My Recent Bloodwork-Opinions, Advice please

[Alpin]

Also keep in mind "years" of cycling is a somewhat misleading concept. My first cycle ever was at 48. I've only done 3 cycles in my life that involved injectables. All were done with full PCT and the longest one (16 weeks) included HCG throughout.

Could 3 cycles in my last 3 years have had such a hard effect on my bloodwork? Testicles, Thyroid. I have no idea, but I would have thought it was not likely.

Oh, I did do a short bridge of SARMS in between (Ostarine & S4). And tried IFG1-LR3 (which seemed to do very little for me) I did like the SARMS though.

So I imagine all in all my body has been through a bit for 3 years. LOL

Thanks again Apollon. I just wanted to clarify, but as I wrote it, realized it could be a lot.


KC

It gets harder to recover the older u are. U don't have bloodwork with T do you before all cycling?
No way of knowing. I doubt you did that much damage.
You ran hcg on one cycle u said. Your pituitary is working fine.

 

[Alpin]

If this docs best line of treatment for you is cream I'd think twice about his approach/knowledge toward TRT.
From what I remember u telling me bout this docs credentials, I'm not to impressed.

 

[KCinToronto]

If this docs best line of treatment for you is cream I'd think twice about his approach/knowledge toward TRT.
From what I remember u telling me bout this docs credentials, I'm not to impressed.

So the quality of my doctors knowledge get worse as I go along. AS mentioned above is my pre-TRT bloodwork. I was then on testosterone compound cream for 6 weeks and he had me do some limited blood work. Recent results after 6 weeks compound cream:

Free Testosterone: 18.3 pmol/L Ref: 25.0 - 80.0 pmol/L
IGF1 - 114 ug/L Ref: 84 - 232 ug/L
Estradiol: 146 pmol/L Ref: <157 pmol/L
Progesterone: 1.9 nmol/L Ref: 0.7 - 4.3 pmol/L

The results actually show what I felt was happening:
Free Testosterone actually went down
Estrogen went up quite a bit. (I gained 7 pound of bloat)
Progesterone went up slightly.

IGF1 is somewhat low.

So after these results, he recommends I take more cream. LOL. It took me some time, but I finally convinced him to let me try Test C. After going back and forth from a book he has, he recommends I start at 100mg injected once a week. Not a bad start and I'll see what I notice and might do it every 6 days or so.

I ask him about HCG and he comments that he is waiting for his pharmacy next door to get him information on it. Wow, he doesn't have Google? LOL.
I ask him about an AI because of my bloating and he tells me to take more zinc. Arimidex is a last resort to him.

He also wanted to give me Secrotropin for the low IGF1. It would cost about $80.00 a month for the rest of my life. No insurance here for prescriptions. I told him to hold off as I'd like to get the TRT dialed in first.
The funniest part is I go to one pharmacy for the Test, and they tell me they can't get it any longer. The company went out of business. The next one gives it to me and it is Pfizer. LOL. So I'm pretty sure they are still in business.

I'm pretty sure it is much cheaper than the creams too. I don't have the exact price for the cream as my protocol changed, but the Test C was 81.00 for 2 bottles of 10ml at 100mg/ml. So 20 weeks at 100mg/ml. For now it cost me $81.00 for almost 5 months. Can't beat that.

So for now I'm going to use this guy as my gate keeper so to speak. Get blood work through him, keep my own copies. I'll get the Test C from him and get me HCG and Adex underground.

I would like to get my balls back to some shape as they really shrank a lot. More my scrotum got so tight it was uncomfortable on the creams.

Would anyone recommend an HCG protocol to get my boys back?
I'm thinking 250iu every second day for 2 weeks and then go to what I've read of 2 days before my shot and 1 day before my shot.

I'll be taking some adex for a bit to lose this bloat too. Maybe .5mg every three days.

Any advice would be awesome guys.


Thanks for reading.


