Back again!!!

[buckeyes#1]

I used to post on here quite frequently when I started my HRT. Things seem to reverting to how I felt back then. I will find the link and attach it for you soon.

The issue I am having now kind of concerns me because I feel like my doc may be barking up the wrong tree.

I recently went in for bloodwork which I will get scanned and posted. The bloodwork showed my test levels were at 300 while I am taking 150mg/wk of test enanthate. My estrodial was in the normal range and have no symptoms such as puffy nipples.

My sex drive is in the gutter, and I am having erectile problems. Myenergy levels are at zero and I feel superglued to my recliner. Depression and anxiety have returned. Weight gain and water retention are occurring.

My ALT and AST were slightly elevated, 90 and 44 respectively. My prolactin came in at a 2.

My doc had me do an ultrasound of my liver, gall bladder, pancreas and kidneys. ALthough, I am thinking she needs to look at my pituatary based on everything.

Am I wrong thinking my prolactin is low due to my pituatary?

I have been researching symptoms of hypopituatary issues. I am wondering if she should be checking cortisol and GH levels too.

I know I do noty have units and all of my bloodwork posted, but will have it up as soon as I can scan it. Just hoping for some insight.

[kelkel]

Definitely post up full BW so we can analyze it better. When was your BW done relative to your injection? And what is your complete protocol? Was your E2 test a sensitive assay? If you had a prolactinoma odds are you would be secreting large amounts of prolactin. On the other hand, hypoprolactinemia will cause erectile issues. You pituitary does produce it, via the hypothalamus. Also in the prostate and a few other areas.

[jamotech]

Phew, I saw the title and thought it was someone else at first.

Welcome back!

300 total on 150mg a week, off test or bunk gear id guess, are you using human grade test?

[buckeyes#1]

I am using Watson Test Enanthate straight from Walgreens. The blood was drawn a day before my next shot, so approximately 6 days. I went to the lab around lunch time.

The estrodial test was sensitive. I am only taking the Testosterone without an AI.

[doc w]

I am using Watson Test Enanthate straight from Walgreens. The blood was drawn a day before my next shot, so approximately 6 days. I went to the lab around lunch time.

The estrodial test was sensitive. I am only taking the Testosterone without an AI.

That's bizarre, I take Watson test cyp 200 mg per week and my low level at day 7 was 935. I'd get ur doctor to change to cyp and recheck levels in a couple weeks. Only two pharmacological explanations its fake test( which is most probBle) or you are metabolizing the crap out of it. On any other mess which would rev up your liver?

[bass]

you could be binding! did you check SHBG? i think once we see BW it'll be more clear of whats going on.

[bass]

Phew, I saw the title and thought it was someone else at first.

Welcome back!

300 total on 150mg a week, off test or bunk gear id guess, are you using human grade test?

LOL, i was thinking Yannik!

[zaggahamma]

That's bizarre, I take Watson test cyp 200 mg per week and my low level at day 7 was 935. I'd get ur doctor to change to cyp and recheck levels in a couple weeks. Only two pharmacological explanations its fake test( which is most probBle) or you are metabolizing the crap out of it. On any other mess which would rev up your liver?

this is what i thought immediately underdosed/fake meds

what would cause the patient to bind that much test?

[sirupate]

Bit off topic buckeyes#1, but it is nice to have someone from our area on the Board. You say you have a woman doctor...do you believe you are getting good treatment from her? Is she open to an AI or hCG as adjuncts to TRT? I am always looking for a better informed doctor in our area...so if you are pleased with her treatment...please shoot me a PM and tell me about her. Thanks.

[Vettester]

LOL, i was thinking Yannik!

Ha ha, everybody is thinking the same thing with this thread.

Buckeye, welcome back, it's been a while. Good to see you! Like mentioned, please post up the full lab panels if you can. The ALT and AST obviously indicates some stress in the liver ... Happens sometimes with drinking, too many oral medications, combination.

[zaggahamma]

Ha ha, everybody is thinking the same thing with this thread.

Buckeye, welcome back, it's been a while. Good to see you! Like mentioned, please post up the full lab panels if you can. The ALT and AST obviously indicates some stress in the liver ... Happens sometimes with drinking, too many oral medications, combination.

he's off the radar a lil posting in the over 40 forum...the kittens eyes are all welled up and everything now

[buckeyes#1]

Here is the initial 6 month bloodwork from 2/27/12.

