Blood work, lab work question: What to order?

[downsouthyall]

On a cycle of low dose Test E (125mg week) and Tren E (100 mg week).

Thought I had puffy nips. Took some Arimidex for two weeks, then tried Caber once and Nolva twice. Appetite died, muscles are flat, tired, little bit of ED now (even with Cialis, which I don't think I ought to even need at all on this cycle, am I right?).

Need to get blood work. Don't know if estro is too high or too low, ro what else.


If I can find a local lab, what all do I need to check? Let me know if I miss something.
Test
Estro
E2 (ultrasensitive)
Prolaction

Looking at LabsMD, because that seems to be a popular choice. They have a $115.99 that includes Estradiol, Test and Prolactin, but doesn't say estro. Is this okay?

Or maybe a urgent care clinic could handle this? What do I ask for?

Thanks a lot. It's urgent.

[Cylon357]

On a cycle of low dose Test E (125mg week) and Tren E (100 mg week).

Thought I had puffy nips. Took some Arimidex for two weeks, then tried Caber once and Nolva twice. Appetite died, muscles are flat, tired, little bit of ED now (even with Cialis, which I don't think I ought to even need at all on this cycle, am I right?).

Need to get blood work. Don't know if estro is too high or too low, ro what else.


If I can find a local lab, what all do I need to check? Let me know if I miss something.
Test
Estro
E2 (ultrasensitive)
Prolaction

Looking at LabsMD, because that seems to be a popular choice. They have a $115.99 that includes Estradiol, Test and Prolactin, but doesn't say estro. Is this okay?

Or maybe a urgent care clinic could handle this? What do I ask for?

Thanks a lot. It's urgent.

There is a lot to unpack here, whether you realize it or not.

That is a horrible "cycle". You are shutting yourself down for a fancy trt run. This is not smart - you take on the risks without the benefits.

Then, you started throwing a variety of drugs at a "problem" you almost certainly didn't have. On top of that, the drugs you did throw at it were all over the place. And finally, you are surprised you are having sides.

What are you doing, man??

First bit of advice, go read the planning my first cycle sticky. You clearly don't have that level of knowledge yet.

Second, and to be a bit more helpful, not just critical, get some blood work asap. Free and Total T, Prolactin, Estradiol Sensitive... that is probably enough, but if you were smart, you would go ahead and get a CBC and lipid panel, just to rule out any odd ball items. You can order from anywhere that works with the actual draw facilities in your area, I like ultalabtests and others like privatemd, though really, if they have the draw facilities close to you, it almost doesn't matter who you order from.

BTW, it is not "urgent". We use that term too much and it has lost its meaning. If it were "urgent", you would be at a minor med / ER, not asking some randos on the internet to diagnose your self imposed problems.

[downsouthyall]

Well, that's a bummer. I thought it was a much safer play than starting high, which is what I've always read. And Tren was better because of no coversion to Estro.

I hear you though.

What exactly are you referring to when you say, "draw facilities"? Like urgent cares? Labcorp needs doctor referral, right?

Thanks.

[Cylon357]

Well, that's a bummer. I thought it was a much safer play than starting high, which is what I've always read. And Tren was better because of no coversion to Estro.

I hear you though.

What exactly are you referring to when you say, "draw facilities"? Like urgent cares? Labcorp needs doctor referral, right?

Thanks.

"Draw facilities" means the place that you will drive to, go in, and they will stick a needle in your arm and send the blood off to be analyzed. So, yeah LabCorp or Quest are the two big ones. Any of the online order places I mentioned will send you to one of those locations, and will also provide the doctors referral. The referral is really what you are paying for, BTW, since you will never see or hear from that particular doctor. You will get your results posted on the web site of the draw facility and the company you ordered the blood work from. Then post that up here for best responses.

Tren may not convert to estrogen, but it is ABSOLUTELY A VERY advanced compound, not to be considered lightly, and not in a cycle of this nature. You likely would have been better with one of the DHT derivatives like Masteron or Primo, or heck maybe just oral proviron, than Tren.

[downsouthyall]

Okay, if I post my lab results back here, can you help me spot any problems?

[Cylon357]

And to reiterate, you are not dying so this isn't what I would call urgent. Should you get it checked on? Yeah, but if it takes a few days or a week, you aren't going to be physically harmed. You just need to a) chill out and b) stop taking anything except maybe the test.

