JD250s Blood work results

[JD250]

47 yrs old, 6'4", 240lbs

TRT protocol

50mg Test injected sub Q eod
250IUs HCG injected eod
.5mg Anastrozol twice a week
5mg cialis ed
2.5mg selegeline ed
vitamins and such...blah blah

Bolded high and low readings

what do you experienced TRTers see as problems and what to do about them?

Results after one year on this protocol


TESTS RESULT FLAG UNITS REFERENCE INTERVAL LAB
CBC With Differential/Platelet

WBC 7.1 x10E3/uL 4.0-10.5 01
RBC 5.76 x10E6/uL 4.14-5.80 01
Hemoglobin 18.2 High g/dL 12.6-17.7 01
Hematocrit 53.6 High % 37.5-51.0 01
MCV 93 fL 79-97 01
MCH 31.6 pg 26.6-33.0 01 MCHC 34.0
g/dL 31.5-35.7 01 RDW 14.0
% 12.3-15.4 01 Platelets 213
x10E3/uL 140-415 01 Neutrophils
58 % 40-74 01 Lymphs 32
% 14-46 01 Monocytes 9 % 4-13 01
Eos 1 % 0-7 01 Basos
0 % 0-3 01 Neutrophils
(Absolute) 4.1 x10E3/uL 1.8-7.8 01
Lymphs (Absolute) 2.3 x10E3/uL 0.7-4.5 01
Monocytes(Absolute) 0.6 x10E3/uL 0.1-1.0 01
Eos (Absolute) 0.1 x10E3/uL 0.0-0.4 01
Baso (Absolute) 0.0 x10E3/uL 0.0-0.2 01
Immature Granulocytes 0 % 0-2 01 Immature Grans
(Abs) 0.0 x10E3/uL 0.0-0.1 01

Comp. Metabolic Panel (14)
Glucose, Serum 113 High mg/dL 65-99 01
BUN 16 mg/dL 6-24 01
Creatinine, Serum 1.09 mg/dL 0.76-1.27 01

eGFR If NonAfricn Am 80 mL/min/1.73 >59 01

eGFR If Africn Am 93 mL/min/1.73 >59 01

BUN/Creatinine Ratio 15 9-20 01 Sodium, Serum

140 mmol/L 134-144 01

TESTS RESULT FLAG UNITS REFERENCE INTERVAL LAB
Potassium, Serum 4.3 mmol/L 3.5-5.2 01
Chloride, Serum 104 mmol/L 97-108 01
Carbon Dioxide, Total 20 mmol/L 20-32 01

Calcium, Serum 9.3 mg/dL 8.7-10.2 01
Protein, Total, Serum 7.2 g/dL 6.0-8.5 01
Albumin, Serum 4.6 g/dL 3.5-5.5 01
Globulin, Total 2.6 g/dL 1.5-4.5 01
A/G Ratio 1.8 1.1-2.5 01 Bilirubin,
Total 0.7 mg/dL 0.0-1.2 01
Alkaline Phosphatase, S 58 IU/L 25-150 01
AST (SGOT) 30 IU/L 0-40 01
ALT (SGPT) 47 High IU/L 0-44 01

Lipid Panel
Cholesterol, Total 202 High mg/dL 100-199 01
Triglycerides 195 High mg/dL 0-149 01
HDL Cholesterol 38 Low mg/dL >39 01

According to ATP-III Guidelines, HDL-C >59 mg/dL is considered a
negative risk factor for CHD.

