Testosteron/Estrogen Results

[barack_obama]

I had my hormone panels run by my GP and never got to see the actual results but she said it was about 150ng/dL started me on TRT immediately using Axiron and recommended me to talk to a endo doc. The endo doc of course told me to stop taking the Axiron and come in for blood work in 30 days.

Estrogen Total: 107 pg/ml
Total Test: 215 ng/dL
Free Test: 58.4 pg/mL
BioAvail Test: 127 ng/dL
Sex Horm Bind Glob: 9 nmol/L

Those were my full results, he said I was good to go and I don't need any form of testosterone replacement . Based on what I'm reading here, he might be wrong or full of [feces]. I am overweight, but the weight gain has been sudden (50lbs in less than 2 years) though diet and lack of exercise do have a lot to do with it. I just have not been motivated to work out in the past few years. I am 6' at about 265lbs with some muscle mass still (can at least bench my body weight) and I'm only 28. Any advice or suggestions? Just started a keto diet to try to drop off some of this extra ass I'm carrying around but I've got digestive issues (that also started around the time I began putting on the weight) and may not be able to stick with it.

*EDIT*
Forgot LH values on different page
LH: 4 miu/mL

[sparverius]

Since you are young the question is why are you low. Any history of previous test, DHT blocker or prohoromone use, brain injury, testicular injury or tumor?

A good doc would have looked into that instead of just putting you on TRT. The endo is worse- 215 is low, and it's well known that guys can be in range yet be showing symptoms. If you took Axiron and then stopped you may be partially shut down (although LH looks mid range).

Your E is high. Losing weight will help with that. The less E you make the more T you'll have.

[barack_obama]

This root cause concerned me as well. As for your questions on previous medical history...

I have had no serious brain injuries, I mild concussion when I was young and played football. No testicular injuries. No tumors that I'm aware of.

I did do two 10wk cycles of test (one enanth and cyp) each at 500mg/wk broken up into two 250mg injections back in college with ridiculous gains and the best I ever felt in my life. I had a 3 month break between cycles. I had a solid diet and exercise twice daily. I was at about 245 a little lighter than I am now, but solid - could just see abs, body fat est at 13%. PCT with letro - cant remember exact protocol, but I'm prone to extra fat in chest/gyno.

Other health issues, I have a hiatal hernia that causes all kinds of digestive issues and I'm on Nexium at 40mg daily. For weeks when it gets bad, I have Reglan (Metoclopramide) to keep food down.

Any advice as to the direction I should go would be welcomed. The doctors seem non-concerned about any of the above.

[Vettester]

Yet another endo horror story!! Not to rant, but I'm really getting tired of these iediots that have less knowledge than most of our new members that have been here less than a week. Guess that endo feels it's "good to go" when you have testosterone levels of an 80yo!!

You will need to take some matters into your own hands and take some initiative to get yourself on the right track. This means finding a qualified physician that can help figure out what's going on with you, and who can properly treat you.

Yes, there's some "incomplete" information here that we need to get figured out. Your LH is leaning a bit low, but not in the tank. I presume that score of 4 is "4.0", not "0.4"? Do you have the FSH lab? We would also like you to look into a complete thyroid panel, including TSH, RT3, FT3, FT4, and your thyroid antibodies. Iron, ferritin & B12, assays will also complement the thyroid assays to explore various pathologies. I am a carrier of hemochromatosis with off the wall numbers for my ferritin if not controlled ... So, yes, I'm going to tell everyone to check this and iron to just make sure the bases are covered.

On your estrogen, are we talking E1, E2, or E3. If E2, is it marked sensitive assay? What you have posted doesn't give us much insight. An E2 sensitive assay is the benchmark for male estrogen blood work.

[steroid.com 1]

E2 is really elevated and one significant reason for the low Testosterone serum levels.

I'd also like to see SHBG and Albumin.

Did you do a proper PCT when you ran your two cycles?

You need to find a Doctor who understands low testosterone in men; even if you have to travel it's worth it as it's your health.

Too young to be at these levels, opens you up to all types of nasty pathologies.

