE="class: c650 CCRLabResultSubtable"]
[TR]
[TH="class: bodyBold ccrItemHeader LabCorpCCRViewer_LabTest"]Test
[/TH]
[TH]Low
[/TH]
[TH]Normal
[/TH]
[TH]High
[/TH]
[TH]Reference Range
[/TH]
[TH="class: bodyBold ccrItemHeader LabCorpCCRViewer_LabUnits"]Units
[/TH]
[/TR]
[TR]
[TD="class: alternatingRow ccrItemText"]testosterone, serum
[/TD]
[TD="class: alternatingRow LabCorpCCRItemText"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText"]778
[/TD]
[TD="class: alternatingRow LabCorpCCRItemText"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText"]348-1197
[/TD]
[TD="class: alternatingRow ccrItemText"]ng/dL
[/TD]
[/TR]
[TR]
[TD="class: ccrItemText"]comment:
[/TD]
[TD="class: LabCorpCCRItemText"][/TD]
[TD="class: LabCorpCCRItemText"]Adult male reference interval is based on a population of lean males up to 40 years old.
[/TD]
[TD="class: LabCorpCCRItemText"][/TD]
[TD="class: LabCorpCCRItemText"][/TD]
[TD="class: ccrItemText"][/TD]
[/TR]
[TR]
[TD="class: alternatingRow ccrItemText"]free testosterone(direct)
[/TD]
[TD="class: alternatingRow LabCorpCCRItemText"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText"]20.5
[/TD]
[TD="class: alternatingRow LabCorpCCRItemText"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText"]8.7-25.1
[/TD]
[TD="class: alternatingRow ccrItemText"]pg/mL
[/TD]
[/TR]
[/TABLE]
[/TD]
[/TR]
[/TABLE]

estradiol, sensitive
[TABLE="class: noBottomMargin"]
[TR]
[TD="class: ccrCol1"][/TD]
[TD="class: ccrCol2"]
[TABLE="class: c650 CCRLabResultSubtable"]
[TR]
[TH="class: bodyBold ccrItemHeader LabCorpCCRViewer_LabTest"]Test
[/TH]
[TH]Low
[/TH]
[TH]Normal
[/TH]
[TH]High
[/TH]
[TH]Reference Range
[/TH]
[TH="class: bodyBold ccrItemHeader LabCorpCCRViewer_LabUnits"]Units
[/TH]
[/TR]
[TR]
[TD="class: alternatingRow ccrItemText"]estradiol, sensitive
[/TD]
[TD="class: alternatingRow LabCorpCCRItemText"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText"]Unable to obtain a valid result due to inadequate or poor recovery of target analyte. Please resubmit if clinically indicated.
[/TD]
[TD="class: alternatingRow LabCorpCCRItemText"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText"]8.0-35.0
[/TD]
[/TR]
[/TABLE]
[/TD]
[/TR]
[/TABLE]

