New Doc and new Blood work

[calicp]

I just got a fax of my blood work from my new doc that I found through the A4m website. He seems to know a lot more than my previous doc. I told him about some of my history which you can find here in this post:
http://forums.steroid.com/hormone-re...lood-work.html
http://forums.steroid.com/hormone-re...d-restart.html
http://forums.steroid.com/hormone-re...lood-work.html


I had testicular torsion in 4/2006 and had surgery that night to fix the issue after hours of pain trying to get diagnosed. I also told him I lost my g/f in a auto accident 3 months prior on 1/19/06 , so I just figured my depression was because of the loss of my girlfriend. I would say it took a couple years to actually move on from her death. When I was trying to get back in the gym I just felt tired and strength was not coming back like it used to. I don't get overly excited about things like I used to in the past.

I have a follow up with him on 4/24/13 and want to run this by here and see if I should ask more questions. He seems pretty knowledgeable on the subject. He even brought up hcg even before I could ask about it.

Teat Name	In Range	Out of Range Reference Range	Lab

COMPREHENSIVE METABOLIC PANEL
SODIUM, SERUM 142 135-146 mmol/L SC 

POTASSIUM, SERUM 4.2 3.5-5.3 mmol/L SC 

CHLORIDE. SERUM 105 98-110 mmol/L SC 

CARBON DIOXIDE (CO2) 26 19-30 mmol/L SC 

UREA NITROGEN, BLOOD (BUN) 15 7-25 mg/dL SC 

CREATININE, SERUM	1.00	0.60-1.35 mg/dL	SC


eGFR 99 >=60 mL/min/ 1.73m2 SC

 eGFR AFRICAN AMERICAN 115 >=60 mL/min/1.73m2 SC GLUCOSE	95	65-99 mg/dL	sc


FASTING REFERENCE INTERVAL
CALCIUM, SERUM	9,4	8.6-10.3 mg/dL	SC

PROTEIN, TOTAL	7.4	6.1-8.1 g/dL	SC

ALBUMIN	4.5	3.6-5.1 g/dL	SC

GLOBULIN, TOTAL	2.9	1.9-3.7 g/dL	SC

A/G RATIO	1.6	1.0-2.5 ratio	SC

AST (SGOT)	23	10-40 U/L	SC

BILIRUBIN, TOTAL	0.8	0.2-1.2 mg/dL	SC

ALT (SGPT)	29	9-60 U/L	SC

ALKALINE PHOSPHATASE	115	40-115 U/L	SC

T3, REVERSE	26	11-32 ng/dL	NI

IGF BINDING PROTEIN-2

IGFBP-2	60	38-267 ng/mL	NI
DHEA SULFATE
DHEA-S	402	H	110-370 mcg/dL	WH

T3, FREE	3.1	2.3-4.2 pg/mL	SC

TSH
TSH	1.78	0.40-4.50 mIU/L	SC

T4, FREE
THYROXINE, FREE. DIRECT	1.0	0.8-1.8 ng/dL	SC


ESTRADIOL (E2)	35	<OR = 39 pg/mL	SC 



FOLLICLE STIMULATING HORMONE (FSH)
FOLLICLE STIM. HORMONE	2.8	1.6-8.0 mIU/mL	SC 

LUTEINIZING HORMONE (LH)	4.8	1.5-9.3 mIU/mL	SC 


TESTOSTERONE. TOTAL. MALES
TESTOSTERONE, TOTAL	348	241-827 ng/dL	SC 
TESTOSTERONE, FREE 8.23 ng/dL 5.00-21.00 ng/dL   SC


IGF-I, LC/MS	PENDING

SEX HORMONE BINDING GLOBULIN 23	10-50 nmol/L	Q9

[calicp]

Bump. Anyone have any thoughts on these numbers.

[MyteeJ]

Hey Cal -

i am not the BW guru at all but I'll comment until the pros get here.

T level still seems low. Did he offer an increase in your dose of Test? As we know there are other factors that contribute to low levels but I have to think an increase in T dose alone would help.

Hang in there bud you have been through a lot.

J

[austinite]

A bit low for a 32 year old. Overall however, not "terrible".

Any prolactin results? While I understand your frustrations, it's important to continue searching for the actual cause. It's not impossible, but I don't see this being age-related. Have you run high volumes of test in the past?

[calicp]

A bit low for a 32 year old. Overall however, not "terrible".

Any prolactin results? While I understand your frustrations, it's important to continue searching for the actual cause. It's not impossible, but I don't see this being age-related. Have you run high volumes of test in the past?

When I first met the doc he said it could be related to the testicular torsion. I almost lost the right one because it took so long to diagnose. Before they put me under to do surgery he told me they may need to remove the right one because oxygen has been cut off for too long. I know my numbers are in range, but I experience pretty much every symptom of low test.

As far as cycle goes I did one back in 2004 and it consisted of a jump start with Dbol first couple weeks @ 30mg/ day i think for first 2 weeks, 400mg Test Enth /week for 12 weeks, and 200 mg of Deca / week for first 10 weeks. As for PCT I just ran Nolvadex .

[calicp]

Just had appointment yesterday and he is gonna start me on 50 mg of test cyp 2x per week and hcg and prescribe an Ai if need be.

He filled the hcg to a compounding pharm in so Cali and when they called me with the price for 10,000 iu I was like holy &$@#! I know we aren't supposed to name out prices, but being I'm prescribed it can I shop around other compounding pharms to get better prices, or am I stuck going to this pharm where he sends it to?

[austinite]

Just had appointment yesterday and he is gonna start me on 50 mg of test cyp 2x per week and hcg and prescribe an Ai if need be.

He filled the hcg to a compounding pharm in so Cali and when they called me with the price for 10,000 iu I was like holy &$@#! I know we aren't supposed to name out prices, but being I'm prescribed it can I shop around other compounding pharms to get better prices, or am I stuck going to this pharm where he sends it to?

Look at what the big picture will cost you monthly, you may want to consider talking to the guys at lowtestosterone.com

[Brohim]

You can get HCG online probably cheaper

[GeriatricOne]

HCG $175 with script at national pharmacy chain

HCG ~$35 online without script