Help understanding blood test results

[#1stunna]

Please help me understand my last blood test results. I have not been feeling very well for the last couple of weeks and have had very low libido, energy and ED issue.

34yr old male
Been on HRT program for over a year
I am taking 250mg of Test Cyp
60 units of HCg
25mg of Clomid ED
.25 mg of Anastrozole EOD, I have taken in for several days due to my Estrogen results.

Results from blood work last tuesday. Please give me your 2 cents?

total Test 1161 Test free 30.4 Estradiol 21.7 PSA 1.6 freeT3 3.1

[fit2bOld]

can you post the reference ranges for the results? I would say possible the estrogen is a bit low for you, it and can have the same effect as if it were to high. Do you have and other results?

[#1stunna]

Yes I have all my results from 5 other tests

Im not sure about the ranges scale. It was performed by labcorp

I can reflect backt and I felt my best when my results were

test 1296 test free 47 Estra 58 PSA 1.3 Free T3 3.3

[#1stunna]

The test was taken last tuesday afternoon. I havent taken a Eblocker since last wed. I took one today, thinking i should probalby take one twice a week instead of EOD

[fit2bOld]

yeah the estrogen in that test is 58 and you say you felt better. So why the clomid and anastroloze? just not a traditionally prescribed combo.
I would look to raise the estrogen just slightly by adjusting the AI's. Do it slow adjust the meds, wait 2weeks see how you feel repeat as needed to find the sweet spot.
I start to feel crappy below 30 on the lab corp scale treated for the past 3+ years.

[fit2bOld]

The test was taken last tuesday afternoon. I havent taken a Eblocker since last wed. I took one today, thinking i should probalby take one twice a week instead of EOD

Stick with that for 2 weeks see how you feel....

[#1stunna]

My consultant thought my natural test may have quit producing so he put me back on HCG and clomid. I had taken it when I first got on program but quit taken it after 10 weeks. It worked well. I am starting to get morning wood again, last couple of nights so Im thinking thats a good sign. My libido has improved slightly but when you are used to feeling like a walking hard on all the time its not the same.

Oh and I really appreciat the feedback/help BRO

[fit2bOld]

Glad to help there is a bunch of us HRT guys in the HRT forum hope you stick around bro

[kelkel]

My consultant thought my natural test may have quit producing so he put me back on HCG and clomid. I had taken it when I first got on program but quit taken it after 10 weeks. It worked well. I am starting to get morning wood again, last couple of nights so Im thinking thats a good sign. My libido has improved slightly but when you are used to feeling like a walking hard on all the time its not the same.

Oh and I really appreciat the feedback/help BRO

Good advice above by fit2b. Of course your natural production is basically halted. You're on TRT. You are in HPTA shutdown. You should be running HCG all the time. Consultant = clinic = more they sell = more $$$

In my opinion your dosage of T is to high. Normal TRT dosage is around 100mg or so to start and adjust based on BW. High end 200 but those cases are rare. Keep in mind the more T you inject at one time can cause a higher spike in E. So, another thought may be to split your dosage and inject every 3.5 days as a way to help control your E even more. When was your injection relative to your BW?

Your HCG is to high also and should probably be more like 250 IU x 2 or 3 per week. AI dosage can and will take time to dial in. Keep in mind less is more with AI's. Life Extension Foundation recommends your E2 to be between 20 - 30 for optimum health, but it is relative to how you feel. It is also not uncommon to feel like a "walking hard on" when initially on TRT. Unfortunately it does not last. It is actually explained in a sticky on the TRT Forum so I won't do it here.

Head over to the TRT forum like Fit said and read all the stickies. There's a wealth of knowledge there to learn. The stickies will answer most of your questions.

[#1stunna]

Yes I split split up my shots every 3.5 days. When bloodwork was done I had shots on sunday moring, BW done tuesday late afternoon. I have been taking the HCG shot for 4 weeks on Aug 23. Im just eager to feel good like I usually do. Even my Penis size on soft is not as big WTF.

I was incorrect my HCG dosage is 60 units in a insulin syringe. So that would be 120 a week

[#1stunna]

I have been told that taking DHEA daily will help?

[fit2bOld]

When I first started HRT the clinic had me take DHEA but moved my business to a primary care Dr. that knows HRT well and he prefer I not take it. Although the level can be verified by blood work which my level was normal he feels that to push it up by supplementation may lead to hair loss.

Hair loss would be ok if it was body hair and not head hair. LOL

[#1stunna]

Well its been 7 days since my post. I quit taking my Eblocker (down to once a week) Still having same issues with libido and erection I has a consultation with a new Dr that Im switching to and his nurse and I discussed by BW results. She seems to think its not my E2 level being low but my free test being to high out of range at 30.7. Range should not be higher than 25. MY free test has been way higher than this before and I felt great. Just still trying to figure out WTF is going on . I was having good morning wood several nights last week but it went away. Even cialis is not holding an erection for me. Its clearly hormonal, but I don t feel moody or nightsweats etc.. Obviously Im growing impatience but just kinda wondering when there is going to be some type of positive change.

[#1stunna]

Update
mg
My erections and libido are coming back to normal finally. Been dealing with this for 4 months now. I quit taking my AI 6 weeks ago an increased my test dose from 125mg a week to 300mg a week. Starting to feel good again.