Newb starting TRT with a few questions?

[Blippy]

Still the same dose. Yes and free was over 1500 stated on the first line .pardon if not written correctly just copied from the test results.

 

[Slhardee]

You need to get your estradiol down if I am reading your number correctly?

 

[scorob777]

T Serum >1500 -H 264-916
Free >50 -H 6.8-21.5

E 172 H 40-115
SHGB 28.9 16.5-55.9
LDL 101 H 0-99

High Liver AST 190
ALT 88
WBC 4.8
RBC 5.4
Globin 15.2
Crit 47.6


Doc not happy with liver results presrcibed NAC and more red meat and to stop the protein shakes...with food around 300 g a day 2 shakes(27g per) and 2 bars(20g per) a day so back it down around 100g per day. Suggested I get off the gear for a month just when all my gym work/diet is paying off still at 195 but lean and tight. feel great. left bicep still a tad deformed....shorter than the right from elbow to shoulder or in other words there is a space between the elbow inside and the front of the bicep around 3 fingers width.

You are, perhaps unwittingly, giving a good example of how not to do things.

You got the wrong testosterone test, for the amount you are injecting it's a sure thing you are over 1,500 so you need the LC-MS version

Your estrogen is sky high. Are you having any sides? Like loss of libido, loss or erections, anorgasmia, acne, moodiness? Not so hot for your prostate either.

Your liver looks like it is ready to mutiny and throw you over the side.

Are you taking any AI? When you come off are you going to PCT or cr u i se? Are you going to do time off = time on, or jump back on in one month?

 

[Blippy]

AI is .25ml every 7 days didn't want to crash my E2 using ex*****ane
Test E evry 3.5 days @ 425mg (1.5 ml).
EQ once a wk at 450mg- 5 weeks in.
My diet has been consistently around 300 g of protein daily...macro counting.
Water intake at 1gl or more per/day.
I have recently contacted a doc who is willing to monitor me and has had same issues as lymes ,distal tear and doxicylene blues. He has created a mito,keto style diet and I have jumped on with it but perhaps the suggestions of dhea and progesterone (note i did not read his fine print of post blood work)have elevated I have recently stopped that as well as protien intake and I don't want to stop cold turkey but do not want destructive issues as well. I am meeting the doctor tomorrow and will have more soon.
Sex drive is great. No acne no moods and honestly since hitting the gym feel great the body is popping muscle wise. Weight gain is at 195 and staying there would like a touch above 200 for final lbs.

And yes I told him about the type of total test blood work but I was in fasting mode when we met at the doctors and might have assumed he knew so for now it is the best I can do. which gives me enough to know that something is up and needs attention. I understand I went in blind for sure. I also have learned enough to know if it is for me and moving forward will make wiser decisions always appreciate the feedback.like I said I feel better than I have in a long time and maybe these elevated levels can be brought back.

 

[Blippy]

So after review my numbers were off of original statement 1.5 ml is 375mg of T e and have been that. Pardon. Hopefully I reach 50 posts soon...the delay is painful...moderator please don't chastise. Understanding key words and all. Just the delay is painful

 

[Blippy]

Thoughts???

Many doctors, even gastroenterologists or internists, don’t know that intense exercise can cause highly pathological liver function/disease lab tests, and they often refer a perfectly healthy person who happens to be exercising – whose lifestyle history has not been taken – to a liver disease specialist.[9]

An interesting survey assessed whether primary care physicians accurately can distinguish between blood aminotransferase elevations caused by intense resistance training and indicating muscle damage vs. elevation caused by drug use.[18] Surveys were sent to physicians listed as practicing family medicine or sports medicine in the yellow pages of seven metropolitan areas. Blood test results showed elevated aspartate AST, ALT and CK, but normal GGT. It was found that 56% failed to mention muscle damage as a potential diagnosis, despite the markedly elevated CK level of the patient. 63% indicated liver disease as their primary diagnosis despite normal GGT levels.[18]

 

[Slhardee]

Blippy,

What about the e2?? I do not want to beat a dead horse, but if you are not getting sides now, you will definitely get sides if you stay that elevated with your e2. The AI Dose you are taking is way too small and in-frequent for the amount of testosterone you are taking. I would take your AI dose three times a week at minimum. You probably need even more than that to get your E2 under control.

 

[Blippy]

Noted ,agreed and already moving on this. I have BW scheduled in a mnth.

Blippy,

What about the e2?? I do not want to beat a dead horse, but if you are not getting sides now, you will definitely get sides if you stay that elevated with your e2. The AI Dose you are taking is way too small and in-frequent for the amount of testosterone you are taking. I would take your AI dose three times a week at minimum. You probably need even more than that to get your E2 under control.

