Originally Posted by
hugovsilva
Hi my friends,
Blood composition:
For the first time I have elevated Hematocrit. This I was expecting, but I was not expecting the decrease in Plateletcrit although it is just below range. The platelets are in the lower part of the range, but they have always been there. Maybe not enough hydration because at this stage my water consumption was not ideal.
Time to give blood Hugo. Hydrate as noted.
Electrolites:
Sodium in the higher part of the interval and Potassium just above. Maybe lack of hydration again. Before they were always mid-range.
Prolactin and Prolactin measured after 30m rest:
There is a significant difference between these results. I am not sure which one should be the reference, I guess the one after 30m rest. Anyway a significant decreased compared with before the Arimidex.
I wouldn't sweat it right now. Next testing lets see where you're at. Curious if you've ever had an MRI in the past though...
Total Test and Free Test:
Total Test increased with the Arimidex to above range (the range is short compared to other labs). Free Test measured for the first time at top of the range. Maybe a dose reduction from 50mg 2x/week to 40mg 2x/week is in order. Agreed?
Maybe, maybe not. TT doesn't matter, FT does and you're right at the top where I'd want to be. Caveat is that lowering your T will help with your Hematocrit so.....probably a smart thing to do long range.
SHBG:
Measured for the first time in the lower part of the range. Is this good?
It's low but not to the point of worring. More T pushes this down so your slight reduction may elevate it a little bit.
E2:
Reduced to a value almost too low. Maybe I will cut back to 0,25mg 1x/week. Agreed?
Not the correct Sensitive Assay to use so it's hard to tell where you actually are. Remember you're basically using two AI's with the Proviron. It's a weak DHT which means it has AI properties on three different levels.
ACTH and Cortisol:
Both measured for the first time in the lower part of the range? What does it mean? Good or bad?
Your cortisol looks fine to me assuming I'm reading it right. ACTH is on the lower end. Know that ACTH emanates from the pituitary and controls cortisol via your adrenals.
DHEA-S:
Measured for the first time in the lower part of the range. Maybe some supplementation is needed.
Use a micronized product in the morning. Maybe start at 25mg until you test it again.
DHT:
Measured for the first time over the range. Will reduce Proviron from 25mg/day to 12,5mg/day. I am on Finastride 1,25mg 3x/week so I guess some DHT can be useful hence the Proviron.
As stated previously Proviron's a DHT. BUT, DHT is not your enemy. It's what makes you a man. I would not stress about it as being over scale is not really that important here.
B-HCG:
Measured for the first time over the range. I guess its just the HCG I am injecting.
TSH:
Measured mid-range. Previous measurements of T3, T4, Free T3, Free T4, RT3, RT4 show no significant change during TRT.
TSH only is a weak indicator of thyroid health, as you know.
All in all I am satisfied with the adjustments so far. The values outside the range are borderline and not difficult to adjust. Thyroid seems fine. My only concern at this point is the possibility of Adrenal Fatigue due to the lower part of the range values of ACTH and Cortisol. What are your thoughts?
Thoughts are to not worry about just yet. Keep an eye on it.
Regarding the adjustments I am planning to make:
Reducing Test dosage to 40mg 2x/week (previously 50mg 2x/week)
Reducing Arimidex to 0,25mg 1x/week (previously 0,25mg 2x/week)
Reducing Proviron to 12,5mg/week (previously 25mg/day)
Looks good.
What do you say? My values are not bad so I can just reduce the Proviron. But I am not sure if it is healthy to have a top of the range value of Testosterone and a bottom of the range value of E2.
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