First blood test. Take a look.

Rideorders2000

New member
Yesterday I had my bloodwork done, received results today. Little back story, I have been feeling "run down" as of late... no motivation, low sex drive, etc... I am a 30 year old male, 6'0", 179lbs, BF ~15%. Ive been training for about 7-8 years, with a good diet.... I can list "macros" if need be. Anyways, as you can see my total test level is 293... low, as I suspected. But what concerns me is the estrodial number of less than 5?? I have never taken any AAS yet.. Supplements I do take are:

Multi, Vitamin D (every other day), Tribulus, Indole 3 Carbole, Vit E, Fish oil, creatine, all the staples if you wanna call em that. Any ideas???

I have read that because my testosterone is so low, there may not be enough free test to even convert into estrogen? I know these results do not show free test, I'm aware. Any input is appreciated guys. Thanks.

Oh forgot to mention, I have always carried fat around my chest, Ive had slightly puffy nipples since about late puberty.. No gyno, no hard lumps. So I thought for sure my estradiol was going to be high. I'm baffled..

I should also mention Ive had no symptoms of really low or crashed E2.. no sore joints, still able to pop boners.
 
can you share your LH, FSH, prolactin levels? what is your diet, lifestyle, alcohol, sleep routine like?
 
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what was the test done for e2... sensitive assay? what are the "norms" listed on your lab work

Sorry guys new here. Not sure how to attach files.

Total test -293
Estradiol <5
LH - 6.2
FSH- 4.3
Prolactin - 9.8

Lifestyle is not overly stressful. Diet is 90% clean. Macros are 220 protein. 250 carbs. 75 fats. With carb cycling so they varie. I’ve had puffy nipples for a few years now. Could of sworn it was high e2 but this test shows it’s not.
 
can you share your LH, FSH, prolactin levels? what is your diet, lifestyle, alcohol, sleep routine like?

I’m a firefighter by trade so on shift I may be up one, two or three times a night. But other nights I’ll sleep through with no calls. That’s only 9 days a month. At home I get a full nights sleep. I don’t drink at all. Diet is clean. Occasional junk to keep me sane but it’s overall a clean diet.
 
Sorry guys new here. Not sure how to attach files.

Total test -293
Estradiol <5
LH - 6.2
FSH- 4.3
Prolactin - 9.8

Lifestyle is not overly stressful. Diet is 90% clean. Macros are 220 protein. 250 carbs. 75 fats. With carb cycling so they varie. I***8217;ve had puffy nipples for a few years now. Could of sworn it was high e2 but this test shows it***8217;s not.
Files cannot be attached for security reasons but you can easily copy and paste it in your post.
 
I’m a firefighter by trade so on shift I may be up one, two or three times a night. But other nights I’ll sleep through with no calls. That’s only 9 days a month. At home I get a full nights sleep. I don’t drink at all. Diet is clean. Occasional junk to keep me sane but it’s overall a clean diet.

hows the food at the firehouse? who does the cooking there?
 
What are the reference ranges of your listed labs? Please list your complete labs if you have them. The tribulus could be causing some of your issues.
 
Its very common for your E2 to be low when you are hypogonadal. Yours isn't even registering. Its pretty much 0.

Your body shuts down conversation to E2 in attempt to preserve testosterone.

You obviously need TRT so getting your TT levels dialed will solve the E2 issue.

Hope this helps.
 
What are the reference ranges of your listed labs? Please list your complete labs if you have them. The tribulus could be causing some of your issues.

What are the reference ranges of your listed labs? Please list your complete labs if you have them. The tribulus could be causing some of your issues.

Heres a copy of my full work up with reference ranges... The thought of Tribulus messing with my levels ran through my head, so I'm tapering off, stopping it completely just in case as Ive been taking it for a while now.