My hematocrit was elevated, probably due to dehydration. ALT (10-40U/L) and AST (5-34 U/L) were 114 and 72 resepctively. The Estradiol (0.0-39.8) was 16.3. Testosterone (241-827) was at 359, while Free (4-27.00) was at 3.67

02272012.pdf

[doc w]

this is what i thought immediately underdosed/fake meds

what would cause the patient to bind that much test?

I still think it would be a good Idea to switch either brands or to test cyp and get rechecked in a couple weeks. If there is fake testosterone findings its way into Walgreens people need to know about that. I saw a show on cnbc about fake mess coming in from china. One would think Walgreens would be immune but who knows.

[buckeyes#1]

She was mainly coincerned about the elevated liver enzymes from the first test, thus she checked for hepatitis B and C. My ALT andf AST dropped significantly and are bordering on the upper edge of normal. She also tested my Prolactin and it was at a 2.1, which I thought needs to be above a 5.0 for men???

I am confused why she is still checking my liver, pancreas etc, when my liver enzymes are stabilizing.

Appreciate any and all feedback.

[zaggahamma]

my proloctin pre trt was 3.3

only tested once during and it was 8.7

ng/dl ,btw

range 2.1-17.7

[doc w]

<img src="http://forums.steroid.com/attachment.php?attachmentid=121384"/><img src="http://forums.steroid.com/attachment.php?attachmentid=121385"/>

She was mainly coincerned about the elevated liver enzymes from the first test, thus she checked for hepatitis B and C. My ALT andf AST dropped significantly and are bordering on the upper edge of normal. She also tested my Prolactin and it was at a 2.1, which I thought needs to be above a 5.0 for men???

I am confused why she is still checking my liver, pancreas etc, when my liver enzymes are stabilizing.

Appreciate any and all feedback.

I wouldn't worry about low prolactin unless ur planning on breast feeding. It might be an overall sign that ur pituitary is not functioning correctly. I would be much more worried about elevated liver enzymes( just ask Larry hangman how he liked missing his liver).

[Vettester]

Agree with doc on the prolactin. Yes check the cortisol, and the ACTH can help confirm this on the pituitary side. If there's any doubt, the doctor can order an MRI. Also, check your iron & ferritin while you are at it. I had some aggravation of the liver at one point, and my ferritin was up in the 1500 range. It turns out I'm a carrier for hemochromatosis. All that is under control now by donating blood.

Again, are you taking any meds, alcohol, anything that would be abusive on the liver?

[bass]

you can also treat your liver with milk thistle or L-Glutathione injections, works great!

[buckeyes#1]

I did hurt my back in De***ber, so did have Flexeril, Hydrocodone, and Naproxen for that, but had only taken the naproxen anytime recently. My alcohol intake has not changed over the whole time I have been on HRT. I like to have a few beers now and then.

I knew about Milk Thistle and picked some up after the second blood test.

So, yeah, I guess my main concern is my pituitary function.

I should find out the results from the ultrasound today or monday...I do not expect there to be any issues with the liver or other organs.

[buckeyes#1]

Doc5.pdf

Here is the history of my testosterone results. As you can see, I have not been able to get very much above low normal for the entire time I have been on.

[doc w]

I did hurt my back in De***ber, so did have Flexeril, Hydrocodone, and Naproxen for that, but had only taken the naproxen anytime recently. My alcohol intake has not changed over the whole time I have been on HRT. I like to have a few beers now and then.

I knew about Milk Thistle and picked some up after the second blood test.

So, yeah, I guess my main concern is my pituitary function.

I should find out the results from the ultrasound today or monday...I do not expect there to be any issues with the liver or other organs.

Combination of Vicodin and beer could certainly effect liver enzymes especially if u took any Tylenol on top of it.

[buckeyes#1]

I hadn't taken any vicodin since January.

[bass]

Combination of Vicodin and beer could certainly effect liver enzymes especially if u took any Tylenol on top of it.

pain killers screw up my liver every time i take then, even if i take them once a day, no sides from testosterone and yet testosterone is a controlled substance!

[buckeyes#1]

yeah, my liver enzymes have always been fine in the past, so it has to be related to the pain meds.

Still would like to know why my test levels remain low after all of this time.

[doc w]

I'm suggesting this as a one time event: inject 400mg and get your total test drawn 48 hours later. If there is no rise in your test levels then it's fake. If it rises only slightly it's either dilute test or your biochemistr, but at least it narrows it down.

[Vettester]

Doc's suggestion would be the ticket. Give it a try!