BLOOD WORK #s

49 year old.

My most recent blood work. A few numbers are high that have not been in the past, I looked back on past blood work, any opinions?

Also, I'll post my Test #s any opinions?

First, my UREA (bun) is out of range for the first time... 28 in a range of 7-25 mg/dL

CREATININE is ok, 1.13 IN in a range of 0.78-1.34 mg/dL

But my BUN/Creatinine ratio is high 25 in a range of 6-22 (calc)

My T3 UPTAKE is high, 38 in a range of 22-35%

My ALKALINE PHOSPHATASE is low and has been for a long time it seems as indicated by previous blood work. 19 in a range of 40-115 U/L

Any thought on those please?

I am taking 250-300 MG Cyp weekly, TOTAL TEST 820 in a range or 250-1100 ng/dL with my FREE TEST being 208.6 in a range of 35.0-155.0 pg/mL

I also take 1 MG Adex weekly

SHBG is 19 in a range of 10-50 nmol/L

TOTAL ESTROGEN / SERUM is <50 in a range of 130 or less pg/mL and ESTRADIOL is 22 in a range of < or = 39 pg/mL

Any help and opinions are appreciated, thanks for your time. I have been googling most of these but would like people opinions.

I also just started Deca again @ 100 mg ew. And will be adding Caber.

Prolactin is 6.4 in a range of 2.0-18.0 ng/mL Adding Deca I was told will increase that and to add Caber.

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Originally Posted by Warrior1700

49 year old.

My most recent blood work. A few numbers are high that have not been in the past, I looked back on past blood work, any opinions?

Also, I'll post my Test #s any opinions?

First, my UREA (bun) is out of range for the first time... 28 in a range of 7-25 mg/dL
Not of any concern...

CREATININE is ok, 1.13 IN in a range of 0.78-1.34 mg/dL

But my BUN/Creatinine ratio is high 25 in a range of 6-22 (calc)
Not of any concern...

My T3 UPTAKE is high, 38 in a range of 22-35%
This is actually very good...means Thyroid is functioning very well.

My ALKALINE PHOSPHATASE is low and has been for a long time it seems as indicated by previous blood work. 19 in a range of 40-115 U/L

Any thought on those please?

I am taking 250-300 MG Cyp weekly, TOTAL TEST 820 in a range or 250-1100 ng/dL with my FREE TEST being 208.6 in a range of 35.0-155.0 pg/mL
Total at this point is less important. What is important is Free and Bio-Available. You are high on the Free so the 250 - 300mg /wk is a bit too much IMO...but I need to see more BW results. Did you get an E2 Sensitive assay done. Remember, it's all about balance.

I also take 1 MG Adex weekly
Ok

SHBG is 19 in a range of 10-50 nmol/L
Better mid range but this is fine.

TOTAL ESTROGEN / SERUM is <50 in a range of 130 or less pg/mL and ESTRADIOL is 22 in a range of < or = 39 pg/mL
This looks ok but this assay doesn't appear to be a "Sensitive" assay. Is it? If not, very hard to tell if E2 is an a optimal range. But from these panels it looks fine.

Any help and opinions are appreciated, thanks for your time. I have been googling most of these but would like people opinions.

I also just started Deca again @ 100 mg ew. And will be adding Caber.
Why?

Prolactin is 6.4 in a range of 2.0-18.0 ng/mL Adding Deca I was told will increase that and to add Caber.

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Are you under a Physicians care? What do you want from this in reference to the rest of your blood work???

Your post is hard to read...like you started and stopped again and started again remembering things...am I correct?

We need to see all you blood work posted with ranges...not just some panels.

Tell us more abour your self, your health, training schedule, weight, BF, diet, life style...

But most importantly...what are you trying to acheive???

Provide that my friend and the boys will jump in!!!

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Originally Posted by gdevine

Are you under a Physicians care? What do you want from this in reference to the rest of your blood work???

Your post is hard to read...like you started and stopped again and started again remembering things...am I correct?

