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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Basics & Questions
New Labs, Help Understanding (Low Ferritin, High IGF-1, High Somatomedin)
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<blockquote data-quote="Xerxes" data-source="post: 23349" data-attributes="member: 5563"><p>So I have been having a hard time getting dialed in. Thought I had high E2 based on a non-sensitive test (42). Reduced recently from 160mg cyp divided 2x week to 120 divided 3 x week. Have been taking .25 mg arimidex on injection days and DIM on off days. Some symptoms had improved (slightly less anxiety, mildly better sleeping, but ED is pretty bad..no morning or REM wood since the first night I tried the arimidex (hadn't had any before that either). Went to endo on Monday. The labs below are from then, She called yesterday and wants me to come in to repeat the IGF-1 and growth hormone tests. She didn't mention the low ferritin at all (we'll I didn't speak to her, just a receptionist relaying a message). I am back in today to retest the IGF-1 and GH. My Estradiol is on the lowish end now (13.94), so I will be stopping the arimidex for now. I had asked her to run cortisol, but she said it wouldn't show her much. here are the bloods below. Any expertise or advice would be appreciated. From what I can gather the high GH or IGF-1 could be indicative of a pituitary tumor (?!). Does anyone know if the low ferritin (10 range 22-322) could cause any of my symptoms? Some of the other numbers that are not technically out of range but lowish (basophil count, eosinophil count) seem to indicated elevated cortisol levels, which might explain my symptoms. Won't be seeing endo today, just going in to get the blood work done. I think she also tested free test and SHBG, but those didn't show up on the online portal they have that allowed me to view these results. Maybe they weren't done yet?</p><table class='post-table class: boogie, width: 100%' style='width: 100%'><tr><td ><p>2015/08/24</p></td><td ><p>ZZ-GE-UNK</p></td><td ><p>157.63</p></td><td ><p>pg/mL</p></td><td ><p>(30.00-150.00)</p></td><td ><p>H</p></td><td ><p>GE use only - for LinkLogic import when terms are not otherwise specified</p></td></tr><tr><td ><p>2015/08/24</p></td><td ><p>TESTO, TOTAL</p></td><td ><p>604.2</p></td><td ><p>ng/dL</p></td><td ><p>(249.0-836.0)</p></td><td></td><td ><p>testosterone, total</p></td></tr><tr><td ><p>2015/08/24</p></td><td ><p>ALBUMIN</p></td><td ><p>4.7</p></td><td ><p>g/dL</p></td><td ><p>(3.5-5.2)</p></td><td></td><td ><p>albumin, serum</p></td></tr><tr><td ><p>2015/08/24</p></td><td ><p>SOMATOMEDIN</p></td><td ><p>318</p></td><td ><p>ng/mL</p></td><td ><p>(109-307)</p></td><td ><p>H</p></td><td ><p>insulin-like growth factor-1, serum</p></td></tr><tr><td ><p>2015/08/24</p></td><td ><p>HGBA1C</p></td><td ><p>5.3</p></td><td ><p>%</p></td><td ><p>(<5.7)</p></td><td></td><td ><p>Hemoglobin A1c/Hemoglobin.total in Blood</p></td></tr><tr><td ><p>2015/08/24</p></td><td ><p>ESTRADIOL</p></td><td ><p>13.94</p></td><td ><p>pg/mL</p></td><td ><p>(7.02-49.06)</p></td><td></td><td ><p>estradiol, serum</p></td></tr><tr><td ><p>2015/08/24</p></td><td ><p>PSA-TOTAL</p></td><td ><p>0.68</p></td><td ><p>ng/mL</p></td><td ><p>(<4.00)</p></td><td></td><td ><p>prostate specific antigen, total</p></td></tr><tr><td ><p>2015/08/24</p></td><td ><p>FERRITIN</p></td><td ><p>10</p></td><td ><p>ng/mL</p></td><td ><p>(22-322)</p></td><td ><p>L</p></td><td ><p>ferritin, serum</p></td></tr><tr><td ><p>2015/08/24</p></td><td ><p>IRON</p></td><td ><p>69</p></td><td ><p>ug/dL</p></td><td ><p>(45-160)</p></td><td></td><td ><p>iron, serum</p></td></tr><tr><td ><p>2015/08/24</p></td><td ><p>MPV</p></td><td ><p>9.1</p></td><td ><p>fL</p></td><td ><p>(8.2-11.9)</p></td><td></td><td ><p>mean platelet volume</p></td></tr><tr><td ><p>2015/08/24</p></td><td ><p>PLATELETS</p></td><td ><p>232 X10(3)/UL</p></td><td ><p>10*3/mm3</p></td><td ><p>(144-400)</p></td><td></td><td ><p>platelet count</p></td></tr><tr><td ><p>2015/08/24</p></td><td ><p>IMM GRANU %</p></td><td ><p>0.2</p></td><td ><p>%</p></td><td ><p>(0.0-1.6)</p></td><td></td><td ><p>immature granulocytes, percentage of total cells, blood</p></td></tr><tr><td ><p>2015/08/24</p></td><td ><p>BASOPH COUNT</p></td><td ><p>0.01 X10(3)/UL</p></td><td ><p>10*3/mm3</p></td><td ><p>(0.00-0.24)</p></td><td></td><td ><p>basophil count, blood</p></td></tr><tr><td ><p>2015/08/24</p></td><td ><p>BASOPHIL %</p></td><td ><p>0.2</p></td><td ><p>%</p></td><td ><p>(0.0-2.0)</p></td><td></td><td ><p>basophils as percent of blood leukocytes</p></td></tr><tr><td ><p>2015/08/24</p></td><td ><p>EOS COUNT</p></td><td ><p>0.06 X10(3)/UL</p></td><td ><p>10*3/mm3</p></td><td ><p>(0.03-0.94)</p></td><td></td><td ><p>eosinophil count, blood</p></td></tr><tr><td ><p>2015/08/24</p></td><td ><p>EOSINOPHIL %</p></td><td ><p>1.0</p></td><td ><p>%</p></td><td ><p>(0.0-8.0)</p></td><td></td><td ><p>eosinophils as percent of blood leukocytes</p></td></tr><tr><td ><p>2015/08/24</p></td><td ><p>MONOSCT AUTO</p></td><td ><p>0.41 X10(3)/UL</p></td><td ><p>10*3/uL</p></td><td ><p>(0.17-1.42)</p></td><td></td><td ><p>monocyte count, blood, automated</p></td></tr><tr><td ><p>2015/08/24</p></td><td ><p>MONOCYTE %</p></td><td ><p>6.5</p></td><td ><p>%</p></td><td ><p>(0.0-13.0)</p></td><td></td><td ><p>monocytes as percent of blood leukocytes</p></td></tr><tr><td ><p>2015/08/24</p></td><td ><p>LYMPH COUNT</p></td><td ><p>0.96 X10(3)/UL</p></td><td ><p>10*3/mm3</p></td><td ><p>(0.41-5.66)</p></td><td></td><td ><p>lymphocyte count, blood</p></td></tr><tr><td ><p>2015/08/24</p></td><td ><p>LYMPHS %</p></td><td ><p>15.2</p></td><td ><p>%</p></td><td ><p>(12.0-48.0)</p></td><td></td><td ><p>lymphocytes as percent of blood leukocytes</p></td></tr><tr><td ><p>2015/08/24</p></td><td ><p>PMNABSOLTMAN</p></td><td ><p>4.86 X10(3)/UL</p></td><td ><p>{Cells}/uL</p></td><td ><p>(1.22-9.20)</p></td><td></td><td ><p>polymorphonuclear neutrophils, absolute, manual</p></td></tr><tr><td ><p>2015/08/24</p></td><td ><p>PMN SEGS</p></td><td ><p>76.9</p></td><td ><p>%</p></td><td ><p>(36.0-78.0)</p></td><td></td><td ><p>neutrophils, segmented as percent of blood leukocytes</p></td></tr><tr><td ><p>2015/08/24</p></td><td ><p>RDW</p></td><td ><p>13.8</p></td><td ><p>%</p></td><td ><p>(10.9-16.9)</p></td><td></td><td ><p>red blood cell distribution width</p></td></tr><tr><td ><p>2015/08/24</p></td><td ><p>MCHC RBC</p></td><td ><p>32.6</p></td><td ><p>g/dL</p></td><td ><p>(29.0-35.0)</p></td><td></td><td ><p>mean corpuscular hemoglobin concentration, RBC</p></td></tr><tr><td ><p>2015/08/24</p></td><td ><p>MCH</p></td><td ><p>29.7</p></td><td ><p>pg</p></td><td ><p>(25.0-34.1)</p></td><td></td><td ><p>mean corpuscular hemoglobin, RBC</p></td></tr><tr><td ><p>2015/08/24</p></td><td ><p>MCV</p></td><td ><p>90.9</p></td><td ><p>fL</p></td><td ><p>(80.0-100.0)</p></td><td></td><td ><p>mean corpuscular volume, RBC</p></td></tr><tr><td ><p>2015/08/24</p></td><td ><p>HCT</p></td><td ><p>47.8</p></td><td ><p>%</p></td><td ><p>(39.3-52.5)</p></td><td></td><td ><p>hematocrit, blood</p></td></tr><tr><td ><p>2015/08/24</p></td><td ><p>HGB</p></td><td ><p>15.6</p></td><td ><p>g/dL</p></td><td ><p>(12.3-17.0)</p></td><td></td><td ><p>hemoglobin, blood</p></td></tr><tr><td ><p>2015/08/24</p></td><td ><p>RBC</p></td><td ><p>5.26 X10(6)/UL</p></td><td ><p>10*6/mm3</p></td><td ><p>(4.20-5.90)</p></td><td></td><td ><p>erythrocyte (RBC) count</p></td></tr><tr><td ><p>2015/08/24</p></td><td ><p>WBC</p></td><td ><p>6.31 X10(3)/UL</p></td><td ><p>10*3/mm3</p></td><td ><p>(3.40-11.80)</p></td><td></td><td ><p>leukocyte count, blood</p></td></tr></table></blockquote><p></p>
[QUOTE="Xerxes, post: 23349, member: 5563"] So I have been having a hard time getting dialed in. Thought I had high E2 based on a non-sensitive test (42). Reduced recently from 160mg cyp divided 2x week to 120 divided 3 x week. Have been taking .25 mg arimidex on injection days and DIM on off days. Some symptoms had improved (slightly less anxiety, mildly better sleeping, but ED is pretty bad..no morning or REM wood since the first night I tried the arimidex (hadn't had any before that either). Went to endo on Monday. The labs below are from then, She called yesterday and wants me to come in to repeat the IGF-1 and growth hormone tests. She didn't mention the low ferritin at all (we'll I didn't speak to her, just a receptionist relaying a