Going for a restart....MAYBE found a good Doctor!

[JonnyBravo22]

Around 10 to 12 percent I would guess.

I am just asking what the point is of running another cycle of clomid. We already know it spikes my levels then they drop down again. Why do it again and for longer? Not arguing just want to know the reason.

 

[Alpin]

Around 10 to 12 percent I would guess.

I am just asking what the point is of running another cycle of clomid. We already know it spikes my levels then they drop down again. Why do it again and for longer? Not arguing just want to know the reason.

To postpone the needle for life as long as possible.
I guess that was the big reason for your doc stopping your TRT and putting u on this clomid run.
Now he wants no part in following up on you. Ridiculous.

 

[Alpin]

What's your ferritin, iron, b12, vit d levels like Johnny?

 

[JonnyBravo22]

No idea....I only did the women's hormone panel. Next time I mad do a larger panel. I am going to wait a month and see what happens.

 

[Alpin]

I don't see SHBG, or Prolactin either. Make sure you get Albumin tested. We can calculate your bio available T with it along with SHBG.

 

[JonnyBravo22]

Going in for another blood test this week. What other panel should I get besides the womens hormone panel?

This is everything that was included in the last panel

CBC With Differential/Platelet
WBC 4.8 3.4-10.8 x10E3/uL 01
RBC 5.29 4.14-5.80 x10E6/uL 01
Hemoglobin 16.1 12.6-17.7 g/dL 01
Hematocrit 45.5 37.5-51.0 % 01
MCV 86 79-97 fL 01
MCH 30.4 26.6-33.0 pg 01
MCHC 35.4 31.5-35.7 g/dL 01
RDW 13.0 12.3-15.4 % 01
Platelets 241 150-379 x10E3/uL 01
Neutrophils 46 40-74 % 01
The percent (%) differential reference intervals for normal cell types
will be removed from patient reports beginning September 15, 2014,
consistent with CAP standards.
Lymphs 37 14-46 % 01
The percent (%) differential reference intervals for normal cell types
will be removed from patient reports beginning September 15, 2014,
consistent with CAP standards.
Monocytes 13 HIGH 4-12 % 01
The percent (%) differential reference intervals for normal cell types
will be removed from patient reports beginning September 15, 2014,
consistent with CAP standards.
Eos 3 0-5 % 01
The percent (%) differential reference intervals for normal cell types
will be removed from patient reports beginning September 15, 2014,
consistent with CAP standards.
Basos 1 0-3 % 01
The percent (%) differential reference intervals for normal cell types
will be removed from patient reports beginning September 15, 2014,
consistent with CAP standards.
Neutrophils (Absolute) 2.2 1.4-7.0 x10E3/uL 01
Lymphs (Absolute) 1.8 0.7-3.1 x10E3/uL 01
Monocytes(Absolute) 0.6 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
The percent (%) differential reference intervals for normal cell types
will be removed from patient reports beginning September 15, 2014,
consistent with CAP standards.
Immature Grans (Abs) 0.0 0.0-0.1 x10E3/uL 01
Comp. ********* Panel (14)
Glucose, Serum 82 65-99 mg/dL 01
BUN 22 HIGH 6-20 mg/dL 01
Creatinine, Serum 1.27 0.76-1.27 mg/dL 01
eGFR If NonAfricn Am 77 >59 mL/min/1.73 01
eGFR If Africn Am 89 >59 mL/min/1.73 01
BUN/Creatinine Ratio 17 8-19 01
Sodium, Serum 141 134-144 mmol/L 01
Potassium, Serum 4.1 3.5-5.2 mmol/L 01
Chloride, Serum 99 97-108 mmol/L 01
Carbon Dioxide, Total 27 18-29 mmol/L 01
1 of 2Calcium, Serum 10.2 8.7-10.2 mg/dL 01
Protein, Total, Serum 7.1 6.0-8.5 g/dL 01
Albumin, Serum 5.1 3.5-5.5 g/dL 01
Globulin, Total 2.0 1.5-4.5 g/dL 01
A/G Ratio 2.6 HIGH 1.1-2.5 01
Bilirubin, Total 0.5 0.0-1.2 mg/dL 01
Alkaline Phosphatase, S 61 39-117 IU/L 01
AST (SGOT) 26 0-40 IU/L 01
ALT (SGPT) 30 0-44 IU/L 01
Testosterone, Serum
Testosterone, Serum 431 348-1197 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 4.5 1.7-8.6 mIU/mL 01
FSH, Serum
FSH 4.5 1.5-12.4 mIU/mL 01
Estradiol
Estradiol 11.8 7.6-42.6 pg/mL 01

 

[Alpin]

It's pretty unlikely that you are getting TRT from a conventional endo with levels like that. I don't know what you are fussing about.
I don't see SHBG or Bio Avail.T, Free T anywhere,

 

[JonnyBravo22]

I am not trying to get TRT I am trying to make sure my my numbers are staying in the normal range. Just last year I was in the mid 200s at 27 years old. My doc did a "restart" about 6 months ago and I jumped to 700s. Then down to 550. And now down to 430 as of a month ago.

