Help understanding a few lab values

[Gbrad]

I am not sure what the 2 low values and 2 high values mean re my TRT program. Only thing I can speculate is I had trouble initially with HCT and HB climbing too high so I donated blood every 2 months for a year and change. I haven't donated in several months now due to the leveling off of my hb on the last donation (was 15.5). Any thoughts on why or what the significance of the 2 low and 2 high values mean? kinda stumped on them.

I take 140mg week Test C on Wed; 375 IU HCG on Sat pm and Wed am; .25mg anastrozole with HCG; stopped anastrozole due to feeling crappy and achy and confirmed too low estrogen. Also 35 mg DHEA capsule per day. Would love to add Deca at some point before long at about 100mg per week for joint relief.

Appreciate any thoughts.



LabCorp
AGE: 40
GENDER: Male
FASTING: No
Clinical Info:
Test Name Result Flag Reference Range Lab
CBC With Differential/Platelet
WBC 6.5 3.4-10.8 x10E3/uL 01
***RBC 6.51 HIGH 4.14-5.80 x10E6/uL 01
Hemoglobin 16.0 12.6-17.7 g/dL 01
Hematocrit 48.4 37.5-51.0 % 01
***MCV 74 LOW 79-97 fL 01
***MCH 24.6 LOW 26.6-33.0 pg 01
MCHC 33.1 31.5-35.7 g/dL 01
***RDW 19.5 HIGH 12.3-15.4 % 01
Platelets 246 150-379 x10E3/uL 01
Neutrophils 73 % 01
Lymphs 17 % 01
Monocytes 7 % 01
Eos 2 % 01
Basos 1 % 01
Neutrophils (Absolute) 4.8 1.4-7.0 x10E3/uL 01
Lymphs (Absolute) 1.1 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 % 01
Immature Grans (Abs) 0.0 0.0-0.1 x10E3/uL 01
Comp. ********* Panel (14)
Glucose, Serum 146 HIGH 65-99 mg/dL 01 (just ate Chicken sandwich and fries)
BUN 17 6-24 mg/dL 01
Creatinine, Serum 1.17 0.76-1.27 mg/dL 01
eGFR If NonAfricn Am 78 >59 mL/min/1.73 01
eGFR If Africn Am 90 >59 mL/min/1.73 01
BUN/Creatinine Ratio 15 9-20 01
Sodium, Serum 139 134-144 mmol/L 01
Potassium, Serum 4.6 3.5-5.2 mmol/L 01
Chloride, Serum 97 97-108 mmol/L 01
Carbon Dioxide, Total 25 18-29 mmol/L 01
Calcium, Serum 9.7 8.7-10.2 mg/dL 01
Protein, Total, Serum 7.2 6.0-8.5 g/dL 01
Albumin, Serum 4.9 3.5-5.5 g/dL 01
Globulin, Total 2.3 1.5-4.5 g/dL 01
A/G Ratio 2.1 1.1-2.5 01
Bilirubin, Total 0.3 0.0-1.2 mg/dL 01
Alkaline Phosphatase, S 103 39-117 IU/L 01
AST (SGOT) 36 0-40 IU/L 01
ALT (SGPT) 34 0-44 IU/L 01
Testosterone, Serum
Testosterone, Serum 874 348-1197 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 <0.2 LOW 1.7-8.6 mIU/mL 01
FSH, Serum
FSH <0.2 LOW 1.5-12.4 mIU/mL 01
1 of 2
Estradiol
Estradiol 18.6 7.6-42.6 pg/mL 01

 

[Mprtz]

I think I might know the answer because mine looks just like that.

I bet your ferritin is low. If you've donated blood regularly you've lost more iron than you are getting in your diet. The testosterone is still stimulating the production of red cells (hence they are high), but the amount of iron-containing hemoglobin in each cell is low, hence the low MCH (mean corpuscular hemoglobin).

That's my theory anyway.

 

[halfwit]

I think I might know the answer because mine looks just like that.

I bet your ferritin is low. If you've donated blood regularly you've lost more iron than you are getting in your diet. The testosterone is still stimulating the production of red cells (hence they are high), but the amount of iron-containing hemoglobin in each cell is low, hence the low MCH (mean corpuscular hemoglobin).

That's my theory anyway.

That would be my guess as well.

OP: That glucose is still high, you should see a doctor and get an A1c done to rule out pre-diabetes. Better safe than sorry.

My .02c

 

[Gbrad]

That would be my guess as well.

OP: That glucose is still high, you should see a doctor and get an A1c done to rule out pre-diabetes. Better safe than sorry.

My .02c

Thx for the thoughts

No worries on the glucose. My fasting was checked recently at 87. This test was not fasting. I are a chicken sandwich and French fries 20 min before the test. So a post prandial In the 130s is pretty solid. A1C is in low 5 range.

 

[Gbrad]

I think I might know the answer because mine looks just like that.

I bet your ferritin is low. If you've donated blood regularly you've lost more iron than you are getting in your diet. The testosterone is still stimulating the production of red cells (hence they are high), but the amount of iron-containing hemoglobin in each cell is low, hence the low MCH (mean corpuscular hemoglobin).

That's my theory anyway.

Ok. That makes sense to me. Gracias!

 

[Megatron28]

Tú estradiol me parece demasiado bajo también. Quizás no necesitas usar tu inhibidor de aromatización.