 

[scorob777]

Thoughts???

Many doctors, even gastroenterologists or internists, don***8217;t know that intense exercise can cause highly pathological liver function/disease lab tests, and they often refer a perfectly healthy person who happens to be exercising ***8211; whose lifestyle history has not been taken ***8211; to a liver disease specialist.[9]

An interesting survey assessed whether primary care physicians accurately can distinguish between blood aminotransferase elevations caused by intense resistance training and indicating muscle damage vs. elevation caused by drug use.[18] Surveys were sent to physicians listed as practicing family medicine or sports medicine in the yellow pages of seven metropolitan areas. Blood test results showed elevated aspartate AST, ALT and CK, but normal GGT. It was found that 56% failed to mention muscle damage as a potential diagnosis, despite the markedly elevated CK level of the patient. 63% indicated liver disease as their primary diagnosis despite normal GGT levels.[18]

Here's my take on liver AST and ALT levels. I've been doing intense exercise for years now, and eating lots of protein. With reasonable doses of AAS these things can put my values up around 50-ish, which is at the level of starting to be concerned.

Lately I've been doing a cycle of test, tren, and mast - and the tren has my AST and ALT values about 110, which is way the fuck too high and cause for me to stop.

Your levels are 190-ish, which is way beyond the realm of vigorous exercise, and even beyond the levels of a tren cycle. So really you should start taking NAC, milk thistle, and if you can source it tudca - while simultaneously stopping this 1+g cycle you are on.

 

[Mycelium]

Thoughts???

Many doctors, even gastroenterologists or internists, don***8217;t know that intense exercise can cause highly pathological liver function/disease lab tests, and they often refer a perfectly healthy person who happens to be exercising ***8211; whose lifestyle history has not been taken ***8211; to a liver disease specialist.[9]

An interesting survey assessed whether primary care physicians accurately can distinguish between blood aminotransferase elevations caused by intense resistance training and indicating muscle damage vs. elevation caused by drug use.[18] Surveys were sent to physicians listed as practicing family medicine or sports medicine in the yellow pages of seven metropolitan areas. Blood test results showed elevated aspartate AST, ALT and CK, but normal GGT. It was found that 56% failed to mention muscle damage as a potential diagnosis, despite the markedly elevated CK level of the patient. 63% indicated liver disease as their primary diagnosis despite normal GGT levels.[18]

We have to be careful not to misuse findings to support our wants. Muscle damage from intense exercise isn't the same as a gram of test every 9 days.

I also think you would start to go into a group with me and that's "almost healthy males". I may be healthy and have good blood levels but I'm a medication resistant epileptic on a benzo. I'm not your "average healthy male". Epilepsy and the medication have me on TRT. I have issues I must remember at all times.

 

[Blippy]

If I may also point out...my new doctor had a long talk prior to blood wrk....he pushed all sorts of supplements some sort of keto diet of sorts,
He had both lymes and distal tears and doxicylene issues and I did not think of repercussions perhaps of full speed ahead on the oral supplements is it possible these elevated,I have talked with another experienced bodybuilder his thoughts were they raised his work from past experience most likely not the same as mine I will list below

:MSM
KRILL
IODINE
VIT C
D3
SUPER K
PREGNENOLONE
DHEA
B12 FOLAT,METHYL FOLAT
MAGNESIUM
CURCUMIN
P-5-P
5 HTP
UBQH
AMINO LEAN
CREATINE MONO
BRAIN OCTANE OIL
GHEE BUTTER
L GLUTAMINE
all that and slamming 4 protien shakes a day and 4-6 29 gram protien bars a day and this basically came about 4 weeks prior to the blood draw. ...I have stopped all minus NAC and upped the AI.

 

[Mycelium]

That list probably wasn't helping your liver levels but this . . . . . . . . . . . . . . . . . . . . . . .

Here's my take on liver AST and ALT levels. I've been doing intense exercise for years now, and eating lots of protein. With reasonable doses of AAS these things can put my values up around 50-ish, which is at the level of starting to be concerned.

Lately I've been doing a cycle of test, tren, and mast - and the tren has my AST and ALT values about 110, which is way the fuck too high and cause for me to stop.

Your levels are 190-ish, which is way beyond the realm of vigorous exercise, and even beyond the levels of a tren cycle. So really you should start taking NAC, milk thistle, and if you can source it tudca - while simultaneously stopping this 1+g cycle you are on.