Found the source of my problem, now what?

[FloridaBrah]

Thanks for the replies. I think I'll go off the AI for a few months and get my e2 level tested with discount labs. After that if my e2 jumps up, ill do the low dose vodka method of AI.

As for the hemoglobin/hematocrit levels being high, I defiantly noticed that. I last donated back in July so I'm well over due. I'll probably start donating over few months starting this weekend.

[TRA]

Mr Dr currently has me on 125mg test-c per week that I have been splitting up into e3d. My last bloodwork my E2 was 40pg/ml and I thought that was high. At the time my Dr said to take zinc to see if that would lower it and come back in 3 months for labs to see where my E2 was.

Well in the time since, I took it upon myself (dumb I know) to manage my E2 by getting pharma grade armidex. I had been doing .5 armidex at the time of my test injections (e3d). I figured that I would do that until my next blood work and go off it so that my e2 would be high and my Dr would write me an Rx for an AI.

with that being said a week prior to my blood work I came off the armidex. I guess I either crashed my e2 or the armidex was still in my system. The latest bloods my e2 was 9pg/ml and the Dr said it was good and to come back for labs again in 6 months (June 2018).

I have been having what I thought were symptoms of high e2 with being irritable and hot flushing in my face. But now that I saw the latest e2 results, Im thinking I may have been having low e2 symptoms.

I have lowered my dose of armidex to .25 per injections (e3d) and am considering lowering it to .125 per injection.

SHould I come off the armidex completely until I get e2 raised or continue to take a low dose such as .125 per injection (e3d)? BTW before TRT when my testosterone was in the 300s my e2 consistently came back as to low to read.

Here is my current labs: 1-3-2018

Estradiol: 9.4pg/mL Reference Range: 7.6-42.6 pg/mL (Roche ECLIA methodology) Guessing it would be lower with sensitive e2
Testosterone, Serum: 863ng/dl Reference Range: 264-916 ng/dL
Free Testosterone(Direct): 22.2ng/dl Reference Range: 8.7-25.1 pg/mL
Hematocrit: 53.7% (HIGH) Reference Range: 37.5-51.0 %
RBC 5.67 Reference Range: 4.14-5.80 x10E6/uL
WBC: 6.4 Reference Range: 3.4-10.8 x10E3/uL
Hemoglobin: 17.5 Reference Range: 13.0-17.7 g/dL
Prolactin: 5.5 Reference Range: 4.0-15.2 ng/mL
Cholesterol, Total: 230 (HIGH) Reference Range: 100-199 mg/dL
Triglycerides: 104 Reference Range: 0-149 mg/dL
HDL Cholesterol: 45 Reference Range: >39 mg/dL
LDL Cholesterol Calc: 164 (HIGH) Reference Range: 0-99 mg/dL
Calcium, Serum: 10.5 (HIGH) Reference Range: 8.7-10.2 mg/dL
Glucose, Serum: 96 Reference Range: 65-99 mg/dL
BUN: 21 (HIGH) Reference Range: 6-20 mg/dL
Protein, Total, Serum:7.2 Reference Range: 6.0-8.5 g/dL
Albumin, Serum: 5.0 Reference Range: 3.5-5.5 g/dL
Bilirubin, Total: 0.6 Reference Range: 0.0-1.2 mg/dL
Alkaline Phosphatase, S:62 Reference Range: 39-117 IU/L
AST (SGOT): 16 Reference Range: 0-40 IU/L
Potassium, Serum: 5.6(HIGH) Reference Range: 3.5-5.2 mmol/L
Sodium, Serum: 141 Reference Range: 134-144 mmol/L
Chloride, Serum: 98 Reference Range: 96-106 mmol/L
Creatinine, Serum: 1.52(HIGH) Reference Range: 0.76-1.27 mg/dL
ALT (SGPT): 21 Reference Range: 0-44 IU/L
Carbon Dioxide, Total:24 Reference Range: 18-29 mmol/L
BUN/Creatinine Ratio:14 Reference Range: 9-20
Globulin, Total:2.2 Reference Range: 1.5-4.5 g/dL
A/G Ratio: 2.3(HIGH) Reference Range: 1.2-2.2
eGFR If NonAfricn Am: 60 Reference Range: >59 mL/min/1.73


Also got lab work done sepratly with my Endo who is treating my pituitary adenoma. The endo is checking my thyroid and pituitary. Looking at these results is kinda alarming due to my IGF-1 being high and my GH being LOW. What does this mean any incite on it? Here are those results:

Thyroxine (T4) Free, Direct, S: 6.6 Reference Range: 4.5-12.0 ug/dL
Thyroxine (T4) Free, Direct, S: 1.19 Reference Range: 0.82-1.77 ng/dL
TSH: 1.680 Reference Range: 0.450-4.500 uIU/mL
Growth Hormone , Serum: <0.1 Reference Range: 0.0-10.0
Luteinizing Hormone(LH), S: 0.1 Reference Range: 1.7-8.6 mIU/mL
FSH, Serum: 0.3 Reference Range: 1.5-12.4 mIU/mL
Prolactin: 5.1 Reference Range: 4.0-15.2 ng/mL
IGF-1: 306 (HIGH) Reference Range: 88-246 ng/mL
Cortisol - AM: 13.4 Reference Range: 6.2-19.4 ug/dL

Your hematocrit is getting up there and you may need to donate blood or be phlebotomized. But you are a little dehydrated on the day you got your labs (BUN 21) which will make your Hct appear higher. Get hydrated sufficiently and repeat CBC to determine whether or not you need to donate and check your bp.

[Youthful55guy]

Your hematocrit is getting up there and you may need to donate blood or be phlebotomized. But you are a little dehydrated on the day you got your labs (BUN 21) which will make your Hct appear higher. Get hydrated sufficiently and repeat CBC to determine whether or not you need to donate and check your bp.

Tell me more about the BUN 21 being an indicator of hydration. This is new to me.

Good point about hydration. Case in point, I have data from two labs that were taken about a week apart (different clinics, so comparison may not be exactly accurate). One lab was an early morning fasting lab (for lipids) and my hemoglobin was 18 (range 13-17). A couple days later, I had the lab repeated at LabCorp as part of a self-pay TRT panel. The lab draw was in the late afternoon after I drank a ton of Gatorade in the hours before the draw. My Hemoglobin was 16.8 (range 12.6-17.7), a 1.2 point difference and this time within the normal range.