Your symptoms were mostly caused by your kitchen sink approach to a likely imagined problem. So stop doing that and your body will sort itself out. You might even leave the tren in but go read the drug profile on it. It was automatically linked in your first post on the word "tren". I would probably drop it though, as it doesn't seem like you are ready for it. Maybe after another real cycle or 40, you can give it a go.

[Cylon357]

Okay, if I post my lab results back here, can you help me spot any problems?

Yes, of course. That is what the board is all about.

[SampsonandDelilah]

Just left quest diagnostics and used Jason health, I really like that lab. Had an issue with Apple Pay and they’re closed on Saturdays, yet someone got back to me. I did a sensitive estrogen assay, full testosterone (total, free, SHBG) and prolactin and it was 143$

I think I’ve been running on olive oil the past 6 weeks and I’m not happy. My body says one thing but am hoping the lab says something else.

Your labs are easy to read and nice guy Cy is amazing about replying and hit the nail the head…”that’s what this place is about”.

It’s also a newfound breeding ground for schizophrenic trolls but I digress…

[downsouthyall]

Thanks, guys. I appreciate it.

[downsouthyall]

sensitive estrogen includes E2? And if it specifically lists:

"Estradiol, Ultrasensitive, LC/MS/MS"

is the estrogen included if I don't see just "estrogen" in the details?

[SampsonandDelilah]

sensitive estrogen includes E2? And if it specifically lists:

"Estradiol, Ultrasensitive, LC/MS/MS"

is the estrogen included if I don't see just "estrogen" in the details?

That’s the one…

[Cylon357]

sensitive estrogen includes E2? And if it specifically lists:

"Estradiol, Ultrasensitive, LC/MS/MS"

is the estrogen included if I don't see just "estrogen" in the details?

That is the test you want. Estradiol is one of the 3 main estrogens and the most powerful of the 3. An estrogen panel summarizes the 3 together, but that isn't particularly useful for men because it doesn't factor in the strength of each. Thus, the recommendation for pulling estradiol sensitive (sometimes called "ultrasensitive" as in your case).

Oh and the sensitive version of the test is needed because we need more precise readings in men, where a few points really can make a difference between "I want to shag a hole in that brick wall" vs "my ding dong don't work for nothing but peeing now".

[downsouthyall]

"my ding dong don't work for nothing but peeing now".

Not a good feeling.

[downsouthyall]

Results.

And this was a few days after 500 of hcg, which made me feel a lot better.

Let me know what you think. Thanks.

Cant upload pdf, so changed to png, not showing, but I'll post and find out if they show up.

[downsouthyall]

can't upload pdf or png

[downsouthyall]