We need to see all you blood work posted with ranges...not just some panels.

Tell us more abour your self, your health, training schedule, weight, BF, diet, life style...

But most importantly...what are you trying to acheive???

Provide that my friend and the boys will jump in!!!

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Yea I guess kinda choppy, I was posting more out of concern for those few higher ranges that had not been high in the past. Which I see you addressed, thank you.

Yes, a "Vitality Physician's care...not Endo.

*** I am trying to achieve optimal health, with some added bodybuilding benefits along they way.

I'm 49, 5'10" 1/2 at 205 lbs and 12-14% bf. Train 4 days a week, work afternoons 3p-11p usually train at 1p for 1-1 1/2 hrs. Usually get 7 hours sleep and a nap in there some where. Try to eat as clean as I can.


And to get some more advise on TRT/HRT as in you think 250-300 is a bit high, which I figured as much for TRT, but this doc is liberal. What is the highest we can go in TRT without actually "cycling" ? Should I lower the dose some?

How is my free test so high? Is that too high? And is Bio available a separate test I need to ask for? So why test for Total if it really isn't important at this point?


I don't see on my blood work where it references "sensitive assay" for Estrogen or how it would indicate such.

How much more of the blood work needs to be posted? What panels. I have 4 pages.

I just added Deca for some shoulder joint pain, but I mentioned that I was just diagnosed with degenerative arthritis in my neck ( hurts like a mo fo at times) and one of my nutrition supp guys said that Deca should help my neck also for inflammation in my neck joints.

Ok, I understand.

Read the stickies and especially the one on the blood work you ideally would like to see.

From what you posted so far nothing seems to far out. Your Free Testosterone assay is a "snap shot" at the time the blood was drawn so depending upon when you had your last injection could impact the result.

From what you posted I don't see anything to be overly concerned about...looks pretty good to be honest.

But you're missing a lot of other blood work that we normally like to see to help guide you.

But for the most part you look pretty good and I like the commitment to your training and managing your inflammation and joint pain.

Others will chime in...

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Originally Posted by gdevine

Ok, I understand.

From what you posted so far nothing seems to far out. Your Free Testosterone assay is a "snap shot" at the time the blood was drawn so depending upon when you had your last injection could impact the result.

From what you posted I don't see anything to be overly concerned about...looks pretty good to be honest.

But you're missing a lot of other blood work that we normally like to see to help guide you.

But for the most part you look pretty good and I like the commitment to your training and managing your inflammation and joint pain.

Others will chime in...

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Ok, thanks. So the Deca is ok to add for the pain/inflammation management for the time being?

I usually wait till the last day of the the week (my week) the day before my next injection to get my blood work.

I can post more that I have avail , not sure how much more I should post?

Thanks for EV1's time and input.

post your entire blood work! deca will help with joint pain, and 100mgs ew is a good start. like GD noted and i agree, your test dose is pretty high, if you get your free T in range you're good to go. BTW, deca will not increase your test levels, so when you make adjustments to decrease your free T level only work with Testosterone dose.

Quote:

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Originally Posted by gdevine

Are you under a Physicians care? What do you want from this in reference to the rest of your blood work???

Your post is hard to read...like you started and stopped again and started again remembering things...am I correct?

We need to see all you blood work posted with ranges...not just some panels.

Tell us more abour your self, your health, training schedule, weight, BF, diet, life style...

But most importantly...what are you trying to acheive???

Provide that my friend and the boys will jump in!!!

---

x2...

also, any symptoms?

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Originally Posted by bass

post your entire blood work!

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Starting to type now....Thank you

Quote:

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Originally Posted by jpkman

x2...

also, any symptoms?

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Besides some ED? I mean I'm horny...but ya know, 49 blah blah , Docs say it in my head, (the one on my shoulders). Hehe.

I am tired a lot, still, but on a side note, I use a CPAP for sleep apnea and I am not always diligent on using it....