message). I am back in today to retest the IGF-1 and GH. My Estradiol is on the lowish end now (13.94), so I will be stopping the arimidex for now. I had asked her to run cortisol, but she said it wouldn't show her much. here are the bloods below. Any expertise or advice would be appreciated. From what I can gather the high GH or IGF-1 could be indicative of a pituitary tumor (?!). Does anyone know if the low ferritin (10 range 22-322) could cause any of my symptoms? Some of the other numbers that are not technically out of range but lowish (basophil count, eosinophil count) seem to indicated elevated cortisol levels, which might explain my symptoms. Won't be seeing endo today, just going in to get the blood work done. I think she also tested free test and SHBG, but those didn't show up on the online portal they have that allowed me to view these results. Maybe they weren't done yet? [TABLE="class: boogie, width: 100%"] [TR] [TD]2015/08/24[/TD] [TD]ZZ-GE-UNK[/TD] [TD]157.63[/TD] [TD]pg/mL[/TD] [TD](30.00-150.00)[/TD] [TD]H[/TD] [TD]GE use only - for LinkLogic import when terms are not otherwise specified[/TD] [/TR] [TR] [TD]2015/08/24[/TD] [TD]TESTO, TOTAL[/TD] [TD]604.2[/TD] [TD]ng/dL[/TD] [TD](249.0-836.0)[/TD] [TD] [/TD] [TD]testosterone, total[/TD] [/TR] [TR] [TD]2015/08/24[/TD] [TD]ALBUMIN[/TD] [TD]4.7[/TD] [TD]g/dL[/TD] [TD](3.5-5.2)[/TD] [TD] [/TD] [TD]albumin, serum[/TD] [/TR] [TR] [TD]2015/08/24[/TD] [TD]SOMATOMEDIN[/TD] [TD]318[/TD] [TD]ng/mL[/TD] [TD](109-307)[/TD] [TD]H[/TD] [TD]insulin-like growth factor-1, serum[/TD] [/TR] [TR] [TD]2015/08/24[/TD] [TD]HGBA1C[/TD] [TD]5.3[/TD] [TD]%[/TD] [TD](<5.7)[/TD] [TD] [/TD] [TD]Hemoglobin A1c/Hemoglobin.total in Blood[/TD] [/TR] [TR] [TD]2015/08/24[/TD] [TD]ESTRADIOL[/TD] [TD]13.94[/TD] [TD]pg/mL[/TD] [TD](7.02-49.06)[/TD] [TD] [/TD] [TD]estradiol, serum[/TD] [/TR] [TR] [TD]2015/08/24[/TD] [TD]PSA-TOTAL[/TD] [TD]0.68[/TD] [TD]ng/mL[/TD] [TD](<4.00)[/TD] [TD] [/TD] [TD]prostate specific antigen, total[/TD] [/TR] [TR] [TD]2015/08/24[/TD] [TD]FERRITIN[/TD] [TD]10[/TD] [TD]ng/mL[/TD] [TD](22-322)[/TD] [TD]L[/TD] [TD]ferritin, serum[/TD] [/TR] [TR] [TD]2015/08/24[/TD] [TD]IRON[/TD] [TD]69[/TD] [TD]ug/dL[/TD] [TD](45-160)[/TD] [TD] [/TD] [TD]iron, serum[/TD] [/TR] [TR] [TD]2015/08/24[/TD] [TD]MPV[/TD] [TD]9.1[/TD] [TD]fL[/TD] [TD](8.2-11.9)[/TD] [TD] [/TD] [TD]mean platelet volume[/TD] [/TR] [TR] [TD]2015/08/24[/TD] [TD]PLATELETS[/TD] [TD]232 X10(3)/UL[/TD] [TD]10*3/mm3[/TD] [TD](144-400)[/TD] [TD] [/TD] [TD]platelet count[/TD] [/TR] [TR] [TD]2015/08/24[/TD] [TD]IMM GRANU %[/TD] [TD]0.2[/TD] [TD]%[/TD] [TD](0.0-1.6)[/TD] [TD] [/TD] [TD]immature granulocytes, percentage of total cells, blood[/TD] [/TR] [TR] [TD]2015/08/24[/TD] [TD]BASOPH COUNT[/TD] [TD]0.01 X10(3)/UL[/TD] [TD]10*3/mm3[/TD] [TD](0.00-0.24)[/TD] [TD] [/TD] [TD]basophil