Blood test results and HCG monotherapy
Little of a back story on me.
I'm 20 years old and have had many symptoms of low T for the past few years now. Brain fog, low energy, no motivation, constantly tired, depression, anxiety, and gynecomastia. I recently went to my GP and told him everything I was experiencing. He ran some blood tests.
5/03/13
Testosterone Value: 259 Range: 241-827 NG/DL
Prolactin Value: 9 Range: 2-18 ng/mL
TSH Value: 2.03 Range: 0.30-3.80 uIM/ML
5/22/13
Testosterone Value: 232 (L) Range: 250-1100 ng/dL
Testosterone, Free Value: 57.5 Range: 35.0-155.0 pg/mL
LH Value: 5.8 Range: 2-12 mIU/mL
FSH Value: 3 Range: 1-12 mIU/mL
With those results he wanted to start me on 100mg test cyp once monthly. After the research I had already done I realized he had no clue what he was doing. So I moved on to an endo. Endo ran some blood tests.
6/21/13
Iron: 129 (47-149)
TIBC: 297 (260-400)
UIBC: 168 (110-370)
% Sat: 43 (20-55%)
Testosterone: 176 (241-827)
Estradiol: 17 (<40)
SHBG: 13 (10-50)
He said he wanted to see me back in six months to see how my levels change. I don't want to wait around to get my levels where they should be. So on to the next doctor I went. I went to a urologist and had everything checked out down there and he said my testicles feel healthy and normal sized and nothing appears to be wrong.
He said my problem is something that an endo needs to be dealing with not an Uro.
So I said what the hell and gave IMT a call and spoke with Todd. He answered all my questions and was very helpful.... at first. He told me to submit my paperwork and he would get back with me in 24 hours letting me know whether or not I was approved. 2 days after sending in paperwork still no response. So I called numerous times leaving voicemails and also sent a few emails and got ignored? It's been a few weeks now and still no response! Thanks IMT!
Anyways, after that failed I decided to look around my area once again in hopes of finding a good endo. I found a decent rated Endo and set up an appt to see him. He ran some blood testing also. I was on a 10 hour fast.
8/09/2013
PTH, INTACT-----23.4 pg/ML (11.5-78.4)
Vitamin D----29.2 nmoL/L (75-250)
IGF 1-----169.5 ng/mL (116-353)
IGFBP-3-----4.1 ug/mL (2.2-6.4)
TEST,BIOAVAIL.-----153 ng/dL (no range given)
Test,free-cal-----6.54 ng/dL (12.00-49.00)
Hemoglobin----14.7 g/dL (13-17)
Folic Acid-----18.4 ng/mL (3-17)
Vitamin b12----711 pg/mL (193-982)
ACTH----41 pg/mL (0-46)
Cortisol----19.3 ug/dL (5.0-25.0)
C-peptide----1.21 ng/mL (1.10-5.00)
Insulin----4.62 uIU/mL (0.00-10.00)
FSH----1.74 mIU/mL (0.70-11.10)
LH----2.52 mIU/mL (0.80-7.60)
SHBG----12 nmol/L (13-71)
TEST Total----217 ng/dL (262-1593)
Prolactin----8.56 ng/mL (2.5-17.0)
HGH--- <0.05 ng/mL (0.00-8.00)
Estradiol----32.9 pg/mL (0.0-56.0)
DHEA-Sulfate----302 ug/dL (80.0-560.0)
Test-free----7.16 pg/mL (12.00-49.00)
T3 Free----3.32 pg/mL (1.80-4.20)
TSH----1.41 uIU/mL (0.40-4.00)
Free T4-----1.20 ng/dL (0.89-1.76)
Albumin----5.0 g/dL (3.5-5.0)
ALK Phosphate-----62 U/L (35-123)
ALT (SGPT)----14 U/L (5-30)
AST (SGOT)----16 U/L (7-31)
CO2----20 mEq/L (20-32)
Chloride---- 107 mmol/L (98-107)
Bilirubin, Total----0.6 m/dL (0.0-1.0)
Calcium----9.9 mg/dL (8.5-10.5)
Creatinine----0.9 mg/dL (0.7-1.3)
Magnesium----2.1 mg/dL (1.6-2.3)
Protein, Total----7.5g/dL (6.0-8.3)
BUN----14 mg/dL (7-20)
Potassium----4.0 mnol/L (3.5-5.1)
Sodium----142 nmol/L (136-145)
Glucose----90 mg/dL (70-105)
Cholestrol----201 mg/dL (0-200)
Triglyceride----120 mg/dL (0-250)
HDL Cholestrol----39 mg/dL (>35)
LDL Cholestrol-----138 mg/dL (<130)
Homocysteine----6.2 umol/L (5.0-12.0)
CRP-High sens----0.09 mg/dL (0.00-3.00)
With those results the endo wants to start me on 1000iu Human Chorionic Gonadotropin (HCG) EOD and come in two months from now for follow up testing. He did not prescribe an Aromatase inhibitor (AI) which I asked about. He said if I have any symptoms of high E2 just to call and we'll go from there. Does this look like an ok protocol for my situation? Does any of the tests other than the obvious ones stand out to any of you that something else may be wrong? Do you think I'm primary or secondary? Will this dose of hCG cause desensitization to it? Having kids is very important to me and I don't want to start something that may jeopardize the chances of that.
Any replies will be much appreciated. Thanks in advance!
Little of a back story on me.
