Blood work results need advice please
- Thread starter hiram1st
- Start date
Your testosterone level is indeed low. Nothing else in there would cause me grave concern - a few of those numbers could use some improvement. Just a wild guess ... you work out but could lose a few pounds. Perhaps you could post your approximate age, height weight ... stuff like that. Also, how are you feeling these days. Also, were you on TRT before or have you used steroids before?
Last edited:
hiram1st
New member
44 5'9 270. Definitely have to loose some weight. Went through a bitter divorce and really let myself go over the last 9 months. Currently signed up with 3J s and they are going to help with diet and workout program. I came to the forum looking to get steroids to get buff and back in the game. Instead I learned so much about AAS' s that I know I need to get diet and bf% down before I'd even think about a cycle. Not on TRT. I did a cycle a year ago under the guidance of the local gym guru. 250mg test and tren every 3.5 days. No AI no HCG and no pct. He really didn't advise me to we'll and I didn't educate like I should have.
I feel really bad that's why I went for blood work to see if something was wrong
I feel really bad that's why I went for blood work to see if something was wrong
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halfwit
I like turtles.
Get with a doctor to discuss pulling an lh/fsh with estradiol panel as well. Your elevated a1c and glucose levels are very likely suffering from having such low testosterone levels.
Your diet needs some serious work given your cholesterol, but 3J will definitely get you on the right track there. You did the right thing investigating your hormones, just need to fill in a couple blanks (at least I didn't see lh/fsh/E2 on there) to get a better idea on what's happening under the hood.
Definitely keep reading everything you can here. The gym guru may have seriously injured your HPTA with such a harsh cycle, or you may have had an underlying issue all along.
Once you get that diet and hormone imbalance squared away, you'll definitely start to see fantastic results in a few months. Just stick with it, and don't give up.
My .02c
Your diet needs some serious work given your cholesterol, but 3J will definitely get you on the right track there. You did the right thing investigating your hormones, just need to fill in a couple blanks (at least I didn't see lh/fsh/E2 on there) to get a better idea on what's happening under the hood.
Definitely keep reading everything you can here. The gym guru may have seriously injured your HPTA with such a harsh cycle, or you may have had an underlying issue all along.
Once you get that diet and hormone imbalance squared away, you'll definitely start to see fantastic results in a few months. Just stick with it, and don't give up.
My .02c
Megatron28
Moderator
Definitely hypogonadal range for TT. As Halfwit said, you need to get follow up labs. Recheck TT. Get LH, FSH, Estradiol and Prolactin checked.
Don't ask your doc for these labs. If he/she doesn't order them on his/her own, demand that these labs be run. Before you leave your next appt, verify what blood tests will be ordered.
Don't ask your doc for these labs. If he/she doesn't order them on his/her own, demand that these labs be run. Before you leave your next appt, verify what blood tests will be ordered.
hiram1st
New member
Had follow up appoint on Monday to review BW. Dr want to start TRT. I suggested we do a another blood test to check LH/FSH as advised he agreed he ordered LH/FSH, female hormone panel and Free /Total test which i had drawn this morning . I also started a new diet and workout on Monday as planned be 3js. And so the marathon begins
hiram1st
New member
New blood work results couldn't get pic to load so entered manually. So can we tell if my HPTA is functioning properly or could it use a restart? I have a follow up with DR next week to discuss TRT
Ordered Items: Testosterone,Free and Total; FSH and LH; Estrogens, Total; Venipuncture
TESTS RESULT FLAG UNITS REFERENCE INTERVAL LAB
Testosterone,Free and Total
Testosterone, Serum 102 Low 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) 4.2 Low pg/mL 6.8 - 21.5 02
FSH and LH:
LH 1.6 Low mIU/mL 1.7 - 8.6 01
FSH 3.1 mIU/mL 1.5 - 12.4 01
Estrogens, Total 72 pg/mL 40 - 115 02
Ordered Items: Testosterone,Free and Total; FSH and LH; Estrogens, Total; Venipuncture
TESTS RESULT FLAG UNITS REFERENCE INTERVAL LAB
Testosterone,Free and Total
Testosterone, Serum 102 Low 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) 4.2 Low pg/mL 6.8 - 21.5 02
FSH and LH:
LH 1.6 Low mIU/mL 1.7 - 8.6 01
FSH 3.1 mIU/mL 1.5 - 12.4 01
Estrogens, Total 72 pg/mL 40 - 115 02
Megatron28
Moderator
You are severely secobdary hypogonadal. TT of 102ng/dl is terrible.
