Thread: TRT Protocol With Blood Work
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05-12-2014, 01:40 PM #1New Member
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- Mar 2014
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TRT Protocol With Blood Work
Hey everyone,
This is my first thread on these forums so I hope I'm including enough information here. I'm trying to get some assistance or suggestions regarding my current TRT protocol.
First, my stats. 45 years old, 5'7", 190 lbs., 23-25% BF. I have never used AAS or anything else performance enhancing. Lifting off and on for years, but I have been very dedicated for the last 9 months after being diagnosed with kidney cancer. I am cancer free now after surgery.
I just started working with a doctor about six weeks ago due to low normal testosterone levels that I've noticed over the last couple of years. I've experienced the common side effects. He is supposedly a TRT/HRT specialist, but his primary focus is as a gynocological surgeon. I like him and he listens. He seems very intelligent (Stanford doctorate) and fairly knowledgeable about hormonal imbalances.
However, there are a couple things about him that seem odd to me, but maybe it's more common than I'm thinking. One thing that has immediately come as a shock to me is that all the bloodwork is self reported to him. After our first appointment, he gave me a Quest Diagnostics lab slip to have my blood drawn. The results from this would have gone directly to him.
But, he said that if I was able to get my insurance carrier (Kaiser) to do the bloodwork for cheaper, then I could go that route. Well, Kaiser decided to go ahead and do all of the bloodwork. In any case, I got the results and put them into an excel spreadsheet that I then just emailed to my doctor. He accepted the results no questions asked. I guess that's cool because he's treating me like an adult. But, I could easily be tweaking the numbers to get treated for something that may not be necessary. I gave him accurate lab results so that's not a problem anyway.
The other thing though is that he has started me now on a TRT protocol. I came fairly informed to our last appointment about possibly running HCG and an AI along with testosterone . In his opinion, he didn't think HCG was necessary and prescribed me Clomid for an AI. In any case, can Clomid be ran as an AI or should I ask him to switch this to Arimidex or Aromasin ? I will just acquire the HCG myself and possibly the AI as well. In the meantime, should I take any of the Clomid as per his prescription (50 mg EOD)? I am currently taking only the testosterone at 100 mg/week (his original protocol was 200 mg/EOW but I convinced him otherwise). I'd appreciate any advice that some of you vets can give me. My full blood work that was performed a month ago is below. Thanks in advance for any guidance here.
Result Range
Lipid Profile
Cholesterol 142 mg/dL < 239 mg/dL
Triglyceride 112 mg/dL < 199 mg/dL
HDL 49 mg/dL > 40 mg/dL
LDL 71 mg/dL < 129 mg/dL
CCRP (Cardiac CRP) .1 mg/dL < .5 mg/dL
Fasting Blood Sugar (FBS) 89 mg/dL 60-99 mg/dL
Estimated Average Glucose 105 mg/dL 85-126 mg/dL
Hgb A1C% 5.30% 4.6-6.0%
TSH 1.33 uIU/ml .10-5.5 uIU/ml
PSA 0.6 No range given
Vitamin D3 42 ng/ml 20-79 ng/ml
Testosterone, Ultrasensitive LC MS/MS Method 393 ng/dL 250-1100 ng/dL
Testosterone, Free 30.3 pg/ml 35.0-155.0 pg/ml
LH 2.2 mIU/ml 1.0-12.0 mIU/ml
Estradiol, Ultrasensitive LC MS/MS Method 38 pg/ml < or = 29 pg/ml
Additional Blood Tests
CBC (Complete Blood Count) Without Differential
WBC Count 5.4 K/uL 3.5-12.5 K/uL
Red blood cells count 4.71 M/uL 4.10-5.70 M/uL
Hgb 13.9 g/dL 13.0-17.0 g/dL
Hematocrit 40.00% 39.0-51.0%
MCV 85 fL 80-100 fL
RDW, RBC 14.30% 12.0-16.5%
Platelets Count 247 K/uL 140-400 K/uL
Sodium 130 mEq/L 133-145 mEq/L
Potassium 4.0 mEq/L 3.5-5.3 mEq/L
Chloride 100 mEq/L 100-111 mEq/L
Carbon Dioxide (CO2) 26 mEq/L 24-33 mEq/L
BUN 7 mg/dL 7-27 mg/dL
Creatinine .70 mg/dL < 1.34 mg/dL
ALT 21 U/L 0-36 U/L
Alkaline Phosphatase 57 U/L 37-117 U/L
AST 22 U/L 10-40 U/L
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