Need advice please help!

[theodore1983]

I'm 33 years old. I've have 3 weekly injectsions of 140tc and .5 ai.

My pre trt test were in the mid 200s e was in 20s. I have had lots of stress the last couple on months and I think that was has attributed to my low t. I have also come off of Ativan recently. I was having brain fog low energy and restlessness! My hands still shake throughout the day. I tried some *** oil extract and it seemed to calm me down quit a bit.

I am unsure if want to continue trt and be on it for life or can this be my turn around point and go on clomid and try that? I don't seem to be having to many positives with it. I have had ups and downs and my prostate and testicles ache more and more. I meet with my doctor tomorrow what should I do?

 

[Vettester Chris]

Need to see labs, that's the first thing. What is 140tc? Is that 140mg? Are you on HCG? You're leaving us with too many questions, it's hard to provide a lot of comments. You mention Clomid, but I presume you're on TRT because your body won't/can't produce adequate endogenous testosterone? Sounds like possible thyroid and/or adrenal issues??? Testosterone is only one variable in a myriad of many for our well being. How does the rest of your endocrine profile look?

 

[theodore1983]

Need to see labs, that's the first thing. What is 140tc? Is that 140mg? Are you on HCG? You're leaving us with too many questions, it's hard to provide a lot of comments. You mention Clomid, but I presume you're on TRT because your body won't/can't produce adequate endogenous testosterone? Sounds like possible thyroid and/or adrenal issues??? Testosterone is only one variable in a myriad of many for our well being. How does the rest of your endocrine profile look?

Yes 140 mg! No hgc. Labs were all good except tt and t. Had a pit MRI came back clean. I'll post labs below. Iron and ferriton are good too.

4/15/17 labs

Prostate-Specific Ag, Serum
Estradiol
13.5NORMAL
Ref Range: 7.6-42.6 pg/mL
Roche ECLIA methodology
Prostate-Specific Ag, Serum
Prostate Specific Ag, Serum
0.3NORMAL
Ref Range: 0.0-4.0 ng/mL
Roche ECLIA methodology.
Lipid Panel
Cholesterol, Total
196NORMAL
Ref Range: 100-199 mg/dL
Triglycerides
156HIGH
Ref Range: 0-149 mg/dL
HDL Cholesterol
38LOW
Ref Range: >39 mg/dL
VLDL Cholesterol Cal
31NORMAL
Ref Range: 5-40 mg/dL
LDL Cholesterol Calc
127HIGH
Ref Range: 0-99 mg/dL

FSH, Serum
LH
3.2NORMAL
Ref Range: 1.7-8.6 mIU/mL
FSH, Serum
FSH
3.1NORMAL
Ref Range: 1.5-12.4 mIU/mL
Prostate-Specific Ag, Serum
Prostate Specific Ag, Serum
0.3NORMAL


4/4/17

* PROLACTIN - Final result (04/04/2017 12:02 PM)
* Component • Value • Range
* PROLACTIN • 7.2 • 4.0-15.2 ng/mL
*
* Narrative
* Performed at:**01 - LabCorp Phoenix* 

5005 S 40th Street Ste 1200, Phoenix, AZ**850402969* 

Lab Director: Brian Poirier MD, Phone:**8007889743* 

* Result Note
* Notes Recorded by Pati, Divya Reddy, MD on 4/5/2017 at 8:57 AMResults reviewed.* 

* LEUTINIZING HORMONE - Final result (04/04/2017 12:02 PM)
* Component • Value • Range
* LH • 1.6 (L) • 1.7-8.6 mIU/mL
*
* Narrative
* Performed at:**01 - LabCorp Phoenix* 

5005 S 40th Street Ste 1200, Phoenix, AZ**850402969* 

Lab Director: Brian Poirier MD, Phone:**8007889743* 

* Result Note
* Notes Recorded by Pati, Divya Reddy, MD on 4/5/2017 at 8:57 AMResults reviewed.* 

* FSH - Final result (04/04/2017 12:02 PM)
* Component • Value • Range
* FSH • 3.1 • 1.5-12.4 mIU/mL
*
* Narrative
* Performed at:**01 - LabCorp Phoenix* 

5005 S 40th Street Ste 1200, Phoenix, AZ**850402969* 

Lab Director: Brian Poirier MD, Phone:**8007889743* 

* Result Note
* Notes Recorded by Pati, Divya Reddy, MD on 4/5/2017 at 8:57 AMResults reviewed.* 