Don't check Total Estrogen in the future. You need to check estradiol.
Megatron28
Moderator
This just indicates that you have secondary hypogonadism. You need to try and see if you can determine the cause before beginning TRT. Pituitary tumor? High Prolactin? Sleep apnea? Diet? Poor sleep or not enough sleep? Stress? Certain diseases?
ideally you would run some more tests with your doc to see if you can get to the bottom of things. But sometimes there is no apparent cause and TRT is the answer. You should also try doing an HPTA restart before beginning TRT. Try to get your natural test production working again if possible.
Spunkey71
New member
Welcome!!
As Megatron has mentioned you are hypogonadal and from the looks of it it is secondary. There is a very good chance that your cycle from a year ago has caused this as you shut yourself down and did not do anything preventative for once the cycle ended such as HCG or a PCT. You could try a restart but with your TT that low and at your age it might not work and if it did you would still probable be borderline hypogonadal. I was faced this the exact same dilemma a year ago and after doing some research and discussing with my doctor we both felt that starting TRT was the best course of action.
It has been a life changer for me and I have no regrets getting on TRT even though it is a lifelong commitment. The decision however is a decision you should make for yourself, don't let anyone else make that decision for you. Congrats on hooking up with 3J, I did his diet a year ago and it helped me a great deal.
Good Luck!
As Megatron has mentioned you are hypogonadal and from the looks of it it is secondary. There is a very good chance that your cycle from a year ago has caused this as you shut yourself down and did not do anything preventative for once the cycle ended such as HCG or a PCT. You could try a restart but with your TT that low and at your age it might not work and if it did you would still probable be borderline hypogonadal. I was faced this the exact same dilemma a year ago and after doing some research and discussing with my doctor we both felt that starting TRT was the best course of action.
It has been a life changer for me and I have no regrets getting on TRT even though it is a lifelong commitment. The decision however is a decision you should make for yourself, don't let anyone else make that decision for you. Congrats on hooking up with 3J, I did his diet a year ago and it helped me a great deal.
Good Luck!
hiram1st
New member
Problems uploading pictures so here is the new blood work results.
E2 is @ 4. Is that crashed? Prolactin looks in range right? TEST is low
WBC 5.1 3.4-10.8 x10E3/uL 01
RBC 4.48 4.14-5.80 x10E6/uL 01
Hemoglobin 13.7 12.6-17.7 g/dL 01
Hematocrit 40.9 37.5-51.0 % 01
MCV 91 79-97 fL 01
MCH 30.6 26.6-33.0 pg 01
MCHC 33.5 31.5-35.7 g/dL 01
RDW 13.3 12.3-15.4 % 01
Platelets 239 150-379 x10E3/uL 01
Neutrophils 51 40-74 % 01
Lymphs 38 14-46 % 01
Monocytes 8 4-12 % 01
Eos 2 0-5 % 01
Basos 1 0-3 % 01
Neutrophils (Absolute) 2.6 1.4-7.0 x10E3/uL 01
Lymphs (Absolute) 2.0 0.7-3.1 x10E3/uL 01
Monocytes(Absolute) 0.4 0.1-0.9 x10E3/uL 01
Eos (Absolute) 0.1 0.0-0.4 x10E3/uL 01
Baso (Absolute) 0.0 0.0-0.2 x10E3/uL 01
Immature Granulocytes 0 0-2 % 01
Immature Grans (Abs) 0.0 0.0-0.1 x10E3/uL 01
Comp. ********* Panel (14)
Glucose, Serum 97 65-99 mg/dL 01
BUN 16 6-24 mg/dL 01
Creatinine, Serum 0.98 0.76-1.27 mg/dL 01
eGFR If NonAfricn Am 93 >59 mL/min/1.73 01
eGFR If Africn Am 108 >59 mL/min/1.73 01
BUN/Creatinine Ratio 16 9-20 01
Sodium, Serum 144 134-144 mmol/L 01
Potassium, Serum 4.5 3.5-5.2 mmol/L 01
Chloride, Serum 104 97-108 mmol/L 01
Carbon Dioxide, Total 24 18-29 mmol/L 01
Calcium, Serum 9.9 8.7-10.2 mg/dL 01
Protein, Total, Serum 6.7 6.0-8.5 g/dL 01
Albumin, Serum 4.4 3.5-5.5 g/dL 01
Globulin, Total 2.3 1.5-4.5 g/dL 01
A/G Ratio 1.9 1.1-2.5 01
Bilirubin, Total 0.4 0.0-1.2 mg/dL 01
Alkaline Phosphatase, S 49 39-117 IU/L 01
AST (SGOT) 35 0-40 IU/L 01
ALT (SGPT) 40 0-44 IU/L 01
Lipid Panel
Cholesterol, Total 171 100-199 mg/dL 01
Triglycerides 50 0-149 mg/dL 01
HDL Cholesterol 56 >39 mg/dL 01
According to ATP-III Guidelines, HDL-C >59 mg/dL is considered a
negative risk factor for CHD.
