My blood work

[whynot960]

Hey guys and gals I had my blood work done and asked if I could have testosterone checked as well. I am on synthroid already and my testosterone came back low I guess. I am on my phone so don't know how to post a pic
I copied and pasted it.
Can I have some feed back is this low what are ur opinions should I go to a urologist? Thanks
Mike


Value Std Range
Testosterone
219
220-1000
A testosterone level in the 220-320 ng/dL range with associated clinical
symptoms is considered low and may indicate hypogonadism (from NEJM 2010
363:123-135). Results >320 ng/dL are considered normal.

Testosterone Free %
2.1
0.5-3.2
Testosterone Free
46.1
40-240

[kelkel]

Yes, see a doctor. Title doesn't matter, just that they know hormones.

[whynot960]

What are ur thoughts on my levels am I border line low. Do you think I need to take testosterone. Or any other supplements

[kelkel]

No, you are low. What you need to do is get full BW and determine why you are low. Do not just band aid it with TRT when you may not need it. Use the example in the Finding A Doc Sticky thread at the top of this forum. Many things can suppress testosterone levels so your goal is to find out what the issue is and correct it if at all possible. If you have more BW please post it up.

[whynot960]

Thanks KelKel I really appreciate it. I am hypothyroid also been taking generic synthroid for a couple years now. 47 yrs old and 5'8.5 " and 260lbs

[kelkel]

No worries. As stated, full BW is where you start. Also gotta get that weight down brother as it will help with so many things...

[whynot960]

They want me to follow up with the urologist so they will probably do more blood work I am going to call my GP and see who they refer so I can get this going

[kelkel]

Post up your results on this thread please.
Best of luck.

[whynot960]

Sorry for all the questions but I am wondering what I can expect going through this, I may go with lowtestosterone.com with my numbers what do you think I will have to take and how much per week and will I take something other than just testosterone? that is if they cant find anything wrong I guess.

[bigdil511]

Sorry for all the questions but I am wondering what I can expect going through this, I may go with lowtestosterone.com with my numbers what do you think I will have to take and how much per week and will I take something other than just testosterone? that is if they cant find anything wrong I guess.

You will have to speak with them but you will probably be taking Hcg and adex.

[whynot960]

No worries. As stated, full BW is where you start. Also gotta get that weight down brother as it will help with so many things...

By full blood work do you mean for hormones and stuff, I did have alot of other stuff checked as well I can post up if that is what you are talking about I got these results as well

vitamin b12 blood
cbc auto diff
comp metabolic panel
testoterone free
hgb a1c
lipis panel basic
magnesium bld
methylmalonic a
tshbld
vitamin D hyd

I have all these results if that is what you are wanting to see

[kelkel]

Interested in:

LH
FSH
Prolactin
Cortisol

These are the items that can suppress your endogenous testosterone production. Along with being hypothyroid but that is controlled with your meds. If you have them, post them up please. Let's see if something suppressing your of it it's simply age related or idiopathic.

[whynot960]

Hey guys I had my visit with the Urologist this morning he ordered more Blood work to be done before 10 am tomorrow morning. He mentioned my options and if I go with injecting I would have to see him once a month to get them ugh. He checked my testicals and prostate and here is the blood work he ordered
Testosterone Free
Testosterone free %
Hemoglobin and Hematocrit
Prolactin
Testosterone total
Panel,hepatic function

I know once a month isn't recommended so I will get the results of all the blood work and ask him about doing it myself twice a week and see what he says. I honestly don't care for the guy he is kinda of a Dick lol. I can either find another doctor or go to Lowtestosterone.com. My next appointment is a month from today I really just want to get this going already.

[kelkel]

Get your BW then run from the doctor as fast as you can. He's clueless and what he's suggesting is borderline nonfeasance.
Go to lowtestosterone.com and get treated responsibly.

[whynot960]

I talked to Robert at lowt.com and he said there is a clinic in Detroit Now so I could drive the that one. Are the people using lowt happy with the service ? Is it really a ok price for everything or will it be cheaper to go through a doctor. I am so ready to get this going and feel better

[kelkel]

Yes, guys are happy. There's a thread or two here you can search up on just that topic. Also remember you are not under any obligation there. When it comes to cost between insurance and lowT that would be contingent on your coverage and the quality of your doctor.

[whynot960]

I got some of the results back from the new blood work

Total- 195
Prolactin - 6.9. 4.0-15.2
Hemoglobin -14.1
Hematocrit - 43.8
Free test - pending
Free test % pending
Thoughts

[kelkel]

All is fine except for Total T, assuming the range is similar to 348 - 1197.
Did you get LH/FSH tested?

