latest bloodwork from Wednesday

[MRNJ1992]

Just got bloodwork back. Results are vit D 48.4 scale 30-100, 5-a-Dihydrotestosterone 318.0 scale 106.0-719.0, T3 147 scale 58-159, DHEA 91.9 scale 10-619, Estradiol [6] 10, Testosterone total 182.5 scale 249-836, psa 0.66 scale 0.0-4.0, IGF -1 170 scale 66-296, Free T 19.87 scale 4.6-15.3, Cholesterol 193, triglycerides 74 scale < 150, TSH 0.0018 scale 0.35-4.94 LH, FSH,Progesterone all in range. Any comments welcomed.









Info-Was on hrt approx 2 years ago. Started with Cyp T then urologist switched me to Andro and currently on nothing going on 4 months. Open to all suggestions.

[xcraider37]

Just got bloodwork back. Results are vit D 48.4 scale 30-100, 5-a-Dihydrotestosterone 318.0 scale 106.0-719.0, T3 147 scale 58-159, DHEA 91.9 scale 10-619, Estradiol [6] 10, Testosterone total 182.5 scale 249-836, psa 0.66 scale 0.0-4.0, IGF -1 170 scale 66-296, Free T 19.87 scale 4.6-15.3, Cholesterol 193, triglycerides 74 scale < 150, TSH 0.0018 scale 0.35-4.94 LH, FSH,Progesterone all in range. Any comments welcomed.

Info-Was on hrt approx 2 years ago. Started with Cyp T then urologist switched me to Andro and currently on nothing going on 4 months. Open to all suggestions.

How do you feel with t levels that low? My opinion get back on something. I did the same thing got off for 4 months with similar levels, LH and FSH bounced back but T level stayed low.

[MRNJ1992]

The doc I saw today was the one who did my thyroidectomy...he was willing to write the script for Cyp and HGH...he's calling my internist and hopefully things will go my way..Best Ive felt in years was on Cyp...

[steroid.com 1]

[QUOTE=MRNJ1992;6136137]Just got bloodwork back.

Results are vit D 48.4 scale 30-100,
Low, should be at the upper end of the reference range.

5-a-Dihydrotestosterone 318.0 scale 106.0-719.0,
Mid and ok, but better in the up 80% of the reference range.

T3 147 scale 58-159,
Why just T3 and not T4? T3 is best at the upper end of the reference range and you're right there!

TSH 0.0018 scale 0.35-4.94
Is the .0018 correct or a typo?

DHEA 91.9 scale 10-619,
Best at 500 to 600; you are very low.

Estradiol [6] 10,
I don't know what this means or the reference range. Was this a sensitive assay?

Testosterone total 182.5 scale 249-836,
Clinically low because you are in HPTA suppression from previous protocol.

psa 0.66 scale 0.0-4.0,
Fine

IGF -1 170 scale 66-296,
Fine, could be a little higher.

Free T 19.87 scale 4.6-15.3,
If this is Free Testosterone and above the reference range when you haven't been on your protocol for 4 months is very odd especially in light of your Total Testosterone levels .


Cholesterol 193, triglycerides 74 scale < 150,

LH, FSH,Progesterone all in range.
What does this mean? You could have very low LH and still be in the reference range but it will still cause problems.

See above.

[MRNJ1992]

tsh is correct. I have numbers for LH-1.17, FSH-4.57, progesterone 0.2, dosent give range for these...my t-4 was 12.69 range is 4.20-11.00, as for estradiol-they dont give a range as for the total T and free T the doc dosent have an answer for one being so low and the other high

[xtitan1]

GD, I have read on STTM that Total T3 and T4 tests are "worthless" and that only the Free T3 and T4 tell you anything. I have noticed you do pay attention to Total T4 and T3. Is there evidence that STTM is wrong about this?

[steroid.com 1]

tsh is correct.
I am willing to bet this panel is an error. You need some TSH as it's the messagner hormone that tells your Thyroid to do what it does like make LHRH which is the hormone that tells your Pituitary to release LH which you have measurabel amount in your blood stream.

I have numbers for LH-1.17,
If we use my labs range for this of 1.7-8.6 mIU/ml you are low and would be expected given your past use of Testosterone ; you are HPTA suppressed.