* TESTOSTERONE,FREE AND TOTAL (TESTOSTERONE,FREE AND TOTAL - (CLINIC)) - Final result (04/04/2017 12:02 PM)
* Component • Value • Range
* TESTOSTERONE, TOTAL • 216 (L)Comment: Performed at: 01 • 348-1197 ng/dL
* COMMENT: • CommentComment:
* Adult male reference interval is based on a population of lean males
* up to 40 years old.
* Performed at:**01
* • *
* FREE TESTOSTERONE(DIRECT) • 5.6 (L)Comment: Performed at: 02 • 8.7-25.1 pg/mL
*
* Narrative
* Performed at:**01 - LabCorp Phoenix* 

5005 S 40th Street Ste 1200, Phoenix, AZ**850402969* 

Lab Director: Brian Poirier MD, Phone:**8007889743* 

Performed at:**02 - LabCorp Burlington* 

1447 York Court, Burlington, NC**272153361* 

Lab Director: William F Han**** MD, Phone:**8007624344* 

* CBC W/AUTO DIFF - Final result (04/04/2017 12:02 PM)
* Component • Value • Range
* WBC • 5.7 • 3.4-10.8 x10E3/uL
* RBC • 4.56 • 4.14-5.80 x10E6/uL
* HGB • 14.2 • 12.6-17.7 g/dL
* Hematocrit • 43.0 • 37.5-51.0 %
* MCV • 94 • 79-97 fL
* MCH • 31.1 • 26.6-33.0 pg
* MCHC • 33.0 • 31.5-35.7 g/dL
* RDW • 13.5 • 12.3-15.4 %
* PLT CNT • 242 • 150-379 x10E3/uL
* Auto Neuts • 63 • %
* Auto Lymphs • 28 • %
* Auto Monos • 7 • %
* Auto Eos • 1 • %
* Auto Basos • 1 • %
* NEUTROPHILS (ABSOLUTE) • 3.6 • 1.4-7.0 x10E3/uL
* Absolute Lymphs • 1.6 • 0.7-3.1 x10E3/uL
* MONOCYTES(ABSOLUTE) • 0.4 • 0.1-0.9 x10E3/uL
* EOSINOPHIL COUNT • 0.0 • 0.0-0.4 x10E3/uL
* BASOS • 0.1 • 0.0-0.2 x10E3/uL
* Immature Granulocytes • 0 • %
* Immature Grans (Abs) • 0.0 • 0.0-0.1 x10E3/uL
*
* Narrative
* Performed at:**01 - LabCorp Phoenix* 

5005 S 40th Street Ste 1200, Phoenix, AZ**850402969* 

Lab Director: Brian Poirier MD, Phone:**8007889743* 

* Result Note
* Notes Recorded by Pati, Divya Reddy, MD on 4/5/2017 at 8:57 AMResults reviewed.* 

* COMP METABOLIC PANEL - Final result (04/04/2017 12:02 PM)
* Component • Value • Range
* Glucose • 88 • 65-99 mg/dL
* BUN • 13 • 6-20 mg/dL
* Creatinine • 1.47 (H) • 0.76-1.27 mg/dL
* EGFR IF NONAFRICN AM • 62 • >59 mL/min/1.73
* EGFR AFRICANAMERICAN • 71 • >59 mL/min/1.73
* BUN/CREATININE RATIO • 9Comment: **Please note reference interval change** • 9-20
* Na • 139 • 134-144 mmol/L
* K • 4.3 • 3.5-5.2 mmol/L
* Cl • 99 • 96-106 mmol/L
* Carbon Dioxide, Blood Quantitative • 24 • 18-29 mmol/L
* Calcium • 9.8 • 8.7-10.2 mg/dL
* PROTEIN,TOTAL • 7.2 • 6.0-8.5 g/dL
* Albumin • 4.6 • 3.5-5.5 g/dL
* GLOBULIN, TOTAL • 2.6 • 1.5-4.5 g/dL
* A/G RATIO • 1.8Comment: **Please note reference interval change** • 1.2-2.2
* Bilirubin, Tot • 0.6 • 0.0-1.2 mg/dL
* Alkaline Phosphatase • 51 • 39-117 IU/L
* AST (SGOT) • 17 • 0-40 IU/L
* ALT (SGPT) • 11 • 0-44 IU/L
*
* Narrative
* Performed at:**01 - LabCorp Phoenix* 

5005 S 40th Street Ste 1200, Phoenix, AZ**850402969* 

Lab Director: Brian Poirier MD, Phone:**8007889743* 

* Result Note
* Notes Recorded by Pati, Divya Reddy, MD on 4/5/2017 at 8:57 AMResults reviewed.* 