count, blood[/TD] [/TR] [TR] [TD]2015/08/24[/TD] [TD]BASOPHIL %[/TD] [TD]0.2[/TD] [TD]%[/TD] [TD](0.0-2.0)[/TD] [TD] [/TD] [TD]basophils as percent of blood leukocytes[/TD] [/TR] [TR] [TD]2015/08/24[/TD] [TD]EOS COUNT[/TD] [TD]0.06 X10(3)/UL[/TD] [TD]10*3/mm3[/TD] [TD](0.03-0.94)[/TD] [TD] [/TD] [TD]eosinophil count, blood[/TD] [/TR] [TR] [TD]2015/08/24[/TD] [TD]EOSINOPHIL %[/TD] [TD]1.0[/TD] [TD]%[/TD] [TD](0.0-8.0)[/TD] [TD] [/TD] [TD]eosinophils as percent of blood leukocytes[/TD] [/TR] [TR] [TD]2015/08/24[/TD] [TD]MONOSCT AUTO[/TD] [TD]0.41 X10(3)/UL[/TD] [TD]10*3/uL[/TD] [TD](0.17-1.42)[/TD] [TD] [/TD] [TD]monocyte count, blood, automated[/TD] [/TR] [TR] [TD]2015/08/24[/TD] [TD]MONOCYTE %[/TD] [TD]6.5[/TD] [TD]%[/TD] [TD](0.0-13.0)[/TD] [TD] [/TD] [TD]monocytes as percent of blood leukocytes[/TD] [/TR] [TR] [TD]2015/08/24[/TD] [TD]LYMPH COUNT[/TD] [TD]0.96 X10(3)/UL[/TD] [TD]10*3/mm3[/TD] [TD](0.41-5.66)[/TD] [TD] [/TD] [TD]lymphocyte count, blood[/TD] [/TR] [TR] [TD]2015/08/24[/TD] [TD]LYMPHS %[/TD] [TD]15.2[/TD] [TD]%[/TD] [TD](12.0-48.0)[/TD] [TD] [/TD] [TD]lymphocytes as percent of blood leukocytes[/TD] [/TR] [TR] [TD]2015/08/24[/TD] [TD]PMNABSOLTMAN[/TD] [TD]4.86 X10(3)/UL[/TD] [TD]{Cells}/uL[/TD] [TD](1.22-9.20)[/TD] [TD] [/TD] [TD]polymorphonuclear neutrophils, absolute, manual[/TD] [/TR] [TR] [TD]2015/08/24[/TD] [TD]PMN SEGS[/TD] [TD]76.9[/TD] [TD]%[/TD] [TD](36.0-78.0)[/TD] [TD] [/TD] [TD]neutrophils, segmented as percent of blood leukocytes[/TD] [/TR] [TR] [TD]2015/08/24[/TD] [TD]RDW[/TD] [TD]13.8[/TD] [TD]%[/TD] [TD](10.9-16.9)[/TD] [TD] [/TD] [TD]red blood cell distribution width[/TD] [/TR] [TR] [TD]2015/08/24[/TD] [TD]MCHC RBC[/TD] [TD]32.6[/TD] [TD]g/dL[/TD] [TD](29.0-35.0)[/TD] [TD] [/TD] [TD]mean corpuscular hemoglobin concentration, RBC[/TD] [/TR] [TR] [TD]2015/08/24[/TD] [TD]MCH[/TD] [TD]29.7[/TD] [TD]pg[/TD] [TD](25.0-34.1)[/TD] [TD] [/TD] [TD]mean corpuscular hemoglobin, RBC[/TD] [/TR] [TR] [TD]2015/08/24[/TD] [TD]MCV[/TD] [TD]90.9[/TD] [TD]fL[/TD] [TD](80.0-100.0)[/TD] [TD] [/TD] [TD]mean corpuscular volume, RBC[/TD] [/TR] [TR] [TD]2015/08/24[/TD] [TD]HCT[/TD] [TD]47.8[/TD] [TD]%[/TD] [TD](39.3-52.5)[/TD] [TD] [/TD] [TD]hematocrit, blood[/TD] [/TR] [TR] [TD]2015/08/24[/TD] [TD]HGB[/TD] [TD]15.6[/TD] [TD]g/dL[/TD] [TD](12.3-17.0)[/TD] [TD] [/TD] [TD]hemoglobin, blood[/TD] [/TR] [TR] [TD]2015/08/24[/TD] [TD]RBC[/TD] [TD]5.26 X10(6)/UL[/TD] [TD]10*6/mm3[/TD] [TD](4.20-5.90)[/TD] [TD] [/TD] [TD]erythrocyte (RBC) count[/TD] [/TR] [TR] [TD]2015/08/24[/TD] [TD]WBC[/TD] [TD]6.31 X10(3)/UL[/TD] [TD]10*3/mm3[/TD] [TD](3.40-11.80)[/TD] [TD] [/TD] [TD]leukocyte count, blood [/TD] [/TR] [/TABLE] [/QUOTE]
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New Labs, Help Understanding (Low Ferritin, High IGF-1, High Somatomedin)
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