pureblood
New member
I'm new to 'real' trt as I've been fucking my own up for quite some time by using broscience and sorely regret it. So after my trial and errors failed I broke down and contacted a TRT Dr., who's willing to work with me on money and ins. On trt of 250mgs Cyp every week,with no A.I. I seemed to do fine for a few years, strong libido, felt good. As of a few months ago, I began to suffer from ED, brainfog, lethargy ect. I originally thought my e2 was too high.
After speaking to the Dr. he told me to drop the test for 2 weeks and get blood work done. Afterwards my test came back with total T at 183 and e2 was a 5. I also think it's time to donate blood asap.
Can anyone please take a look at my bloodwork and give me some opinions?
Dr. wants me on 200mgs Cyp/wk Hcg and Anastrosole, but with a 5 for e2, I'd think an A.I. would be a bad idea, and I need to bring up the Estradiol level. Or will it rise quickly with teh Cyp/Hcg?
Is it possible I crashed e2 by coming off test?
I'm sorry in advance for the newbie type questions, and trying to educate myself on this as best I can, but the amount of information as well as the differences of opinions are making things even more complicated than I expected.
Thanks very much in advance.
COMPLETE BLOOD COUNT
WHITE BLOOD CELL 3.6 L 3.9 - 11.1 K/ul
RED BLOOD CELL 5.43 4.2 - 6.0 M/ul
HEMOGLOBIN 15.7 13.2 - 18.0 g/dl
HEMATOCRIT 49.7 38.5 - 54.0 %
MCV 91.4 80.0 - 100.0 fl
MCH 29.0 26.0 - 34.0 pg
MCHC 31.7 31.0 - 37.0 g/dl
RDW 13.6 11.0 - 15.5 %
PLATELET COUNT 290 140 - 400 k/ul
MPV 8.2 7.5 - 11.6 fl
DIFFERENTIAL
GR% 47.1 38 - 75 %
LY% 40.8 15 - 49 %
MO% 7.1 2.0 - 13.0 %
EO% 3.8 0 - 8 %
BA% 1.2 0 - 2 %
GR# 1.7 1.6 - 8.4 K/ul
LY# 1.5 1.0 - 3.6 K/ul
MO# 0.3 0.0 - 0.9 K/ul
EO# 0.1 0.0 - 0.6 K/ul
BA# 0.0 0.0 - 0.2 K/ul
GENERAL CHEMISTRY
GLUCOSE 99 65 - 100 mg/dl
BUN 23 H 6 - 20 mg/dl
CREATININE, SERUM 0.9 0.5 - 1.2 mg/dl
SODIUM 141 133 - 145 mmol/L
POTASSIUM 5.4 H 3.3 - 5.1 mmol/L
CHLORIDE 103 96 - 108 mmol/L
CO2 27 22 - 32 mmol/L
CALCIUM 9.7 8.5 - 10.5 mg/dl
TOTAL PROTEIN 7.1 6.4 - 8.3 g/dl
ALBUMIN 4.7 3.2 - 4.8 g/dl
GLOBULIN 2.4 2.1 - 3.6 g/dl
BILIRUBIN, TOTAL 0.4 0.0 - 1.0 mg/dl
ALKALINE PHOSPHATASE 71 35 - 129 U/L
ALT 39 <42 U/L
AST 14 <39 U/L
Albumin/Globulin Ratio 2.0 0.8 - 2.0
BUN/CREAT RATIO 25.6 H 7.3 - 21.7
GFR, estimated 96 ml/min
CORONARY RISK
TRIGLYCERIDES 89 <150 mg/dl
CHOLESTEROL, TOTAL 240 H <200 mg/dl
HDL CHOLESTEROL 43 >40 mg/dl
LDL CHOLESTEROL, calc. 179 H <100 mg/dl
CHOL/HDL RATIO 5.6 H <5.0
The higher the Ratio,the higher CHD risk.
THYROID TESTING
T3, FREE 2.1 1.8 - 4.6 pg/ml
T4, FREE 1.07 0.9 - 1.7 ng/dl
TSH 1.200 0.27 - 4.2 uIU/ml
TUMOR MARKERS
PSA, TOTAL 0.361 0.0 - 4.0 ng/ml
ENDOCRINE EVALUATION
ESTRADIOL (E2) <5.00 L 7.6 - 42.6 pg/ml
DHEA-SULFATE 67.9 44.3 - 331.0 ug/dl
TESTOSTERONE, TOTAL 183 L 280 - 1100 ng/dl
SEX HORMONE BIND GLOBULIN 17 10 - 80 nmol/L
TESTOSTERONE, FREE 4.55 1.9 - 27 ng/dl
IGF-1 311.0 H 119 - 166 ng/ml
ENDOCRINE EVALUATION (Continued)
Serum IGF-1 (ng/ml) Reference Range by Age Group and Sex
Age Group (Years) Men Women
20 - 24 188 - 257 175 - 260
25 - 29 150 - 222 157 - 228
30 - 34 137 - 199 139 - 195
35 - 39 124 - 181 122 - 179
40 - 44 113 - 172 110 - 163
45 - 49 119 - 166 108 - 164
50 - 54 110 - 160 108 - 167
55 - 59 93 - 147 98 - 141
60 - 64 93 - 134 94 - 139
=> 65 93 - 145 80 - 141
CORTISOL 10.1 ug/dl
Normal individuals:
Morning am 7-10: 6.2 - 19.4 ug/dl
Afternoon pm 4-8 : 2.3 - 12.3 ,,
After speaking to the Dr. he told me to drop the test for 2 weeks and get blood work done. Afterwards my test came back with total T at 183 and e2 was a 5. I also think it's time to donate blood asap.