LabCorp
SPECIMEN INFORMATION
SPECIMEN: 00930529170
REQUISITION: 35243029
LAB REF NO:
COLLECTED: 2018/01/09 09:56
RECEIVED: 2018/01/09 00:00
REPORTED: 2018/01/10 05:09

PATIENT INFORMATION
DOB: AGE: 30 GENDER: Male FASTING: Yes
Clinical Info:
NO CHANGES (DEMOGRAPHIC OR OTHER) ARE
REPORT STATUS: FINAL

ORDERING PHYSICIAN

CLIENT INFORMATION
2018-01-10 05:09:00 -0800
Private MD Labs
445 Hwy 46S
Suite 29-214
Dickson, TN 37055

Test Name Result Flag Reference Range Lab

CBC With Differential/Platelet
WBC 4.8 4.8 3.4-10.8 x10E3/uL 01
RBC 4.68 4.68 4.14-5.80 x10E6/uL 01
Hemoglobin 14.0 14.0 13.0-17.7 g/dL 01
Hematocrit 39.7 39.7 37.5-51.0 % 01
MCV 85 85 79-97 fL 01
MCH 29.9 29.9 26.6-33.0 pg 01
MCHC 35.3 35.3 31.5-35.7 g/dL 01
RDW 12.8 12.8 12.3-15.4 % 01
Platelets 235 235 150-379 x10E3/uL 01
Neutrophils 51 51 Not Estab. % 01
Lymphs 41 41 Not Estab. % 01
Monocytes 5 5 Not Estab. % 01
Eos 3 3 Not Estab. % 01
Basos 0 0 Not Estab. % 01
Neutrophils (Absolute) 2.5 2.5 1.4-7.0 x10E3/uL 01
Lymphs (Absolute) 2.0 2.0 0.7-3.1 x10E3/uL 01
Monocytes(Absolute) 0.2 0.2 0.1-0.9 x10E3/uL 01
Eos (Absolute) 0.1 0.1 0.0-0.4 x10E3/uL 01
Baso (Absolute) 0.0 0.0 0.0-0.2 x10E3/uL 01
Immature Granulocytes 0 0 Not Estab. % 01
Immature Grans (Abs) 0.0 0.0 0.0-0.1 x10E3/uL 01
Comp. Metabolic Panel (14)
Glucose, Serum 91 91 65-99 mg/dL 01
BUN 22 22 HIGH 6-20 mg/dL 01
Creatinine, Serum 0.95 0.95 0.76-1.27 mg/dL 01
eGFR If NonAfricn Am 107 107 >59 mL/min/1.73 01
eGFR If Africn Am 124 124 >59 mL/min/1.73 01
BUN/Creatinine Ratio 23 23 HIGH 9-20 01
Sodium, Serum 143 143 134-144 mmol/L 01
Potassium, Serum 4.4 4.4 3.5-5.2 mmol/L 01
Chloride, Serum 104 104 96-106 mmol/L 01
Carbon Dioxide, Total 24 24 18-29 mmol/L 01
Calcium, Serum 9.3 9.3 8.7-10.2 mg/dL 01
Protein, Total, Serum 7.4 7.4 6.0-8.5 g/dL 01
Albumin, Serum 4.6 4.6 3.5-5.5 g/dL 01
Globulin, Total 2.8 2.8 1.5-4.5 g/dL 01
A/G Ratio 1.6 1.6 1.2-2.2 01
Bilirubin, Total 0.3 0.3 0.0-1.2 mg/dL 01
Alkaline Phosphatase, S 67 67 39-117 IU/L 01
AST (SGOT) 30 30 0-40 IU/L 01
ALT (SGPT) 29 29 0-44 IU/L 01

Testosterone, Serum
Testosterone, Serum 293 264-916 ng/dL 01
Adult male reference interval is based on a population of
healthy nonobese males (BMI <30) between 19 and 39 years old.


Luteinizing Hormone(LH), S
LH 6.0 1.7-8.6 mIU/mL 01

FSH, Serum
FSH 4.2 1.5-12.4 mIU/mL 01

1 of 2
Prolactin
Prolactin 9.8 4.0-15.2 ng/mL 01

Estradiol
Estradiol <5.0 LOW 7.6-42.6 pg/mL 01

Roche ECLIA methodology
 
Heres a copy of my full work up with reference ranges... The thought of Tribulus messing with my levels ran through my head, so I'm tapering off, stopping it completely just in case as Ive been taking it for a while now.

