Fairly new to forum Bloodwork as promised (any help would be greatly appreciated)

[SF1098]

I would like to aplogize for such a lenghty post...I just have learned a lot (thanks to all of you) and have tried to put in as much information as possible so as to not waste your time.

Before digging into the blood work I have included some questions,and data on Body Composition, Diet, Supplements, Exercise.

Questions:
1. What would you recommend that I do to address my high E2 keeping in mind that my sensitive assay was done 4 days after my initial IM injection? Dosage? (I do have Stane on hand)
2. What are your thoughts regarding Clenbuterol and T3? Using each individually or together? According to the "Clenbuerol handbook" Anabolism suggest using them together.
3. I have noticed the following since starting the supplements: better sleep and more dreaming, I can't think of the last time I have slept as well or dreamed as much. Additionally, when starting out on the Cardio I'm dry as a bone then the flood gates open and the sweat is POURING off me...I'm literally soaking.

Note: I'm not looking for a "magic bullet" I just want to maximize both my workouts and my diet to more rapidly reach my goals....(less than 10% BF, better lipid profile, feel better, etc). I'm not scared to put in the hard work I have just been really struggling with this in light of my LowT.


Bloodwork results to follow
Bloodwork 04/03/13 (results below) Prescribed Fortesta
Bloodwork 05/24/13 (3 days after I ran out of Fortesta)
Bloodwork 06/11/13 4 days after my first injection of IM Test Cyp. of 100mg.

Notes on Bloodwork:
I realize the workup on 4/03 is incomplete sorry...didn't know any better
Bloodwork on 5/24: GP ordered it and didn't do a sensitive e2 assay.
Bloodwork 06/11: I requested the sensitive assay. E2 is High even 4 days after first IM injection.

Body Composition via DEXA test performed 03/28/13:
Age: 42
Weight: 231.4
Height: 72in
Ethnicity: White
BMI: 31.4 WHO Classification Obesity I
Total Body Fat: 34.2
Fat Mass/Height^2 (kg/m^2)
Android/Gynoid Ratio: 1.17
% Fat Trunk/%Fat Legs: 1.11
Trunk Limb Fat Mass Ratio: 1.18
Lean Mass/Height^2 (kg/m^2) 19.8
Appen. Lean Mass/Height^2 (kg/m^2) 9.29

Diet:
I have cut all Carbs as of 06/17/13. I have half assed been doing this since 03/28/13 and am down to 227lb. Any measurable carbs I have been getting has been from beer and wine and an occasional cheat meal. I KNOW THIS IS WRONG! I HAVE CUT THEM COMPLETELY FROM MY DIET as of 06/17/13. Lack of commitment is one of my many symptoms of Low T and am confident this will get better once I get my HRT on track.

Supplements:
After reading through Austinites post I have added the following:

Morning:
L-Carnitine: 6000mg
L-Arginine: 2000mg
L-Lysine: 2000mg
Vitamin D3: 10,000IU
Fish Oil: 2400mg

Night:
Calcium: 3000
Magnesium: 1200
Zinc: 45
Vitamin E: 400IU

Exercise:
Cardio every day for 1:00-1:30 hours per day on either the street or treadmill. I have also been doing a few spinning classes in the am on some days to chage things up a bit each spinning class is 1:00.


Bloodwork from 04/03/13
Total Testosterone: 400 Ref Range: 250-1100 ng/dL
Free Testosterone: 72.2 Ref Range: 35.0-155.0 pg/dL

Blood work from 05/24/13
Comprehensive Metabolic Panel:
Glucose: 92 Ref Range: 65-99 mg/dl
Urea Nitrogen (BUN): 23 Ref Range: 0.60-1.35 mg/dL
eGFR non-Afr. American: 81 Ref Range: > or = 60mL/min/1.73m2
eGFR African American 93 Ref Range: > or = 60mL/min/1.73m2
BUN/Creatinine Ratio: Not Applicable
Sodium: 137 Ref Range: 135-146 mmol/L
Potassium: 4.8 Ref Range: 3.5-5.3 mmol/L
Chloride: 103 Ref Range: 98-110 mmol/L
Carbon Dioxide: 24 Ref Range: 19-30 mmol/L
Calcium: 9.9 Ref Range: 8.6-10.3 mg/dL
Protein, Total: 7.2 Ref Range: 6.1-8.1 g/dL
Albumin: 5.1 Ref Range: 3.6-5.1 g/dL
Globulin: 2.1 Ref Range: 1.9-3.7 g/dL (calc)
Albumin/Globulin Ratio: 2.4 Ref Range: 1.0-2.5 (calc)
Bilirubin, Total: .4 Ref Range: .2-1.2 mg/dL
Alkaline Phosphotase:70 Ref Range: 40-115 U/L
AST: 22 Ref Range: 10-40 U/L
ALT: 41 Ref Range: 9-60 U/L