Find a new Doc who gets it, now!!!

[barack_obama]

I had full hormone panels drawn that list most of what you guys are asking for. Everything was usually dead center normal for thyroid and related, I saw the actual results but do not have copies. I will request copies Monday and report back.

As for proper PCT at the end of each cycle, I had letro on hand, but did not have access to anything like hcg . I also took some natural over the counter test boosting supplements. I do not remember the dosage and exact protocol usage of letro, but the letro tapered off and lowered towards the end of roughly a month.

[Vettester]

GD, his SHBG is sitting at 9 nmol. Strangely, it's kind of low all things considered ...

[barack_obama]

my doc with the rest of the test results was closed today. Happy Veteran's day!

[barack_obama]

So it has been almost a year since I've been on here, sorry for reviving a super old thread. I've been through multiple docs and many many blood tests. All of the tests have been all over the board. Things that were normal in results before are not normal now. Things that were out of range before, are in range now. Are these labs all really screwed up or are my hormones legitimately all over the place?

Recent bloodwork (blood drawn at roughly 11am):
Albumin 5 range 3.5 - 5.0 GM/DL
Alkaline Phosphatase 82 range 38.0 - 126.0 U/L
ALT 50 range 13.0 - 69.0 U/L
AST 31 range 15.0 - 46.0 U/L
Bilirubin-Total 0.5 range 0.2 - 1.3 MG/DL
BUN 23 range 7.0 - 20.0 MG/DL
Calcium 9.6 range 8.4 - 10.2 MG/DL
Chloride 104 range 98.0 - 107.0 MMOL/L
CO2 25 range 22.0 - 30.0 MMOL/L
Cortisol 4.3 range 1.7 - 22.7 uG/DL
Creatinine 0.9 range 0.7 - 1.5 MG/DL
Estradiol 14.3 range pg/mL
Ferritin 275 range 17.9 - 464 NG/ML
Free Testosterone 40 range 47.0 - 244.0 pg/mL
Free Testosterone% 2.6 range 1.6 - 2.9 %
Glucose 89 range 74.0 - 106.0 MG/DL
Insulin -Like GF-1 157 range 155.0 - 432.0 ng/mL
LUTEINIZING HORMONE 1.1 range 1.7 - 11.2 MIU/ML
Potassium 5 range 3.5 - 5.1 MMOL/L
Prolactin 10.4 range 3.7 - 17.9 NG/ML
Sex Hormone Binding 12 range 11.0 - 80.0 nmol/L
Sodium 142 range 137 - 145 MMOL/L
Total Protein 7.9 range 6.3 - 8.2 GM/DL
Total Testosterone 154 range 300.0 - 1080 ng/dL
Vitamin B12 762 range 211.0 - 946.0 PG/ML


Any of you guys have experience with this? I'll be looking for some of my old test paperwork just to compare over time and I can post if interested.

I've now had multiple MRI's with no physical deformities or apparent tumors/damage to my pituitary. I have a ACTH stimulation test coming up to test my cortisol levels. My current endo doc is considering Addison's disease due to low cortisol levels. Previous cortisol tests have come back within normal range, though this one was earlier in the afternoon when my levels should be higher.

[bass]

have they checked your thyroid?!

[barack_obama]

I'm under the impression that this ACTH stimulation test is testing something to do with thyroid functioning. But I have had T3 and T4 (I think these were the numbers, could have been T2 and T3, still looking through boxes for old tests) and all the T# tests came back dead center on ranges.

[Mario L]

It seems to me that you didnt recover after your cycles. I don't think letro is for PCT. possibly a restart with proper PCT may help.

[barack_obama]

It seems to me that you didnt recover after your cycles. I don't think letro is for PCT. possibly a restart with proper PCT may help.

I cant imagine 2 cycles from 6 years ago could still be plaguing me. I could be wrong.

[barack_obama]

have they checked your thyroid?!

Are there any particular tests to be run to check thyroid? T3/T4, others?