* TSH (TSH 3RD GEN-(CLINIC - BOTH)) - Final result (04/04/2017 12:02 PM)
* Component • Value • Range
* TSH • 2.690 • 0.450-4.50 uIU/mL
*
* Narrative
* Performed at:**01 - LabCorp Phoenix* 

5005 S 40th Street Ste 1200, Phoenix, AZ**850402969* 

Lab Director: Brian Poirier MD, Phone:**8007889743* 

* Result Note
* Notes Recorded by Pati, Divya Reddy, MD on 4/5/2017 at 8:57 AMResults reviewed.* 

* THYROXINE T4 FREE - Final result (04/04/2017 12:02 PM)
* Component • Value • Range
* FREE T4 • 1.33 • 0.82-1.77 ng/dL
*
* Narrative
* Performed at:**01 - LabCorp Phoenix* 

5005 S 40th Street Ste 1200, Phoenix, AZ**850402969* 

Lab Director: Brian Poirier MD, Phone:**8007889743* 

* Result Note
* Notes Recorded by Pati, Divya Reddy, MD on 4/5/2017 at 8:57 AMResults reviewed.* 

* HGA1C - Final result (04/04/2017 12:02 PM)
* Component • Value • Range
* HEMOGLOBIN A1C • 5.7 (H)Comment:
* ******** Pre-diabetes: 5.7 - 6.4
* ******** Diabetes: >6.4
* ******** Glycemic control for adults with diabetes: <7.0
* • 4.8-5.6 %
*
* Narrative
* Performed at:**01 - LabCorp Phoenix* 

5005 S 40th Street Ste 1200, Phoenix, AZ**850402969* 

Lab Director: Brian Poirier MD, Phone:**8007889743* 

* Result Note
* Notes Recorded by Pati, Divya Reddy, MD on 4/5/2017 at 8:57 AMResults reviewed.* 

* VITAMIN D, 25-HYDROXY - Final result (04/04/2017 12:02 PM)
* Component • Value • Range
* Vitamin D,25-Hydroxy,Serum • 49.8Comment:
* Vitamin D deficiency has been defined by the Institute of
* Medicine and an Endocrine Society practice guideline as a
* level of serum 25-OH vitamin D less than 20 ng/mL (1,2).
* The Endocrine Society went on to further define vitamin D
* insufficiency as a level between 21 and 29 ng/mL (2).
* 1. IOM (Institute of Medicine). 2010. Dietary reference
* ** intakes for calcium and D. Washington DC: The
* ** National Academies Press.
* 2. Holick MF, Binkley NC, Bischoff-Ferrari HA, et al.
* ** Evaluation, treatment, and prevention of vitamin D
* ** deficiency: an Endocrine Society clinical practice
* ** guideline. JCEM. 2011 Jul; 96(7):1911-30.
* • 30.0-100.0 ng/mL
*
* Narrative
* Performed at:**01 - LabCorp Phoenix* 

5005 S 40th Street Ste 1200, Phoenix, AZ**850402969* 

Lab Director: Brian Poirier MD, Phone:**8007889743* 

* Result Note
* Notes Recorded by Pati, Divya Reddy, MD on 4/5/2017 at 8:57 AMResults reviewed.* 

* TESTOSTERONE TOTAL - Final result (03/31/2017 8:40 AM)
* Component • Value • Range
* TESTOSTERONE, TOTAL • 267 (L) • 348-1197 ng/dL
* COMMENT: • CommentComment:
* Adult male reference interval is based on a population of lean males
* up to 40 years old.
* • *
*
* Narrative
* Performed at:**01 - LabCorp Phoenix* 

5005 S 40th Street Ste 1200, Phoenix, AZ**850402969* 

Lab Director: Brian Poirier MD, Phone:**8007889743* 

* Result Note
* Notes Recorded by Weisman, Thomas W, MD on 4/2/2017 at 12:41 PMPlease tell him second testosterone level was 267, normal over 348.I printed Rx for testim for him to pickup and bring to pharmacy.They will submit and request PA if needed tw* 

* CORTISOL - AM - Final result (03/29/2017 8:22 AM)
* Component • Value • Range
* CORTISOL - AM • 15.9 • 6.2-19.4 ug/dL
*
* Narrative
* Performed at:**01 - LabCorp Phoenix* 

5005 S 40th Street Ste 1200, Phoenix, AZ**850402969* 

Lab Director: Brian Poirier MD, Phone:**8007889743* 

* Result Note
* Notes Recorded by Weisman, Thomas W, MD on 3/30/2017 at 9:20 AMI left message about his labs.* 

