Hey guys, starting my second month on TRT. I am a lean, healthy and very active 53 year old male. So far, the main changes have been:
-Better mood
-More energy
-more positive outlook
-physically a little stronger. Seeing some gains on my lifts in the gym
-better sensitivity in genitals, and better orgasms
-seems to be a slight decrease in fasting blood glucose, which remains a concern
My concern at this point is no increase in sex drive, which is still very low. It has perhaps even dropped a little. Also, little if any improvement in ED.
Surprisingly, free T seems to be high. That's good news, right?
Before TRT:
T total 333 (ref 250-1100)
T Free 51.3 (ref 35-155)
DHEA Sulfate 291.7 (ref 71.6 - 375.4)
LH 5.0 (ref 1.7 - 8.6)
Estradiol, Sensitive 13.6 (ref 8.0 - 35)
C-reactive Protein, Quant. <.3 (ref 0-4.9)
My protocol is 100 IU HCG subq injection daily, and 1 ml of 100 mg/ml compounded T gel daily.
I also take about a dozen supplements daily, primarily vitamins, minerals, herbs, and creatine. Can post specifics if relevant.
Current labs below. I have a consult scheduled with my doc for later this week, but any ideas, thoughts, or advice from you guys here? Thanks!
Ordered Items
CBC With Differential/Platelet; Comp. Metabolic Panel (14); Lipid Panel w/ Chol/HDL Ratio; Testosterone,Free and Total; DHEA-Sulfate;
TSH; Prostate-Specific Ag, Serum; IGF-1; Estradiol, Sensitive; Venipuncture; Cardiovascular Report
TESTS RESULT FLAG UNITS REFERENCE INTERVAL LAB
CBC With Differential/Platelet
WBC 3.1 Low x10E3/uL 3.4 - 10.8 01
RBC 4.73 x10E6/uL 4.14 - 5.80 01
Hemoglobin 14.5 g/dL 12.6 - 17.7 01
Hematocrit 42.9 % 37.5 - 51.0 01
MCV 91 fL 79 - 97 01
MCH 30.7 pg 26.6 - 33.0 01
MCHC 33.8 g/dL 31.5 - 35.7 01
RDW 12.9 % 12.3 - 15.4 01
Platelets 162 x10E3/uL 150 - 379 01
Neutrophils 41 % 01
Lymphs 44 % 01
Monocytes 10 % 01
Eos 4 % 01
Basos 1 % 01
Neutrophils (Absolute) 1.3 Low x10E3/uL 1.4 - 7.0 01
Lymphs (Absolute) 1.4 x10E3/uL 0.7 - 3.1 01
Monocytes(Absolute) 0.3 x10E3/uL 0.1 - 0.9 01
Eos (Absolute) 0.1 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
Comp. Metabolic Panel (14)
Glucose, Serum 110 High mg/dL 65 - 99 01
BUN 16 mg/dL 6 - 24 01
Creatinine, Serum 0.81 mg/dL 0.76 - 1.27 01
eGFR If NonAfricn Am 102 mL/min/1.73 >59
eGFR If Africn Am 118 mL/min/1.73 >59
BUN/Creatinine Ratio 20 9 - 20
Sodium, Serum 140 mmol/L 134 - 144 01
Potassium, Serum 4.5 mmol/L 3.5 - 5.2 01
Chloride, Serum 103 mmol/L 97 - 108 01
Carbon Dioxide, Total 23 mmol/L 18 - 29 01
Calcium, Serum 8.7 mg/dL 8.7 - 10.2 01
Protein, Total, Serum 6.4 g/dL 6.0 - 8.5 01
Albumin, Serum 4.3 g/dL 3.5 - 5.5 01
Globulin, Total 2.1 g/dL 1.5 - 4.5
A/G Ratio 2.0 1.1 - 2.5
Bilirubin, Total 0.5 mg/dL 0.0 - 1.2 01
Alkaline Phosphatase, S 44 IU/L 39 - 117 01
AST (SGOT) 20 IU/L 0 - 40 01
ALT (SGPT) 24 IU/L 0 - 44 01
Lipid Panel w/ Chol/HDL Ratio
Cholesterol, Total 172 mg/dL 100 - 199 01
Triglycerides 45 mg/dL 0 - 149 01
HDL Cholesterol 76 mg/dL >39 01
Comment 01
According to ATP-III Guidelines, HDL-C >59 mg/dL is considered a
negative risk factor for CHD.
VLDL Cholesterol Cal 9 mg/dL 5 - 40
LDL Cholesterol Calc 87 mg/dL 0 - 99
T. Chol/HDL Ratio 2.3 ratio units 0.0 - 5.0
Please Note: 01
T. Chol/HDL Ratio
Men Women
1/2 Avg.Risk 3.4 3.3
Avg.Risk 5.0 4.4
2X Avg.Risk 9.6 7.1
3X Avg.Risk 23.4 11.0
Testosterone,Free and Total
Testosterone, Serum 834 ng/dL 348 - 1197 01
Comment:
Adult male reference interval is based on a population of lean males
up to 40 years old.
Free Testosterone(Direct) 30.4 High pg/mL 7.2 - 24.0 02
DHEA-Sulfate 230.8 ug/dL 71.6 - 375.4 01
TSH 1.660 uIU/mL 0.450 - 4.500 01
Prostate-Specific Ag, Serum
Prostate Specific Ag, Serum 1.9 ng/mL 0.0 - 4.0 01
IGF-1
Insulin-Like Growth Factor I 164 ng/mL 61 - 200 02
Estradiol, Sensitive 34.8 pg/mL 8.0 - 35.0 02