I know that Free, Bio, an SHBG are not on there that is why I posted the question of what other panel besides the womens hormone panel should I get from PrivateMDlabs.com

 

[Alpin]

You been on this board a year now and this thread has had much positive feedback. If you don't know what blood work you need by now. Then i'm at a loss for words. .....

 

[JonnyBravo22]

Apollon I am simply asking for which panel I should add to the womens hormone panel through priavetemdlabs to get my SHBG and Bio. It is not common sense just like it is not common sense to get the WOMENS panel. I am just asking for help. If you don't want to help me the that is fine. I know which INDIVIDUAL test I need but usually I just tell the Doc I want this this and this tested. It is different with the online testing.

There is a male hormone panel that provides Free, Total, and SHBG. I am not seeing one for bio so my question still stands. Thank you

 

[Alpin]

Apollon I am simply asking for which panel I should add to the womens hormone panel through priavetemdlabs to get my SHBG and Bio. It is not common sense just like it is not common sense to get the WOMENS panel. I am just asking for help. If you don't want to help me the that is fine. I know which INDIVIDUAL test I need but usually I just tell the Doc I want this this and this tested. It is different with the online testing.

There is a male hormone panel that provides Free, Total, and SHBG. I am not seeing one for bio so my question still stands. Thank you

I didn't say I didnt want to help but it seems to me you know what the answer is...
you can't maintain that elevated T you want off clomid.
I'm sure that 80+ year old endo you went to ran a lab for prolactin etc. ..
You have everything pretty much tested already...
So either get some clomid 12.5 mg ED or 25 mg ED and stay on it and run labs 2-3 months into it and I think you been told before to run clomid again. So why you waiting around is beyond me.
Not much science to the fact you'll have crap T without treatment. I assume you are still lean and working out?
Your estradiol is beautiful ....
I would kill for a estradiol level like that....lol
I'm at 412 and 36.5 pg/ml estradiol. ...

 

[JonnyBravo22]

My problem right now is I have no doctor. The endo let me go after seeing that the "restart" boosted my levels and said that no further testing was required. I don't want to go through the circus of finding another primary doc unless I am sure that my T is dropping as we both know with levels over 400 they won't give me the time of day. So I am testing myself and if I continue to drop I will have something to show the doc to speed up the process so that they will prescribe me the right meds.

 

[Alpin]

My problem right now is I have no doctor. The endo let me go after seeing that the "restart" boosted my levels and said that no further testing was required. I don't want to go through the circus of finding another primary doc unless I am sure that my T is dropping as we both know with levels over 400 they won't give me the time of day. So I am testing myself and if I continue to drop I will have something to show the doc to speed up the process so that they will prescribe me the right meds.

I wouldn't put too much hope in that.
how low you will go is no guarantee.
You might stay above 360 for another year...
Is that the way you wanna live?
Even then some endo will b.s. you with another clomid restart and we know how it will play out.
get your hands on some clomid or find a protocol that will keep you at the desired level you want.
I really don't understand what your problem is.
what are your symptoms?

 

[JonnyBravo22]

edit

 

[Jimstigator]

I haven't followed you much - what is your weight/bodyfat?

I played the restart game for 10 years across 6 or so doctors - its no way to live. Finally settled on TRT recently (30yo) - thank god.

If its not sticking, and you can't find obvious signs... at some point a decision must be made.

There are Drs out there who can help - you just have to save and go see one. I fly to California from Virginia every year... but in the grand scheme, its a small price to pay.

Maybe this isn't the best advice - but last night I found all of my old bloodwork and dug through it (10 years worth). I had a number of readings with a TT under 150 and pretty much felt like I was dying. It pains me to think I could have fixed it with TRT, when instead, I resisted and have spent 1/3rd of my life struggling to keep my hormones in order. A lot of folks will say this and that to keep people off TRT. The recipient of the comment then chases SHIT for years... bloodwork after bloodwork. I have 30+ readings from just the past 3 years.

We only have so many years on earth... why waste them with this bullshit.

-Jim

 

[Jimstigator]

Side question - what do your thyroid levels look like, T3, T4, TSH?

Getting that in order didn't help me... but maybe it can you.

-Jim

 

[Alpin]

i haven't followed you much - what is your weight/bodyfat?

I played the restart game for 10 years across 6 or so doctors - its no way to live. Finally settled on trt recently (30yo) - thank god.

If its not sticking, and you can't find obvious signs... At some point a decision must be made.

There are drs out there who can help - you just have to save and go see one. I fly to california from virginia every year... But in the grand scheme, its a small price to pay.

Maybe this isn't the best advice - but last night i found all of my old bloodwork and dug through it (10 years worth). I had a number of readings with a tt under 150 and pretty much felt like i was dying. It pains me to think i could have fixed it with trt, when instead, i resisted and have spent 1/3rd of my life struggling to keep my hormones in order. A lot of folks will say this and that to keep people off trt. The recipient of the comment then chases shit for years... Bloodwork after bloodwork. I have 30+ readings from just the past 3 years.

We only have so many years on earth... Why waste them with this bullshit.

-jim

well said!!!