Labs after one year of TRT

[bigben34]

One year update on labs: I've been doing 150mg 1x per week with DIM to control E2. Only concern I see is low HDL...I'll ramp up fish oil and some Niacin to see if that helps.


These were two days after injection.



CBC With Differential/Platelet
WBC 8.8 3.4-10.8 x10E3/uL DV
RBC 5.61 4.14-5.80 x10E6/uL DV
Hemoglobin 15.5 12.6-17.7 g/dL DV
Hematocrit 46.4 37.5-51.0 % DV
MCV 83 79-97 fL DV
MCH 27.6 26.6-33.0 pg DV
MCHC 33.4 31.5-35.7 g/dL DV
RDW 13.8 12.3-15.4 % DV
Platelets 265 155-379 x10E3/uL DV
Neutrophils 70 40-74 % DV
Lymphs 22 14-46 % DV
Monocytes 7 4-12 % DV
Eos 1 0-5 % DV
Basos 0 0-3 % DV
Neutrophils (Absolute) 6.2 1.4-7.0 x10E3/uL DV
Lymphs (Absolute) 1.9 0.7-3.1 x10E3/uL DV
Monocytes(Absolute) 0.6 0.1-0.9 x10E3/uL DV
Eos (Absolute) 0.1 0.0-0.4 x10E3/uL DV
Baso (Absolute) 0.0 0.0-0.2 x10E3/uL DV
Immature Granulocytes 0 0-2 % DV
Immature Grans (Abs) 0.0 0.0-0.1 x10E3/uL DV

Comp. ********* Panel (14)
Glucose, Serum 74 65-99 mg/dL DV
BUN 22 HIGH 6-20 mg/dL DV
Creatinine, Serum 1.38 HIGH 0.76-1.27 mg/dL DV
eGFR If NonAfricn Am 68 >59 mL/min/1.73 DV
BUN/Creatinine Ratio 16 8-19 DV
Sodium, Serum 139 134-144 mmol/L DV
Potassium, Serum 4.0 3.5-5.2 mmol/L DV
Chloride, Serum 100 97-108 mmol/L DV
Carbon Dioxide, Total 23 19-28 mmol/L DV
Calcium, Serum 9.1 8.7-10.2 mg/dL DV
Protein, Total, Serum 7.2 6.0-8.5 g/dL DV
Albumin, Serum 4.1 3.5-5.5 g/dL DV
Globulin, Total 3.1 1.5-4.5 g/dL DV
A/G Ratio 1.3 1.1-2.5 DV
Bilirubin, Total 0.3 0.0-1.2 mg/dL DV
Alkaline Phosphatase, S 66 39-117 IU/L DV
AST (SGOT) 31 0-40 IU/L DV
ALT (SGPT) 25 0-44 IU/L DV

Lipid Panel
Cholesterol, Total 146 100-199 mg/dL DV
Triglycerides 117 0-149 mg/dL DV
HDL Cholesterol 33 LOW >39 mg/dL DV
According to ATP-III Guidelines, HDL-C >59 mg/dL is considered a
negative risk factor for CHD.
VLDL Cholesterol Cal 23 5-40 mg/dL DV
LDL Cholesterol Calc 90 0-99 mg/dL DV

Thyroid Panel With TSH
1 of 2
TSH 1.430 0.450-4.500 uIU/mL DV
Thyroxine (T4) 7.4 4.5-12.0 ug/dL DV
T3 Uptake 30 24-39 % DV
Free Thyroxine Index 2.2 1.2-4.9 DV

Testosterone, Free/Tot Equilib
Testosterone, Serum 1095 348-1197 ng/dL DV
Comment: Comment DV
Adult male reference interval is based on a population of lean males
up to 40 years old.
Testosterone,Free 31.54 HIGH 5.00-21.00 ng/dL BN
% Free Testosterone 2.88 1.50-4.20 % BN

Prostate-Specific Ag, Serum
Prostate Specific Ag, Serum 0.6 0.0-4.0 ng/mL DV
Roche ECLIA methodology.

IGF-1
Insulin-Like Growth Factor I 160 98-282 ng/mL BN

Estradiol, Sensitive
Estradiol, Sensitive 22

 

[Alpin]

Numbers look excellent to me.
What dose/brand of DIM do you use and when do you take it, with meals?
Have you recently donated blood?
You have great CBC panel for a high T level like that.
You inject once a week?
How long have you been on the DIM for ?

