Blood work results need advice please

hiram1st said:
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
Click to expand...

Test enanthate or cypionate. Good starting dose is 100mg/week. Get blood work after about 6 weeks and see if you need more. Not many guys take more than 200mg/week.

Yes to hCG. 500iu/week.

Don't take an AI unless your blood work shows you need it. Many guys do not need an AI on a TRT dose. Aromasin and Arimidex are both god choices.
 
I'd still see if an MRI can be done to see if there is an issue with your pituitary as well as scheduling a sleep study. I likely have the worst health insurance on the planet, and they covered my sleep study without any problems.

That would be as far as I personally would take it, although a restart with clomid/nolva may be a temporary fix.

I agree with Mega regarding trt protocols, it's a good year or so to get really dialed in, but completely worth it. :)
 
Thanks to everyone for helping me out. Came here looking for a quick fix and instead was given a reality check and an education. I am looking forward to my Dr appointment tomorrow now that I've got the info needed to make an informed decision.
 
Do not let your doctor sell you on using creams or pellets, tell him you want the injections. Your doctor works for you and your best interest needs to be his only concern, not how much he will get paid by the pharmaceutical companies for pushing their high end products.
 
My last appointment he wanted to start TRT and we discussed how he likes to treat his patients. I said I diddnt want the cream because of a young daughter in the house and I diddn't want to risk exposing her to testosterone. I suggested test injections and he said he has patients he prescribes IM injectables and they inject themselves at home but it all depended on what my insurance will cover. Well looked into it and they do cover test enathate and test cypoinate both 200mg/ml i will go with either of these at what ever dose he decides to start me at.
 
1st <> Well that's great news! Glad to hear you're insurance covers it, and that you are able to execute the plan you're devising.:bigok:
 
Injections are a lot less expensive than creams or pellets, also at least with my insurance it wasn't my health insurance that covered the script for test but my prescription card coverage. I pay $50 for a 10ml vial but if my prescription card would not cover it it would cost me $80.
 
This was after 1 1/2 months at 100mg test c e7d

Test was the hormone panel for women from privatemdlabs. The low sensitive estradiol isn't back yet but i assume its higher than the regular test and probably spiked after injection.


Latest blood work any any advice for switching protociol to e3.5d and may be an AI?






CBC With Differential/Platelet
WBC 7.7 3.4-10.8 x10E3/uL 01
RBC 4.63 4.14-5.80 x10E6/uL 01
Hemoglobin 14.3 12.6-17.7 g/dL 01
Hematocrit 43.3 37.5-51.0 % 01
MCV 94 79-97 fL 01
MCH 30.9 26.6-33.0 pg 01
MCHC 33.0 31.5-35.7 g/dL 01
RDW 12.9 12.3-15.4 % 01
Platelets 226 150-379 x10E3/uL 01
Neutrophils 50 % 01
Lymphs 37 % 01
Monocytes 11 % 01
Eos 2 % 01
Basos 0 % 01
Neutrophils (Absolute) 3.8 1.4-7.0 x10E3/uL 01
Lymphs (Absolute) 2.9 0.7-3.1 x10E3/uL 01
Monocytes(Absolute) 0.8 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 % 01
Immature Grans (Abs) 0.0 0.0-0.1 x10E3/uL 01
Comp. ********* Panel (14)
Glucose, Serum 88 65-99 mg/dL 01
BUN 19 6-24 mg/dL 01
Creatinine, Serum 0.92 0.76-1.27 mg/dL 01
eGFR If NonAfricn Am 101 >59 mL/min/1.73 01
eGFR If Africn Am 117 >59 mL/min/1.73 01
BUN/Creatinine Ratio 21 HIGH 9-20 01
Sodium, Serum 141 134-144 mmol/L 01
Potassium, Serum 4.7 3.5-5.2 mmol/L 01
Chloride, Serum 101 97-108 mmol/L 01
Carbon Dioxide, Total 23 18-29 mmol/L 01
Calcium, Serum 9.6 8.7-10.2 mg/dL 01
Protein, Total, Serum 6.9 6.0-8.5 g/dL 01
Albumin, Serum 4.4 3.5-5.5 g/dL 01
Globulin, Total 2.5 1.5-4.5 g/dL 01
A/G Ratio 1.8 1.1-2.5 01
Bilirubin, Total 0.4 0.0-1.2 mg/dL 01
Alkaline Phosphatase, S 58 39-117 IU/L 01
AST (SGOT) 26 0-40 IU/L 01
ALT (SGPT) 19 0-44 IU/L 01
Testosterone, Serum
Testosterone, Serum 516 348-1197 ng/dL 01
Comment: Comment 01
Adult male reference interval is based on a population of lean males
up to 40 years old.
Luteinizing Hormone(LH), S
LH 0.1 LOW 1.7-8.6 mIU/mL 01
FSH, Serum
FSH <0.2 LOW 1.5-12.4 mIU/mL 01
Estradiol
Estradiol 33.5 7.6-42.6 pg/mL 01
 
This was after 1 1/2 months at 100mg test c e7d

Test was the hormone panel for women from privatemdlabs. The low sensitive estradiol isn't back yet but i assume its higher than the regular test and probably spiked after injection.


Latest blood work any any advice for switching protociol to e3.5d and may be an AI?






