No Pump in the gym.....;\

[jomamma007]

Protocol 50mgs cyp 2x week, no hcg, no ai, 50mgs dhea and preg daily

I think because of my adrenal fatigue, and seeming to be dehydrated all the time the last few months I haven't been able to get a pump in the gym since August.
I've decided to take this month off caffeine and lifting to see if this helps but I'm kind of at a loss. I don't want to wait a year for Adrenal fatigue to heal to be able to get a good workout.

I'm experiencing
dry mouth, tongue
light headed, if standing up too fast
dehydration
fatigue
Red arms, face, upper chest
joint pain
throat pain
vision problems

I've ruled out thyroid, and sleep apnea these last two weeks as well.

Those are the symptoms I'm experiencing right now. I'm sure my estrogens in range as it always is but I'm getting a ton of blood work back in a few days that should let me know what's going on. Just wondering what to do in the meantime I guess to speed up the process. Will post results soon in this thread in hopes to get advice.

 

[pmd]

You can take a combo of vitamins. It won't help with your work outs or your pumps. They are called the awesome foursome.
They are used in the treatment of Chronic Fatigue. It is coq10, l-carnitine, magnesium and d-ribose.
Don't expect miracles, but it may help take the edge off.

If you truly have adrenal fatigue, give up your vanity and take care of yourself by either cutting the working out or limiting it amongst other things.

Lots of luck to you.

 

[MBB]

Wait to see what the blood work says. Your list of symptoms seems like an estrogen issue.

 

[Sedg1]

Do the blood tests include B12 and Vit D levels?
Real important in the total scheme of things, especially this time of year.
Good luck.

 

[jomamma007]

Wait to see what the blood work says. Your list of symptoms seems like an estrogen issue.

You're right. Will wait to speculate until bloods are in!

 

[jomamma007]

Results are in guys, help a brotha out. Still waiting on RT3 and ACTH

CBC With Differential/Platelet
WBC 4.8 3.4-10.8 x10E3/uL SO
RBC 5.12 4.14-5.80 x10E6/uL SO
Hemoglobin 15.7 12.6-17.7 g/dL SO
Hematocrit 46.6 37.5-51.0 % SO
MCV 91 79-97 fL SO
MCH 30.7 26.6-33.0 pg SO
MCHC 33.7 31.5-35.7 g/dL SO
RDW 13.0 12.3-15.4 % SO
Platelets 259 155-379 x10E3/uL SO
Neutrophils 58 40-74 % SO
Lymphs 34 14-46 % SO
Monocytes 6 4-12 % SO
Eos 2 0-5 % SO
Basos 0 0-3 % SO
Neutrophils (Absolute) 2.8 1.4-7.0 x10E3/uL SO
Lymphs (Absolute) 1.7 0.7-3.1 x10E3/uL SO
Monocytes(Absolute) 0.3 0.1-0.9 x10E3/uL SO
Eos (Absolute) 0.1 0.0-0.4 x10E3/uL SO
Baso (Absolute) 0.0 0.0-0.2 x10E3/uL SO
Immature Granulocytes 0 0-2 % SO
Immature Grans (Abs) 0.0 0.0-0.1 x10E3/uL SO

Comp. Metabolic Panel (14)
Glucose, Serum 80 65-99 mg/dL SO
BUN 13 6-20 mg/dL SO
Creatinine, Serum 0.95 0.76-1.27 mg/dL SO
eGFR If NonAfricn Am 113 >59 mL/min/1.73 SO
eGFR If Africn Am 131 >59 mL/min/1.73 SO
BUN/Creatinine Ratio 14 8-19 SO
Sodium, Serum 138 134-144 mmol/L SO
Potassium, Serum 4.2 3.5-5.2 mmol/L SO
Chloride, Serum 99 97-108 mmol/L SO
Carbon Dioxide, Total 24 19-28 mmol/L SO
Calcium, Serum 9.7 8.7-10.2 mg/dL SO
Protein, Total, Serum 6.6 6.0-8.5 g/dL SO
Albumin, Serum 4.4 3.5-5.5 g/dL SO
Globulin, Total 2.2 1.5-4.5 g/dL SO
A/G Ratio 2.0 1.1-2.5 SO
Bilirubin, Total 0.8 0.0-1.2 mg/dL SO
Alkaline Phosphatase, S 57 39-117 IU/L SO
AST (SGOT) 21 0-40 IU/L SO
ALT (SGPT) 23 0-44 IU/L SO

