Blood works for 11/01/13

[calicp]

Ok guys gonna need some help here, because I am getting a little frustrated with my doctor. Before I went with him he said he would prescribe adex if my e2 was high and now that my e2 test results have came back high both times he now refuses to prescribe an AI to me. He says he doesn't believe in an AI and wants to get it under control naturally. I am going to take matters in my own hands and order some LiquiDEX to get my e2 under control and possible start looking for another doctor in my area who takes my insurance and is good with TRT!

Here was my very first BW link here:http://forums.steroid.com/hormone-re...rting-trt.html

Here is where I tried the SubQ with Two Site Injection for 1.5 months: http://forums.steroid.com/hormone-re...6-week-bw.html

Here is my most recent one as of 11/1/13 I am just gonna include the hormone part of it where most of the rest has not really changed also note my blood was drawn about 10 hours sooner than I usually draw it so not sure how much that would make on Testosterone levels:
Since my last SQ blood where I switch back to IM injections, but have been doing the two site injection as well to see how it effected my levels. Here what I have been taking last month

100 mg Test Cyp per week split to 50 mg every 3.5 days(Two Site Injection via IM)
250 Units of HCG 3x/week
Vit D3 10,000 IU / day
DIM 200 mg per day
Cooper 4mg per day
Zinc 50mg per day

Ferritin : 16 - [20-345 ng/mL]
PSA : 1.3 - [OR = 4.0 ng/mL]
Estradiol (e2) : 71 - [< OR = 39 pg/mL]
Testosterone : 993 - [241-827 ng/dL]
Free Testosterone: 25.8 - [Used online calculator to calculated from SHBG & Albumin]
Albumin: 4.6 - [3.6 -5.1 g/dL]
SHBG : 26 - [10-50 nmol /L]
Vitamin D 25-Hydroxy : 63 - [30-100 ng/mL]

Next question is what should I dose my liquidex at since my doc wont prescribe an AI. Also my Iron fell to the low range due to my blood donating every 2 months, so how much Iron should I take per day to get it back on track?

[jomamma007]

is that a sensitive estrogen panel? If not you really should get sensitive panel.
More importantly, how do you feel?

[kelkel]

I'd hold off and get a sensitive assay on your own before you self-medicate. Stop donating so frequently. Not everyone needs to do it. You're iron should come back up on it's own. If not, low dose elemental iron taken with C will help.

[calicp]

I get my bloodwork at Quest for my doctor, so not sure how accurate they are. I will goto ************* and order the sensitive assay and get it ran in the next couple days and post of the results here as well. I do donate every 2 months since starting trt since I started TRT, so i have donated 3 times total so far. My Hematocrit was 50.3 (38.5-50.0%) on 7/15/13 with blood donation on 06/06/13 and on 11/1/12 it was at 51 and I donated on 10/2/13, so do you still think I should donate less frequently?

[calicp]

No it was not sensitive. I went to private labs md and ordered the sensitive one and had the blood draw already, so should have the numbers posted in a day or two. I feel ok, but my nipples feel itchy a lot of the time and libido is hit or miss sometimes.

is that a sensitive estrogen panel? If not you really should get sensitive panel.
More importantly, how do you feel?

[kelkel]

I get my bloodwork at Quest for my doctor, so not sure how accurate they are. I will goto ************* and order the sensitive assay and get it ran in the next couple days and post of the results here as well. I do donate every 2 months since starting trt since I started TRT, so i have donated 3 times total so far. My Hematocrit was 50.3 (38.5-50.0%) on 7/15/13 with blood donation on 06/06/13 and on 11/1/12 it was at 51 and I donated on 10/2/13, so do you still think I should donate less frequently?

If you constantly "have" to donate due to hematocrit then you should consider titrating your dose down a bit.

[Vettester]

Do you have a total iron number? Sorry if I missed it somewhere in the thread. Your ferritin score is definitely reflecting a deficiency, basically very little in reserves being stored in your red blood cells. You also need to get some comprehensive thyroid labs. There is a VERY strong correlation with hypothyroidism and low iron/ferritin, and donating will just continue to make the condition worse.

[calicp]

I don't have bw for another 3 months, and he didn't include anything to do with thyroid. I see one on private md labs "Thyroid Profile w/ TSH Test " would that be good one to do?

Do you have a total iron number? Sorry if I missed it somewhere in the thread. Your ferritin score is definitely reflecting a deficiency, basically very little in reserves being stored in your red blood cells. You also need to get some comprehensive thyroid labs. There is a VERY strong correlation with hypothyroidism and low iron/ferritin, and donating will just continue to make the condition worse.

[Vettester]

Their "Thyroid Check Deluxe" would be the ideal program to go with, as it includes RT3 and antibodies, which would give a comprehensive insight on everything, including hashis and graves. The problem is it's about 4x more pricey, so it depends on your budget. The standard "Thyroid Panel" would definitely show the markers associated with hypothyroidism, but the others (IMO) will need reviewed at some point to truly access a proper diagnosis, and to help a physician determine an appropriate treatment/medication (if needed).

Also, your first sentence on the OP says that you're frustrated with your doctor. IMO, that's where this thread started, maybe that's the first area that needs addressed ... If your physician doesn't even consider the basic thyroid function when discussing low iron/ferritin, or hypogonadism in general, then it might be time to look at aligning with a physician that is well trained in this area, i.e., A4M Certified.

