Bloodwork results

[QuieTSToRM33]

My roommate recently had bloodwork done and this is what came back. I'm not too keen on TRT so I figured this would be a good place to start. Take at look at his bloodwork. Obviously there are a few flags such as RBC, FSH, and TEST.

RBC I have no idea about.

The TSH is on the low side. If I'm not mistaken that would be closer to a hyperactive thyroid, right ?

As far as the low FSH and low test ... can HMG increase the FSH ? ... and the low test can obviously be fixed with TRT I'm guessing.

Any thoughts or suggestions ?

[Vettester]

It would be better if your roommate was the one directly looking for suggestions, as I kind of don't want to invade on someone's privacy. However, there's a few basic observations that you could relay to him.

One main question that needs answered is, has this guy been taking any AAS, or other medications that would cause hypothalamus suppression?

LH is mildly suppressed, and FSH is highly suppressed. The testis produce testosterone when signaled by LH, which is secreted in the pituitary. This process works on a negative feedback loop setup, so low LH will generally result in low testosterone production.

HMG will NOT increase FSH levels. It only an analog that mimics both LH & FSH. However, you won't see any actual increase in endogenous production of these hormones. When a pituitary is healthy, without any tumors or pathology disorders, then using a SERM, like Clomid, is the route most will go to "restart" their HPTA. The question is, does your roommate just need a basic restart PCT due to AAS, or does he have secondary hypo that needs further investigation? He should consult a good physician to workup a plan.

His RBC is another indicator that's telling me that his problem could be AAS related. Donating blood to his local blood bank will take care of that, and it will be a nice contribution on his behalf to people in need.

And yes, the low test can be fixed with TRT, but that's a lifetime commitment. Exogenous test will always have to be administered to keep his serum level in an optimal range.