Also, know that it could simply be age related hypogonadism. It's going to get us all eventually. As long as you've tested everything and can't point your finger at a cause I would consider it as such. If this is the case at least you'll enter into this with a clear conscience.

[whynot960]

No what is LH and FSH ? I am going to talk to a trt specialist after work today at a local gym 275$ for 2.5 months I guess I can leave today with test and knowledge on how to do it and he will write me a script for anything else I would need. All legit.
What do you think my protocol should be how much how many times a week and what else besides test ? Thanks
Mike

[kelkel]

LH determines pituitary function and stimulates the testies to produce testosterone.
FSH spermatogenesis.

If pituitary function is inhibited (low LH/FSH) causing low testosterone then you are considered Secondary Hypogonadal. Low LH = low test levels
If LH is elevated and T is still low then the problem is testicular related or Primary Hypogonadal.

Wait, you're meeting a TRT specialist at a local gym?

[thisAngelBites]

Wait, you're meeting a TRT specialist at a local gym?

AND you get the test today? I am guessing there is none of that pesky stuff about trying to figure out why your test is low.

When was the last time you had blood work to check whether your synthroid level was correct?

[whynot960]

I had my thyroid levels checked a few weeks ago it wasb1.2 or 1.6. Yeah this guy
Dr Michael Tricaso - Dr Michael Tricaso

Is going to be at a gym I was a member at speaking and I guess we can have a one on one and I can get started on test right away and it is 275 for 2.5 months. Not sure what all is included.

[Mr.BB]

I had my thyroid levels checked a few weeks ago it wasb1.2 or 1.6. Yeah this guy
Dr Michael Tricaso - Dr Michael Tricaso

Is going to be at a gym I was a member at speaking and I guess we can have a one on one and I can get started on test right away and it is 275 for 2.5 months. Not sure what all is included.

In my country this "doctor" would lose his license ASAP

[whynot960]

Well I started my TRT today I am taking 1ml test cyp every week and .5 of a anti estrogen 3 times a week I cant remember the name right off hand.. it was 350 for a 10 week supply everything included syringes..

[kelkel]

I have to ask. What is he basing this protocol off of?
How did he come up with these amounts?
Did he review any blood work?

[whynot960]

yeah I showed him all my blood work. I had all my blood work from the june 16th and from this past thursday. and he recommended test cy with .5 anastrozole on mon wed and fri.. and will do follow up blood work in 6 weeks.

[kelkel]

Well, his logic seems a bit off to me. First, he's starting you off at what is pretty much a high end dosage of test. An average starting dose is around 100 mgs per week and adjust after blood work. It's always problematic to start high and adjust down. Then he's giving you a ton of adex on top of that. Consider this, the average dose of adex for someone on a 500 mg per week cycle is .25 every other day. Do the math on that. I'm not trying to scare you but I am trying to enlighten you. This guy simply sounds like he's in it for the quick cash without a real concern for your health. To assess you that quickly just seems odd.

At least he's pulling BW in six weeks which is appropriate. Hopefully you don't crash your estrogen in the meantime.

[whynot960]

He asked if I wanted to pin once a week or twice I told him for now just once.. What I have is for 10 weeks I can take less of the test and the anti estrogen and make it last longer if I want. what would you recommend? I have his number and can text him any time with any questions. he is very open. he even mentioned this site as a very good tool for doing this. he even said he is aggressive and we can tone it down if we want to just let him know. I can find out from you what would be best and run it by him and he will take it into consideration. He even has HCG I can add also but I just want to start with these 2 for now.

[kelkel]

TRT is not just for 10 weeks. In most cases it's for life. It's not about making it last longer, it's about finding a balance where your levels are good and most importantly, you feel good. Think long-term health and longevity.

As per my last post I'd recommend starting lower. Less is more when it comes to TRT. One of your goals should be to not need to use an AI. Odds are that will never happen at 200 mgs per week. And as stated, titrating up is your best path and least problematic. That said, some doc's will start with their first shot being higher (say 200) and then drop back to a pre-set dosage (100) checking BW in 6 weeks or so. Use the second set of BW in the Finding A Doc sticky.