I'm 20 years old and have had many symptoms of low T for the past few years now. Brain fog, low energy, no motivation, constantly tired, depression, anxiety, and gynecomastia. I recently went to my GP and told him everything I was experiencing. He ran some blood tests.
5/03/13
Testosterone Value: 259 Range: 241-827 NG/DL
Prolactin Value: 9 Range: 2-18 ng/mL
TSH Value: 2.03 Range: 0.30-3.80 uIM/ML
5/22/13
Testosterone Value: 232 (L) Range: 250-1100 ng/dL
Testosterone, Free Value: 57.5 Range: 35.0-155.0 pg/mL
LH Value: 5.8 Range: 2-12 mIU/mL
FSH Value: 3 Range: 1-12 mIU/mL
With those results he wanted to start me on 100mg test cyp once monthly. After the research I had already done I realized he had no clue what he was doing. So I moved on to an endo. Endo ran some blood tests.
6/21/13
Iron: 129 (47-149)
TIBC: 297 (260-400)
UIBC: 168 (110-370)
% Sat: 43 (20-55%)
Testosterone: 176 (241-827)
Estradiol: 17 (<40)
SHBG: 13 (10-50)
He said he wanted to see me back in six months to see how my levels change. I don't want to wait around to get my levels where they should be. So on to the next doctor I went. I went to a urologist and had everything checked out down there and he said my testicles feel healthy and normal sized and nothing appears to be wrong.
He said my problem is something that an endo needs to be dealing with not an Uro.
So I said what the hell and gave IMT a call and spoke with Todd. He answered all my questions and was very helpful.... at first. He told me to submit my paperwork and he would get back with me in 24 hours letting me know whether or not I was approved. 2 days after sending in paperwork still no response. So I called numerous times leaving voicemails and also sent a few emails and got ignored? It's been a few weeks now and still no response! Thanks IMT!
Anyways, after that failed I decided to look around my area once again in hopes of finding a good endo. I found a decent rated Endo and set up an appt to see him. He ran some blood testing also. I was on a 10 hour fast.
8/09/2013
PTH, INTACT-----23.4 pg/ML (11.5-78.4)
Vitamin D----29.2 nmoL/L (75-250)
IGF 1-----169.5 ng/mL (116-353)
IGFBP-3-----4.1 ug/mL (2.2-6.4)
TEST,BIOAVAIL.-----153 ng/dL (no range given)
Test,free-cal-----6.54 ng/dL (12.00-49.00)
Hemoglobin----14.7 g/dL (13-17)
Folic Acid-----18.4 ng/mL (3-17)
Vitamin b12----711 pg/mL (193-982)
ACTH----41 pg/mL (0-46)
Cortisol----19.3 ug/dL (5.0-25.0)
C-peptide----1.21 ng/mL (1.10-5.00)
Insulin----4.62 uIU/mL (0.00-10.00)
FSH----1.74 mIU/mL (0.70-11.10)
LH----2.52 mIU/mL (0.80-7.60)
SHBG----12 nmol/L (13-71)
TEST Total----217 ng/dL (262-1593)
Prolactin----8.56 ng/mL (2.5-17.0)
HGH--- <0.05 ng/mL (0.00-8.00)
Estradiol----32.9 pg/mL (0.0-56.0)
DHEA-Sulfate----302 ug/dL (80.0-560.0)
Test-free----7.16 pg/mL (12.00-49.00)
T3 Free----3.32 pg/mL (1.80-4.20)
TSH----1.41 uIU/mL (0.40-4.00)
Free T4-----1.20 ng/dL (0.89-1.76)
Albumin----5.0 g/dL (3.5-5.0)
ALK Phosphate-----62 U/L (35-123)
ALT (SGPT)----14 U/L (5-30)
AST (SGOT)----16 U/L (7-31)
CO2----20 mEq/L (20-32)
Chloride---- 107 mmol/L (98-107)
Bilirubin, Total----0.6 m/dL (0.0-1.0)
Calcium----9.9 mg/dL (8.5-10.5)
Creatinine----0.9 mg/dL (0.7-1.3)
Magnesium----2.1 mg/dL (1.6-2.3)
Protein, Total----7.5g/dL (6.0-8.3)
BUN----14 mg/dL (7-20)
Potassium----4.0 mnol/L (3.5-5.1)
Sodium----142 nmol/L (136-145)
Glucose----90 mg/dL (70-105)
Cholestrol----201 mg/dL (0-200)
Triglyceride----120 mg/dL (0-250)
HDL Cholestrol----39 mg/dL (>35)
LDL Cholestrol-----138 mg/dL (<130)
Homocysteine----6.2 umol/L (5.0-12.0)
CRP-High sens----0.09 mg/dL (0.00-3.00)
With those results the endo wants to start me on 1000iu Human Chorionic Gonadotropin (HCG) EOD and come in two months from now for follow up testing. He did not prescribe an Aromatase inhibitor (AI) which I asked about. He said if I have any symptoms of high E2 just to call and we'll go from there. Does this look like an ok protocol for my situation? Does any of the tests other than the obvious ones stand out to any of you that something else may be wrong? Do you think I'm primary or secondary? Will this dose of hCG cause desensitization to it? Having kids is very important to me and I don't want to start something that may jeopardize the chances of that.
Any replies will be much appreciated. Thanks in advance!
taking testosterone is probably in your future. If you need it, it is a life saver. It will make you feel alive again. But at your age, it is definitely worth trying to get fired up again. Also, you may want to check your sperm. If they are viable it wouldn't be a bad idea to deposit some at the sperm bank in case you want to have kids later.
