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Testosterone Replacement, Low T, HCG, & Beyond
Blood Test Discussion
Thoughts on new labs?
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<blockquote data-quote="Gene Devine" data-source="post: 2844" data-attributes="member: 4"><p>Here's my quick assessment.</p><p></p><p>While we're seeing more and more younger guys (relatively speaking) presenting with low testosterone serum levels you want to rule out all pathologies first and foremost. </p><p></p><p>I didn't see a Prolactin lab; this would go to help rule out a Pituitary Adenoma which can cause Hypogonadism. </p><p></p><p>Your Total and Free Testosterone labs are still somewhat suppressed even at 100 mg of T Cyp per week. The increase in your dosage will see that rise for sure.</p><p></p><p>Be careful about the Anastrozole; this drug is a very powerful antagonist in men and can drop your E2 fast. While our labs show your E2 assay was a bit elevated I don't think it was anything to worry about. The increase in dosage will most likely see E2 elevate more so the AI will help with that.</p><p></p><p>I may suggest that you consider splitting the 200 mg per week into twice weekly shots of 100 mg. This will help provide more stable Testosterone serum levels and help reduce aromatase synthesis. </p><p></p><p>You may want to start giving blood <u>every month</u>. Your Hematocrit levels are at the top of the reference range and you don't want Polycythemia as your Doc will most likely stop your treatments as this can be a life threatening condition. </p><p></p><p>I am a little surprised about the Thyroid meds as your T4 and T3 look pretty solid. What was your Doc's rational for this?</p><p></p><p>Do you supplement with daily DHEA and Pregnenolone?</p><p></p><p>From my point of view, you have a knowledgeable Doctor and your course of action seemingly correct.</p><p></p><p>If it were me, I'd do the twice weekly injections. It had a profound effect on my protocol and eliminated the need for an AI. </p><p></p><p>Keep us posted <u>in this thread </u>on your progress, any changes or new symptoms (watch for low E2) and your next round of blood work. </p><p></p><p>BTW, one last question: in the past, have you ever used steroids for performance reasons?</p></blockquote><p></p>
[QUOTE="Gene Devine, post: 2844, member: 4"] Here's my quick assessment. While we're seeing more and more younger guys (relatively speaking) presenting with low testosterone serum levels you want to rule out all pathologies first and foremost. I didn't see a Prolactin lab; this would go to help rule out a Pituitary Adenoma which can cause Hypogonadism. Your Total and Free Testosterone labs are still somewhat suppressed even at 100 mg of T Cyp per week. The increase in your dosage will see that rise for sure. Be careful about the Anastrozole; this drug is a very powerful antagonist in men and can drop your E2 fast. While our labs show your E2 assay was a bit elevated I don't think it was anything to worry about. The increase in dosage will most likely see E2 elevate more so the AI will help with that. I may suggest that you consider splitting the 200 mg per week into twice weekly shots of 100 mg. This will help provide more stable Testosterone serum levels and help reduce aromatase synthesis. You may want to start giving blood [U]every month[/U]. Your Hematocrit levels are at the top of the reference range and you don't want Polycythemia as your Doc will most likely stop your treatments as this can be a life threatening condition. I am a little surprised about the Thyroid meds as your T4 and T3 look pretty solid. What was your Doc's rational for this? Do you supplement with daily DHEA and Pregnenolone? From my point of view, you have a knowledgeable Doctor and your course of action seemingly correct. If it were me, I'd do the twice weekly injections. It had a profound effect on my protocol and eliminated the need for an AI. Keep us posted [U]in this thread [/U]on your progress, any changes or new symptoms (watch for low E2) and your next round of blood work. BTW, one last question: in the past, have you ever used steroids for performance reasons? [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Blood Test Discussion
Thoughts on new labs?
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