LabCorp
SPECIMEN INFORMATION
SPECIMEN: 00930529170
REQUISITION: 35243029
LAB REF NO:
COLLECTED: 2018/01/09 09:56
RECEIVED: 2018/01/09 00:00
REPORTED: 2018/01/10 05:09

PATIENT INFORMATION
DOB: AGE: 30 GENDER: Male FASTING: Yes
Clinical Info:
NO CHANGES (DEMOGRAPHIC OR OTHER) ARE
REPORT STATUS: FINAL

ORDERING PHYSICIAN

CLIENT INFORMATION
2018-01-10 05:09:00 -0800
Private MD Labs
445 Hwy 46S
Suite 29-214
Dickson, TN 37055

Test Name Result Flag Reference Range Lab

CBC With Differential/Platelet
WBC 4.8 4.8 3.4-10.8 x10E3/uL 01
RBC 4.68 4.68 4.14-5.80 x10E6/uL 01
Hemoglobin 14.0 14.0 13.0-17.7 g/dL 01
Hematocrit 39.7 39.7 37.5-51.0 % 01
MCV 85 85 79-97 fL 01
MCH 29.9 29.9 26.6-33.0 pg 01
MCHC 35.3 35.3 31.5-35.7 g/dL 01
RDW 12.8 12.8 12.3-15.4 % 01
Platelets 235 235 150-379 x10E3/uL 01
Neutrophils 51 51 Not Estab. % 01
Lymphs 41 41 Not Estab. % 01
Monocytes 5 5 Not Estab. % 01
Eos 3 3 Not Estab. % 01
Basos 0 0 Not Estab. % 01
Neutrophils (Absolute) 2.5 2.5 1.4-7.0 x10E3/uL 01
Lymphs (Absolute) 2.0 2.0 0.7-3.1 x10E3/uL 01
Monocytes(Absolute) 0.2 0.2 0.1-0.9 x10E3/uL 01
Eos (Absolute) 0.1 0.1 0.0-0.4 x10E3/uL 01
Baso (Absolute) 0.0 0.0 0.0-0.2 x10E3/uL 01
Immature Granulocytes 0 0 Not Estab. % 01
Immature Grans (Abs) 0.0 0.0 0.0-0.1 x10E3/uL 01
Comp. Metabolic Panel (14)
Glucose, Serum 91 91 65-99 mg/dL 01
BUN 22 22 HIGH 6-20 mg/dL 01
Creatinine, Serum 0.95 0.95 0.76-1.27 mg/dL 01
eGFR If NonAfricn Am 107 107 >59 mL/min/1.73 01
eGFR If Africn Am 124 124 >59 mL/min/1.73 01
BUN/Creatinine Ratio 23 23 HIGH 9-20 01
Sodium, Serum 143 143 134-144 mmol/L 01
Potassium, Serum 4.4 4.4 3.5-5.2 mmol/L 01
Chloride, Serum 104 104 96-106 mmol/L 01
Carbon Dioxide, Total 24 24 18-29 mmol/L 01
Calcium, Serum 9.3 9.3 8.7-10.2 mg/dL 01
Protein, Total, Serum 7.4 7.4 6.0-8.5 g/dL 01
Albumin, Serum 4.6 4.6 3.5-5.5 g/dL 01
Globulin, Total 2.8 2.8 1.5-4.5 g/dL 01
A/G Ratio 1.6 1.6 1.2-2.2 01
Bilirubin, Total 0.3 0.3 0.0-1.2 mg/dL 01
Alkaline Phosphatase, S 67 67 39-117 IU/L 01
AST (SGOT) 30 30 0-40 IU/L 01
ALT (SGPT) 29 29 0-44 IU/L 01

Testosterone, Serum
Testosterone, Serum 293 264-916 ng/dL 01
Adult male reference interval is based on a population of
healthy nonobese males (BMI <30) between 19 and 39 years old.


Luteinizing Hormone(LH), S
LH 6.0 1.7-8.6 mIU/mL 01

FSH, Serum
FSH 4.2 1.5-12.4 mIU/mL 01

1 of 2
Prolactin
Prolactin 9.8 4.0-15.2 ng/mL 01

Estradiol
Estradiol <5.0 LOW 7.6-42.6 pg/mL 01

Roche ECLIA methodology

After doing further research, should I attempt at asking doctor about a restart with clomid?? Since my LH level is decent but my testes aren’t responding... or should I just go straight for trt? It’s a tough decision. I’ve read horror stories about roller coaster effects with emotions and ressponses on restarts especially with clomid.
 
