My full labs; let me know your thoughts...

[TheCelt]

I wonder of some of the extremely educated members here would take a look through my labs below and let me know your thoughts. My estradiol was flagged as out of range (290 pmol/L when it should be under 157 buy the range this lab uses). Regular doctor is saying I should increase the Test Cyp shots but to cut fatty foods from my diet rather than use an Aromatase inhibitor (AI). I've not talked to my endo yet (I'm 5.11 with a wide frame, weigh 205lbs with a fairly muscular upper body from years of wrestling, I know I'm a bit overweight but it's not ALL fat)

Potassium -------------------------------4.1 mmol/L
Chloride ---------------------------------100.0 mmol/L
GGT -------------------------------------38.0 U/L
AST -------------------------------------50.0 U/L
ALT -------------------------------------130.0 U/L
TSH -------------------------------------6.28 mIU/L
T4 FREE ---------------------------------14.0 pmol/L
FREE T3 ---------------------------------5.7 pmol/L
CORTISOL RANDOM ----------------------318.0 nmol/L
DHEAS ----------------------------------4.9 umol/L
PROSTATE SPECIFIC AG. -----------------0.87 ug/L
Estradiol 290.0 ---------------------------pmol/L

Hemoglobin ------------------------------158.0
Hematocrit -------------------------------0.47 l/l
RBC --------------------------------------4.90 10E12/L

RBC INDICES:

MCV --------------------------------------96.0 fl
MCH --------------------------------------32.0 pg
MCHC -------------------------------------337.0 g/L
RDW --------------------------------------14.0
WBC --------------------------------------11.2 10E9/L

Glucose Serum Fasting ---------------------10.6 mmol/L
Creatinine ---------------------------------83.0 umol/L
URATE ------------------------------------556.0 umol/L
Vitamin B12 -------------------------------473.0 umol/L
Ferritin ------------------------------------119.0 ug/L
Sodium ------------------------------------136.0 mmol/L

Free Test ---------------------------------50.3 pmol/L

MPV --------------------------------------9.2 f1

Differential WBC's:

NEUTROPHILS -----------------------------7.28 10E9/L
LYMPHOCYTES ----------------------------2.91 10E9/L
MONOCYTES ------------------------------0.56 10E9/L
EOSINOPHILS -----------------------------0.34 10E9/L
BASOPHILS -------------------------------0.11 10E9/L

Thanks.

 

[halfwit]

You may want to edit your post with the respective ranges as I know many of us are not accustomed to the values in mol/volume. I can say that telling a patient to cut back on fats to reduce estradiol while on exogenous test is a bit on the silly side. You're at ~79pg/dL which is about DOUBLE where most guys feel optimal, so I would definitely discuss the use of a low-dose Aromatase inhibitor (AI) like anastrozole or exemestane. I'd comment on your liver values (AST/ALT) but I have no clue what the conversion is from Units to International Units. Also, why only free test and not total test? Many find free test to be a less than stellar way to gauge the effectiveness of a testosterone replacement therapy (TRT) program...