Self treating 18 months by symptom resolution only - lab confirmation

[Re-Ride]

trough on 2x weekly protocol t cyp IM , draw 4/13/2018. My endo: "Your Free T is way to high" He always says that. Too high for what? Hematocrit came down on its own from the month prior. No phlebotomy. IMO one can hit fairly close to where they need to be by feel alone. Granted, E2 is high but I have many underlying health issues. Obtaining these labs was a herculean effort.

methodologies:
Tot and Free Test Quest #36170 LC/MS/MS
Estradiol ultra sensitive 63 and by standard IF test 59. Very similar!

[FONT=&quot]Testosterone Total 250 - 1,100 ng/dL 797 [/FONT]
[FONT=&quot]Testosterone Free 35.0 - 155.0 pg/mL 175.4 (H)

[/FONT][FONT=&quot]Estradiol (E2) <40 pg/mL 63 (H) 59 (H) no AI

[/FONT][FONT=&quot]Progesterone 0.3 - 1.2 ng/mL 0.5 [/FONT]
[FONT=&quot]Prolactin 2.1 - 17.7 ng/mL 10.6 [/FONT]
[FONT=&quot]Pregnenolone 22 - 237 ng/dL 10 (L) [/FONT]
[FONT=&quot]Vitamin B6 2.1 - 21.7 ng/mL 17.4 [/FONT]
[FONT=&quot]SEX HORM BINDING GLOB, SERUM 11.0 - 78.0 nmol/L 13.2 [/FONT]
[FONT=&quot]Vitamin D, 25-HYDROXY 20 - 80 ng/mL 43 [/FONT]
[FONT=&quot]Prostatic Specific Antigen (PSA) 0.0 - 4.0 ng/mL 1.25

[/FONT][FONT=&quot]DHEA Sulfate 25 - 95 ug/dL 281 (H)

[/FONT][FONT=&quot]Albumin 3.2 - 4.7 g/dL 4.2 4.2 [/FONT]
[FONT=&quot]Bilirubin Total <1.1 mg/dL 0.8 0.8 [/FONT]
[FONT=&quot]Alkaline Phosphatase 26 - 137 U/L 54 54 [/FONT]
[FONT=&quot]AST 0 - 37 U/L 23 23 [/FONT]
[FONT=&quot]ALT 0 - 60 U/L 37 37 [/FONT]
[FONT=&quot]WBC 4.0 - 11.0 K/uL 9.0 9.0 [/FONT]
[FONT=&quot]RBC 4.40 - 6.00 M/uL 5.45 5.45 [/FONT]
[FONT=&quot]Hemoglobin 13.5 - 18.0 g/dL 17.4 17.4 [/FONT]
[FONT=&quot]Hematocrit 40.0 - 52.0 % 50.1 50.1 [/FONT]
[FONT=&quot]MCV 80 - 100 fL 92 92 [/FONT]
[FONT=&quot]MCH 27.0 - 33.0 pg 31.9 31.9 [/FONT]
[FONT=&quot]MCHC 31.0 - 36.0 g/dL 34.7 34.7 [/FONT]
[FONT=&quot]RDW <16.4 % 13.6 13.6 [/FONT]
[FONT=&quot]Platelet Count 150 - 400 K/uL 176 176

[/FONT][FONT=&quot]Hemoglobin A1c 4.8 - 5.6 % 5.3 [/FONT][FONT=&quot]
Glucose 70 - 99 mg/dL 87 87 [/FONT]
[FONT=&quot]Urea Nitrogen (BUN) 6 - 25 mg/dL 16 16 [/FONT]
[FONT=&quot]Creatinine 0.50 - 1.30 mg/dL 1.17 1.17

[/FONT][FONT=&quot]Cholesterol <200 mg/dL 192 [/FONT]
[FONT=&quot]Triglycerides <150 mg/dL 198 (H) [/FONT]
[FONT=&quot]HDL Cholesterol >40 mg/dL 42 [/FONT]
[FONT=&quot]LDL Cholesterol <130 mg/dL 110 [/FONT]
[FONT=&quot]Cholesterol/HDL Ratio <5.0 4.6 [/FONT]
[FONT=&quot]VLDL Cholesterol (Calculated) 5.0 - 40.0 mg/dL 40

