Hello everyone. I am a new member here and am asking on feedback on my labs given the following info. I am new (3-4 months) on TRT and have been reading a lot but have much to learn. The following is general info.
I am 49, 6'3” and about 204 lbs. (male). I went to the Dr. because I felt terrible with sore and achy joints and muscles, tired, no motivation, no energy, and poor focus and lots of apathy.
After blood work and genetic tests it turns out I have a genetic disease called hemochromatosis (too much iron absorption causing iron toxicity) and low T. Dr said the low T as likely due to excess iron causing hypogonadism. We are getting the iron down so all good there and I have gone off 95% of dairy and red meat.
On the T side, doctor prescribed 100 mg Test C every 2 weeks IM. I could tell it helped but I was up and down and no real change in test numbers at first blood test.
I am now at 70 mg Test C every week IM. Still some ups and downs, but overall I feel much better – I don't know if it is the Test or the lowering of iron and diet change, but I feel 10 years younger and am eating better and working out 4-5 times per week. I have lost about 10 lbs. of fat and gained muscle, am mostly pain free, sleep better, don't pee as much or with as much urgency, am more confident, have ambition/energy, and less anxiety. Libido is somewhat better, but bedroom performance is still not great.
I used Discount Labs for recent blood work. I love my Dr (GP) but like many I don't think he is a T expert so I wanted to look at SHBG, PSA, and Estradiol to be safe. I don't have base line before T for these values.
As a side note, Discount Labs was perfect to work with. It was as easy as they said and I highly recommend them (I sound like a shill).
Anyway, on to the numbers
I started with:
Total T at 357 with a range of 348 to 1197
Free T at 5.6 in a range of 6.8 to 21.5
That is the only baseline for T that I have.
My most recent numbers at 70 Test C per week IM (blood draw on 4th day of weekly shot) are as follows:
Total T at 671 with a range of 264 to 916
Free T at 16.9 in a range of 6.8 to 21.5
Hemoglobin 15.9 (Hematocrit = 45.7) – all good – I give blood every two months.
Cholesterol is all good with total of 154, HDL at 63, and LDL at 81. All better than before TRT.
PSA at .6
SHBG at 40.7 in range of 16.5-55.9
Estradiol Sensitive at 40 in range of 8 to 35.
Should I be worried about Estradiol at 40?
Also, for my last 3 blood tests before TRT and working out, my AST and ALT were very low 17 and 16 respectively, but on this blood test (taking in the AM, fasting, after a workout), AST = 38 (range of 0 to 40) and ALT = 47 (range of 0 to 44).
Should I be worried about the large jump up in the AST and ALT values. My liver MRI showed iron loading but otherwise healthy liver.
If you have concerns, advice is welcome, or I can go to a TRT specialty Dr. that I know, but would rather avoid the cost and added appointments if everything is good.
Thank you. Saul
I am 49, 6'3” and about 204 lbs. (male). I went to the Dr. because I felt terrible with sore and achy joints and muscles, tired, no motivation, no energy, and poor focus and lots of apathy.
After blood work and genetic tests it turns out I have a genetic disease called hemochromatosis (too much iron absorption causing iron toxicity) and low T. Dr said the low T as likely due to excess iron causing hypogonadism. We are getting the iron down so all good there and I have gone off 95% of dairy and red meat.
On the T side, doctor prescribed 100 mg Test C every 2 weeks IM. I could tell it helped but I was up and down and no real change in test numbers at first blood test.
I am now at 70 mg Test C every week IM. Still some ups and downs, but overall I feel much better – I don't know if it is the Test or the lowering of iron and diet change, but I feel 10 years younger and am eating better and working out 4-5 times per week. I have lost about 10 lbs. of fat and gained muscle, am mostly pain free, sleep better, don't pee as much or with as much urgency, am more confident, have ambition/energy, and less anxiety. Libido is somewhat better, but bedroom performance is still not great.
I used Discount Labs for recent blood work. I love my Dr (GP) but like many I don't think he is a T expert so I wanted to look at SHBG, PSA, and Estradiol to be safe. I don't have base line before T for these values.
As a side note, Discount Labs was perfect to work with. It was as easy as they said and I highly recommend them (I sound like a shill).
Anyway, on to the numbers
I started with:
Total T at 357 with a range of 348 to 1197
Free T at 5.6 in a range of 6.8 to 21.5
That is the only baseline for T that I have.
My most recent numbers at 70 Test C per week IM (blood draw on 4th day of weekly shot) are as follows:
Total T at 671 with a range of 264 to 916
Free T at 16.9 in a range of 6.8 to 21.5
Hemoglobin 15.9 (Hematocrit = 45.7) – all good – I give blood every two months.
Cholesterol is all good with total of 154, HDL at 63, and LDL at 81. All better than before TRT.
PSA at .6
SHBG at 40.7 in range of 16.5-55.9
Estradiol Sensitive at 40 in range of 8 to 35.
Should I be worried about Estradiol at 40?
Also, for my last 3 blood tests before TRT and working out, my AST and ALT were very low 17 and 16 respectively, but on this blood test (taking in the AM, fasting, after a workout), AST = 38 (range of 0 to 40) and ALT = 47 (range of 0 to 44).
Should I be worried about the large jump up in the AST and ALT values. My liver MRI showed iron loading but otherwise healthy liver.
If you have concerns, advice is welcome, or I can go to a TRT specialty Dr. that I know, but would rather avoid the cost and added appointments if everything is good.
Thank you. Saul