 

[Alpin]

Gracias por publicar este tipo de resultados del trabajo de la sangre a fondo.

 

[halfwit]

Thx for the thoughts

No worries on the glucose. My fasting was checked recently at 87. This test was not fasting. I are a chicken sandwich and French fries 20 min before the test. So a post prandial In the 130s is pretty solid. A1C is in low 5 range.

Alrighty, but keep in mind that a glucose over 140 post prandial is often an early marker for insulin resistance. I only mention it as I am a diabetic and wish I had known these things long ago. But if you have an A1c of 5, must be just a fluke.

 

[Gbrad]

Alrighty, but keep in mind that a glucose over 140 post prandial is often an early marker for insulin resistance. I only mention it as I am a diabetic and wish I had known these things long ago. But if you have an A1c of 5, must be just a fluke.

I hear ya. Adult onset diabetes does run in my family. My dad has it and I'm built like him. I will say he is also hypogonadal but will not force the issue with his Doctor. I hope to keep my glucose excursions "between the ditches" and believe TRT is gonna play a major role in doing so. I've read some REALLY solid data on this, and I'm willing to bet it has helped you tremendously just reading some of your before and after stats.

The knowledge on this forum offered by folks like you and a few others will be instrumental too! So thanks!

 

[Chiefy]

I think I might know the answer because mine looks just like that.

I bet your ferritin is low. If you've donated blood regularly you've lost more iron than you are getting in your diet. The testosterone is still stimulating the production of red cells (hence they are high), but the amount of iron-containing hemoglobin in each cell is low, hence the low MCH (mean corpuscular hemoglobin).

That's my theory anyway.

I would also agree with this.


On an unrelated note, have you had a sensitive E2 test done on this protocol? Your E2 is at 18.6 on the standard test, when in reality it could be much lower. Mine was a full 20 points lower on the sensitive test, and explained why I still felt like absolute shit.

Disregard if this set of labs was drawn before you stopped the Anastrozole.

Also, have you had a free T value recently? Total looks solid, but free T is a more important value.

 

[Alpin]

I also felt .25 mg adex was a tad much a.i.
my doses were similar to yours only case being that T was split up in 2 shots per week.

 

[Gbrad]

I also felt .25 mg adex was a tad much a.i.
my doses were similar to yours only case being that T was split up in 2 shots per week.

Yeah I remember reading your posts on ai. What did you decide to do? I may try 2 x week test and no ai. I'm just gunshy because I had bilateral gynecomastia surgery at age 19.

 

[Gbrad]

I would also agree with this.


On an unrelated note, have you had a sensitive E2 test done on this protocol? Your E2 is at 18.6 on the standard test, when in reality it could be much lower. Mine was a full 20 points lower on the sensitive test, and explained why I still felt like absolute shit.

Disregard if this set of labs was drawn before you stopped the Anastrozole.

Also, have you had a free T value recently? Total looks solid, but free T is a more important value.

Thanks for the thoughts. I think I will run 2x week test and HCG shots and retest in 4-6 weeks. Also will hopefully give me more feedback on joint aches and stiffness etc.
That way I can rule out low estrogen causing joint aches etc before I try to add some Deca to the mix.

 

[halfwit]

I hear ya. Adult onset diabetes does run in my family. My dad has it and I'm built like him. I will say he is also hypogonadal but will not force the issue with his Doctor. I hope to keep my glucose excursions "between the ditches" and believe TRT is gonna play a major role in doing so. I've read some REALLY solid data on this, and I'm willing to bet it has helped you tremendously just reading some of your before and after stats.

The knowledge on this forum offered by folks like you and a few others will be instrumental too! So thanks!

I am a diabetic because of low testosterone, so yes it very well could fix that up for you. Please let us know how things turn out for you. I do wish you the best of luck!

 

[Alpin]

Yeah I remember reading your posts on ai. What did you decide to do? I may try 2 x week test and no ai. I'm just gunshy because I had bilateral gynecomastia surgery at age 19.

On reasonable TRT doses that are divided up...
you shouldn't see a huge problem with gyno. Just have some Adex/Nolva on hand in case you do.
Nolva to deal with the gyno and possibly adex in low doses to keep estradiol down going forward. Careful with the adex though. On TRT dosrs injected twice weekly you could lower estradiol too much.

 

[THE-DET-OAK]

you need to donate blood, back off the adex and drink more water

 

[Gbrad]

you need to donate blood, back off the adex and drink more water

I'm with ya on the Adex and water. Donate blood? I thought the high and low values I put asterisks by demonstrated possible low ferritin? Otherwise Hb and HCT are upper mid range. Haven't donated in 5 months or so.

 

[THE-DET-OAK]

Sorry about that I was just looking to get your RBC down thats all. I should have read more carefully xD

Its possible its a ferritin issue its just unusual that men are low on iron when on TRT.

Did you have your ferritin tested specifically?

 

[Gbrad]

Sorry about that I was just looking to get your RBC down thats all. I should have read more carefully xD

Its possible its a ferritin issue its just unusual that men are low on iron when on TRT.

Did you have your ferritin tested specifically?

No I just did the privatemdlabs female hormone panel. I'm gonna split my test dose to 2x week and no Adex for 4-6 weeks and see where the numbers are. Including ferritin this time. Thx man

 

[THE-DET-OAK]

no problem sounds like a good plan.