[/FONT][FONT=&quot]C Peptide 0.8 - 3.1 ng/mL 3.8 (H) [/FONT]
[FONT=&quot]Vitamin B12 211 - 911 pg/mL 1,522 (H) [/FONT]
[FONT=&quot]C Reactive Protein Inflammatory 0 - 9 mg/L 6.1 [/FONT][FONT=&quot]

[/FONT]Prior results were not by LC/MS and are questionable.
[TABLE="class: cms_table, width: 100%"]
[TR="class: cms_table_header cms_table_bottomheader, bgcolor: transparent"]
[TH="class: cms_table_name cms_table_fixed, align: center"]NameStandard Range[/TH]
[TH="class: cms_table_scroll, align: center"]2/10/15[/TH]
[TH="class: cms_table_scroll, align: center"]5/21/15[/TH]
[TH="class: cms_table_scroll, align: center"]9/8/15[/TH]
[TH="class: cms_table_scroll, align: center"]11/13/15[/TH]
[TH="class: cms_table_scroll, align: center"]12/1/15[/TH]
[TH="class: cms_table_scroll, align: center"]12/31/15[/TH]
[TH="class: cms_table_scroll, align: center"]1/19/16[/TH]
[TH="class: cms_table_scroll, align: center"]6/1/16[/TH]
[TH="class: cms_table_scroll, align: center"]11/7/16[/TH]
[TH="class: cms_table_scroll, align: center"]1/17/17[/TH]
[TH="class: cms_table_buffer cms_table_scroll, align: center"][/TH]
[/TR]
[TR="class: cms_table_odd cms_table_alertItem, bgcolor: #F9F9F9"]
[TD="class: cms_table_name cms_table_fixed"]Testosterone Total240 - 871 ng/dL[/TD]
[TD="class: cms_table_scroll"]298[/TD]
[TD="class: cms_table_scroll"]693[/TD]
[TD="class: cms_table_scroll"]541[/TD]
[TD="class: cms_table_rsltflag_4 cms_table_scroll"]116 L[/TD]
[TD="class: cms_table_scroll"]725[/TD]
[TD="class: cms_table_scroll"]459[/TD]
[TD="class: cms_table_scroll"]429[/TD]
[TD="class: cms_table_scroll"]574[/TD]
[TD="class: cms_table_rsltflag_5 cms_table_scroll"]1,133 H[/TD]
[TD="class: cms_table_rsltflag_5 cms_table_scroll"]invalid[/TD]
[TD="class: cms_table_buffer cms_table_rsltflag_5 cms_table_scroll"][/TD]
[/TR]
[TR="class: cms_table_alertItem"]
[TD="class: cms_table_name cms_table_fixed"]Testosterone Free35.0 - 155.0 pg/mL[/TD]
[TD="class: cms_table_scroll"]87.8[/TD]
[TD="class: cms_table_scroll"][/TD]
[TD="class: cms_table_scroll"]113.4[/TD]
[TD="class: cms_table_scroll"][/TD]
[TD="class: cms_table_scroll"][/TD]
[TD="class: cms_table_scroll"]82.9[/TD]
[TD="class: cms_table_scroll"]17.2[/TD]
[TD="class: cms_table_scroll"]153.0[/TD]
[TD="class: cms_table_rsltflag_5 cms_table_scroll"]325.4 H[/TD]
[/TR]
[/TABLE]

 

[ratbag]

Your numbers look good to me... the real question is how do you feel? There is room to increase your pregnalone but there is nothing wrong with your TT or Free T. You are a low SHBGer so it's possibe you'll benefit from more frequent injections. Also this would help decrease your E2. Search here for low SHBG to get a feel for what I'm suggesting.

 

[Vettester Chris]

Wondering where they get their DHEA reference range? 25 -to-95??

 

[Re-Ride]

Thanks ratbag. I offer this as proof that self treat by feel is possible. Can't wait for the "high free T" lecture from the endo. I should address the E2. I've done EOD. Injection fatigue. Attributing symptoms to any specific cause is difficult. Tick borne disease is suspect. Moldy place with leaky roof. Underlying chronic inflammation. Excess weight which is fairly recent and related to increasing physical limitations.

Just started Vascepa which is icosapent ethyl an Rx Omega EPA ester for trigs. Had been on Lovaza . Plateaued at 43 D,25-Hydroxy on 50k cholcalciferol/week. COQ10, r-a-lipoic, NAC,SAM-e, melotonin, milk thistle, sometimes NALT,ALCAR,Glutamine,Citrulline, glycine, whey isolate, L-theanine, leucine.