* TESTOSTERONE TOTAL - Final result (03/29/2017 8:22 AM)
* Component • Value • Range
* TESTOSTERONE, TOTAL • 228 (L) • 348-1197 ng/dL
* COMMENT: • CommentComment:
* Adult male reference interval is based on a population of lean males
* up to 40 years old.
* • *
*
* Narrative
* Performed at:**01 - LabCorp Phoenix* 

5005 S 40th Street Ste 1200, Phoenix, AZ**850402969* 

Lab Director: Brian Poirier MD, Phone:**8007889743* 

* Result Note
* Notes Recorded by Weisman, Thomas W, MD on 3/30/2017 at 9:20 AMI left message about his labs.* 

* VITAMIN B12 - Final result (03/29/2017 8:22 AM)
* Component • Value • Range
* Vitamin B12 • 527 • 211-946 pg/mL
*
* Narrative
* Performed at:**01 - LabCorp Phoenix* 

5005 S 40th Street Ste 1200, Phoenix, AZ**850402969* 

Lab Director: Brian Poirier MD, Phone:**8007889743* 

* Result Note
* Notes Recorded by Weisman, Thomas W, MD on 3/30/2017 at 9:20 AMI left message about his labs.* 

* CBC W/AUTO DIFF - Final result (12/20/2016 1:50 PM)
* Component • Value • Range
* WBC • 7.4 • 3.4-10.8 x10E3/uL
* RBC • 4.58 • 4.14-5.80 x10E6/uL
* HGB • 14.4 • 12.6-17.7 g/dL
* Hematocrit • 42.2 • 37.5-51.0 %
* MCV • 92 • 79-97 fL
* MCH • 31.4 • 26.6-33.0 pg
* MCHC • 34.1 • 31.5-35.7 g/dL
* RDW • 13.7 • 12.3-15.4 %
* PLT CNT • 245 • 150-379 x10E3/uL
* Auto Neuts • 56 • %
* Auto Lymphs • 36 • %
* Auto Monos • 7 • %
* Auto Eos • 1 • %
* Auto Basos • 0 • %
* NEUTROPHILS (ABSOLUTE) • 4.1 • 1.4-7.0 x10E3/uL
* Absolute Lymphs • 2.7 • 0.7-3.1 x10E3/uL
* MONOCYTES(ABSOLUTE) • 0.5 • 0.1-0.9 x10E3/uL
* EOSINOPHIL COUNT • 0.1 • 0.0-0.4 x10E3/uL
* BASOS • 0.0 • 0.0-0.2 x10E3/uL
* Immature Granulocytes • 0 • %
* Immature Grans (Abs) • 0.0 • 0.0-0.1 x10E3/uL
*
* Narrative
* Performed at:**01 - LabCorp Phoenix* 

5005 S 40th Street Ste 1200, Phoenix, AZ**850402969* 

Lab Director: Brian Poirier MD, Phone:**8007889743* 

* Result Note
* Notes Recorded by Weisman, Thomas W, MD on 12/21/2016 at 2:29 PMPlease ask him if these were fasting labs.If not they were all ok.If were fasting need to repeat FBS and Alc tw* 

* COMP METABOLIC PANEL - Final result (12/20/2016 1:50 PM)
* Component • Value • Range
* Glucose • 132 (H) • 65-99 mg/dL
* BUN • 13 • 6-20 mg/dL
* Creatinine • 1.49 (H) • 0.76-1.27 mg/dL
* EGFR IF NONAFRICN AM • 61 • >59 mL/min/1.73
* EGFR AFRICANAMERICAN • 70 • >59 mL/min/1.73
* BUN/CREATININE RATIO • 9 • 8-19
* Na • 142Comment: **Please note reference interval change** • 134-144 mmol/L
* K • 3.9 • 3.5-5.2 mmol/L
* Cl • 102Comment: **Please note reference interval change** • 96-106 mmol/L
* Carbon Dioxide, Blood Quantitative • 26 • 18-29 mmol/L
* Calcium • 9.5 • 8.7-10.2 mg/dL
* PROTEIN,TOTAL • 7.1 • 6.0-8.5 g/dL
* Albumin • 4.5 • 3.5-5.5 g/dL
* GLOBULIN, TOTAL • 2.6 • 1.5-4.5 g/dL
* A/G RATIO • 1.7 • 1.1-2.5
* Bilirubin, Tot • 0.4 • 0.0-1.2 mg/dL
* Alkaline Phosphatase • 56 • 39-117 IU/L
* AST (SGOT) • 20 • 0-40 IU/L
* ALT (SGPT) • 11 • 0-44 IU/L
*
* Narrative
* Performed at:**01 - LabCorp Phoenix* 

5005 S 40th Street Ste 1200, Phoenix, AZ**850402969* 

Lab Director: Brian Poirier MD, Phone:**8007889743* 

* Result Note
* Notes Recorded by Weisman, Thomas W, MD on 12/21/2016 at 2:29 PMPlease ask him if these were fasting labs.If not they were all ok.If were fasting need to repeat FBS and Alc tw* 

* TSH (REFLEX FREE T4) - Final result (12/20/2016 1:50 PM)
* Component • Value • Range
* TSH • 3.770 • 0.450-4.50 uIU/mL

 

[Vettester Chris]

Total test is 228ng/dl. Was this baseline, or is it your current serum results with TRT?