Urinalysis, Routine
Specific Gravity 1.007 1.005-1.030 SO
pH 6.5 5.0-7.5 SO
Urine-Color Yellow Yellow SO
Appearance Clear Clear SO
WBC Esterase Negative Negative SO
Protein Negative Negative/Trace SO
Glucose Negative Negative SO
Ketones Negative Negative SO
1 of 3
Occult Blood Negative Negative SO
Bilirubin Negative Negative SO
Urobilinogen,Semi-Qn 0.2 0.0-1.9 mg/dL SO
Nitrite, Urine Negative Negative SO
Microscopic Examination Comment SO
Microscopic follows if indicated.

Lipid Panel
Cholesterol, Total 119 100-189 mg/dL SO
Triglycerides 63 0-114 mg/dL SO
HDL Cholesterol 41 >39 mg/dL SO
According to ATP-III Guidelines, HDL-C >59 mg/dL is considered a
negative risk factor for CHD.
VLDL Cholesterol Cal 13 5-40 mg/dL SO
LDL Cholesterol Calc 65 0-119 mg/dL SO

Iron and TIBC
Iron Bind.Cap.(TIBC) 341 250-450 ug/dL SO
UIBC 109 LOW 150-375 ug/dL SO
Iron, Serum 232 HIGH 40-155 ug/dL SO
Iron Saturation 68 HIGH 15-55 % SO

Vitamin B12 and Folate
Vitamin B12 936 211-946 pg/mL SO
Folate (Folic Acid), Serum 18.5 >3.0 ng/mL SO
A serum folate concentration of less than 3.1 ng/mL is
considered to represent clinical deficiency.

Testosterone,Free and Total
Testosterone, Serum 772 348-1197 ng/dL SO
Free Testosterone(Direct) 15.6 9.3-26.5 pg/mL BN

Hemoglobin A1c
Hemoglobin A1c 5.0 4.8-5.6 % SO
.
Increased risk for diabetes: 5.7 - 6.4
Diabetes: >6.4
Glycemic control for adults with diabetes: <7.0

TSH
TSH 2.400 0.450-4.500 uIU/mL SO
Thyroxine (T4) Free, Direct, S
T4,Free(Direct) 1.44 0.82-1.77 ng/dL SO
Triiodothyronine,Free,Serum
Triiodothyronine,Free,Serum 3.5 2.0-4.4 pg/mL SO

DHEA-Sulfate
DHEA-Sulfate 405.4 164.3-530.5 ug/dL SO

Luteinizing Hormone(LH), S
LH <0.2 LOW 1.7-8.6 mIU/mL SO

FSH, Serum
FSH <0.2 LOW 1.5-12.4 mIU/mL SO

Prolactin
Prolactin 11.4 4.0-15.2 ng/mL SO

Prostate-Specific Ag, Serum
Prostate Specific Ag, Serum 0.3 0.0-4.0 ng/mL SO

C-Reactive Protein, Cardiac
C-Reactive Protein, Cardiac 0.71 0.00-3.00 mg/L SO
Relative Risk for Future Cardiovascular Event
Low <1.00
Average 1.00 - 3.00
High >3.00

Estradiol, Sensitive
Estradiol, Sensitive 19 3-70 pg/mL BN

GGT
GGT 11 0-65 IU/L SO

Magnesium, Serum
Magnesium, Serum 1.8 1.6-2.6 mg/dL SO

Insulin
Insulin 4.0 2.6-24.9 uIU/mL SO

Ferritin, Serum
Ferritin, Serum 64 30-400 ng/mL SO


Sex Horm Binding Glob, Serum
Sex Horm Binding Glob, Serum 34.5 16.5-55.9 nmol/L SO

Cortisol - AM
Cortisol - AM 18.1 6.2-19.4 ug/dL SO

 

[pmd]

You need your Cortisol-PM. It should be lower than your AM

 

[methos0123]

Are you supplementing iron? I don't see anything significant besides iron, but some might say your tsh is high... I think it's not high enough to worry about.

