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Testosterone Replacement, Low T, HCG, & Beyond
Blood Test Discussion
TRT one month in, first lab results, positive changes but little sex drive
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<blockquote data-quote="hdrider" data-source="post: 24302" data-attributes="member: 574"><p>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:</p><p></p><p>-Better mood</p><p>-More energy</p><p>-more positive outlook</p><p>-physically a little stronger. Seeing some gains on my lifts in the gym</p><p>-better sensitivity in genitals, and better orgasms</p><p>-seems to be a slight decrease in fasting blood glucose, which remains a concern</p><p></p><p>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.</p><p></p><p>Surprisingly, free T seems to be high. That's good news, right?</p><p></p><p>Before TRT:</p><p></p><p>T total 333 (ref 250-1100)</p><p>T Free 51.3 (ref 35-155)</p><p>DHEA Sulfate 291.7 (ref 71.6 - 375.4)</p><p>LH 5.0 (ref 1.7 - 8.6)</p><p>Estradiol, Sensitive 13.6 (ref 8.0 - 35)</p><p>C-reactive Protein, Quant. <.3 (ref 0-4.9)</p><p></p><p>My protocol is 100 IU HCG subq injection daily, and 1 ml of 100 mg/ml compounded T gel daily. </p><p></p><p>I also take about a dozen supplements daily, primarily vitamins, minerals, herbs, and creatine. Can post specifics if relevant.</p><p></p><p>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!</p><p></p><p>Ordered Items</p><p>CBC With Differential/Platelet; Comp. Metabolic Panel (14); Lipid Panel w/ Chol/HDL Ratio; Testosterone,Free and Total; DHEA-Sulfate;</p><p>TSH; Prostate-Specific Ag, Serum; IGF-1; Estradiol, Sensitive; Venipuncture; Cardiovascular Report</p><p>TESTS RESULT FLAG UNITS REFERENCE INTERVAL LAB</p><p>CBC With Differential/Platelet</p><p></p><p></p><p>WBC 3.1 Low x10E3/uL 3.4 - 10.8 01</p><p>RBC 4.73 x10E6/uL 4.14 - 5.80 01</p><p>Hemoglobin 14.5 g/dL 12.6 - 17.7 01</p><p>Hematocrit 42.9 % 37.5 - 51.0 01</p><p>MCV 91 fL 79 - 97 01</p><p>MCH 30.7 pg 26.6 - 33.0 01</p><p>MCHC 33.8 g/dL 31.5 - 35.7 01</p><p>RDW 12.9 % 12.3 - 15.4 01</p><p>Platelets 162 x10E3/uL 150 - 379 01</p><p>Neutrophils 41 % 01</p><p>Lymphs 44 % 01</p><p>Monocytes 10 % 01</p><p>Eos 4 % 01</p><p>Basos 1 % 01</p><p>Neutrophils (Absolute) 1.3 Low x10E3/uL 1.4 - 7.0 01</p><p>Lymphs (Absolute) 1.4 x10E3/uL 0.7 - 3.1 01</p><p>Monocytes(Absolute) 0.3 x10E3/uL 0.1 - 0.9 01</p><p>Eos (Absolute) 0.1 x10E3/uL 0.0 - 0.4 01</p><p>Baso (Absolute) 0.0 x10E3/uL 0.0 - 0.2 01</p><p>Immature Granulocytes 0 % 01</p><p>Immature Grans (Abs) 0.0 x10E3/uL 0.0 - 0.1 01</p><p>Comp. Metabolic Panel (14)</p><p>Glucose, Serum 110 High mg/dL 65 - 99 01</p><p>BUN 16 mg/dL 6 - 24 01</p><p>Creatinine, Serum 0.81 mg/dL 0.76 - 1.27 01</p><p>eGFR If NonAfricn Am 102 mL/min/1.73 >59</p><p>eGFR If Africn Am 118 mL/min/1.73 >59</p><p>BUN/Creatinine Ratio 20 9 - 20</p><p>Sodium, Serum 140 mmol/L 134 - 144 01</p><p>Potassium, Serum 4.5 mmol/L 3.5 - 5.2 01</p><p></p><p> Chloride, Serum 103 mmol/L 97 - 108 01</p><p>Carbon Dioxide, Total 23 mmol/L 18 - 29 01</p><p>Calcium, Serum 8.7 mg/dL 8.7 - 10.2 01</p><p>Protein, Total, Serum 6.4 g/dL 6.0 - 8.5 01</p><p>Albumin, Serum 4.3 g/dL 3.5 - 5.5 01</p><p>Globulin, Total 2.1 g/dL 1.5 - 4.5</p><p>A/G Ratio 2.0 1.1 - 2.5</p><p>Bilirubin, Total 0.5 mg/dL 0.0 - 1.2 01</p><p>Alkaline Phosphatase, S 44 IU/L 39 - 117 01</p><p>AST (SGOT) 20 IU/L 0 - 40 01</p><p>ALT (SGPT) 24 IU/L 0 - 44 01</p><p>Lipid Panel w/ Chol/HDL Ratio</p><p> Cholesterol, Total 172 mg/dL 100 - 199 01</p><p>Triglycerides 45 mg/dL 0 - 149 01</p><p>HDL Cholesterol 76 mg/dL >39 01</p><p>Comment 01</p><p>According to ATP-III Guidelines, HDL-C >59 mg/dL is considered a</p><p>negative risk factor for CHD.</p><p>VLDL Cholesterol Cal 9 mg/dL 5 - 40</p><p>LDL Cholesterol Calc 87 mg/dL 0 - 99</p><p>T. Chol/HDL Ratio 2.3 ratio units 0.0 - 5.0</p><p>Please Note: 01</p><p>T. Chol/HDL Ratio</p><p>Men Women</p><p>1/2 Avg.Risk 3.4 3.3</p><p>Avg.Risk 5.0 4.4</p><p>2X Avg.Risk 9.6 7.1</p><p>3X Avg.Risk 23.4 11.0</p><p>Testosterone,Free and Total</p><p> Testosterone, Serum 834 ng/dL 348 - 1197 01</p><p>Comment:</p><p>Adult male reference interval is based on a population of lean males</p><p>up to 40 years old.</p><p>Free Testosterone(Direct) 30.4 High pg/mL 7.2 - 24.0 02</p><p>DHEA-Sulfate 230.8 ug/dL 71.6 - 375.4 01</p><p>TSH 1.660 uIU/mL 0.450 - 4.500 01</p><p> Prostate-Specific Ag, Serum</p><p>Prostate Specific Ag, Serum 1.9 ng/mL 0.0 - 4.0 01</p><p> IGF-1</p><p>Insulin-Like Growth Factor I 164 ng/mL 61 - 200 02</p><p> Estradiol, Sensitive 34.8 pg/mL 8.0 - 35.0 02</p></blockquote><p></p>
[QUOTE="hdrider, post: 24302, member: 574"] 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 [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Blood Test Discussion
TRT one month in, first lab results, positive changes but little sex drive
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