KC

 

[Alpin]

That doc is a quack KC!
Please listen to the good info on here from the vets like Mega etc....
There is a reason the pharmaceutical giants use Testosterone GELS and NOT CREAMS for MEN. CREAMS are for Women NOT MEN.
I advise u to lose this doc and get a proper diagnosis from a qualified medical practitioner. No expert in TRT diagnosis hypogonadism soley from free testosterone blood work. You need TT, Bio Avail. T etc...
I'm not too sure you will yield adequate results from 250 I.U. HCG.
And dont jump on that much of ADEX at the get go from your protocol. You aromatize differently when you are on exogenous hormones.
You should only use ADEX after you have confirmed that its needed from blood labs and symptoms.

 

[KCinToronto]

That doc is a quack KC!
Please listen to the good info on here from the vets like Mega etc....
There is a reason the pharmaceutical giants use Testosterone GELS and NOT CREAMS for MEN. CREAMS are for Women NOT MEN.
I advise u to lose this doc and get a proper diagnosis from a qualified medical practitioner. No expert in TRT diagnosis hypogonadism soley from free testosterone blood work. You need TT, Bio Avail. T etc...
I'm not too sure you will yield adequate results from 250 I.U. HCG.
And dont jump on that much of ADEX at the get go from your protocol. You aromatize differently when you are on exogenous hormones.
You should only use ADEX after you have confirmed that its needed from blood labs and symptoms.

Hey Apollon. how are you? I know my doc is out there. Unfortunately right now, he is the only one I can find in my area that will consider this. I've had a pretty extensive bloodwork done prior to starting this, which I keep mentioning is in the first post. His follow up blood work was more of a, lets look at where your Free T and Estrogen are at. Not extensive, but I don't imagine every three months everyone gets everything tested over and over again.

I'll research more to find another doctor once I get some time. Even my GP sent me to a Urologist, who ignored my Low Free T, as it was considered in the ref range. Now (as per your recommendation) I go to Gamma Dynacare and magically, I am out of the ref range and considered Low T. (What a strange system). Apparently this Urologist gives seminars on how to treat Low T, so this is what I am up against. My GP was even disappointed that he ignored it. Swipe your card, get you in and out like an assembly line is what I experience here.

I'm confident that I've established I am Primary Hypergonadal. based on the bloodwork at the top which was pre-TRT.
If there is something there that tells you I am not Hypergonadal, please explain.

What does Total T even tell me? Even Dr. Crisler states: "This is the assay your patients will most focus on, as will clinicians unpracticed in the art." Mine is shown above, but I keep referring to
MY CURRENT BEST THOUGHTS ON HOW TO ADMINISTER TRT FOR MEN by Dr. Crisler.

Don't get me started on the pharmaceutical giants using the gels and not creams. Those gels are making them a fortune with what they charge for them. Must be nice to have insurance. And I guess you're quoting Dr. Crisler video we've all probably seen. "Gels are for men, creams are for girls". LOL. I like Dr. Crisler's reports and I've reviewed them over and over. He seems to prefer the Gels even to injections. This seems to go against every real person I've read about talking about Testosterone Replacement. Everyone seems to say the injections are the best. Except one guy I know, his GP says do you have insurance, and throws him on Gel.

What's your experience with HCG? How much and how often do you think I should take it? Crisler pretty much recommends the 250 IU.

What about Arimidex? My blood work pretty much confirmed my estrogen shot up. My symptoms confirm it to me. I think the Adex I have is much weaker than it says. I have to say though, only 2 days of no cream and the symptoms are subsiding, or the Adex kicked in.

If you or anyone has advice opinions about my new protocol, 100mg week TestC / 250IU HCG every second day for 2 weeks, then 250 IU 2 days before injection and 1 day before injection / Adex as I feel I need it will likely be where I end up. More blood work in 6 weeks.

Please let me know. I'm forced to use this doc and any research/advice I can find for now.



KC

 

[Alpin]

Crisler also mentions that if ones SHBG is on the low side it means they convert the Gels easier into estradiol and they are better off using low dose injects.

250 I.u. is low. You could use it to stop some shrinkage while on TRT but anything less than 400 I.u. does nothing for me.
I cant advise u what to do. I am not a medical doctor.
I dont like running HCG more than E3D. It creates other hormones too.