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Testosterone Replacement, Low T, HCG, & Beyond
Blood Test Discussion
Looking for opinions, feedback and sugestions on recent blood work
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<blockquote data-quote="T4 Life" data-source="post: 16115" data-attributes="member: 1798"><p>Hello everyone and thanks to all of you that support and have made this site possible.</p><p></p><p>History: 3 years ago I was started on androgel by my GP because of a total T of 228 things got better like I always tend to read happens but the the drop came so I asked (almost had to beg) for an estradiol ultra sensitive test and it came back at 50 so I thought that may be the cause of the drop in the way I was feeling by this time I had already switched to T cyp shots which I was surprised to get from my family GP (I didn't think he would let me do at home shots)because the gel only got me up to 457 total T and that was on 6 pumps of 1.62% daily which became a real pain to do everyday, he also had me on levothyroxine .25mcg then armour up to 60 mg which got my TSH down to 3.63 from 5.27 that was short lived (several months) and I really didn't feel any better or notice any improvement anyway when I asked for arimidex he refused and discharged me as he stated he would not prescribe medication to treat cancer to me. However he did give me a referral to an Endo. As of August 2013 I've been getting my T cyp and anastrozole scripts from him, no hcg I haven't asked yet but I'm contemplating because of the obvious atrophy and I believe something is missing hormonal as well. He took me off armour and prefers synthroid and will not prescribe armour he had me on 50 mcg synthroid for two months and I discontinued to take it because all I felt was a constant rapid heartbeat ,anxiety and nervous, he said I need to be on it for six months at least for it to work I disagree and asked for the armour back he won't do it. I prefer the more natural approach in everything so I started taking nascent iodine started at 2 drops then to four for the last 2 months hoping it would bring my TSH down and my Free T4 up but it didn't happen it went down from 6.69 to 6.60. With that said I'm now at a loss and don't really know how to proceed my endo says that total T at 646 last blood test is perfect I disagree (I prefer to go by how I feel and he prefers to dictate by the test results)He diagnosed me as being Hypogonadal (didn't say primary or secondary) My protocol for the past several months has been:</p><p></p><p>T cyp 100mg sub Q every 5 days </p><p>Anastrozole .50mg sporadically because I've crashed before (very hard for me to dial in even at .25 mgs) if I stay steady on it so I try to take only when I feel overly sensitive and emotional or I just can't get hard enough which is where I am usually and about now. A part of me says up my dose but then I fear more conversion might take place and my endo might freak out (I suspect) he doesn't like it when I ask for estradiol ultra testing so that makes it harder to dial in.</p><p></p><p>Methyl B-12 1000 mcg 1xday going to 2000 mcg as recommended I reduced my dose because I thought it was the cause of my shoulder and back acne. (I stopped drinking apple cider vinegar at 1 tbs a day and I see an improvement)</p><p></p><p>Vit B6 100mg 1xday</p><p>Selenium 200mcg 1xday</p><p>L-Methylfolate 7.5 mg 1xday</p><p>Nascent iodine 6 drops 1xday</p><p>Coconut oil 1 tbs 1xday in oatmeal</p><p> </p><p>I was also diagnosed with MTHFR Compound Heterozygous C677T and A1298C in September 2014</p><p></p><p>I've been trying (my goal) to get to 800 Total T and E2 between 20 and 30 as recommended (life extension) but I have my doubts because I'm almost there and I'm not as hard as I need to be when the time comes that's my main problem as well as muscle weakness (that's another story) I'm concerned about my thyroid and don't know how to proceed(no antibodies for hashimotos, already tested no nodules or goiter)so should I get back on synthroid there has to be a better way. My RDW has been on the rise (anisocytosis) but my MCV is always within range I found that it may be due to B-12 and B-9 deficiency which I'm already taking. I'm going to ask my endo for a Methylmalonic Acid urine test and another for a Pernicious Anemia panel and see how that goes I have an appointment coming up in April. </p><p></p><p>I'm sorry this got so long It kind of got outta hand I was trying to keep it short.