Your LH is high and your testosterone levels are low, so that points the finger at your testes. Clomid and/or nolva restart would probably not do anything for you.

You might want to do a heavy round of HCG to see if you can get your testes to work better.

You want to keep taking the multi vitamin, fish oil, and vitamin D especially. Get some K2 to go with the D3.

I would for sure drop the tribulus. I've used it a couple of times in the past, and around week #6 start to feel like shit in general. Didn't do blood testing back then, but symptoms were what I now now to be low test followed a week or two later by low estrogen.

I don't know anything about indole-3-carbole. A 30 second we search turned up I3C vs. DIM comparison:

The entire motivation for microencapsulated, absorbable DIM was based on testing which supported its safe and efficacious use. Human studies, often at five times the typical supplement dose of DIM, have shown good tolerability. Reports concerning I3C, however, provide a different story. Oral I3C in humans has been shown to have unwanted effects at only 2 times the normal dose with symptoms of dizziness, gastritis, and nervous system toxicity.

No serious side effects have been reported with supplemental doses of Diindolylmethane in mammals. In mammals, I3C has been shown to be a tumor promoter in chronic use studies of thyroid, colon, and liver health. I3C increases the production of 4-hydroxyestrogen (a "bad" estrogen metabolite, associated with increased cancer risk and other negative health outcomes in humans). DIM leads to reduced activity of the enzyme called CYP1B1, which acts as a catalyst for 4-hydroxyestrogen production. Therefore, unlike I3C, DIM does not promote tumors in mammals, reduces the production of 4-hydroxyestrogen, and promotes safer estrogen metabolism than that seen with I3C.

Given the problems you are having I would drop this one too.

Your blood test also shows your kidneys are under assault from something, could be too much protein or those supplements. I'd keep an eye on that.



So, if it was me I'd stop the tribulus and I3C immediately and permanently. Take more fish oil & D3. After two or three weeks off the supps, do HCG for something like 15 days 1,000IU per day and at day #15 get another blood test to see what your testosterone and E2 levels are.

That should tell you A. if your testes can be made to work better, and B. how you do without those supps.
 
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^^^^^^^^^^
^^^^^^^^^^
Great Advice Tank!!
As usual, what Tank Said!! Lol

Definately would NOT go the Tomoxifen/Clomid route with where your LH and FSH numbers are. HCG is worth a try as a re-start.

If the HCG does not get you up and running, I would then consider TRT.
 
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Saw a trt doc today. Sounds like he wants to test me for adrenal fatigue due to my job and the stress that comes with it. Took another blood sample and also doing an at home saliva cortisol horomone test.

Hope he’s not beating around the bush.
 
Saw a trt doc today. Sounds like he wants to test me for adrenal fatigue due to my job and the stress that comes with it. Took another blood sample and also doing an at home saliva cortisol horomone test.

Hope he***8217;s not beating around the bush.
please let us know what your blood test reveal and if your doc tells your your adrenal levels are low and what he suggest for you to take to rasie your levels.
 
Will do man. I’m convinced that anything I can be told to take orally won’t bring my levels up to an optimum level. We’ll see though soon
 
it seriously sounds like you have primary hypogonadism.. high LH and FSH and low test.. so it isn't your pituitary

might have to take the trt plunge.. sucks.. i started it roughly around the same age as you
 
Well to complicate things further for me a second blood test revealed total T of 224. Range 265-889 on this one.

Free T of 5.8 3.2-19 range
SHBG 19.3 14-113 range
DHEA 393 145-590 range.

Also came back with 21 for Vit D. Doubling dose to 10,000iu everyday with k2 immediately.

Now I have the issue where my possible trt therapy may not even be effective as my shbg is on the lower end of normal, seeing that trt lowers it anyways.

I’m fucked?
 
With low SHBG you might have to shoot your test every couple of days. A long time between shots won't work for you.
 
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