CBC With Differential/Platelet
WBC 7.7 3.4-10.8 x10E3/uL 01
RBC 4.63 4.14-5.80 x10E6/uL 01
Hemoglobin 14.3 12.6-17.7 g/dL 01
Hematocrit 43.3 37.5-51.0 % 01
MCV 94 79-97 fL 01
MCH 30.9 26.6-33.0 pg 01
MCHC 33.0 31.5-35.7 g/dL 01
RDW 12.9 12.3-15.4 % 01
Platelets 226 150-379 x10E3/uL 01
Neutrophils 50 % 01
Lymphs 37 % 01
Monocytes 11 % 01
Eos 2 % 01
Basos 0 % 01
Neutrophils (Absolute) 3.8 1.4-7.0 x10E3/uL 01
Lymphs (Absolute) 2.9 0.7-3.1 x10E3/uL 01
Monocytes(Absolute) 0.8 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 % 01
Immature Grans (Abs) 0.0 0.0-0.1 x10E3/uL 01
Comp. ********* Panel (14)
Glucose, Serum 88 65-99 mg/dL 01
BUN 19 6-24 mg/dL 01
Creatinine, Serum 0.92 0.76-1.27 mg/dL 01
eGFR If NonAfricn Am 101 >59 mL/min/1.73 01
eGFR If Africn Am 117 >59 mL/min/1.73 01
BUN/Creatinine Ratio 21 HIGH 9-20 01
Sodium, Serum 141 134-144 mmol/L 01
Potassium, Serum 4.7 3.5-5.2 mmol/L 01
Chloride, Serum 101 97-108 mmol/L 01
Carbon Dioxide, Total 23 18-29 mmol/L 01
Calcium, Serum 9.6 8.7-10.2 mg/dL 01
Protein, Total, Serum 6.9 6.0-8.5 g/dL 01
Albumin, Serum 4.4 3.5-5.5 g/dL 01
Globulin, Total 2.5 1.5-4.5 g/dL 01
A/G Ratio 1.8 1.1-2.5 01
Bilirubin, Total 0.4 0.0-1.2 mg/dL 01
Alkaline Phosphatase, S 58 39-117 IU/L 01
AST (SGOT) 26 0-40 IU/L 01
ALT (SGPT) 19 0-44 IU/L 01
Testosterone, Serum
Testosterone, Serum 516 348-1197 ng/dL 01
Comment: Comment 01
Adult male reference interval is based on a population of lean males
up to 40 years old.
Luteinizing Hormone(LH), S
LH 0.1 LOW 1.7-8.6 mIU/mL 01
FSH, Serum
FSH <0.2 LOW 1.5-12.4 mIU/mL 01
Estradiol
Estradiol 33.5 7.6-42.6 pg/mL 01
 
I doubt you'll need an AI. Your E2 doesn't look bad, and I'm guessing that your sensitive E2 will be significantly lower than this value. Possibly even too low.

How many days after injection were these taken?
 
3J said:
His fasting glucose dropped from 117 to 88...thats the power of a 3j diet..
Click to expand...

Holy shit that's impressive unless we're talking full ketosis, which I doubt is the case. Then again, I know how well you put your plans together brother. Money well spent indeed.

Hiram, how do you feel? Do you still feel a bit like you're under the weather, but can see a light at the end of a tunnel? I didn't really start enjoying the benefits of trt until I broke the 700's for a trough, but we all are indeed different.

Of course as mentioned above, when was this test taken in relation to your injection? Two days after is a peak, the day of (but before the shot) would be trough. Unless you're on a E3.5D regimen, which really has more of a smooth curve.
 
halfwit said:
Holy shit that's impressive unless we're talking full ketosis, which I doubt is the case. Then again, I know how well you put your plans together brother. Money well spent indeed.

Hiram, how do you feel? Do you still feel a bit like you're under the weather, but can see a light at the end of a tunnel? I didn't really start enjoying the benefits of trt until I broke the 700's for a trough, but we all are indeed different.

Of course as mentioned above, when was this test taken in relation to your injection? Two days after is a peak, the day of (but before the shot) would be trough. Unless you're on a E3.5D regimen, which really has more of a smooth curve.
Click to expand...

This bw was done 7 days after last injection.

I think I should just ride along here on this protocol for a while what do you think?

I feEl great so I think I'm good for now
 
hiram1st said:
This bw was done 7 days after last injection.

I think I should just ride along here on this protocol for a while what do you think?

I feEl great so I think I'm good for now
Click to expand...

Numbers look good. Given your pinning once every 7 days, I recommend checking peak numbers too -- especially for TT and Estradiol.

If you are feeling pretty good, stick with the protocol.
 
Megatron28 said:
Numbers look good. Given your pinning once every 7 days, I recommend checking peak numbers too -- especially for TT and Estradiol.

If you are feeling pretty good, stick with the protocol.
Click to expand...

I would get a peak reading but my pin day is thursday and no saturday lab here so i dont think I can get a true peak unless i switch my pin day

You think this sounds ok,

I pinned thursday 100mg so what if I pin 25mg on monday 25mg on friday and then start pinning 100mg on monday. This way I'll be on a pin schedule that will allow me to get peak and trough readings.
 
hiram1st said:
I would get a peak reading but my pin day is thursday and no saturday lab here so i dont think I can get a true peak unless i switch my pin day

You think this sounds ok,

I pinned thursday 100mg so what if I pin 25mg on monday 25mg on friday and then start pinning 100mg on monday. This way I'll be on a pin schedule that will allow me to get peak and trough readings.
Click to expand...

Didn't we already discuss how to get a peak checked given this issue you have?
 
Megatron28 said:
Didn't we already discuss how to get a peak checked given this issue you have?
Click to expand...

LOL yes we did. I was trying to get the most precise peak 48 hours after pin and i9n the morning, but then I remembered on TRT not natty so I guess its better just to stay were I'm at and do bloodwork on friday after thursday pin as late as possible right.

Thanks for the help much appriciated
 
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