LAB April 14

[h=4]Lab Test Results[/b]cbc, no differential/platelet
[TABLE="class: noBottomMargin"]
[TR]
[TD="class: ccrCol1"]
[/TD]
[TD="class: ccrCol2"][TABLE="class: c650 CCRLabResultSubtable"]
[TR]
[TH="class: bodyBold ccrItemHeader LabCorpCCRViewer_LabTest"]Test[/TH]
[TH="class: bodyBold th.LabCorpCCRItemHeader LabCorpCCRViewer_LabAbnormalFlag"]Low[/TH]
[TH="class: bodyBold th.LabCorpCCRItemHeader LabCorpCCRViewer_LabAbnormalFlag"]Normal[/TH]
[TH="class: bodyBold th.LabCorpCCRItemHeader LabCorpCCRViewer_LabAbnormalFlag"]High[/TH]
[TH="class: bodyBold th.LabCorpCCRItemHeader LabCorpCCRViewer_LabReferenceRange"]Reference Range[/TH]
[TH="class: bodyBold ccrItemHeader LabCorpCCRViewer_LabUnits"]Units[/TH]
[/TR]
[TR]
[TD="class: alternatingRow ccrItemText"]rdw[/TD]
[TD="class: alternatingRow LabCorpCCRItemText"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText"]13.2[/TD]
[TD="class: alternatingRow LabCorpCCRItemText"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText"]12.3-15.4[/TD]
[TD="class: alternatingRow ccrItemText"]%[/TD]
[/TR]
[TR]
[TD="class: ccrItemText"]mchc[/TD]
[TD="class: LabCorpCCRItemText"][/TD]
[TD="class: LabCorpCCRItemText"]34.1[/TD]
[TD="class: LabCorpCCRItemText"][/TD]
[TD="class: LabCorpCCRItemText"]31.5-35.7[/TD]
[TD="class: ccrItemText"]g/dL[/TD]
[/TR]
[TR]
[TD="class: alternatingRow ccrItemText"]mch[/TD]
[TD="class: alternatingRow LabCorpCCRItemText"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText"]31.1[/TD]
[TD="class: alternatingRow LabCorpCCRItemText"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText"]26.6-33.0[/TD]
[TD="class: alternatingRow ccrItemText"]pg[/TD]
[/TR]
[TR]
[TD="class: ccrItemText"]mcv[/TD]
[TD="class: LabCorpCCRItemText"][/TD]
[TD="class: LabCorpCCRItemText"]91[/TD]
[TD="class: LabCorpCCRItemText"][/TD]
[TD="class: LabCorpCCRItemText"]79-97[/TD]
[TD="class: ccrItemText"]fL[/TD]
[/TR]
[TR]
[TD="class: alternatingRow ccrItemText"]hematocrit[/TD]
[TD="class: alternatingRow LabCorpCCRItemText"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText"]46.0[/TD]
[TD="class: alternatingRow LabCorpCCRItemText"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText"]37.5-51.0[/TD]
[TD="class: alternatingRow ccrItemText"]%[/TD]
[/TR]
[TR]
[TD="class: ccrItemText"]hemoglobin[/TD]
[TD="class: LabCorpCCRItemText"][/TD]
[TD="class: LabCorpCCRItemText"]15.7[/TD]
[TD="class: LabCorpCCRItemText"][/TD]
[TD="class: LabCorpCCRItemText"]12.6-17.7[/TD]
[TD="class: ccrItemText"]g/dL[/TD]
[/TR]
[TR]
[TD="class: alternatingRow ccrItemText"]rbc[/TD]
[TD="class: alternatingRow LabCorpCCRItemText"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText"]5.05[/TD]
[TD="class: alternatingRow LabCorpCCRItemText"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText"]4.14-5.80[/TD]
[TD="class: alternatingRow ccrItemText"]x10E6/uL[/TD]
[/TR]
[TR]
[TD="class: ccrItemText"]wbc[/TD]
[TD="class: LabCorpCCRItemText"][/TD]
[TD="class: LabCorpCCRItemText"]3.9[/TD]
[TD="class: LabCorpCCRItemText"][/TD]
[TD="class: LabCorpCCRItemText"]3.4-10.8[/TD]
[TD="class: ccrItemText"]x10E3/uL[/TD]
[/TR]
[/TABLE]
[/TD]
[/TR]
[/TABLE]

prostate-specific ag, serum
[TABLE="class: noBottomMargin"]
[TR]
[TD="class: ccrCol1"]
[/TD]
[TD="class: ccrCol2"][TABLE="class: c650 CCRLabResultSubtable"]
[TR]
[TH="class: bodyBold ccrItemHeader LabCorpCCRViewer_LabTest"]Test[/TH]
[TH="class: bodyBold th.LabCorpCCRItemHeader LabCorpCCRViewer_LabAbnormalFlag"]Low[/TH]
[TH="class: bodyBold th.LabCorpCCRItemHeader LabCorpCCRViewer_LabAbnormalFlag"]Normal[/TH]
[TH="class: bodyBold th.LabCorpCCRItemHeader LabCorpCCRViewer_LabAbnormalFlag"]High[/TH]
[TH="class: bodyBold th.LabCorpCCRItemHeader LabCorpCCRViewer_LabReferenceRange"]Reference Range[/TH]
[TH="class: bodyBold ccrItemHeader LabCorpCCRViewer_LabUnits"]Units[/TH]
[/TR]
[TR]
[TD="class: alternatingRow ccrItemText"]prostate specific ag, serum[/TD]
[TD="class: alternatingRow LabCorpCCRItemText"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText"]0.5[/TD]
[TD="class: alternatingRow LabCorpCCRItemText"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText"]0.0-4.0[/TD]
[TD="class: alternatingRow ccrItemText"]ng/mL[/TD]
[/TR]
[/TABLE]
[/TD]
[/TR]
[/TABLE]

