26 years old, on TRT, bloodwork included, need some advice

[wolfman010]

Hello everyone,
I just wanted to drop in and get some advice from the people here on my protocol and if my doc should have tried anything else before putting me on TRT. Like the title of the thread mentions, I'm 26, 5'10", about 235lbs. I got bloodwork because I was feeling run down, gaining weight, depressed, no sex drive, etc. Here are the results:

Testosterone, Serum 311 Low ng/dL 348 - 1197 01
Free Testosterone(Direct) 8.2 Low pg/mL 9.3 - 26.5 02
Thyroxine (T4) Free, Direct, S
T4,Free(Direct) 1.31 ng/dL 0.82 - 1.77 01
TSH 1.850 uIU/mL 0.450 - 4.500 01
Luteinizing Hormone(LH), S
LH 2.7 mIU/mL 1.7 - 8.6 01
Estradiol 30.6 pg/mL 7.6 - 42.6 01
Roche ECLIA methodology
Prostate-Specific Ag, Serum
Prostate Specific Ag, Serum 0.6 ng/mL 0.0 - 4.0 01
IGF-1
Insulin-Like Growth Factor I 192 ng/mL 98 - 282 02
T3 Uptake 27 % 24 - 39 01

Now, I see my free test is pretty low. My question is, should the doc have tried raising my free test somehow before putting me on TRT? Anything else that you guys would have tried first? I've had bloodwork before and my test levels seem to be all over the place, anywhere from mid 200's to low 400's.

Thanks, I appreciate it.

 

[Megatron28]

Have you started TRT yet? Have you run cycles in the past?

You have Secondary Hypogonadism. Your options were to try a restart (i.e. PCT) or begin TRT. At your age, and without knowing your medical history, I would want to try doing a restart before hopping on TRT.

 

[wolfman010]

Have you started TRT yet? Have you run cycles in the past?

You have Secondary Hypogonadism. Your options were to try a restart (i.e. PCT) or begin TRT. At your age, and without knowing your medical history, I would want to try doing a restart before hopping on TRT.

I have not run cycles. What's the standard restart protocol I should run? My d3 is low so I started taking that as well. Here is some more bloodwork (the first from February 2013 and the second from April 2013).

Feb 2013:

TSH COPC: Your TSH COPC results are within normal limits
TSH 2.60 Range: 0.50-6.00 MIU/mL (Collection Date: 02/15/2013)
Comprehensive Metabolic Panel COPC: Your Comprehensive Metabolic Panel COPC results are within normal limits
Albumin 5.0 Range: 3.5-5.0 g/dL (Collection Date: 02/15/2013)
Alk Phos 97 Range: 23-159 U/L (Collection Date: 02/15/2013)
ALT 39 Range: 21-72 U/L (Collection Date: 02/15/2013)
AST 31 Range: 17-59 U/L (Collection Date: 02/15/2013)
BUN 16 Range: 8-24 mg/dL (Collection Date: 02/15/2013)
Calcium 9.9 Range: 8.5-10.5 mg/dL (Collection Date: 02/15/2013)
Chloride 102 Range: 98-107 mmol/L (Collection Date: 02/15/2013)
CO2 27.4 Range: 22.0-30.0 mmol/L (Collection Date: 02/15/2013)
Creatinine 1.0 Range: 0.3-1.4 mg/dL (Collection Date: 02/15/2013)
GFR 91 Range: >60 mL/min per 1.73 (Collection Date: 02/15/2013)
Glucose 86 Range: 74-100 mg/dL (Collection Date: 02/15/2013)
Potassium 4.7 Range: 3.5-5.3 mmol/L (Collection Date: 02/15/2013)
Sodium 145 Range: 134-144 mmol/L (Collection Date: 02/15/2013)
T. Protein 7.9 Range: 6.3-8.4 g/dL (Collection Date: 02/15/2013)
Total Bili 1.1 Range: 0.2-1.3 mg/dL (Collection Date: 02/15/2013)
CBC with differential COPC: Your CBC with differential COPC results are within normal limits
BASO # 0.0 Range: 0.0-0.2 10^3/uL (Collection Date: 02/15/2013)
BASO % 0.6 Range: 0.0-3.0 % (Collection Date: 02/15/2013)
EOS # 0.2 Range: 0.0-0.4 10^3/uL (Collection Date: 02/15/2013)
EOS % 1.9 Range: 0.0-7.0 % (Collection Date: 02/15/2013)
HCT 47.2 Range: 42.0-52.0 % (Collection Date: 02/15/2013)
HGB 16.3 Range: 13.5-18.0 g/dL (Collection Date: 02/15/2013)
LYMPH # 2.2 Range: 0.7-4.5 10^3/uL (Collection Date: 02/15/2013)
LYMPH % 27.4 Range: 14.0-46.0 % (Collection Date: 02/15/2013)
MCH 31.0 Range: 27.0-31.0 pg (Collection Date: 02/15/2013)
MCHC 34.6 Range: 32.0-36.0 g/dL (Collection Date: 02/15/2013)
MCV 89.6 Range: 78.0-100.0 fL (Collection Date: 02/15/2013)
MONO # 0.8 Range: 0.1-1.0 10^3/uL (Collection Date: 02/15/2013)
MONO % 9.4 Range: 4.0-13.0 % (Collection Date: 02/15/2013)
MPV 10.5 Range: 7.4-10.4 fL (Collection Date: 02/15/2013)
NEU # 4.8 Range: 1.8-7.8 10^3/uL (Collection Date: 02/15/2013)
NEU % 60.7 Range: 40.0-74.0 % (Collection Date: 02/15/2013)
PLT 121 Range: 130-400 10^3/uL (Collection Date: 02/15/2013)
RBC 5.27 Range: 4.20-5.80 10^6/uL (Collection Date: 02/15/2013)
RDW 12.9 Range: 11.5-15.5 % (Collection Date: 02/15/2013)
WBC 8.0 Range: 3.8-10.6 10^3/uL (Collection Date: 02/15/2013)
Vit D 25 OH (Total) COPC: Your Vit D 25 OH (Total) COPC results are abnormal. Please see notes below.
Vit D 25 OH (Total) 14.2 Range: 31.0-100.0 ng/ml (Collection Date: 02/15/2013)
Lipid Panel COPC: Your Lipid Panel COPC results are within normal limits
Cholesterol/HDL Ratio 2.9 Range: <4.0 (Collection Date: 02/15/2013)
Cholesterol 166 Range: <200 mg/dL (Collection Date: 02/15/2013)
HDL 57 Range: >40 mg/dL (Collection Date: 02/15/2013)
LDL-Calc 67 Range: <130 mg/dL (Collection Date: 02/15/2013)
Non-HDL Cholesterol 109 Range: LDL Goal + 30 (Collection Date: 02/15/2013)
Triglyceride 212 Range: <150 mg/dL (Collection Date: 02/15/2013)
VLDL-Calc 42 Range: <30 mg/dl (Collection Date: 02/15/2013)
Testosterone, Free, Bioavailable and Total: Your Testosterone, Free, Bioavailable and Total results are abnormal. Please see notes below.
TESTOSTERONE, TOTAL, LC/MS/MS 240 Range: 250-1100 ng/dL (Collection Date: 02/15/2013)
TESTOSTERONE, FREE 44.1 Range: 46.0-224.0 pg/mL (Collection Date: 02/15/2013)
TESTOSTERONE,BIOAVAILABLE 102.2 Range: 110.0-575.0 ng/dL (Collection Date: 02/15/2013)
SEX HORMONE BINDING GLOBULIN 18 Range: 10-50 nmol/L (Collection Date: 02/15/2013)
ALBUMIN,SERUM 5.1 Range: 3.6-5.1 g/dL (Collection Date: 02/15/2013)
Urinalysis COPC: Your Urinalysis COPC results are within normal limits
Bilirubin negative Range: negative (Collection Date: 02/15/2013)
Blood negative Range: negative (Collection Date: 02/15/2013)
Clarity Clear Range: clear (Collection Date: 02/15/2013)
Color straw Range: yellow (Collection Date: 02/15/2013)
Glucose negative Range: negative (Collection Date: 02/15/2013)
Ketones negative Range: negative (Collection Date: 02/15/2013)
Leukocytes Negative Range: negative (Collection Date: 02/15/2013)
Nitrite negative Range: negative (Collection Date: 02/15/2013)
pH 6.0 Range: 5.0-9.0 (Collection Date: 02/15/2013)
Protein negative Range: negative (Collection Date: 02/15/2013)
S.G. 1.020 Range: 1.001-1.035 (Collection Date: 02/15/2013)
Urobilinogen Negative Range: e.u./dl (Collection Date: 02/15/2013)

