Understanding my labs

[BobF]

Greetings.

Current labs and I am trying to understand this mess. Been on Test injectable, transdermal, gel, compounds for two decades. Each doctor I have is against TRT (top Endocrinologist, urologist, Internist, cardiologist) and the one that's for it is a bit crazy and reckless (general that is known in hormone therapy). Without going through the whole trainwreck of their opinions, I would like to get some other opinions. No one will explain all the correlations, I have a lot of available but minor bound.

I have been off all Test for 8 months, nothing else is being used other than blood pressure, thyroid meds.

 

[Cataceous]

We don't really need a free T calculator to see that your free testosterone is abysmal. But anyway, with Tru-T it's 7 ng/dL with a 16-31 reference range. In your results they are using the older, less-accurate Vermeulen method. Even then, 5 ng/dL is definitively low. Disregard bioavailable T. Free T is low enough to say that you are hypogonadal.

 

[madman]

Greetings.

Current labs and I am trying to understand this mess. Been on Test injectable, transdermal, gel, compounds for two decades. Each doctor I have is against TRT (top Endocrinologist, urologist, Internist, cardiologist) and the one that's for it is a bit crazy and reckless (general that is known in hormone therapy). Without going through the whole trainwreck of their opinions, I would like to get some other opinions. No one will explain all the correlations, I have a lot of available but minor bound.

I have been off all Test for 8 months, nothing else is being used other than blood pressure, thyroid meds.

Regardless of you having low SHBG.....your piss poor TT would have your FT in the gutter!

You definitely should be on trt.....let alone go the pay out of pocket route as the doctor treating you is a clown at best.

 

[BobF]

My numbers have been much worse, double digits. I have some great docs, but damn they just trash on TRT. Feel like shit, especially being on it over two decades. The unfortunate side is my hemoglobin and hematocrit have become almost sensitive to Test. As soon as I go back on, it rises fast and out of range, not even blood donating would keep it in range. Oddly, having been off so long they are still slightly out of range by a point or two, used to never be this way. I was on a compounded 12% transdermal cream, for 15 years more recently they moved me to a 1.6% but was giving me so much attitude. I have a Hyperparathyroidism surgery in several weeks, will revisit this post surgery. Between the Hyperparathyroidism and low T it's a bad ride

 

[BobF]

Regardless of you having low SHBG.....your piss poor TT would have your FT in the gutter!

You definitely should be on trt.....let alone go the pay out of pocket route as the doctor treating you is a clown at best.

Insurance was paying and will pay..

 

[Cataceous]

Did you ever try Clomid? Any interest in enclomiphene? I wonder if these would have less impact on H&H.

 

[BobF]

Never tried Clomid, etc but had been advised earlier this year test phenylpropionate as it's very fast acting and will not effect my H/H plus hits the receptors differently

 

[Vince]

My numbers have been much worse, double digits. I have some great docs, but damn they just trash on TRT. Feel like shit, especially being on it over two decades. The unfortunate side is my hemoglobin and hematocrit have become almost sensitive to Test. As soon as I go back on, it rises fast and out of range, not even blood donating would keep it in range. Oddly, having been off so long they are still slightly out of range by a point or two, used to never be this way. I was on a compounded 12% transdermal cream, for 15 years more recently they moved me to a 1.6% but was giving me so much attitude. I have a Hyperparathyroidism surgery in several weeks, will revisit this post surgery. Between the Hyperparathyroidism and low T it's a bad ride

Can you post your hemoglobin and hematocrit levels. It would be interesting to see them.

 

[Cataceous]

Never tried Clomid, etc but had been advised earlier this year test phenylpropionate as it's very fast acting and will not effect my H/H plus hits the receptors differently

I expect testosterone propionate is faster acting; it certainly has a shorter half-life. Neither is going to hit "receptors differently," and both will affect H&H. There are indications that the nasal gel, Natesto, is so fast acting that it is not suppressive of the HPTA. This could suggest reduced H&H impact as well. I've speculated that something similar might be achieved with testosterone base, but most guys aren't going to be enthusiastic about multiple daily injections.

 

[madman]

Never tried Clomid, etc but had been advised earlier this year test phenylpropionate as it's very fast acting and will not effect my H/H plus hits the receptors differently

Never tried Clomid, etc but had been advised earlier this year test phenylpropionate as it's very fast acting


Regarding injectables.....testosterone enanthate and cypionate are the two most commonly used esters on trt.

Enanthate- 7-carbon aliphatic ester side-chain

Cypionate- 8 carbon aliphatic ester side-chain

Testosterone phenylpropionate is by no means very fast acting as it has a longer duration of action due to the 9-carbon aliphatic ester side-chain as opposed to the fast-acting short 3-carbon aliphatic ester side-chain of testosterone propionate.




and will not effect my H/H plus hits the receptors differently[

Hogwash!

Regardless of the T-ester used anytime one uses exogenous testosterone as T-levels increase it will result in an increase in one's hemoglobin/hematocrit which will happen within the first 1-3 months and can take up to 9-12 months to reach peak levels.

Injecting higher doses of T less frequently will result in higher supra-physiological peaks which will have an impact on increasing H/H.

Running a higher TT/FT level will result in a higher H/H level.

Complete bull**** that it hits the receptors differently.....once the ester is cleaved all that is left is the testosterone molecule.

The main purpose of the ester is to control the release rate.

 

[Systemlord]

Each doctor I have is against TRT (top Endocrinologist, urologist, Internist, cardiologist) and the one that's for it is a bit crazy and reckless (general that is known in hormone therapy).

The fact is there are a lot of doctors out there that still believe TRT causes prostate cancer, heart attacks and strokes, all I can say is I feel sorry for those them because none of it is actually true.

There are a lot of poor quality studies that have doctors frightened, but slowly the BS is being exposed and TRT more accepted, it's just going to take more time for the mainstream to come around and be more acceptant of TRT.

 

[BobF]

Hemoglobin 16.6 range 13-17
Hematocrit 52.2 range 39.6-52

Again, clear of any TRT, etc... Nothing including OTC and I am out of range and at the top of range. So, 8 oz of blood taken drops me 2 points this I know very well. I get mid range and it flies back up and out of range.

 

[Vince]

Hemoglobin 16.6 range 13-17
Hematocrit 52.2 range 39.6-52

Again, clear of any TRT, etc... Nothing including OTC and I am out of range and at the top of range. So, 8 oz of blood taken drops me 2 points this I know very well. I get mid range and it flies back up and out of range.

When I first started trt, I was donating blood every 8 weeks. It was a pain but it did keep my HCT in range. Thankfully after about 2 years, my HCT stabilized. I haven't needed to donate blood now for almost 3 years.

 

[BobF]

For the first decade non issue, then became an issue. Giving blood every two months sufficed for about 5 years and then it wasn't enough. Then I would plug myself with an IV set every 45 days. Then I just quit as there was no winning and getting rediculous. Whether injectable, transdermal they ran up rapidly even in small amounts. Researching these past days, seems as we get older this is the phenomenon, my labs are not any different for someone near 60. They have no idea why in the research tests, other than what you see in mine. So, the answer is no answer. It's back to blood letting, running labs monthly or nothing as I see it. Thank you all for the input and education