 

[Spunkey71]

I did not see anything that jumped out at me as alarming, all of the items that are of higher importance when on TRT all look to be really good.

Most importantly though is how do you feel?

 

[Alpin]

You got a thorough lab done!
Ferritin needs a lift, imo...
you been donating blood often most likely.

 

[jomamma007]

I did not see anything that jumped out at me as alarming, all of the items that are of higher importance when on TRT all look to be really good.

Most importantly though is how do you feel?

Well I'm experincing the following
dry mouth, tongue
light headed, if standing up too fast
dehydration
fatigue
Red arms, face, upper chest
joint pain
throat pain
vision problems.

I'm thinking maybe a 19 estradiol sensitive might be too low for me

 

[Spunkey71]

Well I'm experincing the following
dry mouth, tongue
light headed, if standing up too fast
dehydration
fatigue
Red arms, face, upper chest
joint pain
throat pain
vision problems.

I'm thinking maybe a 19 estradiol sensitive might be too low for me

That is possible, I know I feel best when my E2 is in the mid 20's, others have stated that they feel best when there E2 is in the 40's. That is what getting dialed in is all about, finding the right doses and levels to where you feel the best. For some it can take up to six months to get dialed in and for others it can take longer you just need to communicate with your doctor and if they are any good they will work with you and ajust doses to get you there.

Best of luck to you!

 

[jomamma007]

That is possible, I know I feel best when my E2 is in the mid 20's, others have stated that they feel best when there E2 is in the 40's. That is what getting dialed in is all about, finding the right doses and levels to where you feel the best. For some it can take up to six months to get dialed in and for others it can take longer you just need to communicate with your doctor and if they are any good they will work with you and ajust doses to get you there.

Best of luck to you!

I'm not even on an AI though. I guess I have to up my test dosage to get my estrogen up?
my free test is brealy mid range so I wouldn't see any harm. I suppose I'd need around a 1100 total t for free T to be at the top so I'll aim for that. But i still think it's something more the estrogen,

 

[Megatron28]

Try upping your test dose a bit. Higher TT and E2 should help you feel better.

 

[jomamma007]

Little update

Flag Reference Range Lab
ACTH, Plasma
ACTH, Plasma 39.9 7.2-63.3 pg/mL SO

Reverse T3, Serum
Reverse T3, Serum 18.5 9.2-24.1 ng/dL

Should i be worried about Iron?
I suppose ill up my test dosage to get that estrogen and free test up as well.

 

[riprockwell]

Little update

Flag Reference Range Lab
ACTH, Plasma
ACTH, Plasma 39.9 7.2-63.3 pg/mL SO

Reverse T3, Serum
Reverse T3, Serum 18.5 9.2-24.1 ng/dL

Should i be worried about Iron?
I suppose ill up my test dosage to get that estrogen and free test up as well.

Are you on any type of thyroid medication like T4?? That RT3 number is on the high end of the range but the only way to figure it out is to determine your RT3 ratio which is a ratio between your free or total T3 and your Reverse T3 reading. But the big question is, are you on T4 medication??

 

[jomamma007]

Are you on any type of thyroid medication like T4?? That RT3 number is on the high end of the range but the only way to figure it out is to determine your RT3 ratio which is a ratio between your free or total T3 and your Reverse T3 reading. But the big question is, are you on T4 medication??

No meds.

TSH
TSH 2.400 0.450-4.500 uIU/mL SO
Thyroxine (T4) Free, Direct, S
T4,Free(Direct) 1.44 0.82-1.77 ng/dL SO
Triiodothyronine,Free,Serum
Triiodothyronine,Free,Serum 3.5 2.0-4.4 pg/mL SO

Can you help me out? Using a calculator

RT3 Ratio: 18.9

 

[riprockwell]

No meds.