VLDL Cholesterol Cal 39 mg/dL 5-40 01
LDL Cholesterol Calc 125 High mg/dL 0-99 01

Thyroid Panel With TSH

TSH 3.050 uIU/mL 0.450-4.500 01
Thyroxine (T4) 6.8 ug/dL 4.5-12.0 01
T3 Uptake 31 % 24-39 01 Free Thyroxine
Index 2.1 1.2-4.9 01

Testosterone,Free and Total

Testosterone, Serum 1251 High ng/dL 348-1197 01


TESTS RESULT FLAG UNITS REFERENCE INTERVAL LAB
Free Testosterone(Direct) 33.7 High pg/mL 6.8-21.5 02
Prostate-Specific Ag, Serum
Prostate Specific Ag, Serum 0.8 ng/mL 0.0-4.0 01
Roche ECLIA methodology.
.
IGF-1
Insulin-Like Growth Factor I 221 High ng/mL 59-201 02

Estradiol, Sensitive
Estradiol, Sensitive 29 pg/mL 3-70 02

[bass]

wow, all that at 50mgs twice a week?! congratulations, now you can lower your dose even more and still be in range. everything looks good but you need to donate ASAP. don't worry about the cholesterol too much but do what you can to raise your HDL. how do you feel overall? your THS could use some help, mine was like yours and did iodine for a month and its been 2-2.5 since.

[JD250]

Thanks for the reply Bass. I actually inject 50mg EOD which comes out to over 150mgs a week, I am considering lowering a little but I am really pleased with the E2 so I'm not sure I want to upset the balance but I do think I could cut back on the test a little, I am open to suggestions for sure on that one.

I have been sluggish and seem to need a nap by the end of the day here lately, I'm thinking that's due to not giving blood in several months, I have an appointment to give this afternoon so that should help the Hematocrit issue.

Tell me more about the TSH and iodine

What about Glucose serum?
And IGF-1?

For a few months this winter I had terrible elbow pain in both elbows, joint pain or tennis elbow is how I would describe it, I thought maybe due to low E2 but it has since gone away and the E2 seems OK..... I dunno, getting old sucks I guess.

[bullshark99]

Glucose is a blood sugar, indicitive of diabetes. Wouldnt be overly concerned at your level, might just be one bad reading. Did you fast???? If not there you go. Your level is pre-diabetes but again if its only once that just shows ONE MOMENT in time. Diabetics much higher than that.

[bass]

JD, my TSH always read 3.5 and up until someone suggested to administrate iodine, I did that for 4-6 weeks and my THS never been better, that was 1.5-2 years ago and my thyroid still in good range. basically I bought Amazon.com: J.CROW'S® Lugol's Solution of Iodine 2%: Health & Personal Care and applied 5-10 drops on my thigh, rubbed it then let it dry.

as for IGF-1 most of us on TRT are hi, which is perfectly fine. Glucose, I wouldn't worry about it but you need to bring that down with clean diet, mine was just like yours and now its in mind 80's. type 2 diabetes is easily reversible.

you're feeling sluggish because you hemoglobin and Hematocrit, once you donate you should feel better, also your thyroid can make you feel sluggish. here is a good website to learn how to fix the problem,

Stop the Thyroid Madnessâ„¢ - Hypothyroidism and thyroid mistreatment

[JD250]

Thanks Bass, I'll check it all out, looks interesting.

Bullshark.... I only fasted 12 hours before the test so maybe that wasn't enough. I'm busy as hell right now and that's when a clean diet goes out the window for me so I'm sure that doesn't help either.

[JohnGalt]

For my glucose levels also in the pre-diabetic range my doc put me on alpha lipoic acid, gynemia, and chromium supplements. My next BW is next month so I'll know more on how effective it's been but you may want to read up on those and see if it's worth it to add them to your daily routine.

[kelkel]

JD always good to see you. The guys answered your questions. I'd drop your dose by 50mg per week. Maybe just M-W-F and skip weekends? Re your TSH know that as TSH rises it pushes T4 down which appears to be the case here. Thyroid support supps like Bass said may help.

Keep in mind that elevated TSH can crush your iron levels and over time lead to anemia. I mention this as you commented on taking naps which is unusual. Same thing happened to me so I ran an iron panel and it was in the toilet. A brief period of supplementing with elemental iron got things back in order.

If you iron panel comes back unusually low then head in for a colonoscopy as an astute doc will want to clear you at that point.