I recall you being about 5'8" and 260. I'm going out on a limb and assuming you have a decent amount of BF presently. This will cause more Test to turn to estrogen via the aromatase enzyme which lives in the skin and predominantly in belly fat. That said, it could have been the reason for his adex dosage. In my opinion, I'd probably start at 100 mgs per week (200 first week if you so choose) along with .25 mgs adex either the day of or day after each injection. The day of may work out best for you since this is all new and you'll be less prone to forget it. Buy a pill cutter at your local walmart or pharmacy.

Hope this helps.

[Mr.BB]

I have to ask. What is he basing this protocol off of?
How did he come up with these amounts?
Did he review any blood work?

Did you check his website?

[thisAngelBites]

Did you check his website?

Kel, go look at the website. This guy is questionable. I found his facebook page and the one for his clinic (where he sells a sublingual GH secretatogue for $175 for a 6 week course) and the only two ratings for him were 5 star, but one rating was done by him (!), and the other by someone who works for him. If you look on the web at large, he has well below average ratings.

And he is going around giving talks at gyms in order to recruit clients! He isn't an MD, but does appear to have a legitimate DO degree.

[Mr.BB]

Kel, go look at the website. This guy is questionable. I found his facebook page and the one for his clinic (where he sells a sublingual GH secretatogue for $175 for a 6 week course) and the only two ratings for him were 5 star, but one rating was done by him (!), and the other by someone who works for him. If you look on the web at large, he has well below average ratings.

And he is going around giving talks at gyms in order to recruit clients! He isn't an MD, but does appear to have a legitimate DO degree.

Can a DO prescribe testosterone??

[whynot960]

He is an ER doctor also. My other choice was to get trt from a urologist at 1shot a month in his office and he was a prick lol. This guy is open to what works best for me and I can basically go with what you guys with experience with this think is good. A guy I work with is going to a doctor pretty far away and it costs a ton more. He is taking .7 ml a week

[whynot960]

Kelkel what is the difference from 1ml a week to 200 mgs a week what would that be .2ml ?? In the measurement I am using

[kelkel]

Kel, go look at the website. This guy is questionable. I found his facebook page and the one for his clinic (where he sells a sublingual GH secretatogue for $175 for a 6 week course) and the only two ratings for him were 5 star, but one rating was done by him (!), and the other by someone who works for him. If you look on the web at large, he has well below average ratings.

And he is going around giving talks at gyms in order to recruit clients! He isn't an MD, but does appear to have a legitimate DO degree.

Kinda sounds like the lawyer giving out his cards at the scene of an accident....

Can a DO prescribe testosterone??

Yes, same training, different title.

[thisAngelBites]

He is an ER doctor also. My other choice was to get trt from a urologist at 1shot a month in his office and he was a prick lol. This guy is open to what works best for me and I can basically go with what you guys with experience with this think is good. A guy I work with is going to a doctor pretty far away and it costs a ton more. He is taking .7 ml a week

Do you not care why your testosterone is low? Obviously the doc doesn't.

[Baxter35]

I checked out the website and I'd be very worried about using this guy for long term care. He comes right out on his site and says everyone gets 200mg/week. No mention of proper titration and testing for optimum levels for each person. Its not really trt in my opinion,but borderline low dose cycle being prescribed by a doc. If you plan to continue the trt, I'd take what you got from this guy and don't go back. Drop your dose to 100mg/wk (.5ml) and seek a real doc for treatment asap. I understand you didn't like the one doc you saw, but there are others out there.

[whynot960]

I just requested to have my LH and FSH levels checked will this help determine why I am low? I am just under the impression I am low because I am 48 yrs old. I agree with you guys it does seem less professional than it should but I want to take what I have the right way thats what I am hoping to get from you guys the anastrazole isnt in a pill so I cant break it into 2 it is a capsule, maybe just take 1 or 2 a week then?

[whynot960]

Hello guys I am on my second week of trt 3 days before I pin again i dont feel any different yet, I been taking .5 anastrozole on the 2nd day after I pin. I am thinking about getting on HCG and was wondering what you guys think of me adding it to my trt what will I notice or feel with adding it? will it help me cut more weight at all. thanks
mike

[Back In Black]

Hello guys I am on my second week of trt 3 days before I pin again i dont feel any different yet, I been taking .5 anastrozole on the 2nd day after I pin. I am thinking about getting on HCG and was wondering what you guys think of me adding it to my trt what will I notice or feel with adding it? will it help me cut more weight at all. thanks mike

It will be weeks before you feel better and maybe months before you are dialled in though your AI amount seems pretty mammoth to start with.

You should be taking HCG it's not prescribed to you?