</p><p></p><p>Thank you for taking the time to read this and I look forward to reading your responses,</p><p></p><p>Louie</p><p></p><p></p><p></p><p>COMMENTS: FASTING:YES Male Age: 50, 5'10, 190 lbs</p><p>Test Name In Range Out Of Range Reference Range Lab</p><p>COMPREHENSIVE METABOLIC TP</p><p>PANEL</p><p>GLUCOSE 100 H 65-99 mg/dL</p><p>Fasting reference interval</p><p>UREA NITROGEN (BUN) 14 7-25 mg/dL</p><p>CREATININE 1.07 0.70-1.33 mg/dL</p><p>For patients >49 years of age, the reference limit</p><p>for Creatinine is approximately 13% higher for people</p><p>identified as African-American.</p><p>eGFR NON-AFR. AMERICAN 81 > OR = 60 mL/min/1.73m2</p><p>eGFR AFRICAN AMERICAN 93 > OR = 60 mL/min/1.73m2</p><p>BUN/CREATININE RATIO NOT APPLICABLE 6-22 (calc)</p><p>SODIUM 141 135-146 mmol/L</p><p>POTASSIUM 4.7 3.5-5.3 mmol/L</p><p>CHLORIDE 104 98-110 mmol/L</p><p>CARBON DIOXIDE 25 19-30 mmol/L</p><p>CALCIUM 9.5 8.6-10.3 mg/dL</p><p>PROTEIN, TOTAL 7.3 6.1-8.1 g/dL</p><p>ALBUMIN 5.1 3.6-5.1 g/dL</p><p>GLOBULIN 2.2 1.9-3.7 g/dL (calc)</p><p>ALBUMIN/GLOBULIN RATIO 2.3 1.0-2.5 (calc)</p><p>BILIRUBIN, TOTAL 1.3 H 0.2-1.2 mg/dL</p><p>ALKALINE PHOSPHATASE 42 40-115 U/L</p><p>AST 27 10-35 U/L</p><p>ALT 28 9-46 U/L</p><p><strong>TSH</strong> 6.60 <strong>H</strong> 0.40-4.50 mIU/L TP</p><p><strong>T4, </strong>FREE 0.9 0.8-1.8 ng/dL TP</p><p>CBC (INCLUDES DIFF/PLT) TP</p><p>WHITE BLOOD CELL COUNT 5.4 3.8-10.8 Thousand/uL</p><p>RED BLOOD CELL COUNT 5.78 4.20-5.80 Million/uL</p><p>HEMOGLOBIN 17.0 13.2-17.1 g/dL</p><p><strong>HEMATOCRIT</strong> 52.1 H 38.5-50.0 %</p><p>MCV 90.2 80.0-100.0 fL</p><p>MCH 29.4 27.0-33.0 pg</p><p>MCHC 32.6 32.0-36.0 g/dL</p><p>RDW 17.1 H 11.0-15.0 %</p><p>PLATELET COUNT 246 140-400 Thousand/uL</p><p>ABSOLUTE NEUTROPHILS 3569 1500-7800 cells/uL</p><p>ABSOLUTE LYMPHOCYTES 1258 850-3900 cells/uL</p><p>ABSOLUTE MONOCYTES 437 200-950 cells/uL</p><p>ABSOLUTE EOSINOPHILS 113 15-500 cells/uL</p><p>ABSOLUTE BASOPHILS 22 0-200 cells/uL</p><p>NEUTROPHILS 66.1 %</p><p>LYMPHOCYTES 23.3 %</p><p>MONOCYTES 8.1 %</p><p>EOSINOPHILS 2.1 %</p><p>BASOPHILS 0.4 %</p><p></p><p></p><p>TESTOSTERONE, TOTAL,723 250-827 ng/dL</p><p></p><p></p><p>PSA, TOTAL 1.4 < OR = 4.0 ng/mL TP</p><p></p><p></p><p>TESTOSTERONE, FREE, LC/MS/MS 85.5 46.0-224.0 pg/mL</p><p></p><p></p><p>ESTRADIOL, ULTRASENSITIVE LC/MS/MS 18 < OR = 29 pg/mL</p></blockquote><p></p>
[QUOTE="T4 Life, post: 16115, member: 1798"] Hello everyone and thanks to all of you that support and have made this site possible. History: 3 years ago I was started on androgel by my GP because of a total T of 228 things got better like I always tend to read happens but the the drop came so I asked (almost had to beg) for an estradiol ultra sensitive test and it came back at 50 so I thought that may be the cause of the drop in the way I was feeling by this time I had already switched to T cyp shots which I was surprised to get from my family GP (I didn't think he would let me do at home shots)because the gel only got me up to 457 total T and that was on 6 pumps of 1.62% daily which became a real pain to do everyday, he also had me on levothyroxine .25mcg then armour up to 60 mg which got my TSH down to 3.63 from 5.27 that was short lived (several months) and I really didn't feel any better or notice any improvement anyway when I asked for arimidex he refused and discharged me as he stated he would not prescribe medication to treat cancer to me. However he did give me a referral to an Endo. As of August 2013 I've been getting my T cyp and anastrozole scripts from him, no hcg I haven't asked yet but I'm contemplating because of the obvious atrophy and I believe something is missing hormonal as well. He took me off armour and prefers synthroid and will not prescribe armour he had me on 50 mcg synthroid for two months and I discontinued to take it because all I felt was a constant rapid heartbeat ,anxiety and nervous, he said I need to be on it for six months at least for it to work I disagree and asked for the armour back he won't do it. I prefer the more natural approach in everything so I started taking