FSH-4.57,
If we use my labs range for this of 1.4–15.4 mIU/mL you are low as can be expected noted in the LH assay above.

progesterone 0.2,
If we use my labs range for this of 0.2-1.4 ng/ml which is low and you need Progesterone to stay alive!!!


my t-4 was 12.69 range is 4.20-11.00,
Given your T3 range and your T4 here your Thyroid seems to be functioning fine; it's HPTA that you need to restart.

as for estradiol-they dont give a range
I didn't see where you posted E2? Did miss it?

as for the total T and free T the doc dosent have an answer for one being so low and the other high
Your Total Test is low because your are HPTA suppressed. Of what you do have a good deal of it is Free...albeit not very much. Would have liked to have seen SHBG and Albumin assays if you have them.

Above.

[steroid.com 1]

GD, I have read on STTM that Total T3 and T4 tests are "worthless" and that only the Free T3 and T4 tell you anything. I have noticed you do pay attention to Total T4 and T3. Is there evidence that STTM is wrong about this?

I have read and understand the same thing. I am assuming (and maybe wrongly) that his Thyroxine assays are Free...

[MRNJ1992]

Shbg-sex hormone binding globulin was 43.1 scale is 17.1-77.6, albumin is 4.1 scale is 3.5-5.0 estradiol non-preg, serum is 10 they say in range but dont give a range also did have a throidectomy in 1993-if that means anything to all this bloodwork..i take thyroxine daily.....

[bass]

The doc I saw today was the one who did my thyroidectomy...he was willing to write the script for Cyp and HGH...he's calling my internist and hopefully things will go my way..Best Ive felt in years was on Cyp...

so what are your plans now, are you going back on TRT anytime soon or you want to get off TRT permanently? if permanently are you planing to do some sort of PCT? and finally what was the reason for stopping TRT?

[MRNJ1992]

my urologist stopped my cyp shots and changed me to androgel -will restart cyp soon i think my doc who did my thyroidectomy wants me to start cyp shots with hcg ASAP....saw him today

[xtitan1]

Mrnj is the t3 level u posted total t3 or free t3?

[steroid.com 1]

my urologist stopped my cyp shots and changed me to androgel -will restart cyp soon i think my doc who did my thyroidectomy wants me to start cyp shots with hcg ASAP....saw him today

This may do the trick!

You do know what a good weekly protocol should look like...right?

Many Uro's don't really understand TRT and may end up putting you on a 3 week injection cycle...you don't want that.

[kelkel]

Just saw thyroidectomy. Jeez!

[Vettester]

Agree that cyp and HCG would be the route to go. Look at adding DHEA and Pregnenolone to your protocol as well. Vitamin D should help to lower your SHBG, which will enhance your free & bio available test.

Need to know more about your E2. See if you can't put together a sensitive lab. I get the feeling it's on the low side, regardless. Not much going on upstream to help the conversion process. That will change with a good protocol involving the other hormones mentioned upstream.

[MRNJ1992]

that was in feb 1993

[MRNJ1992]

gdevine-think Im done with the urologist. Today I saw the ear,nose and throat doctor who did my surgery on my thyroid and he cant believe the urologist stopped trt 4 months ago. Thanks for the input...

[MRNJ1992]

the T3 levels are total

[xtitan1]

the T3 levels are total

Yeah that's what I thought based on the reference range you provided. Being that you had a thyroidectomy I would highly recommend you get the following labs:

TSH
FREE T4
FREE T3
Reverse T3


I would also recommend looking into Armour Thyroid instead of Levothyroxine (generic for Synthroid , which is T4 only). Lots of good info over at www.stopthethyroidmadness.com on thyroid stuff. Worth reading if you haven't taken a look yet.

LOL I think that's the first I've heard of an ENT doctor handling someone's TRT but as long as your comfortable and getting good treatment that's what counts.

[MRNJ1992]

Funny you say that-was on armour thyroid 120 grain a few years ago and couldnt get it anymore-forget the reason why...but it see it floating around again. As for the ENT-he's the guy who originally suggested the Cyp shots when he saw my bloodwork a few years ago. Great guy-was ready to give me the scripts for T, HCG , andHGH,,,,Today LOT to think about.

[xtitan1]

Yeah man sounds like he's a good Doc. My dad uses his GastroEnterologist for everything including his annual check-ups just because he knows the guy and trusts him.

Armour I believe had some issues getting enough porcine glands a couple of years ago and there was a shortage. I'm on it now so I know it's available. There's a lot of mis-information out there about it put out by synthetic thyroid medication makers. Anyway definitely go check out the STTM website.

[MRNJ1992]

I'd like your opinion on a good weekly protocol for me. Doc will prescribe Cyp and HCG . How much of each and how often considering all my bloodwork. Thanks Gdevine.