#s in bold are listed as out of range High or Low

Okay , so I made nice easy to read columns but after posting it bunched them all together...Sorry


Cholesterol, Total 227 Range 125-200 mc/dL

HDL 49 > or = 40mg/dL

Triglycerides 106 <150 mg/dL

LDL 157 <130 mg/dL calc

Chol/HDLC ratio 4.6 < or = 5.0 calc

Comprehensive metabolic panel

Glucose 96 65-99 mg/dL

UREA NITROGEN (bun) 28 7-25 mg/dL
Creatinine 1.13 0.78-1.34 mg/dL
eGFR non-afr American 76 > or = 60 ml/min/1.73 m2

BUN/ CREATINE Ratio 25 6-22 calc
Sodium 139 135-146 mmol/L
Potassium 4.1 3.5-5.3 mmol/L
Chloride 104 98-110 mmol/L
Carbon Dioxide 26 21-23 mmol/L
Calcium 9.7 8.6-10.2 mg/dL
Protein/Total 7.1 6.2-8.3 g/dL
Albumin 4.6 3.6-5.1 g/dL
Globulin 2.5 2.1-3.7 g/dL calc
Albumin/Globulin ratio 1.8 1.0-2.1 calc
Bilirubin , Total 0.9 0.2-1.2 mg/dL
Alkaline Phosphate 19 40-115 U/L
AST 19 10-40 U/L
ALT 22 9-60 U/L

Thyroid Panel

T3 uptake 38 22-35 %
T4 (Thyroxine) (T7) 2.6 1.4-3.8

TOTAL ESTROGEN / SERUM <50 130 or less pg/mL ESTRADIOL 22 < or = 39 pg/mL

Test Total
LC/MS/MS 820 250-1100 ng/dL
Test Free 208.6 35.0-155.0 pg/mL

CBC (includes Diff / Plt

White blood cell count 7.2 3.8-10.8 Thousnad /uL
Red blood call count 5.21 4.2-5.8 Million /uL
Hemoglobin 16.2 13.2-17.1 g/dL
Hematocrit 48.2 38.5-50 %
MCV 92.7 80.0-100.0 fl
MCH 31.1 27.0-33.0 pg
MCHC 33.6 32.0-36.0 g/dL
RDW 13.4 11-15 %
Absolute Neutrophils 3658 1500-***0 cells/uL
Absolute Lymphocytes 2210 850-3900 cell/uL
Absolute Monocytes 792 200-950 cells/uL
Absolute Basophils 475 15-500 cells/uL
Neutrophils 50.8 %
Lymphocytes 30.7 %
Monocytes 11.0 %
Eosinophils 6.6 %
Basophils 0.9 %

Platelet count test not performed (see end note) End note-Unable to perform due to Significant platelet clumping

Platelet Estimation Adequate
Platelets clumped appear adequate

Prolactin 6.4 2.0-18.0 ng/mL

PSA 0.6 < or = 4.0 ng/mL

SHBG 19 10-50 nmol/L

RPR (DX) W/REFL Titer and Confirmatory testing Non-Reactive

Quote:

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Originally Posted by bass

post your entire blood work! deca will help with joint pain, and 100mgs ew is a good start. like GD noted and i agree, your test dose is pretty high, if you get your free T in range you're good to go. BTW, deca will not increase your test levels, so when you make adjustments to decrease your free T level only work with Testosterone dose.

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Roger that thanks bass. Doc actually reduced my injections to every 10 days, but I think that it too long between inj? Stayed at 250-300 Ew. So I was trying to max the Cyp (w/o) getting into cycling , but I see it may be too much for TRT.

Should I should reduce to 200mg ew for now and see? To get Free Test down some? I'm due for blood test in 3 months. That enuf time to bring things down perhaps?

Normally, you blow off alk phos since it's affected by so many factors, but yours is unusually low.

Do you use a good muti-vitamin?

Might try zinc/magnesium supplements and see if there is any improvement.

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Originally Posted by ecdysone

Normally, you blow off alk phos since it's affected by so many factors, but yours is unusually low.

