Pre/Post 8 month Labs, HCT/E2 questions.

[daves52380]

I wanted some advice if you guys have a chance to look at my results. I have been on therapy for about eight months. I do .5 ml (100mgs) every 3.5 days with 29ga 5/8" in shoulders. I'm 36 years old.


At my last Dr visit, Dr is concerned that HCT is too high and is suggesting phlebotomy. My blood pressure is good and has been improving since last year. Last check was 120/75.

Other issue is estrogen, he's is concerned it is too high and he wants to discuss using an AI which I would prefer not to use if I can avoid it. I remember reading somewhere about the 1/20 Test/E ratio but not sure about the validity it merits. My numbers would put me at 1/18.

What do you guys think of these labs? I posted Pre TRT and post 9 months to date. I feel great, have good energy, good boners, etc.. Any advice is greatly appreciated. Labs taken right before next injection, 3.5 days from last dose at my trough.

Pre TRT LABS
05/10/16

• 20160601075238633.pdf (484.9 KB)

*LINK AT BOTTOM OF POST*

Post TRT after 8 months 01/11/17

• Schwartz, D. - Laboratory reports Jan2017 - 2017.01.18.pdf (581.2 KB)

*LINK AT BOTTOM OF POST*

 

[Vince]

It's really hard to read your labs, could you please repost them. You could even start a new thread.

 

[johndoesmith]

Vince is right, those are really hard to read, repost them.

When were these taken relative to injection?

I think HCT is 54, which is super high, definitely donate.

 

[daves52380]

I'm sorry about the quality of the images, they are all originally from PDF and I can only screenshot them and that makes them blurry. I'm trying to figure out how to make them better. Thanks

 

[daves52380]

Thanks for your patience, I was able to upload both PDF files at the bottom of my original post. Lab was done just prior to next injection which is 3.5 days after last dose at my trough. Let me know what you think of HCT and my test/estrogen levels. Thanks

 

[Vince Carter]

All the wrong Estrogen tests...these are of no use to you. You need the UltraSensitive LC/MS/MS testing....this is designed for males. Anything else is basically for females and of no use to you. And that's the ONLY test you need...Estrone (no), total Estrogens (no).

 

[daves52380]

Vince, thanks for looking at the Labs. I'm so confused, I was told I'm seeing one of the leading Dr's for this. I was referred by Nelson. I went to aruplab.com to look at the tests offered. I found four different Estrodiol test a couple as liquid chromatography tandem mass spectrometry as you mentioned and another fractional MS another is Free Estrodiol LC/MS/MS. Will any test that is LC/MS/MS work for sensitive? I'm completely confused, you would think with the growth of TRT treatment in recent years that this would be clarified with a specific test for men or make if fool proof when ordering tests. Seems like this is happening to more rather ten less guys trying to get this right. Here's what I found, seems to me the first three tests are ok for men as they are all LC/MS/MS and the last one (the test I was given) is not ok because it is fractional MS?

Free Estradiol by ED/LC-MS/MShttp://ltd.aruplab.com/Tests/Pub/2006160

[TD="class: resultMnemonic"]2006160[/TD] [TD="class: resultTestName"]

[/TD]

 

[Vince Carter]

Of those I would choose 0093247 Estradiol, Males, Children or Postmenopausal Females by Tandem Mass Spectrometry http://ltd.aruplab.com/Tests/Pub/0093247

 

[Vince Carter]

This is what and where a lot of us get our tests from and this is for certain the correct test:

http://www.discountedlabs.com/estradiol-sensitive-lc-ms-ms/

 

[daves52380]

Thanks, I'm going to call the office today and inform them that they ordered the wrong tests. As far as HCT, does it seem it is going to high? suggestions on how to get it in check before routine phlebotomy? Could high estradiol cause increase in HCT as I read a thread here on theory to that

 

[CoastWatcher]

Thanks, I'm going to call the office today and inform them that they ordered the wrong tests. As far as HCT, does it seem it is going to high? suggestions on how to get it in check before routine phlebotomy? Could high estradiol cause increase in HCT as I read a thread here on theory to that

Estradiol is not the cause of rising hematocrit. Go and donate - it's the only way to bring your levels back into line.

 

[Vince Carter]

Elevated HCT is almost the number 1 sideeffect of TRT, you can't necessarily "keep it in check" by way of anything but blood donation. There is some idea floating around about 3-4g of Fish Oil and/or 81mg aspiring to keep the platelets "slippery", but blood donation is the way to go.

 

[johndoesmith]

Of those I would choose 0093247 Estradiol, Males, Children or Postmenopausal Females by Tandem Mass Spectrometry http://ltd.aruplab.com/Tests/Pub/0093247

Vince, OP had http://ltd.aruplab.com/Tests/Pub/0093248 ran, which measures E2 by TMS, "Quantitative High Performance Liquid Chromatography-Tandem Mass Spectrometry" which as far as I know is another way of saying LC/MS-MS.

OP had the correct tests ran, estrone and total estrogens aren't important at all but are interesting to know.