TSH
TSH 2.400 0.450-4.500 uIU/mL SO
Thyroxine (T4) Free, Direct, S
T4,Free(Direct) 1.44 0.82-1.77 ng/dL SO
Triiodothyronine,Free,Serum
Triiodothyronine,Free,Serum 3.5 2.0-4.4 pg/mL SO

Can you help me out?

Hmmm, let me think about his some more. Your RT3 ratio is 18.9. It should be above 20 or greater. Generally RT3 pools in the body when you are not converting all your T4 over to the active T3 thyroid hormone. What throws me off is your Iron levels as I know they can be in relation to being on T4 medication. You have a lot of the symptoms of someone who is hypothyroid which I find odd because your Thyroid numbers are not bad. I generally would say add some T3 in the equation but being that you have low iron and that you could be suffering from Adrenal fatigue, I would hold off on it for now. Did you do a saliva cortisol test? That is the most accurate. An AM morning test is not enough to support an adrenal fatigue diagnosis. With that being said, adrenal fatigue is "lower" cortisol. You have an AM reading of 18 which is fine and suggesting you are on the higher end of the range which is the opposite of adrenal fatigue. However, by getting a saliva cortisol test, it measures your cortisol 4 times that day which shows you where you could possible be dropping off.

 

[jomamma007]

Hmmm, let me think about his some more. Your RT3 ratio is 18.9. It should be above 20 or greater. Generally RT3 pools in the body when you are not converting all your T4 over to the active T3 thyroid hormone. What throws me off is your Iron levels as I know they can be in relation to being on T4 medication. You have a lot of the symptoms of someone who is hypothyroid which I find odd because your Thyroid numbers are not bad. I generally would say add some T3 in the equation but being that you have low iron and that you could be suffering from Adrenal fatigue, I would hold off on it for now. Did you do a saliva cortisol test? That is the most accurate. An AM morning test is not enough to support an adrenal fatigue diagnosis. With that being said, adrenal fatigue is "lower" cortisol. You have an AM reading of 18 which is fine and suggesting you are on the higher end of the range which is the opposite of adrenal fatigue. However, by getting a saliva cortisol test, it measures your cortisol 4 times that day which shows you where you could possible be dropping off.

Yeah I'm doing a saliva test on monday, but as you said my morning cortisol looks great. My energy is actually getting a lot better since stopping caffeine I just still have a few symptoms, dizzy when I workout, light headed, sore throat. dry mouth.
I just don't know why my irons off

These all might be related to my estradiol sensitive. 19 might just be too low for me. I don't want to mess with thyroid meds if I don't need to and my numbers look pretty decent. Maybe I don't have anything wrong with me and I'm just a little over trained. I'm not quite sure what to do from here. I worked out today and actually did get a good pump, but almost threw up and passed out a few times.

 

[riprockwell]

Yeah I'm doing a saliva test on monday, but as you said my morning cortisol looks great. My energy is actually getting a lot better since stopping caffeine I just still have a few symptoms, dizzy when I workout, light headed, sore throat. dry mouth.
I just don't know why my irons off

These all might be related to my estradiol sensitive. 19 might just be too low for me. I don't want to mess with thyroid meds if I don't need to and my numbers look pretty decent. Maybe I don't have anything wrong with me and I'm just a little over trained. I'm not quite sure what to do from here. I worked out today and actually did get a good pump, but almost threw up and passed out a few times.

Yeah everyone is different. It involves some tweaking but I like to do one thing at a time until I figure everything out. Yeah, I just don't see you having adrenal fatigue. When I did, my AM cortisol was a 6. Eventually you can always add in some iron (I recommend blue bonnet) brand but you have to monitor everything. Iron can constipate a person pretty bad too. Lol. But lets see where that cortisol test is at. Also, how is your diet?? Be honest.