3 months BW after start of TRT

[bartman314]

Age: 50 Weight: 230 BF: ~12%

100 mg test cyp 2x/week
HCG 35 iu's 2x/week
0.5 mg anastrozole 2x/week

increased energy/improved mood since starting trt

bw taken 6 days after last test cyp and hcg shot per dr's request (not sure if this makes sense).

Chemistries
Glucose, Serum 100 65-99 mg/dL
BUN 33 6-24 mg/dL HIGH
Creatinine, Serum 0.91 0.76-1.27 mg/dL
eGFR 98 >59 mL/min/1.73
Sodium, Serum 138 134-144 mmol/L
Potassium, Serum 4.6 3.5-5.2 mmol/L
Chloride, Serum 101 97-108 mmol/L
Carbon Dioxide 26 19-28 mmol/L
Calcium, Serum 8.9 8.7-10.2 mg/dL
Protein, Serum 6.7 6.0-8.5 g/dL
Albumin, Serum 4.1 3.5-5.5 g/dL
Globulin, Total 2.6 1.5-4.5 g/dL
A/G Ratio 1.6 1.1-2.5
Bilirubin, Total 0.3 0.0-1.2 mg/dL
Alkaline Phosphat 98 39-117 IU/L
AST (SGOT) 61 0-40 IU/L HIGH
ALT (SGPT) 64 0-44 IU/L HIGH

Lipids
Cholesterol, Total 148 100-199 mg/dL
Triglycerides 58 0-149 mg/dL
HDL Cholesterol 44 >39 mg/dL
VLDL Cholesterol 12 5-40 mg/dL
LDL Cholesterol 92 0-99 mg/dL
LDL/HDL Ratio 2.1 0.0-3.6

Thyroid
TSH 0.969 0.450-4.500 uIU/mL
Triiodothyronine .4 2.0-4.4 pg/mL

Immunoassay
Prostate Specific Ag, Serum 0.5 0.0-4.0 ng/mL
Insulin -Like Growth Factor I 220 67-205 ng/mL HIGH
Testosterone , Serum 1061 348-1197 ng/mL
Free Testosterone (Direct) 19.2 7.2-24.0 pg/mL
LH 0.1 1.7-8.6 mIU/mL LOW
FSH <0.2 1.5-12.4 mIU/mL LOW
Sex Horm Binding Glob 41.8 19.3-76.4 nmol/L
Estradiol 34.2 7.6-42.6 pg/mL

CBC, Platelet Ct, and Diff
WBC 7.5 3.4-10.8 x10E3/uL
RBC 5.36 4.14-5.8 x10E3/uL
Hemoglobin 15.1 12.6-17.7 g/dL
Hematocrit 46.6 37.5-51.0 %
MCV 87 79-97 fL
MCH 28.2 26.6-33.0 pg
MCHC 32.4 31.5-35.7 g/dL
RDW 13.6 12.3-15.4 %
Platelets 239 155-379 x10E3/uL
Neutrophils 62 40-74 %
Lymphs 25 14-46 %
Monocytes 10 4-12 %
Eos 3 0-5 %
Basos 0 0-3 %
Immature Granulocytes 0 0-2 %

Vitamin D, 25-Hydroxy, Serum 48 30-100 ng/mL

thoughts?!?!?!?!?

[bartman314]

i apologize for formatting... the post didn't retain my spacing.

[kelkel]

Glad you feel better Bart.

Thoughts:

1. Start taking NAC for liver support. Maybe 1200 per day.
2 I assume you mean 350 iu's twice per week with HCG ?
3. Yes, makes sense to exclude the last HCG shot. It mitigates the bump it gives your test and shows a more accurate level. Smart doc.
4. Great IGF-1 level.
5. Test level probably a bit high for 6 days after your shot AND without hcg. Consider lowering it for long term.
6. Not a sensitive E2 assay. Next time try to get that. I can provide Labcorp Codes if you need them.
7. Add a bit more Vit D which will help with your shbg. Always monitor it as it's fat soluble. Take with meals.

Expanding on test levels. If your over 1K 6 days later no doubt you're probably 1500 or thereabouts a couple days after your injection. Long term it's usually not healthy for your RBC's. It would be nice to lower it a bit, get the proper E2 test next and work toward lessening your AI dose.

Overall, nice going.

[bartman314]

thanks, kelkel!

i'm on nac @ 600/day and will increase (and check bw in 8 weeks).

yes, 350 iu's, not 35 iu's.

what would be a good next TEST move, 50 mg test cyp 2x/week + 350 iu's hcg 2x/week + 0.25 mg anastrozole 2x/week?

my bw is done at labcorp, i would appreciate knowing proper code for sensitive estradiol.

i'm on 5000 mg/day D3 now and will up to 7000 mg/day

thanks!

[kelkel]

thanks, kelkel!

i'm on nac @ 600/day and will increase (and check bw in 8 weeks). Good

yes, 350 iu's, not 35 iu's. K

what would be a good next TEST move, 50 mg test cyp 2x/week + 350 iu's hcg 2x/week + 0.25 mg anastrozole 2x/week?
That or 75 x 2 per week, retest under same scenario without hcg in a month. No fasting needed. Take your adex 1 day after injection to time the peak and get the most bang for your buck. Not a fan of drastic changes which is why I suggest 75 x 2. Smaller incremental changes are always best. Be sure to test E2 as well.

my bw is done at labcorp, i would appreciate knowing proper code for sensitive estradiol.
Write these down and take them with you EVERY time you go or they will screw it up.
E Sensitive 140244. CPT Code 82670

i'm on 5000 mg/day D3 now and will up to 7000 mg/day

thanks!

Above in bold.

[bartman314]

thank you. (again)

[brazilian86]

Everything looks good. Maybe bump .5mg arimidex one more day during the week.
Everything else looks good. Keep it up!