Test Name Result Flag Reference Range Lab
Comprehensive Metabolic Panel
GLUCOSE 138 HIGH 65-99 mg/dL 01
Fasting reference interval
For someone without known diabetes, a glucose
value >125 mg/dL indicates that they may have
diabetes and this should be confirmed with a
follow-up test.
UREA NITROGEN (BUN) 17 NORMAL 7-25 mg/dL 01
CREATININE 1.26 NORMAL 0.60-1.29 mg/dL 01
EGFR 72 NORMAL > OR = 60 mL/min/1.73m2 01
The eGFR is based on the CKD-EPI 2021 equation. To calculate
the new eGFR from a previous Creatinine or Cystatin C
result, go to https://www.kidney.org/professionals/
kdoqi/gfr%5Fcalculator
BUN/CREATININE RATIO NOT APPLICABLE NORMAL 6-22 (calc) 01
SODIUM 138 NORMAL 135-146 mmol/L 01
POTASSIUM 4.5 NORMAL 3.5-5.3 mmol/L 01
CHLORIDE 102 NORMAL 98-110 mmol/L 01
CARBON DIOXIDE 26 NORMAL 20-32 mmol/L 01
CALCIUM 8.9 NORMAL 8.6-10.3 mg/dL 01
PROTEIN, TOTAL 6.7 NORMAL 6.1-8.1 g/dL 01
ALBUMIN 4.1 NORMAL 3.6-5.1 g/dL 01
GLOBULIN 2.6 NORMAL 1.9-3.7 g/dL (calc) 01
ALBUMIN/GLOBULIN RATIO 1.6 NORMAL 1.0-2.5 (calc) 01
BILIRUBIN, TOTAL 0.7 NORMAL 0.2-1.2 mg/dL 01
ALKALINE PHOSPHATASE 58 NORMAL 36-130 U/L 01
AST 23 NORMAL 10-40 U/L 01
ALT 24 NORMAL 9-46 U/L 01
Testosterone, Total, MS
TESTOSTERONE, TOTAL, MS 845 NORMAL 250-1100 ng/dL 03
For additional information, please refer to
https://education.questdiagnostics.c...osteroneLCMSMS
(This link is being provided for informational/educational purposes only.)
(Note)
This test was developed and its analytical performance
characteristics have been determined by medfusion. It has not
been cleared or approved by the FDA. This assay has been validated
pursuant to the CLIA regulations and is used for clinical purposes.
MDF
med fusion
2501 South State Highway 121,Suite 1100
Lewisville TX 75067
972-966-7300
Michael Chaump, MD
Estradiol, Ultrasensitive, LC/MS
ESTRADIOL,ULTRASENSITIVE, LC/MS 48 HIGH < OR = 29 pg/mL 02
1 of 2
This test was developed and its analytical performance
characteristics have been determined by Quest Diagnostics
Nichols Institute San Juan Capistrano. It has not been
cleared or approved by FDA. This assay has been validated
pursuant to the CLIA regulations and is used for clinical
purposes.
FSH (Follicle Stimulating Hormone)
FSH <0.7 LOW 1.6-8.0 mIU/mL 01
LUTENIZING HORMONE
LH <0.2 LOW 1.5-9.3 mIU/mL 01
CBC (includes Differential and Platelets)
WHITE BLOOD CELL COUNT 6.2 NORMAL 3.8-10.8 Thousand/uL 01
RED BLOOD CELL COUNT 5.10 NORMAL 4.20-5.80 Million/uL 01
HEMOGLOBIN 15.0 NORMAL 13.2-17.1 g/dL 01
HEMATOCRIT 46.2 NORMAL 38.5-50.0 % 01
MCV 90.6 NORMAL 80.0-100.0 fL 01
MCH 29.4 NORMAL 27.0-33.0 pg 01
MCHC 32.5 NORMAL 32.0-36.0 g/dL 01
RDW 12.4 NORMAL 11.0-15.0 % 01
PLATELET COUNT 476 HIGH 140-400 Thousand/uL 01
MPV 9.2 NORMAL 7.5-12.5 fL 01
ABSOLUTE NEUTROPHILS 3069 NORMAL 1500-7800 cells/uL 01
ABSOLUTE BAND NEUTROPHILS DNR NORMAL 0-750 cells/uL 01
ABSOLUTE METAMYELOCYTES DNR NORMAL 0 cells/uL 01
ABSOLUTE MYELOCYTES DNR NORMAL 0 cells/uL 01
ABSOLUTE PROMYELOCYTES DNR NORMAL 0 cells/uL 01
ABSOLUTE LYMPHOCYTES 2040 NORMAL 850-3900 cells/uL 01
ABSOLUTE MONOCYTES 502 NORMAL 200-950 cells/uL 01
ABSOLUTE EOSINOPHILS 477 NORMAL 15-500 cells/uL 01
ABSOLUTE BASOPHILS 112 NORMAL 0-200 cells/uL 01
ABSOLUTE BLASTS DNR NORMAL 0 cells/uL 01
ABSOLUTE NUCLEATED RBC DNR NORMAL 0 cells/uL 01
NEUTROPHILS 49.5 NORMAL % 01
BAND NEUTROPHILS DNR NORMAL % 01
METAMYELOCYTES DNR NORMAL % 01
MYELOCYTES DNR NORMAL % 01
PROMYELOCYTES DNR NORMAL % 01
LYMPHOCYTES 32.9 NORMAL % 01
REACTIVE LYMPHOCYTES DNR NORMAL 0-10 % 01
MONOCYTES 8.1 NORMAL % 01
EOSINOPHILS 7.7 NORMAL % 01
BASOPHILS 1.8 NORMAL % 01
BLASTS DNR NORMAL % 01
NUCLEATED RBC DNR NORMAL 0 /100 WBC 01
COMMENT(S) DNR NORMAL 01
Prolactin
PROLACTIN 3.9 NORMAL 2.0-18.0 ng/mL 01

[Cylon357]

Those results are hard to read, but they don't look bad at all!

Estradiol is a little over range, but I wouldn't worry about it too much. It is probably a little spikey from the HCG and will normalize a bit when you drop HCG to a more reasonable dose, like 250iu EOD or even twice a week.