Do you use a good muti-vitamin?

Might try zinc/magnesium supplements and see if there is any improvement.

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I take Animal Pack, but the recommended serving is 2 packs per day, I take one pack, but not always ed...

Agree with above guys. I would reduce your dose to 200 and see where you land. This is about the long term. Occasional blasts are fine! Your adex at 1mg per week, is that split into two .5 doses? Agree overall looks good. Reduce T dose and stock up for later.....

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Originally Posted by kelkel

Agree with above guys. I would reduce your dose to 200 and see where you land. This is about the long term. Occasional blasts are fine! Your adex at 1mg per week, is that split into two .5 doses? Agree overall looks good. Reduce T dose and stock up for later.....

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Ok thanks, sounds good. I will reduce to 200 starting with my reg inj day tomorrow.

I am taking the Adex 1 x ew, I used to split it up into 2, I can again if that's a better regimen?

Before you reduce your weekly dosage I still need to know the time frame between from your last injection to when your blood was pulled...this is very important...for all we know you could have been peaking on the day of the pull.

Overall, you look good and healthy.

Do you still have some ED?

Quote:

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Originally Posted by gdevine

Before you reduce your weekly dosage I still need to know the time frame between from your last injection to when your blood was pulled...this is very important...for all we know you could have been peaking on the day of the pull.

Overall, you look good and healthy.

Do you still have some ED?

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I log this stuff down, looks like my inj was a Tues, and the pull was the following Tues at about 2pm, prior to Inj.

Yes still some ED, not so much getting it up, (nice wood during the nite and morn) but keeping it during intercourse and only able to finish bout 1/2 - 3/4 of the time, and that's after extended period and (sandwich in between~enter Tommy Gavin...Lol) 80% of the time I can rub one off no problem. Doc's say it's in my head, (my big head)...lol

Quote:

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Originally Posted by gdevine

Overall, you look good and healthy.

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That's nice to read....I always wonder. Internally at least. Thanks

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Originally Posted by Warrior1700

I log this stuff down, looks like my inj was a Tues, and the pull was the following Tues at about 2pm, prior to Inj.
So at this point before the pull you were at the low end of your serum levels and you presented with slightly elevated levels. That means during the week of the injection you were even higher. Good idea to reduce your dosage.


Yes still some ED, not so much getting it up, (nice wood during the nite and morn) but keeping it during intercourse and only able to finish bout 1/2 - 3/4 of the time, and that's after extended period and (sandwich in between~enter Tommy Gavin...Lol) 80% of the time I can rub one off no problem. Doc's say it's in my head, (my big head)...lol

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If you have no problem getting off on your own than it's more mental ED (in your head) which is more common than pathological ED. Try taking Cialis (Tadalafil) for daily use at 5mg just before bed and another 5mg in the afternoon (12 hours later). There are many health benefits for men using a daily PDE5i plus it will help keep you hard through the entire intercourse.

Question: Same women? If so how many years?

Quote:

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Originally Posted by gdevine

If you have no problem getting off on your own than it's more mental ED (in your head) which is more common than pathological ED. Try taking Cialis (Tadalafil) for daily use at 5mg just before bed and another 5mg in the afternoon (12 hours later). There are many health benefits for men using a daily PDE5i plus it will help keep you hard through the entire intercourse.

Question: Same women? If so how many years?

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Will do on the reduced Cyp.

Generally the same women for long periods yes. Current one 2 years, prior to that 3. I'm currently taking 5 mg Cialis once a day for at least a year now. Prior to that was taking the "as needed" 10 mg. Before that the Viagra.

How do we get SHGB up? and does mine at 19 bring cause the free to be higher? Or just because I'm taking to much Cyp ew?

Also, does HCG have any place in TRT, in that we never give our naddy's a chance to make it on our own taking Cyp ew. ? Would it actually do us any good or just a waste?

You don't want your shbg up. 19 is great. Higher shbg would mean you'd be binding more test which would reduce the amount of test that is available for your body to actually use. Good advice in the above threads! Re your adex, yes, split the dosage for better coverage based on half life.