[bass]

i can't really tell you what to check for, but your doc needs to do all the necessary tests to find out the root cause of your problem. i am sure there are more thyroid tests but these are the ones i am familiar with,


Free Thyroxine Index
T3 Uptake (THBR)
Thyroid-Stimulating Hormone (TSH)
Thyroxine (T4)
Tri-iodothyronine (T3)
Thyroid Antithyroglobulin Antibody;
Thyroid Peroxidase (TPO) Antibodies;
Tri-iodothyronine (T3) Free, Serum;
Thyroxine (T4) Free, Direct, and Reverse T3

[powerlifterty16]

I had my hormone panels run by my GP and never got to see the actual results but she said it was about 150ng/dL started me on TRT immediately using Axiron and recommended me to talk to a endo doc. The endo doc of course told me to stop taking the Axiron and come in for blood work in 30 days.

Estrogen Total: 107 pg/ml
Total Test: 215 ng/dL
Free Test: 58.4 pg/mL
BioAvail Test: 127 ng/dL
Sex Horm Bind Glob: 9 nmol/L

Those were my full results, he said I was good to go and I don't need any form of testosterone replacement . Based on what I'm reading here, he might be wrong or full of [feces]. I am overweight, but the weight gain has been sudden (50lbs in less than 2 years) though diet and lack of exercise do have a lot to do with it. I just have not been motivated to work out in the past few years. I am 6' at about 265lbs with some muscle mass still (can at least bench my body weight) and I'm only 28. Any advice or suggestions? Just started a keto diet to try to drop off some of this extra ass I'm carrying around but I've got digestive issues (that also started around the time I began putting on the weight) and may not be able to stick with it.

*EDIT*
Forgot LH values on different page
LH: 4 miu/mL

prob one of the WORST endo drs ive ever seen, and there are bad ones....not only is your total t LOW, your estogen is HIGH....if you are good to go who isnt?
do you have a history of steroids , drinking, smoking, rug use, or medication use?

[powerlifterty16]

Are there any particular tests to be run to check thyroid? T3/T4, others?

i would shoot to get free t3 and t4 done...itll be hard to get those ordered let alone the other tests....then again your gp seems to be one of the better ones...maybe he will order you what bass wrote...either way ditch the endo he is worse than the gp

[barack_obama]

prob one of the WORST endo drs ive ever seen, and there are bad ones....not only is your total t LOW, your estogen is HIGH....if you are good to go who isnt?
do you have a history of steroids, drinking, smoking, rug use, or medication use?

I did 2 cycles of steroids about 6 years ago, but I believe I came back from that and recovered just fine. Then I started having all kinds of health problems 3-4 years ago and it has been a down hill ride since. Always nauseated and never feeling right.

I can't really drink as that makes the nausea worse. Don't smoke unless it gets me high, and due to regular drug tests with my employer, I can't do that. Steroids were the last illegal substance I touched but that was 6 years ago. Prescribed medications - I've been on every stomach med and anti-nausea medicine that can be prescribed. I've made a run for no pills since about November of 2012 though and I've only had to go for my anti-nausea a few times since. All I take is a daily pro-biotic.

[barack_obama]

So after doing my ACTH stimulation study, it was determined that I have adrenal insufficiency on top of my hypogonadism. I am on prednisone @5mg daily and test cyp @ 100mg/wk. I started the prednisone last week and already feel MUCH better, no more nausea and feeling like I'm going to pass out. I started the test cyp today. We'll see how it plays out. The doc has me going back to do labs in 6 weeks to determine if I need to adjust dosages on either.

The prednisone is covered under insurance, test cyp I am having to fight for. The insurance company wants my doc to send a letter of medical necessity, different than a prior authorization. I've never dealt with this before, so I just paid for the test out of pocket as it was relatively inexpensive.

Anybody have any comments or suggestions on the Doc's protocol? With my test results above, are there any other glaring issues I should look into? I'm already feeling 100% better, just still lacking a little energy.

[EverettCD]

Did you see this:

http://forums.steroid.com/hormone-re...-test-cyp.html

[barack_obama]

I did, thanks! I printed off a couple of them for future use. Pharmacy won't take the coupon retroactively on the stuff I just got a week ago.