VLDL Cholesterol Cal 10 5-40 mg/dL 01
LDL Cholesterol Calc 105 HIGH 0-99 mg/dL 01
Thyroid Panel With TSH
1 of 2
TSH 2.650 0.450-4.500 uIU/mL 01
Thyroxine (T4) 9.4 4.5-12.0 ug/dL 01
T3 Uptake 25 24-39 % 01
Free Thyroxine Index 2.4 1.2-4.9 01
Testosterone, Free/Tot Equilib
Testosterone, Serum 266 LOW 348-1197 ng/dL 01
Comment: Comment 01
Adult male reference interval is based on a population of lean males
up to 40 years old.
Testosterone,Free 7.55 5.00-21.00 ng/dL 02
% Free Testosterone 2.84 1.50-4.20 % 02
Prolactin
Prolactin 7.8 4.0-15.2 ng/mL 01
Prostate-Specific Ag, Serum
Prostate Specific Ag, Serum 0.3 0.0-4.0 ng/mL 01
Roche ECLIA methodology.
.
According to the American Urological Association, Serum PSA should
decrease and remain at undetectable levels after radical
prostatectomy. The AUA defines biochemical recurrence as an initial
PSA value 0.2 ng/mL or greater followed by a subsequent confirmatory
PSA value 0.2 ng/mL or greater.
Values obtained with different assay methods or kits cannot be used
interchangeably. Results cannot be interpreted as absolute evidence
of the presence or absence of malignant disease.
IGF-1
Insulin-Like Growth Factor I 81 75-216 ng/mL 02
Estradiol, Sensitive
Estradiol, Sensitive 4 3-70 pg/mL 02
Male Female
0- 6 yrs. 0 - 15 0 - 15
7-10 yrs. 0 - 15 0 - 70
11-12 yrs. 0 - 40 10 - 300
13-15 yrs. 0 - 45 10 - 300
>15 yrs. 3 - 70 See Below
Ovulating Female
Follicular Phase 9 - 175
Luteal Phase 44 - 196
Periovulatory 107 - 281
Oral Contraceptives 0 - 91
Postmenopausal
Treated 42 - 289
Untreated 0 - 19
.
Estradiol results obtained with different
assay methods cannot be used interchangeably.
It is recommended that only one assay method
be used consistently to monitor serial
patient results.
E2 is @ 4. Is that crashed? Prolactin looks in range right? TEST is low
WBC 5.1 3.4-10.8 x10E3/uL 01
RBC 4.48 4.14-5.80 x10E6/uL 01
Hemoglobin 13.7 12.6-17.7 g/dL 01
Hematocrit 40.9 37.5-51.0 % 01
MCV 91 79-97 fL 01
MCH 30.6 26.6-33.0 pg 01
MCHC 33.5 31.5-35.7 g/dL 01
RDW 13.3 12.3-15.4 % 01
Platelets 239 150-379 x10E3/uL 01
Neutrophils 51 40-74 % 01
Lymphs 38 14-46 % 01
Monocytes 8 4-12 % 01
Eos 2 0-5 % 01
Basos 1 0-3 % 01
Neutrophils (Absolute) 2.6 1.4-7.0 x10E3/uL 01
Lymphs (Absolute) 2.0 0.7-3.1 x10E3/uL 01
Monocytes(Absolute) 0.4 0.1-0.9 x10E3/uL 01
Eos (Absolute) 0.1 0.0-0.4 x10E3/uL 01
Baso (Absolute) 0.0 0.0-0.2 x10E3/uL 01
Immature Granulocytes 0 0-2 % 01
Immature Grans (Abs) 0.0 0.0-0.1 x10E3/uL 01
Comp. ********* Panel (14)
Glucose, Serum 97 65-99 mg/dL 01
BUN 16 6-24 mg/dL 01
Creatinine, Serum 0.98 0.76-1.27 mg/dL 01
eGFR If NonAfricn Am 93 >59 mL/min/1.73 01
eGFR If Africn Am 108 >59 mL/min/1.73 01
BUN/Creatinine Ratio 16 9-20 01
Sodium, Serum 144 134-144 mmol/L 01
Potassium, Serum 4.5 3.5-5.2 mmol/L 01
Chloride, Serum 104 97-108 mmol/L 01
Carbon Dioxide, Total 24 18-29 mmol/L 01
Calcium, Serum 9.9 8.7-10.2 mg/dL 01
Protein, Total, Serum 6.7 6.0-8.5 g/dL 01
Albumin, Serum 4.4 3.5-5.5 g/dL 01
Globulin, Total 2.3 1.5-4.5 g/dL 01
A/G Ratio 1.9 1.1-2.5 01
Bilirubin, Total 0.4 0.0-1.2 mg/dL 01
Alkaline Phosphatase, S 49 39-117 IU/L 01
AST (SGOT) 35 0-40 IU/L 01
ALT (SGPT) 40 0-44 IU/L 01
Lipid Panel
Cholesterol, Total 171 100-199 mg/dL 01
Triglycerides 50 0-149 mg/dL 01
HDL Cholesterol 56 >39 mg/dL 01
According to ATP-III Guidelines, HDL-C >59 mg/dL is considered a
negative risk factor for CHD.