When did you draw blood relative to your last injections (test, tren, hcg and anything else)?

Platelet count is up some, not sure if donating blood will sort that out. My guess is it will, but I would wait for other folks input. Ah, you know what? Don't wait. Just donate. It is free and easy and might save someone's life. If it brings your blood work back into range, that's a bonus!

Judging from your initial reported symptoms, and how you feel now with these numbers, you almost certainly tanked your estrogen around the time of your first post. Don't sweat it, we have all done it a time or two. And as you can see, it has come back nicely.

What is your protocol now?

[downsouthyall]

Originally I was actually at 125 Test E, 100 Tren E, Tbol 30 mg.

I cut out Tbol when I posted here. It seemed like it was giving me some swole in the morning (when I took it) but I felt a little deflated by evening.

Currently at 175 Test E / 140 Tren E

I had 10 bottles of Test 250 and 10 of Tren 200. Mixed them together in two big vials, and dose at .7ml 2/week

Feels great, and has made a huge difference in gain. My original goal with this cycle was just to knock off the cobwebs a bit at 44, and recomp, meaning add some muscle and trim some fat. I wasn't trying to completely change my physique from something it never was, but just go back a little bit, and then maintain it when I cycle off.

Midsection didn't quite shred like I hoped, though I hit weights 6 x week, box and run each day. But I'm at 207 and look a LOT better than I did at 204.

Full disclosure, the three (maybe 4) sides of Tren Ive experienced, even at this low dose are: 1) occasional night sweats if I sleep even under just a sheet, 2) some sleep issues, 3) some constipation, even with metamucil, 4) some heart pounding at times, like If i get bothered by something, but I just keep the Hulk at bay

Mainly, although I should have just gotten bloods sooner, the problem with forums for me has been that there are so many different views and opinions. I;ve read hundreds of threads to figure this all out, but still, some people say to take Caber with any amount of Tren for the whole cycle. others say only take it if problems arise or bloods show an issue. There are differing opinions on HCG and PCT too. So it's hard to know what to do.

I def think I tanked my E2. The day after HCG, my mojo was at superhuman level. It must have been a rebound effect, because I took it for the second time two days ago and it didn't have that affect at all.

Thanks for the help.

[almostgone]

Originally I was actually at 125 Test E, 100 Tren E, Tbol 30 mg.

I cut out Tbol when I posted here. It seemed like it was giving me some swole in the morning (when I took it) but I felt a little deflated by evening.

Currently at 175 Test E / 140 Tren E

I had 10 bottles of Test 250 and 10 of Tren 200. Mixed them together in two big vials, and dose at .7ml 2/week

Feels great, and has made a huge difference in gain. My original goal with this cycle was just to knock off the cobwebs a bit at 44, and recomp, meaning add some muscle and trim some fat. I wasn't trying to completely change my physique from something it never was, but just go back a little bit, and then maintain it when I cycle off.

Midsection didn't quite shred like I hoped, though I hit weights 6 x week, box and run each day. But I'm at 207 and look a LOT better than I did at 204.

Full disclosure, the three (maybe 4) sides of Tren Ive experienced, even at this low dose are: 1) occasional night sweats if I sleep even under just a sheet, 2) some sleep issues, 3) some constipation, even with metamucil, 4) some heart pounding at times, like If i get bothered by something, but I just keep the Hulk at bay

Mainly, although I should have just gotten bloods sooner, the problem with forums for me has been that there are so many different views and opinions. I;ve read hundreds of threads to figure this all out, but still, some people say to take Caber with any amount of Tren for the whole cycle. others say only take it if problems arise or bloods show an issue. There are differing opinions on HCG and PCT too. So it's hard to know what to do.

I def think I tanked my E2. The day after HCG, my mojo was at superhuman level. It must have been a rebound effect, because I took it for the second time two days ago and it didn't have that affect at all.

Thanks for the help.

I've never required Cabaser/Cabergoline @ that low of a dosage. Seriously doubt you would require it. Prl looks good.

Would I keep it on hand for future use? Absolutely.


Edit: Hct and Hgb look good. Consider donating platelets, they are always needed.

[downsouthyall]

I'm a type 1 diabetic. They don't want my blood or plasma, and my guess is not platelets either.

[almostgone]

I'm a type 1 diabetic. They don't want my blood or plasma, and my guess is not platelets either.

Odd. Where I live type 1 diabetics are allowed to donate, provided your diabetes is under control, or at least they have in the past @ Blood Connection.

