Recent Results - Please Advise

[bruin]

Have changed Dr's recently...........not the greatest mix, but I tihnk slighly better group of providers than before.
Me 59 y/o male, history of hormonal, fertility issues since my mid 20's,
currently on Cyp/Prop, sub q 2x's a week, and HCG 2x's a week.

Have recently undergone an ultrasound of heart, which is slighltly above the normal size, large, but that was attributed to my "athleticism" the valvee were also above avg, but within good limits.
Prostrate and testicular ultrasounds came back within normal, good range, condition.

Please Advise, Guys

FSH and LH

LH <0.2 Low mIU/mL 1.7 - 8.6 01

FSH <0.2 Low mIU/mL 1.5 - 12.4 01Testosterone,

Serum Testosterone,

Serum 1402 High ng/dL 348 - 1197 01

hCG,Beta Subunit,
Qnt, Serum
hCG,
Beta Subunit,Qnt,Serum <1 mIU/mL 0 - 3 01 Roche ECLIA methodology

CBC With Differential/Platelet

WBC 3.8 x10E3/uL 3.4 - 10.8 01
RBC 4.88 x10E6/uL 4.14 - 5.80 01
Hemoglobin 15.7 g/dL 12.6 - 17.7 01
Hematocrit 47.1 % 37.5 - 51.0 01
MCV 97 fL 79 - 97 01
MCH 32.2 pg 26.6 - 33.0 01
MCHC 33.3 g/dL 31.5 - 35.7 01
RDW 14.1 % 12.3 - 15.4 01

Platelets 96 Alert x10E3/uL 150 - 379 01 Platelet count verified by examination of peripheral blood smear.

Neutrophils
41 % 01 Occasional myelocyte seen on scanning.
Lymphs 48 % 01
Monocytes 9 % 01
Eos 1 % 01
Basos 1 % 01
Neutrophils (Absolute) 1.6 x10E3/uL 1.4 - 7.0 01
Lymphs (Absolute) 1.8 x10E3/uL 0.7 - 3.1 01
Monocytes(Absolute) 0.4 x10E3/uL 0.1 - 0.9 01
Eos (Absolute) 0.0 x10E3/uL 0.0 - 0.4 01
Baso (Absolute) 0.0 x10E3/uL 0.0 - 0.2 01
Immature Granulocytes 0 % 01
Immature Grans (Abs) 0.0 x10E3/uL 0.0 - 0.1 01
Hematology Comments: Note: 01 Verified by microscopic examination.

Comp Metabolic Panel

Glucose, Serum 87 mg/dl 65 - 99
BUN 12 6 - 24
Creatnine, Serum 1.06 0.76 - 1.27


eGFR If NonAfricn Am 77 mL/min /1.73 >59
eGFR If Africn Am 89 mL/min/ 1.73 >59
BUN/Creatinine Ratio 11 9 - 20
Sodium, Serum 141 mmol/L 134 - 144 01
Potassium, Serum 4.7 mmol/L 3.5 - 5.2 01
Chloride, Serum 102 mmol/L 96 - 106 01
Carbon Dioxide, Total 26 mmol/L 18 - 29 01
Calcium, Serum 9.5 mg/dL 8.7 - 10.2 01
Protein, Total, Serum 7.2 g/dL 6.0 - 8.5 01
Albumin, Serum 4.4 g/dL 3.5 - 5.5 01
Globulin, Total 2.8 g/dL 1.5 - 4.5
A/G Ratio 1.6 1.2 - 2.2
Bilirubin, Total 0.4 mg/dL 0.0 - 1.2 01
Alkaline Phosphatase, S 70 IU/L 39 - 117 01
AST (SGOT) 23 IU/L 0 - 40 01
ALT (SGPT) 15 IU/L 0 - 44 01

Lipid Panel

Cholesterol, Total 183 mg/dL 100 - 199 01
Triglycerides 91 mg/dL 0 - 149 01
HDL Cholesterol 45 mg/dL >39 01
VLDL Cholesterol Cal 18 mg/dL 5 - 40
LDL Cholesterol Calc 120 High mg/dL 0 - 99

PSA Total+% Free

Prostate Specific Ag,
Serum 0.6 ng/mL 0.0 - 4.0 01 Roche ECLIA methodology. According to the American Urological Association, Serum PSA should decrease and remain at undetectable levels after radical prostatectomy. The AUA defines biochemical recurrence as an initial PSA value 0.2 ng/mL or greater followed by a subsequent confirmatory PSA value 0.2 ng/mL or greater. Values obtained with different assay methods or kits cannot be used interchangeably. Results cannot be interpreted as absolute evidence of the presence or absence of malignant disease. PSA, Free 0.23 ng/mL N/A 01 Roche ECLIA methodology. % Free PSA 38.3 %

 

[1Draw]

Unless I missed it don’t see your free T or Estradiol Sensitive. How much Cyp/prop do you inject each injection? Also your platelets are very low.

 

[bruin]

Free T was not ordered, not considered relevant by the Dr., I have what I have. Needless to say he has discharged me, after the last test results of LH and FSH came back.....so low.

I am injecting 150 ml weekly, I split the dose.
100 ml hcg weekly

 

[bruin]

Estradiol Sensitive. 46.5 High. Pg/ml 8.0 _ 35.0

 

[FeelingLost]

Free T was not ordered, not considered relevant by the Dr., I have what I have. Needless to say he has discharged me, after the last test results of LH and FSH came back.....so low.

I am injecting 150 ml weekly, I split the dose.
100 ml hcg weekly

Your LH and FSH are perfectly normal for a person injecting T. I can't believe your doc did not know this. Time for a new doctor.
IMO your 150/wk is a bit high if your blood test was your trough. In time your E2 and possibly prolactin will go up and out of range.
If you don't plan on taking an AI I would cut back to 120/wk in hopes the E2 will stay in range. I am surprised your HCT is so low at that T dose. Are you donating blood?
Everyone is different and only extra blood test along the way will tell you what is really happening.

Other comments:
LDL is really hard to increase when you are on TRT. I worry more about total C, triglycerides, glucose, and A1C for general health.

 

[bruin]

Thanks for your input
That dr is no more
Never donated blood
Have never taken an ai

The new dr has me on a two week injection schedule.....we don't need to discuss that .......I was more about keeping the rx could not convince him about the need to run labs but the following day had aurologist consult and am getting new labs, I'll stick with my own regimen,

 

[CoastWatcher]

Curious what your SHBG is that you adopted the multi-ester protocol?