[calicp]

Well it is funny you said that because I found my doctor through the a4m website directory and he is A4m certified. I asked him right from the get go if he would prescribe an AI if need be and he said he would if BW indicated it, but now he is going against his word. He just says now he wants to get e2 down naturally with Zinc and he has said this the last 2 visits

Their "Thyroid Check Deluxe" would be the ideal program to go with, as it includes RT3 and antibodies, which would give a comprehensive insight on everything, including hashis and graves. The problem is it's about 4x more pricey, so it depends on your budget. The standard "Thyroid Panel" would definitely show the markers associated with hypothyroidism, but the others (IMO) will need reviewed at some point to truly access a proper diagnosis, and to help a physician determine an appropriate treatment/medication (if needed).

Also, your first sentence on the OP says that you're frustrated with your doctor. IMO, that's where this thread started, maybe that's the first area that needs addressed ... If your physician doesn't even consider the basic thyroid function when discussing low iron/ferritin, or hypogonadism in general, then it might be time to look at aligning with a physician that is well trained in this area, i.e., A4M Certified.

[calicp]

Ok I just got my labs for the estradiol wow what a difference in range. Here it is:
Estradiol, Sensitive: 27 (3-70 pg/mL) and I haven't been taking dim since my 11/1/13 labs. I guess I need to start doing my labs thru labcorp from now on.

[calicp]

I also want to mention my doc said he wanted to bump my test down to 40mg 2x per week instead of 50mg 2x per week because he said this range was too high. I guess the 2 IM site injection does work

[calicp]

Ok I just got my labs for the estradiol wow what a difference in range. Here it is:
Estradiol, Sensitive: 27 (3-70 pg/mL) and I haven't been taking dim since my 11/1/13 labs. I guess I need to start doing my labs thru labcorp from now on.

Why is their such a wide gap between lab results?

Their "Thyroid Check Deluxe" would be the ideal program to go with, as it includes RT3 and antibodies, which would give a comprehensive insight on everything, including hashis and graves. The problem is it's about 4x more pricey, so it depends on your budget. The standard "Thyroid Panel" would definitely show the markers associated with hypothyroidism, but the others (IMO) will need reviewed at some point to truly access a proper diagnosis, and to help a physician determine an appropriate treatment/medication (if needed).

Also, your first sentence on the OP says that you're frustrated with your doctor. IMO, that's where this thread started, maybe that's the first area that needs addressed ... If your physician doesn't even consider the basic thyroid function when discussing low iron/ferritin, or hypogonadism in general, then it might be time to look at aligning with a physician that is well trained in this area, i.e., A4M Certified.

I also found a thread with some Thyroid labs in April of this year, so maybe you can check it out and let me know what you think. Here is the link http://forums.steroid.com/hormone-re...lood-work.html Would trt disrupt how the thyroid is functioning?

Vitamin D 25-Hydroxy : 63 - [30-100 ng/mL]

Is the Vitamin D good enough or should I aim for the top of the range? I am currently taken 10,000 IU every day.

[jomamma007]

Why is their such a wide gap between lab results?
because the standard estradiol test is designed for women, and it's on a bell curve. It's accuracy isn't great at lower levels of estrogen.


I also found a thread with some Thyroid labs in April of this year, so maybe you can check it out and let me know what you think. Here is the link http://forums.steroid.com/hormone-re...lood-work.html Would trt disrupt how the thyroid is functioning?

TRT does affect thyroid, if you're close to hpyo before it could aggrevate things.


Is the Vitamin D good enough or should I aim for the top of the range? I am currently taken 10,000 IU every day.

Vitamin D looks good, you could add an extra 5,000iu few days a week

27 isn't that high, maybe for some but an ai is not required and that's for sure. If anything you should lower your dosage to 80mgs per week, as suggested by your doc. He seems to know what he's talking about, you should listen. Trying zinc and DIM before an ai is always a better option.
On 80mgs per week, your free test should still be at the top 1/3 range and your estrogen will come down.
Everybody has their own sweet spot so you really just have to try things and see what works.

Lastly I don't seem to see you posting how you feel. All you said is my estrogen is high on my lab... You aren't a number, HOW DO YOU FEEL?
Itchy nipples and libido are probably the two worst signs to judge your estro. Libido, there's just too many factors to consider, and with itchy nipples, some of us are just more sensitive to that effect even when our estrogen is in a great range.

[calicp]

27 isn't that high, maybe for some but an ai is not required and that's for sure. If anything you should lower your dosage to 80mgs per week, as suggested by your doc. He seems to know what he's talking about, you should listen. Trying zinc and DIM before an ai is always a better option.
On 80mgs per week, your free test should still be at the top 1/3 range and your estrogen will come down.
Everybody has their own sweet spot so you really just have to try things and see what works.

Lastly I don't seem to see you posting how you feel. All you said is my estrogen is high on my lab... You aren't a number, HOW DO YOU FEEL?
Itchy nipples and libido are probably the two worst signs to judge your estro. Libido, there's just too many factors to consider, and with itchy nipples, some of us are just more sensitive to that effect even when our estrogen is in a great range.

I feel fine. I was doing 200mg Dim 4 mg cooper and 50 mg zinc. I am just gonna drop the Dim and see what my levels are in like a month and go from there. I was just really concerned with my itchy nipples and the Quest estradiol labs being so high. Some people on here were saying the Sensitive estradiol isn't that big of a deal and that other estradiol test should be within +-3% of the sensitive, but I guess it is a huge difference and I will be using Lapcorp from now on and the Sensitive assay.