VLDL Cholesterol Cal 10 5-40 mg/dL 01
LDL Cholesterol Calc 105 HIGH 0-99 mg/dL 01
Thyroid Panel With TSH
1 of 2
TSH 2.650 0.450-4.500 uIU/mL 01
Thyroxine (T4) 9.4 4.5-12.0 ug/dL 01
T3 Uptake 25 24-39 % 01
Free Thyroxine Index 2.4 1.2-4.9 01
Testosterone, Free/Tot Equilib
Testosterone, Serum 266 LOW 348-1197 ng/dL 01
Comment: Comment 01
Adult male reference interval is based on a population of lean males
up to 40 years old.
Testosterone,Free 7.55 5.00-21.00 ng/dL 02
% Free Testosterone 2.84 1.50-4.20 % 02
Prolactin
Prolactin 7.8 4.0-15.2 ng/mL 01
Prostate-Specific Ag, Serum
Prostate Specific Ag, Serum 0.3 0.0-4.0 ng/mL 01
Roche ECLIA methodology.
.
According to the American Urological Association, Serum PSA should
decrease and remain at undetectable levels after radical
prostatectomy. The AUA defines biochemical recurrence as an initial
PSA value 0.2 ng/mL or greater followed by a subsequent confirmatory
PSA value 0.2 ng/mL or greater.
Values obtained with different assay methods or kits cannot be used
interchangeably. Results cannot be interpreted as absolute evidence
of the presence or absence of malignant disease.
IGF-1
Insulin-Like Growth Factor I 81 75-216 ng/mL 02
Estradiol, Sensitive
Estradiol, Sensitive 4 3-70 pg/mL 02
Male Female
0- 6 yrs. 0 - 15 0 - 15
7-10 yrs. 0 - 15 0 - 70
11-12 yrs. 0 - 40 10 - 300
13-15 yrs. 0 - 45 10 - 300
>15 yrs. 3 - 70 See Below
Ovulating Female
Follicular Phase 9 - 175
Luteal Phase 44 - 196
Periovulatory 107 - 281
Oral Contraceptives 0 - 91
Postmenopausal
Treated 42 - 289
Untreated 0 - 19
.
Estradiol results obtained with different
assay methods cannot be used interchangeably.
It is recommended that only one assay method
be used consistently to monitor serial
patient results.
Megatron28
Moderator
Prolactin look good. Estradiol is low because your Total Testosterone is low. There just isn't that much test available to aromatize. Unless you can figure out the cause and correct it (e.g. sleep apnea) you will need TRT.
Have you done any further investigation, besides Prolactin, into the things mentioned in Post #15?
Have you done any further investigation, besides Prolactin, into the things mentioned in Post #15?
hiram1st
New member
Over the last year alot of stress went th ftough a bitter divorce. I work shift work so sleep suffers sometimes when I'm on nights. I am working on diet with 3 js.
I have a Dr appoint tomorrow as like before he will probably suggest TRT. He asked me to investigate what my insurance would cover I did they cover alot of optons
I'm thinking about IM test ethane.
What should I want use:
250mg a week
Any AI?
Hcg
I have a Dr appoint tomorrow as like before he will probably suggest TRT. He asked me to investigate what my insurance would cover I did they cover alot of optons
I'm thinking about IM test ethane.
What should I want use:
250mg a week
Any AI?
Hcg
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