Can anyone please take a look at my bloodwork and give me some opinions?
Dr. wants me on 200mgs Cyp/wk Hcg and Anastrosole, but with a 5 for e2, I'd think an A.I. would be a bad idea, and I need to bring up the Estradiol level. Or will it rise quickly with teh Cyp/Hcg?
Is it possible I crashed e2 by coming off test?
I'm sorry in advance for the newbie type questions, and trying to educate myself on this as best I can, but the amount of information as well as the differences of opinions are making things even more complicated than I expected.
Thanks very much in advance.
COMPLETE BLOOD COUNT
WHITE BLOOD CELL 3.6 L 3.9 - 11.1 K/ul
RED BLOOD CELL 5.43 4.2 - 6.0 M/ul
HEMOGLOBIN 15.7 13.2 - 18.0 g/dl
HEMATOCRIT 49.7 38.5 - 54.0 %
MCV 91.4 80.0 - 100.0 fl
MCH 29.0 26.0 - 34.0 pg
MCHC 31.7 31.0 - 37.0 g/dl
RDW 13.6 11.0 - 15.5 %
PLATELET COUNT 290 140 - 400 k/ul
MPV 8.2 7.5 - 11.6 fl
DIFFERENTIAL
GR% 47.1 38 - 75 %
LY% 40.8 15 - 49 %
MO% 7.1 2.0 - 13.0 %
EO% 3.8 0 - 8 %
BA% 1.2 0 - 2 %
GR# 1.7 1.6 - 8.4 K/ul
LY# 1.5 1.0 - 3.6 K/ul
MO# 0.3 0.0 - 0.9 K/ul
EO# 0.1 0.0 - 0.6 K/ul
BA# 0.0 0.0 - 0.2 K/ul
GENERAL CHEMISTRY
GLUCOSE 99 65 - 100 mg/dl
BUN 23 H 6 - 20 mg/dl
CREATININE, SERUM 0.9 0.5 - 1.2 mg/dl
SODIUM 141 133 - 145 mmol/L
POTASSIUM 5.4 H 3.3 - 5.1 mmol/L
CHLORIDE 103 96 - 108 mmol/L
CO2 27 22 - 32 mmol/L
CALCIUM 9.7 8.5 - 10.5 mg/dl
TOTAL PROTEIN 7.1 6.4 - 8.3 g/dl
ALBUMIN 4.7 3.2 - 4.8 g/dl
GLOBULIN 2.4 2.1 - 3.6 g/dl
BILIRUBIN, TOTAL 0.4 0.0 - 1.0 mg/dl
ALKALINE PHOSPHATASE 71 35 - 129 U/L
ALT 39 <42 U/L
AST 14 <39 U/L
Albumin/Globulin Ratio 2.0 0.8 - 2.0
BUN/CREAT RATIO 25.6 H 7.3 - 21.7
GFR, estimated 96 ml/min
CORONARY RISK
TRIGLYCERIDES 89 <150 mg/dl
CHOLESTEROL, TOTAL 240 H <200 mg/dl
HDL CHOLESTEROL 43 >40 mg/dl
LDL CHOLESTEROL, calc. 179 H <100 mg/dl
CHOL/HDL RATIO 5.6 H <5.0
The higher the Ratio,the higher CHD risk.
THYROID TESTING
T3, FREE 2.1 1.8 - 4.6 pg/ml
T4, FREE 1.07 0.9 - 1.7 ng/dl
TSH 1.200 0.27 - 4.2 uIU/ml
TUMOR MARKERS
PSA, TOTAL 0.361 0.0 - 4.0 ng/ml
ENDOCRINE EVALUATION
ESTRADIOL (E2) <5.00 L 7.6 - 42.6 pg/ml
DHEA-SULFATE 67.9 44.3 - 331.0 ug/dl
TESTOSTERONE, TOTAL 183 L 280 - 1100 ng/dl
SEX HORMONE BIND GLOBULIN 17 10 - 80 nmol/L
TESTOSTERONE, FREE 4.55 1.9 - 27 ng/dl
IGF-1 311.0 H 119 - 166 ng/ml
ENDOCRINE EVALUATION (Continued)
Serum IGF-1 (ng/ml) Reference Range by Age Group and Sex
Age Group (Years) Men Women
20 - 24 188 - 257 175 - 260
25 - 29 150 - 222 157 - 228
30 - 34 137 - 199 139 - 195
35 - 39 124 - 181 122 - 179
40 - 44 113 - 172 110 - 163
45 - 49 119 - 166 108 - 164
50 - 54 110 - 160 108 - 167
55 - 59 93 - 147 98 - 141
60 - 64 93 - 134 94 - 139
=> 65 93 - 145 80 - 141
CORTISOL 10.1 ug/dl
Normal individuals:
Morning am 7-10: 6.2 - 19.4 ug/dl
Afternoon pm 4-8 : 2.3 - 12.3 ,,
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