[Cylon357]

Those results are hard to read, but they don't look bad at all!

Estradiol is a little over range, but I wouldn't worry about it too much. It is probably a little spikey from the HCG and will normalize a bit when you drop HCG to a more reasonable dose, like 250iu EOD or even twice a week.

When did you draw blood relative to your last injections (test, tren, hcg and anything else)?

Platelet count is up some, not sure if donating blood will sort that out. My guess is it will, but I would wait for other folks input. Ah, you know what? Don't wait. Just donate. It is free and easy and might save someone's life. If it brings your blood work back into range, that's a bonus!

Judging from your initial reported symptoms, and how you feel now with these numbers, you almost certainly tanked your estrogen around the time of your first post. Don't sweat it, we have all done it a time or two. And as you can see, it has come back nicely.

What is your protocol now?

I have to clarify this a little bit.

Your numbers don't look bad at all FOR TRT. I would be very disappointed at them FOR A CYCLE.

In fact, my trt numbers look better with test cream 2x daily and hcg 3x a week.

This is what I was talking about when I said you are running all the risks without the reward. You are running a fancy TRT, which is not worth shutting yourself down for unless you are ready to bridge into trt for good.

It's not the end of the world or anything, you can PCT and get your natural numbers back pretty easily. Just keep in mind that this was a poorly designed cycle and you shouldn't judge the PED world based on this experience.

[Cylon357]

Also, I didn't see free t in your numbers, did I just miss it?

[almostgone]

I though he was just running 125/ week of test enanthate as far as testosterone?

[Honkey_Kong]

If you can afford it, I highly recommend getting a complete blood count CBC test done and a comprehensive metabolic panel.

It'll let you know if there is something serious going on before during and after your cycle. If your RBC is high, you might want to get that taken care of before you get in to a cycle.

[Honkey_Kong]

If you can afford it, I highly recommend getting a complete blood count CBC test done and a comprehensive metabolic panel.

It'll let you know if there is something serious going on before during and after your cycle. If your RBC is high, you might want to get that taken care of before you get in to a cycle.

[downsouthyall]

Yeah, I thought the T would be a little higher. But I feel better than I have in a long time. Part of that is finally getting back to the gym consistently and not hurting, but also I have made a lot of progress in strength, cut up a bit, and added muscle in all the right places.

The cycle got me to a good place. I'm not trying to put on 30+ pounds. But after a good pct, we'll see how much of this I keep, and how I feel/look 8 weeks down the road.

For this specific cycle, what dosages of nolva and clomid do you recommend, per week?

I have cardarine and ostarine too.

[downsouthyall]

Also, I'm really not sure why you keep saying this was a poorly designed cycle.

Everybody says use as little as possible to get the job done, and that's what I did.

I wasn't trying to swell up like a balloon, just lose some fat, gain some muscle, and harden.

I chose tren because it doesn't aromatize, or bloat, and can even help lean out. So other than crashing my E2 at one point, I didn't have to constantly monitor or worry about my E level.

And although I was prepared for Tren effects, I didn't have any big problems at this level. It does lock up my guts a little, and I can't wait till it's over so that will go away, And as a Type 1 Diabetic, I definitely noyiced it increased insulin resistance, meaning normal amount of insulin don't have the same effect on tren. I have to double everything up.

I read about every AS option and it seemed like tren fit the bill best. If you have suggestions, I'm open to alternatives, but what exactly is it that I'm missing at this level?

[Cylon357]

Also, I'm really not sure why you keep saying this was a poorly designed cycle.

Everybody says use as little as possible to get the job done, and that's what I did.

If you aren't getting the message, I don't know how to be more clear.

You shut yourself down for fancy trt - in other words, you probably didn't get anything out of this "cycle" that you couldn't have achieved naturally. Well, you did get the shut down and the need for PCT that you wouldn't have had if you hadn't cycled, but those things are negatives.

You blood work confirms this.

When people say things like "use as little as possible", there is (or at least SHOULD be) an implicit risk / reward factor. That should skew towards minimizing risk and maximizing reward. You have done the opposite.

I really strongly encourage you to read and understand the "planning my first cycle" sticky. It provides details that are missing in your thinking and is designed to be as error free and safe as any cycle can. Don't just look at the doses, read the whole thing, especially the part about HPTA function.

Good luck.

https://forums.steroid.com/anabolic-...rst-cycle.html