Which LABS do i get?

**jomamma007** · 11-11-2013, 03:08 PM

Hey guys,
been battling constant fatigue regardless of my test and estro levels being in range.
Want to do a full thyroid and adrenal panel but I need to know which labs to pull.

TSH
Free t4
Free t3
Rt3
Thyroid Antibodies
DHEA-S
aldosterone
ACTH
Cortisol-AM

Am I missing anything?

**rockmon** · 11-12-2013, 04:31 PM

Go to the "Finding a TRT Physician" thread in the main section of this forum; under the 1st post there is a Initial Labwork writeup; it has a list of panels that you can run.

**Vettester** · 11-12-2013, 09:28 PM

On the cortisol, look at doing a 4x saliva.

Additionally ... B12, Iron (TIBC, saturation), ferritin, D-3. Definitely include the standard CBC's, metabolic & lipid panels as well.

I didn't get a chance to see your previous labs. What were your test serum, free, & E2 results?

**jomamma007** · 11-12-2013, 09:43 PM

Thanks Vette
total t 819
free t 19.2 (9-26)
estradiol sensitive 19 (3-70)

So I'm thinking

Total Testosterone
Free Testosterone
SHBG
DHT (gel users especially pay attention to this)
Estradiol (specify “sensitive” assay for males)
Prolactin
Cortisol
TSH
Free t4
Free t3
Rt3
Thyroid Antibodies
CBC
Comprehensive Metabolic Panel
Lipid Panel
PSA (age dependent)
IGF-1,
Vitamin D
b-12
DHEA-s
Aldosterone
ACTH
Iron
TIBC
Ferritin

**Vettester** · 11-12-2013, 10:07 PM

Great numbers, and 2.34% on your free test! You can't ask for much better on that. If you're taking some AI, you might be able to feather back on the dosage a little. E2 is different for everyone, but I've always been at my best when E2 (same sensitive assay) is in the 25 to 35 range. For me personally, fatigue seemed to be a factor when my E2 got below 20 (crashing is even worse). Not saying that's your situation, but maybe it's a minor variable contributing to the situation.

Your BW requisition looks excellent! I think you've covered it.

**jomamma007** · 11-12-2013, 10:08 PM

how do I go about getting the 4x saliva test

**Vettester** · 11-12-2013, 10:37 PM

Canary Club is out of CA and will send the kits to you ... Diurnal Cortisol 4x (ZRT) Saliva Hormone Kit Tests for C1 C2 C3 C4

**jomamma007** · 11-13-2013, 06:58 AM

hmm thanks for the advice,,,
no ai here though but I definitely felt better at 100mgs per week when my estrogen was higher, libido and mood wise. The bloods I posted were from 84mgs per week.
What's your protocol?