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Testosterone Replacement, Low T, HCG, & Beyond
Blood Test Discussion
My initial bloodwork
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<blockquote data-quote="Vettester Chris" data-source="post: 16438" data-attributes="member: 696"><p>Mike, as noted, we are glad you joined, welcome to the community.</p><p></p><p>I don't want to come off harsh, abrasive, or negative in anyway, I promise this isn't my intention, BUT (there's always a but) ... There are all sorts of things WRONG with how your program is starting out ...</p><p></p><p>Starters ... 200mg of C or E injected every two weeks is no good!! Here's what happens, serum levels will peak at/around Day 2 to 3, half life is at around Day 7, by Day 14 you probably won't be baseline, but you're heading that direction real fast. Your serum levels between day 3 to day 14 will probably fluctuate 700ng/dl points (give or take). The best option if you have 200mg to work with, please do 50mg every 3.5 days, or worse case 100mg one time per week. </p><p></p><p>Additionally, nothing appears to be addressed on E2. Quite possibly yours could be currently above a desired level. A 200mg injection is going to convert at a higher rate downstream to estrogen. This needs to be managed, there's no way around it. The more frequent injection protocols will be less problematic, as conversion becomes less of an issue. Estradiol sensitive labs need to taken baseline, and at your six week checkup. Also, you can inject SubQ with smaller syringes if that works easier for you.</p><p></p><p>They ran a FSH lab, but they also needed a LH lab to accompany it. LH is the key hormone that is triggered by endogenous testosterone, or should I say it's demand is increased when testosterone serum levels decline. Your FSH is pretty low, so I would suspect your LH will follow suit (?). If so, that would make your diagnosis "Secondary". HCG could be administered immediately, but the adjustments to your current exogenous test protocol will have to be considered, as HCG "should" provide an increase in endogenous test, permitting the leydig cells are healthy.</p><p></p><p>Lastly, there's an entire litany of other labs that need addressed .. Thyroid, adrenals (cort/DHEA), Vitamin D, iron, ferritin, metabolic, lipids, etc. Maybe some of these labs are present, just not posted? By what you've described, I wouldn't be surprised if there are also thyroid issues. If they're just looking at TSH, and or any of that T3 Index bologna, then it's not being addressed correctly. This is why clinics like Defy are getting attention, plus others and the A4M physicians community. </p><p></p><p>We're here to help, but again, I'm not going to sugarcoat something when it's not all that sweet. If it's not a good deal, and I already know you're not going to be feeling all that great in a few months, then what's the point? Now, with that said, I'd suggest you really do some heavy research and see what you think. Check out other boards if needed, heck, talk to Jasen at Defy, or contact some of the other reputable clinics, or physicians like Dr. Crisler, Dr. Gaines, etc., I could go through a big list on this.</p></blockquote><p></p>
[QUOTE="Vettester Chris, post: 16438, member: 696"] Mike, as noted, we are glad you joined, welcome to the community. I don't want to come off harsh, abrasive, or negative in anyway, I promise this isn't my intention, BUT (there's always a but) ... There are all sorts of things WRONG with how your program is starting out ... Starters ... 200mg of C or E injected every two weeks is no good!! Here's what happens, serum levels will peak at/around Day 2 to 3, half life is at around Day 7, by Day 14 you probably won't be baseline, but you're heading that direction real fast. Your serum levels between day 3 to day 14 will probably fluctuate 700ng/dl points (give or take). The best option if you have 200mg to work with, please do 50mg every 3.5 days, or worse case 100mg one time per week. Additionally, nothing appears to be addressed on E2. Quite possibly yours could be currently above a desired level. A 200mg injection is going to convert at a higher rate downstream to estrogen. This needs to be managed, there's no way around it. The more frequent injection protocols will be less problematic, as conversion becomes less of an issue. Estradiol sensitive labs need to taken baseline, and at your six week checkup. Also, you can inject SubQ with smaller syringes if that works easier for you. They ran a FSH lab, but they also needed a LH lab to accompany it. LH is the key hormone that is triggered by endogenous testosterone, or should I say it's demand is increased when testosterone serum levels decline. Your FSH is pretty low, so I would suspect your LH will follow suit (?). If so, that would make your diagnosis "Secondary". HCG could be administered immediately, but the adjustments to your current exogenous test protocol will have to be considered, as HCG "should" provide an increase in endogenous test, permitting the leydig cells are healthy. Lastly, there's an entire litany of other labs that need addressed .. Thyroid, adrenals (cort/DHEA), Vitamin D, iron, ferritin, metabolic, lipids, etc. Maybe some of these labs are present, just not posted? By what you've described, I wouldn't be surprised if there are also thyroid issues. If they're just looking at TSH, and or any of that T3 Index bologna, then it's not being addressed correctly. This is why clinics like Defy are getting attention, plus others and the A4M physicians community. We're here to help, but again, I'm not going to sugarcoat something when it's not all that sweet. If it's not a good deal, and I already know you're not going to be feeling all that great in a few months, then what's the point? Now, with that said, I'd suggest you really do some heavy research and see what you think. Check out other boards if needed, heck, talk to Jasen at Defy, or contact some of the other reputable clinics, or physicians like Dr. Crisler, Dr. Gaines, etc., I could go through a big list on this. [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Blood Test Discussion
My initial bloodwork
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