 

[bigben34]

I've always used Nature's Way DIM-Plus from Amazon. I take one pill in the morning with food and then one around dinner time. The dose I use is actually half of the recommended Men's dose but it's always kept my E2 right around 20. I'm 6'4' 230..probably 12-13% BF and I think that I just don't aromatize all that much.
I hadn't donated in about 30 days when those labs were taken. I usually donate every 60 days...The red cross comes to my work once a month so it's just a matter of walking upstairs to get it done.
yes, I've always felt better injecting once a week...No HCG either..i supplement DHEA and Preg. 25mg daily DHEA keeps my DHEA-S in the mid 300's (mid-range) and I do 50mg preg.
I've been using DIM for the better part of 8 months now...When I was new to TRT I was like most guys, thinking that I HAD to have an AI...that was a mistake...AI's are not for me...Even on a blast...Still not for me.

 

[Megatron28]

Numbers look great!

 

[Alpin]

An AI could dip Estradiol a bit too low especially if one is injecting twice a week. Keep in mind u are not on HCG like many other guys here are. HCG would aromatize plenty.
How many mg of DIM is that dose u run?
Any idea of how you feel off the DIM?
The longer you are on TRT things change so just keep in mind in regards to Estradiol.
You are fairly lean.

 

[bigben34]

An AI could dip Estradiol a bit too low especially if one is injecting twice a week. Keep in mind u are not on HCG like many other guys here are. HCG would aromatize plenty.
How many mg of DIM is that dose u run?
Any idea of how you feel off the DIM?
The longer you are on TRT things change so just keep in mind in regards to Estradiol.
You are fairly lean.

100mg a day of DIM. 50 am 50 pm. I was off DIM for a couple months in the winter and I didn't notice much in terms of mood but there seemed to be a ramp up of acne for a bit...Labs weren't too bad being off DIM...I believe my E2 was 29 if I remember correctly.

I typically get labs done every quarter, so i'm always keeping an eye out for changes.

 

[Alpin]

Acne cleared up now?
I know Austnite swears by DIM and uses it in his TRT protocol but at 300 mg a day.
I would assume that it just lowers E2 no more than 10 pg/ml. It would probably help someone who is just hovering over the range.
I dont think DIM would do much for guys who are running HCG as well.

 

[bigben34]

DIM helped but only so much...right now I use a combo of Austinite's acne protocol (B5, Zinc, Pycnegenol), and Nizoral 2% as my body wash. Quite happy with the result of this current protocol after trying numerous scripts that really didn't touch the acne. I think my acne had a lot to do with DHT...hence the Nizoral.

I don't know that I would make that assumption about DIM lowering ~10 pg/ml. DIM doesn't work the same as an AI and I don't know that you could assume what it will do for each person. It's job is to assist the body in metabolizing the estrogen that's already present...which in turn prevents a gradual build up of E2. Personally, if I were on HCG, I would still be trying DIM...maybe at a dosage more like Austinite's.

 

[Billegitimate]

bigben: How are you feeling with these numbers? Sex drive/performance, recovery, muscle growth, strength, mathematical abilities, ingenuity?

Okay, skip the last two. But for the rest, what are you experiencing along with these lab results?

 

[bigben34]

I feel pretty damn good overall...Sex drive is always on point..no complaints in that department. Recovery is far superior than it used to be...when I used to be sore for 5-6 days pre-TRT, I'm now sore for max 3 days...My strength has gone up on all lifts over the past year and I think the biggest benefit is that a lot of the aches and pains of old injuries and scar tissue are 99% gone. Because of that, I've been able to lift heavier without worrying about reinjury or not being confident that my body will hold up before a heavy lift. It's good to have all that out of my mind. As long as my E2 is dialed in correctly my mood stays positive and I stay patient and calm...

Mathematical abilities still needs some work though.....

 

[Alpin]

U hit the nail in the head Big B!
As long as E2 is dialed in you will feel good.
Now.....
Had u not known to use DIM for E2 control u would probably feel all screwy using an A.i. as that would dip your E2 very low judging by your labs.

Last time I use to shoot T once a week at 160 mg E7D s with hcg my Estradiol would be 338 pmol/l 2 days from shot. Doc said that the particular lab I used is notorious for screwy E2 levels and that I was closer to 200 pmol/l.
I was even using adex eod at the time at 0.25 mg a dose.

 

[Alpin]

As for conversion from:
Pmol/l to pg/ml a simple calculation on "end memo" will calculate it.