On the 140mg, presume that is 140mg total per week, divided up 3 injections?

HCG (at least for me and many others) is the 2nd coming of Geezus (no pun) for testicular well being! Will your physician be receptive to discuss it with you further?

Your TSH jumped up noticeably. Thyroid issues can make one's TRT regiment appear sub-par when imbalances are present. Look a little deeper into this ... Review Free T3, Free T4, Reverse T3 and your antibodies (TPO & TgAb). Your HCT is 42.2, do you know what your iron serum, TIBC, and ferritin look like? You said "they are good", but what does that mean? Good is 135 on iron serum ... Not so good is 75. This ties directly with the thyroid, it would be good to know. I presume you're donating blood?

 

[theodore1983]

228 was my baseline! I had it tested two days after my 3rd weekly shot of 140 and it was 1200. The iron panel was all in the middle of the ranges. Yes he is open to things! Is it too late to just drop trt or do I need clomid I already have it in hand?!? I think the low to is due to stress anxiety and the fact that I was on Ativan for 2.5 months prior(I'll never take another benzo again) my headaches have gone away with the trt and the brain fog is minimizing as well. Would I get these same result with a sherm since I am able to make my own t??

 

[Vettester Chris]

Yeah, talk to your doctor about that "in hand" Clomid, see if he can get you going on the right track.

 

[theodore1983]

Yeah, talk to your doctor about that "in hand" Clomid, see if he can get you going on the right track.

Do you think it would be better than doing injections?

 

[CoastWatcher]

This is the third time you have come to the Forum asking essentially the same questions. As has been explained before, you can transition from testosterone injections tomClomid if you wish. Will it work for you? It might, it might not. In the past month a number of threads have been shared with you on the ins, outs, ups, and downs of Clomid therapy.

I don't understand why you are asking us to respond to the same issues over and over again.

 

[theodore1983]

This is the third time you have come to the Forum asking essentially the same questions. As has been explained before, you can transition from testosterone injections tomClomid if you wish. Will it work for you? It might, it might not. In the past month a number of threads have been shared with you on the ins, outs, ups, and downs of Clomid therapy.

I don't understand why you are asking us to respond to the same issues over and over again.

I am uneasy and just need some correspondence. I just want to feel better and trying to get a broad outreach to help understand the situation. I am hearing two different things from two different doctors and it's hard to decide what's right and what's wrong. I apologize if it has caused you any inconvenience. I not one to cause trouble so I'm sorry. I'm extewamly frustrated with this entire thing and just want some answers and advice.

 

[CoastWatcher]

I am uneasy and just need some correspondence. I just want to feel better and trying to get a broad outreach to help understand the situation. I am hearing two different things from two different doctors and it's hard to decide what's right and what's wrong. I apologize if it has caused you any inconvenience. I not one to cause trouble so I'm sorry. I'm extewamly frustrated with this entire thing and just want some answers and advice.

It seems you're dealing with obsessive anxiety. That's not uncommon when hypogonadism manifests itself, but you're being victimized by it. Have you been candid with your doctor? Have you explained how worried and uncertain you are? If you haven't, I urge you to.

You must also realize there is no quick fix to hypogonadism. Whether it's testosterone you choose to inject, or Clomid you use for a restart, it is going to take time. A Clomid protocol brings unique challenges, but TRT isn't without its problems. Make a choice, work with your doctor, and be patient.

 

[theodore1983]

It seems you're dealing with obsessive anxiety. That's not uncommon when hypogonadism manifests itself, but you're being victimized by it. Have you been candid with your doctor? Have you explained how worried and uncertain you are? If you haven't, I urge you to.

You must also realize there is no quick fix to hypogonadism. Whether it's testosterone you choose to inject, or Clomid you use for a restart, it is going to take time. A Clomid protocol brings unique challenges, but TRT isn't without its problems. Make a choice, work with your doctor, and be patient.

Thank you very much for your reply! It's greatly appreciated! im going to try to get just one thread!