nascent iodine started at 2 drops then to four for the last 2 months hoping it would bring my TSH down and my Free T4 up but it didn't happen it went down from 6.69 to 6.60. With that said I'm now at a loss and don't really know how to proceed my endo says that total T at 646 last blood test is perfect I disagree (I prefer to go by how I feel and he prefers to dictate by the test results)He diagnosed me as being Hypogonadal (didn't say primary or secondary) My protocol for the past several months has been: T cyp 100mg sub Q every 5 days Anastrozole .50mg sporadically because I've crashed before (very hard for me to dial in even at .25 mgs) if I stay steady on it so I try to take only when I feel overly sensitive and emotional or I just can't get hard enough which is where I am usually and about now. A part of me says up my dose but then I fear more conversion might take place and my endo might freak out (I suspect) he doesn't like it when I ask for estradiol ultra testing so that makes it harder to dial in. Methyl B-12 1000 mcg 1xday going to 2000 mcg as recommended I reduced my dose because I thought it was the cause of my shoulder and back acne. (I stopped drinking apple cider vinegar at 1 tbs a day and I see an improvement) Vit B6 100mg 1xday Selenium 200mcg 1xday L-Methylfolate 7.5 mg 1xday Nascent iodine 6 drops 1xday Coconut oil 1 tbs 1xday in oatmeal I was also diagnosed with MTHFR Compound Heterozygous C677T and A1298C in September 2014 I've been trying (my goal) to get to 800 Total T and E2 between 20 and 30 as recommended (life extension) but I have my doubts because I'm almost there and I'm not as hard as I need to be when the time comes that's my main problem as well as muscle weakness (that's another story) I'm concerned about my thyroid and don't know how to proceed(no antibodies for hashimotos, already tested no nodules or goiter)so should I get back on synthroid there has to be a better way. My RDW has been on the rise (anisocytosis) but my MCV is always within range I found that it may be due to B-12 and B-9 deficiency which I'm already taking. I'm going to ask my endo for a Methylmalonic Acid urine test and another for a Pernicious Anemia panel and see how that goes I have an appointment coming up in April. I'm sorry this got so long It kind of got outta hand I was trying to keep it short. Thank you for taking the time to read this and I look forward to reading your responses, Louie COMMENTS: FASTING:YES Male Age: 50, 5'10, 190 lbs Test Name In Range Out Of Range Reference Range Lab COMPREHENSIVE METABOLIC TP PANEL GLUCOSE 100 H 65-99 mg/dL Fasting reference interval UREA NITROGEN (BUN) 14 7-25 mg/dL CREATININE 1.07 0.70-1.33 mg/dL For patients >49 years of age, the reference limit for Creatinine is approximately 13% higher for people identified as African-American. eGFR NON-AFR. AMERICAN 81 > OR = 60 mL/min/1.73m2 eGFR AFRICAN AMERICAN 93 > OR = 60 mL/min/1.73m2 BUN/CREATININE RATIO NOT APPLICABLE 6-22 (calc) SODIUM 141 135-146 mmol/L POTASSIUM 4.7 3.5-5.3 mmol/L CHLORIDE 104 98-110 mmol/L CARBON DIOXIDE 25 19-30 mmol/L CALCIUM 9.5 8.6-10.3 mg/dL PROTEIN, TOTAL 7.3 6.1-8.1 g/dL ALBUMIN 5.1 3.6-5.1 g/dL GLOBULIN 2.2 1.9-3.7 g/dL (calc) ALBUMIN/GLOBULIN RATIO 2.3 1.0-2.5 (calc) BILIRUBIN, TOTAL 1.3 H 0.2-1.2 mg/dL ALKALINE PHOSPHATASE 42 40-115 U/L AST 27 10-35 U/L ALT 28 9-46 U/L [B]TSH[/B] 6.60 [B]H[/B] 0.40-4.50 mIU/L TP [B]T4, [/B]FREE 0.9 0.8-1.8 ng/dL TP CBC (INCLUDES DIFF/PLT) TP WHITE BLOOD CELL COUNT 5.4 3.8-10.8 Thousand/uL RED BLOOD CELL COUNT 5.78 4.20-5.80 Million/uL HEMOGLOBIN 17.0 13.2-17.1 g/dL [B]HEMATOCRIT[/B] 52.1 H 38.5-50.0 % MCV 90.2 80.0-100.0 fL MCH 29.4 27.0-33.0 pg MCHC 32.6 32.0-36.0 g/dL RDW 17.1 H 11.0-15.0 % PLATELET COUNT 246 140-400 Thousand/uL ABSOLUTE NEUTROPHILS 3569 1500-7800 cells/uL ABSOLUTE LYMPHOCYTES 1258 850-3900 cells/uL ABSOLUTE MONOCYTES 437 200-950 cells/uL ABSOLUTE EOSINOPHILS 113 15-500 cells/uL ABSOLUTE BASOPHILS 22 0-200 cells/uL NEUTROPHILS 66.1 % LYMPHOCYTES 23.3 % MONOCYTES 8.1 % EOSINOPHILS 2.1 % BASOPHILS 0.4 % TESTOSTERONE, TOTAL,723 250-827 ng/dL PSA, TOTAL 1.4 < OR = 4.0 ng/mL TP TESTOSTERONE, FREE, LC/MS/MS 85.5 46.0-224.0 pg/mL ESTRADIOL, ULTRASENSITIVE LC/MS/MS 18 < OR = 29 pg/mL [/QUOTE]
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