Blood Work Help

[doublewide]

51 (M) been on TRT a few years. Currently getting “crazy” and doing 350 test and 500 Deca. I’ve always done my bloodwork through private labs. I always get tested for same thing but not sure I’m checking everything I need to. Can you tell me exactly what to get tested for? Obviously I test my ast/alt levels, estradiol, test levels. But what am I missing. I’m having sexual problems (started before deca) and primarily trying to figure out what the problem is. I have a feeling it’s my estrogen levels but I want to test everything I should.

Thanks for responses.

[doublewide]

Interest in sex is low. ED for sure. Always have to take Viagra or Cialis. The only thing I am taking right now is a product called DIM to try and keep estrogen in check. I will get blood work done on Monday and get all the things tested you mentioned.

E2 sensitive
DHT
Total and free t
Tsh
Prolactin (just to cover all the bases)
Shbg (ditto)
Cbc

That's all that comes to mind right off the bat.

Are your issues related to no interest in sex or do you have desire but ED?

[almostgone]

E2 sensitive
DHT
Total and free t
Tsh
Prolactin (just to cover all the bases)
Shbg (ditto)
Cbc

That's all that comes to mind right off the bat.

Are your issues related to no interest in sex or do you have desire but ED?

What Cylon said and add in CMP, PSA, and lipids. Might as well check those while you're there. Once you're off blast and things have normalized back, it's a good idea to pull that panel again to get your "normal" baseline values and include an IGF-1 assay.

I will warn you DHT tends to be a tad expensive.

[Honkey_Kong]

I'd throw in there Free Estradiols as well if you can afford it.

[doublewide]

Is this the same as Estradiol, Free, LC/MS/M?

The company I get my blood work through offers 2 choices
Plain E2 or what I mentioned above. Big price difference E2 $44 the other is $107.

Just don’t want to pay for something I don’t need. I have always just done E2.

I'd throw in there Free Estradiols as well if you can afford it.

[Honkey_Kong]

Is this the same as Estradiol, Free, LC/MS/M?

The company I get my blood work through offers 2 choices
Plain E2 or what I mentioned above. Big price difference E2 $44 the other is $107.

Just don’t want to pay for something I don’t need. I have always just done E2.

Yeah it's that. Most people don't bother with this, but if you're trying to control an estrogen problem, it would be good to know how much of it is unbound and free to work on estrogen receptors.