Blood work results need advice please

[jsam]

Any guidance on what my next step should be would be greatly appriciated

[Lifted1]

Get on trt! Don't you have a doc who ordered the bw? If not get in touch with lowtestosterone.com and as long as that's recent, they will get you headed in the right direction.

[jsam]

Have doc the follow up is on Monday. It is a general prac dr if he doesn't help I will request e referral ton endo

[OingoBoingo]

Check the stickies. Lots of great information there. One includes a list of tests you might want to get.

[jsam]

Had follow up appoint with DR to go over BW. He suggested starting TRT. I suggested maybe getting a female hormone panel to check LH/FSH levels to rule any other problems out before jumping on TRT and he agreed. I had blood drawn today.

[kelkel]

Post it when you get it. Sounds like a decent doc (so far.) Do not specifically push for an endo. If looking for a title go with Urologist. But the bottom line is simply a doc that knows hormones. Title means nothing. Find one who will treat you based on your symptoms, not numbers on a chart.

Doc's get minimal training in hormones (think a handful of hours) so they basically need to have the interest and learn it themselves. If looking for titles A4M Certification is great.

One more thing. If you do try another doc's office call it first and interview one of the nurses. Ask if the doc will treat with all three components (test, hcg , AI) before you blindly make an appt and waste your time and theirs.

[jsam]

Attachment 152245

[jsam]

Second set of Blood Work. Can you tell if HPTA is functioning from these?

[kelkel]

Yes, your LH and FSH are in the toilet, hence the low T levels. You're pituitary is not producing therefore it's not signalling your testicals to produce testosterone . You need to find the cause of this. A good first choice is a pituitary MRI to look for abnormalities (adenomas) that would cause this. Don't have a cow over me mentioning this. They happen. I have one.

I'll step back and ask if you've recently cycled, run prohormones or any other substance that suppresses endogenous hormones?

When it comes to BW I'd be interested in seeing your prolactin level as well as cortisol. Your TSH appeared fine but a full thyroid panel is always a plus and sub-clinical hypothyroidism is always a possibility. Basically your goal is to rule things out and find the root cause of your suppression.

How old are you?
Height, weight?
Body fat?
Any medical issues or med's taken on a regular basis?

[jsam]

44 5'9 270. Not currently taking any medications

Definitely have to loose some weight. Went through a bitter divorce and really let myself go over the last 9 months. Currently working with a nutritionist to get diet dialed In.

I did a cycle a year ago under the guidance of the local gym guru. 250mg test and tren every 3.5 days. No AI no HCG and no pct. He really didn't advise me to we'll and I didn't educate like I should have.

I'very been feeling really bad lately that's why I went for blood work to see if something was wrong

[jsam]

New BW results please advise

[kelkel]

Well your test level still stinks.
E2 is in the toilet. Joints hurting? Libido waning? Assume you're taking an AI?
TSH a bit high. Keep an eye on it and pull a better panel next time. FT3, FT4, RT3, Antibodies, TSH.
You're working on your cholesterol, right?

[jsam]

Working on diet. Almost no libido. Not taking an AI. Definitely improvementioned from first blood work. Dr appoint in the morning to discuss TRT options what do you think I should suggest as a protocol?

[kelkel]

No libido is from low E2. Be sure to retest it with the same assay. Odd that it's that low without an AI with your BF% being higher.
I'd suggest starting at 100mgs a week, split into two 50mg injections every 3.5 days. More stable serum levels this way.

[jsam]

Should I run an AI and HCG ?

[lovbyts]

44 5'9 270. Not currently taking any medications

Definitely have to loose some weight. Went through a bitter divorce and really let myself go over the last 9 months. Currently working with a nutritionist to get diet dialed In.

I did a cycle a year ago under the guidance of the local gym guru. 250mg test and tren every 3.5 days. No AI no HCG and no pct. He really didn't advise me to we'll and I didn't educate like I should have.

I'very been feeling really bad lately that's why I went for blood work to see if something was wrong

#1 I hope when you say guro you are being facetious since he obviously doesn't know jack sh*t about how to run a proper cycle.

How did you feel before your ran this cycle?
I'm thinking you might just need to try to restart your natural test again with a late PCT.

[jsam]

Yes being facetious. Don't remeber feeling as bad as I do now. I've had some people mention a PCT but most are saying that the low T probably cause of weight gain, poor diet and the low estridal is because there isn't enough T to amorise. What's your take on these?

[kelkel]

Your E is really low. And yes, you need to T to turn to E.
I doubt pct would do anything other than temporarily for you.
HCG should be run on a TRT protocol.
AI only IF needed.