Read gd's sticky thread on HCG and visit www.allthingsmale.com and click on publications. His hcg protocol is there.

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Originally Posted by kelkel

You don't want your shbg up. 19 is great. Higher shbg would mean you'd be binding more test which would reduce the amount of test that is available for your body to actually use. Good advice in the above threads! Re your adex, yes, split the dosage for better coverage based on half life.

Read gd's sticky thread on HCG and visit www.allthingsmale.com and click on publications. His hcg protocol is there.

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Roger that kel thank you. I will do as advised and also read those articles.

Quote:

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Originally Posted by kelkel

Read gd's sticky thread on HCG and visit www.allthingsmale.com and click on publications. His hcg protocol is there.

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Those are great reads. I actually remember reading those a many years ago when I joined here and started TRT. This is the first time I am really trying to get in tune with my own health and not let Doc's tell me how and you all are a great source, thanks.

Now, I was using HCG periodically in the past, not for several years now, and followed the 2 days before and 1 day before my weekly Cyp inj protocol. However, my Doc would not prescribe it on a regular basis to keep me on it consistently. Like every 3 months.

Q is...after not using if for several years now, ( smaller nads but not painful) is it "too late" to start back up , or is it still beneficial to get back on it and hope to get it consistently?

And input on my post above ...thanks all.

I see no reason why it would not be beneficial. Try it and monitor your results/feelings. I sure would.

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Originally Posted by kelkel

I see no reason why it would not be beneficial. Try it and monitor your results/feelings. I sure would.

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Ok, thx, next time I see doc I'll have him write it. Prollly another month or 2, when I get more BW. I might call nurse and see if she'll call some in..Hmmm

There isn't actually test for HCG or it's effects other than "feeling" ?

Ok, Doc/Nurse called in Script for HCG...Pharm called, said there is a manufacture backorder...Wtf? Seriously

He would not however prescribe the Caber or Selegiline...Errrrr.. Bummer thing is that my Prescription ins will cover either one. Caber is $$$$

Quote:

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Originally Posted by Warrior1700

Ok, Doc/Nurse called in Script for HCG...Pharm called, said there is a manufacture backorder...Wtf? Seriously

He would not however prescribe the Caber or Selegiline...Errrrr.. Bummer thing is that my Prescription ins will cover either one. Caber is $$$$

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Try a compounding pharmacy - they can probably make it happen very quickly.

In regard to your other test results:
My BUN level has been at your level for about 8 years. Protein supplements can raise it. When my BUN first increased to that level my doctor asked me not to drink alcohol for a month and then he retested. ( that was difficult) I also had an ultrasound of my liver to insure there was no tumor. Nothing came from the additional tests and mine stays about 1 or 2 points above the range.

You should consider taking something to lower your Cholesterol. I have had success with Crestor.

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Originally Posted by Jake14

In regard to your other test results:
My BUN level has been at your level for about 8 years. Protein supplements can raise it. When my BUN first increased to that level my doctor asked me not to drink alcohol for a month and then he retested. ( that was difficult) I also had an ultrasound of my liver to insure there was no tumor. Nothing came from the additional tests and mine stays about 1 or 2 points above the range.

You should consider taking something to lower your Cholesterol. I have had success with Crestor.

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Oh ok, thx for the input. I'll keep an eye on the BUN...

Ref: Cholesterol, I don't do any cardio, which I think I will implement some calisthenics, jump rope etc, to get some in. Gonna try more omega 3 foods and supps also...Just not a fan of statin drug, I guess just from the rumors and info I hear about the sides and long term use...I dunno. I know several guys at work on them and theirs is low.

Mine has to be some genetics involved as well...I eat fairly clean.

I use Welchol, a non-statin. Check it out.

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Originally Posted by kelkel

I use Welchol, a non-statin. Check it out.

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I read about it. I'll ask my Internist about that after my next BW, coming in the next month or so. Thx