testosterone,free and total
[TABLE="class: noBottomMargin"]
[TR]
[TD="class: ccrCol1"]
[/TD]
[TD="class: ccrCol2"][TABLE="class: c650 CCRLabResultSubtable"]
[TR]
[TH="class: bodyBold ccrItemHeader LabCorpCCRViewer_LabTest"]Test[/TH]
[TH="class: bodyBold th.LabCorpCCRItemHeader LabCorpCCRViewer_LabAbnormalFlag"]Low[/TH]
[TH="class: bodyBold th.LabCorpCCRItemHeader LabCorpCCRViewer_LabAbnormalFlag"]Normal[/TH]
[TH="class: bodyBold th.LabCorpCCRItemHeader LabCorpCCRViewer_LabAbnormalFlag"]High[/TH]
[TH="class: bodyBold th.LabCorpCCRItemHeader LabCorpCCRViewer_LabReferenceRange"]Reference Range[/TH]
[TH="class: bodyBold ccrItemHeader LabCorpCCRViewer_LabUnits"]Units[/TH]
[/TR]
[TR]
[TD="class: alternatingRow ccrItemText"]testosterone, serum[/TD]
[TD="class: alternatingRow LabCorpCCRItemText"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText"]736[/TD]
[TD="class: alternatingRow LabCorpCCRItemText"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText"]348-1197[/TD]
[TD="class: alternatingRow ccrItemText"]ng/dL[/TD]
[/TR]
[TR]
[TD="class: ccrItemText"]comment:[/TD]
[TD="class: LabCorpCCRItemText"][/TD]
[TD="class: LabCorpCCRItemText"]Adult male reference interval is based on a population of lean males up to 40 years old.[/TD]
[TD="class: LabCorpCCRItemText"][/TD]
[TD="class: LabCorpCCRItemText"][/TD]
[TD="class: ccrItemText"][/TD]
[/TR]
[TR]
[TD="class: alternatingRow ccrItemText"]free testosterone(direct)[/TD]
[TD="class: alternatingRow LabCorpCCRItemText"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText"]13.9[/TD]
[TD="class: alternatingRow LabCorpCCRItemText"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText"]8.7-25.1[/TD]
[TD="class: alternatingRow ccrItemText"]pg/mL[/TD]
[/TR]
[/TABLE]
[/TD]
[/TR]
[/TABLE]

estradiol, sensitive
[TABLE="class: noBottomMargin"]
[TR]
[TD="class: ccrCol1"]
[/TD]
[TD="class: ccrCol2"][TABLE="class: c650 CCRLabResultSubtable"]
[TR]
[TH="class: bodyBold ccrItemHeader LabCorpCCRViewer_LabTest"]Test[/TH]
[TH="class: bodyBold th.LabCorpCCRItemHeader LabCorpCCRViewer_LabAbnormalFlag"]Low[/TH]
[TH="class: bodyBold th.LabCorpCCRItemHeader LabCorpCCRViewer_LabAbnormalFlag"]Normal[/TH]
[TH="class: bodyBold th.LabCorpCCRItemHeader LabCorpCCRViewer_LabAbnormalFlag"]High[/TH]
[TH="class: bodyBold th.LabCorpCCRItemHeader LabCorpCCRViewer_LabReferenceRange"]Reference Range[/TH]
[TH="class: bodyBold ccrItemHeader LabCorpCCRViewer_LabUnits"]Units[/TH]
[/TR]
[TR]
[TD="class: alternatingRow ccrItemText"]estradiol, sensitive[/TD]
[TD="class: alternatingRow LabCorpCCRItemText"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText"]37.2[/TD]
[TD="class: alternatingRow LabCorpCCRItemText"]8.0-35.0[/TD]
[TD="class: alternatingRow ccrItemText"]pg/mL[/TD]
[/TR]
[/TABLE]
[/TD]
[/TR]
[/TABLE]