I don't understand my blood tests- is my test and estradiol at suboptimal levels?

[Extreme8]

I couldn't find a suitable forum to post this in so I just posted this question here.

I am 19 years old and I got my lab work done to test my test and estrogen levels because I felt that I was experiencing symptoms of elevated estrogen such as mild gynocomastia/enlarged areola, female fat storage patterns, rounded facial features etc.

My results were as follows:

Prolactin: 8.3 UG/L 2.6 - 13.1 reference range

Estradiol 163 PMOL/L 0 - 172 Reference range

Free Testosterone : 90.1 PMOL/L 15.6 - 146 Renference range

I read the stickied thread titled "Interpretation of Free Testosterone, Estrogen, and Total Testosterone Blood Tests" by kale but the guy who wrote it uses different units then the results I received.

Can someone help me to determine if my results are suboptimal and if I need to use an aromatase inhibitor?

[kelkel]

What has your doctor said about this? Have you done any cycles or pro-hormones? Prolactin is normal but your E needs to be a sensitive assay which that does not appear to be. Also what is your height, weight and body fat (estimate.)

It would be best if you posted up all BW with ranges so we can see the whole picture and give you a better assessment as your really not giving us much to work with. Others will chime in as well. Welcome to the forum Extreme!

[MickeyKnox]

hang in there bud. there are some very knowledgeable folks that hang out in this forum. they'll be by shortly. be prepared to include any other labs/bloods that you may have. the more labs you can pop up, the clearer the picture for these guys.

[MickeyKnox]

see, there ya go! i was typing and Kel was doing his thing..lol

[Extreme8]

What has your doctor said about this? Have you done any cycles or pro-hormones? Prolactin is normal but your E needs to be a sensitive assay which that does not appear to be. Also what is your height, weight and body fat (estimate.)

It would be best if you posted up all BW with ranges so we can see the whole picture and give you a better assessment as your really not giving us much to work with. Others will chime in as well. Welcome to the forum Extreme!

Thank you for replying kelkel. My doctor hasn't said anything, I just made an appointment with him, I asked for the hormones to be tested and he refered me to my local medical laboratory to get my blood tested. To my annoyance it only tested free T rather than Both free T and total T.

What do you mean by sensitive assay?

My height is 6 feet, my weight is 190lbs and my BF% is about 17%

I have never done any cycles or pro-hormones before. I am completely natural just whey protein and creatine lol. I do however plan to take steroids when I reach my maximum natural potential in muscle size and strength and when I'm at least 25 years old.
I guess if i took an AI it wouldn't be natural but I would think of it as optimizing what I already naturaly have rather than adding hormones to my body.

[kelkel]

Op are you sure that's all that was tested? Some docs just seem to verbalize results to patients. EVERY time you get BW done obtain a copy for yourself. Fill out the HIPAA form at the lab and they can fax or mail it to you. Labcorp is even on line now btw. Faxing is still the quickest way. If you don't have a fax just go to faxaway.com or similar site and set up a free one which will come directly to email.

Sensitive E2 assay is specific to males and is what is needed here. If you use labcorp I can provide the proper codes for you. Let me know. I was curious about BF as the more you carry the easier it is for T to convert to E.

What you need to do is to have complete bloodwork done prior to taking any kind of remedial action. There's a sticky at the top of the forum titled "Finding a TRT Physician" that has examples of proper blood work for you. There are just to many variables missing for us to speculate on what is amiss. On the given scale your free T is not sub-optimal.

Very smart to wait until you maximize your natural potential before embarking on any AAS usage. Visit the diet/nutrition forum here. Basically free nutritionists just waiting to help.

kel

[Extreme8]

I live in Canada so there was no HIPPA form. Also Labcorp is American. I did get a printed copy of my results from my doctors office. I don't know if I can get a "estradiol sensitive assay for males" where I live. What should I do?

[Extreme8]

bump

[Vettester]

OP, there's not much more to contribute on this then what you've already been told. Your labs are incomplete, we don't have anything to work with. In Kelkel's sticky, "Finding a TRT Physician", you will find a myriad of labs that need to be completed. Start there and see if there's a way to get them completed.

Also, x2 on the E2 sensitive. Here's a link to a clinic in the Toronto area that does lab work. http://www.naturesintentionsnaturopa...ting.htm#blood

Not sure if you're on that side of the country? Regardless, if not, call them and they can probably point you to someone in your area.

[Extreme8]

OP, there's not much more to contribute on this then what you've already been told. Your labs are incomplete, we don't have anything to work with. In Kelkel's sticky, "Finding a TRT Physician", you will find a myriad of labs that need to be completed. Start there and see if there's a way to get them completed.

Alright I'll work on getting a complete lab testing. My family doctor is so clueless. I actually had to provide him with my limited knowledge what to test for and now I have discovered that I have to test more stuff to get a complete analysis. It seems he didn't even know about the E2 sensitive test.

So from Kelkels thread it say's I should get these tested:

• Total Testosterone
• Bioavailable Testosterone (AKA “Free and Loosely Bound”)
• Free Testosterone (if Bioavailable T is unavailable)
• SHBG
• DHT (perhaps) *Gel user especially pay attention to this.
• Estradiol (specify “sensitive” assay for males)
• LH
• FSH
• Prolactin
• Cortisol
• Thyroid Panel
• CBC
• Comprehensive Metabolic Panel
• Lipid Profile
• PSA (age dependent)
• IGF -1, IGFBP-3 (if HGH therapy is being considered)
Vitamin D

kelkel also mentioned "inflammatory markers and a good and true comprehensive thyroid study. What exactly are infammatory markers and a true comprehensive thyroid study?
Also beside the DHT it say's "*Gel user especially pay attention to this." what does that mean?

[Vettester]

Inflammatory markers are specific findings with a patient, which might lead to help the doctor discover a diagnosis. It's basically a measurement indicator to tell a physician that there might be a particular disease or adverse condition. Say you were experiencing some inflammation in a particular body part, and also swollen glands ... That might prompt a physician to take a full thyroid panel. The doctor might be suspicious of an autoimmune disease based on the initial markers.

Kelkel can clarify if he intended this differently, but what I take from a "True comprehensive thyroid study" is that you need to have the gamut taken when you get your labs, not just TSH, and/or FT3. Here's a link to stop the thyroid madness http://www.stopthethyroidmadness.com...ended-labwork/ ... You can see the needed labs on the page I copied to you. I would advise reading through that site thoroughly.

Gels have a greater affinity for converting downstream to DHT, via the 5 alpha reductase enzyme. So, for patients who might be adversely affected by increased DHT levels, they might want to consider injection therapy instead.