April 2013:

Luteinizing Hormone COPC: Your Luteinizing Hormone COPC results are stable.
Luteinizing Hormone 1.5 Range: mIU/ml (Collection Date: 04/17/2013)
Testosterone Total (Immunoassay) COPC: Your Testosterone Total (Immunoassay) COPC results are within normal limits
Testosterone (Total) 416.3 Range: 199.0-1586.0 ng/dL (Collection Date: 04/17/2013)
Follicle Stimulating Hormone COPC: Your Follicle Stimulating Hormone COPC results are stable.
Follicle Stimulating Hormone 2.6 Range: mIU/ml (Collection Date: 04/17/2013)
Ferritin COPC: Your Ferritin COPC results are within normal limits
Ferritin 147.9 Range: 22.0-340.0 ng/mL (Collection Date: 04/17/2013)
Prolactin COPC: Your Prolactin COPC results are within normal limits
Prolactin 3.7 Range: ng/mL (Collection Date: 04/17/2013)
HgbA1C COPC: Your HgbA1C COPC results are within normal limits
HgbA1C 5.1 Range: <6.0 % (Collection Date: 04/17/2013)

 

[Megatron28]

Have you started TRT yet?

Restart protocols often include hcg and clomid. You definitely should work with an experience doc on doing this as the timing of when to use each, for how long and at what dose is very specific to the individual. You should give the guys at IMT a call. They have done many of these.

 

[wolfman010]

Have you started TRT yet?

Restart protocols often include hcg and clomid. You definitely should work with an experience doc on doing this as the timing of when to use each, for how long and at what dose is very specific to the individual. You should give the guys at IMT a call. They have done many of these.

I haven't started yet, no. It's just weird that I can test in the 200's and then two months later test in the 400's. Could the low vitamin D3 have anything to do with it? Any supplements I should try?

 

[wolfman010]

Have you started TRT yet?

Restart protocols often include hcg and clomid. You definitely should work with an experience doc on doing this as the timing of when to use each, for how long and at what dose is very specific to the individual. You should give the guys at IMT a call. They have done many of these.

What do the three bloodwork's posted above tell you?

 

[wolfman010]

I talked to my doc and he's willing to put me on Clomid for 60 days, HCG 500IU/week, then wait a few weeks and get new bloodwork. Does that sound acceptable? What dosage and frequency of clomid should I be taking? Also, is the HCG necessary or should I just try clomid solo?