Recent Yearly Bloodwork- some help please!

[JmAch]

Would like some assistance from the great minds on here regarding my recent labs. Some history= I am 52 yo, 6'1" and 220lbs, but muscular build as I lift heavy 3x week and am in good shape for my age (so I think). Been on TRT for about 10 yrs now. I have had primary hypertension since my 20's, and on meds for it all these years, but BP always in 140's over 80's typically. Otherwise completely unremarkable medical history.
I am including my labs for review, along with my TRT protocol and supplement/ meds list.
***Important*** Just before these labs, I had a UTI/ prostatitis for the first time ever, and did 7 days of Bactrim to resolve it. Labs were drawn 3 days after last dose of Bactrim and UTI treated.
My main concerns are: My PSA markedly increased (But I suspect this MUST be from the UTI described above), and my TRIGLYCERIDES shot up as my HDL shot down by large amounts. Cannot reason such a jump as no real diet changes, TRT dose actually pared back, and using Metamucil as well for more fiber.
Feel good at current TRT level, but libido has been lagging (was raging on higher levels) and morning erections have been non-existent for some time now.
I know that my sleep hygiene is not the best, I can only manage about 5-6 hours a night except on weekends. I am working to try for more hours of sleep, as this is not good either.
CURRENT TRT PROTOCOL: Pinning on Monday a.m and Thursday p.m, IM in deltoids. 70 mg Test Cyp/week along with 1000 units Pregnyl HcG/ week in same 29 ga. syringe. Works well for me.

Here are my included labs and SUPPLEMENTS/ MEDICATIONS I take daily:

MEDICATIONS: Olmasartin 40 mg Doxazosin 8mg (split am/pm) Cialis 5mg. daily and Baby Aspirin 81 mg.

SUPPLEMENTS: Creatine Monohydrate 5g. on workout days Vit. D3 10,000 units Vit. K2 complex DHA/Fish Oil cap Vit.E 400 NAC 1200mg Sam-E 400 mg Boron 3mg Vit. C 2000mg Fenugreek 1200mg Ashwaganda 1000mg DAA/DIM complex 3g/250mg CoQ10 100mg Niacin (starting post labs) 1000mg Pygeum 100mg Kyolic Garlic BP 800mg DHEA caps 25 mg LArginine/L Citrulline caps 6g. B-12/Methyl Folate 1000/400 mcg

NIGHTTIME: Melatonin 6mg Zinc/Copper 50mg 5HTP 100mg GABA 750 mg L-Theanine 200mg and Magnesium Glycinate 400mg

Sorry for such long post, but looking for any advice and input you may have- THANKS ALL!

 

[JmAch]

Dang it- didn't get the page on here with LIPIDS - here it is:

Also forgot to mention I have been taking Iron 25mg to increase Ferritin level.

 

[Systemlord]

The MCV is always at the bottom when iron is low or subpar. Just because ferritin is normal doesn’t mean it is for you.

Doctors get hung up on this. My MCV was at the bottom when I had iron deficiency without anemia. The symptoms were quite severe!

 

[JmAch]

Thank you Systemlord- I had not even realized this...makes sense with MCV and MCH on low end. I have been taking Iron bisglycinate form 25 mg daily for a couple months now and see my Ferritin level has come up. Is this a good amount and the best form to take? What level of ferritin should I be aiming for to feel optimal?

 

[Systemlord]

Is this a good amount and the best form to take?

end. I have been taking Iron bisglycinate form 25 mg

It’s at the top of the list. I don’t think it’s enough. Most people with iron deficiency, doctors aim for ferritin 100>. It’s been documented, people can have iron problems below ferritin of <100.

If this was my ferritin at 70, I would increase to 2-3 capsules.

 

[JmAch]

I am upping to 2-3 caps and will assess. Does anyone have some input as to why my Triglyceride and HDL levels jumped so intensely in bad directions?? And though I like the way I am feeling and my Testo/ E2 results at trough here, not sure why morning erections gone and libido seems lower?
I still have to suspect PSA level rose due to the recent UTI so close to my lab draw...will have retested soon just to double check.