Estradiol, Free, LC/MS/MS Estradiol, Free: .05 Ref Range: < or = .45 pg/mL
Estradiol: 2 Ref Range: < or = 29 pg/mL
Dihydrotestosterone, LC/MS/MS 18 Ref Range: 16-79 ng/dL

CBC (H/H, RBC, Indicies, WBC, PLT)
White Blood Cell Count: 5.1 Ref Range: 3.8-10.8 Thousand/uL
Red Blood Cell Count: 5.10 Ref Range: 4.20-5.80 Million/uL
Hemoglobin: 15.4 Ref Range: 13.2-17.1 g/dL
Hematocrit: 47.5 Ref Range: 38.5-50.0 %
MCV: 93.0 Ref Range: 80.0-100.0 fL
MCH: 30.2 Ref Range: 27.0-33.0 pg
MCHC: 32.5 Ref Range: 32.0-36.0 g/dL
RDW: 13.6 Ref Range: 11.0-15.0 %
Platelet Count: 228 Ref Range: 140-400 Thousand/uL

Testosterone , Free and Total, LC/MS/MS
Testosterone, Total, LC/MS/MS: 382 Ref Range: 250-1100 ng/dL
Free Testosterone: 70.9 Ref Range: 35.0-155.0 pg/mL

PSA (Free and Total)
Total PSA: 1.6 Ref Range: < or = 4.0 ng/mL
Free PSA: .3
% Free PSA: 19L Ref Range: >25%

Bloodwork 06/11/13
Lipid Panel with Reflex Direct LDL
Cholesterol, Total: 257H Ref Range: 125-200mg/dL
HDL Cholesterol: 55 Ref Range: > or = 40mg/dL
Triglycerides 180H <150mg/dL
LDL-Cholesterol 166H <130mg/dL (calc)

CHOL/HDLC Ratio: 4.7 Ref Range: < or = 5.0 (calc)
Vitamin D, 25-HYDROXY, LC/MS/MS Vitamin D, 25-OH, Total: 48 Ref Range: 30-100ng/mL
Vitamin D, 25-OH, D3: 48 ng/mL
Vitamin D, 25-OH, D2: <4 ng/ML

25-OHD3 indicates both endogenous production and supplementation. 25-OHD2 is an indicator of exogenous sources, such as diet or supplementation. Therapy is based on measurement of Total 25-OHD, with levels <20ng/mL and 30 ng/mL suggest insufficiency. Optimal levels are > or = 30mg/mL.

T4 (Throxine), Total: 6.0 Ref Range: 4.5-12.0 mcg/dL
Free T4 index (T7): 1.9 Ref Range: 1.4-3.8
T4, Free: 1.1 Ref Range: .8-1.8 ng/dL

The current lot of free T4 reagent available from the manufacturer produces results that are approximately 9% higher than previous reagent lots. Please interpret these results accordingly.

T3, Free: 3.2 Ref Range: 2.3-4.2 pg/mL
T3, Total: 99 Ref Range: 76-181 ng/dL
T3 uptake: 32 Ref Range: 22-35%
Estradiol, Ultrasensitive LC/MS/MS: 49H Ref Range: < or = 29 pg/mL
LH: 2.9 Ref Range: 1.5-9.3 mIU/mL
Progesterone: <.5 Ref Range: <1.4 ng/mL
Testosterone, Total, Males: 314 Ref Range: 241-827 ng/dL

In hypogonadal males, Testosterone, Total, LC/MS/MS, is the recommended assay. This test code (15983) must be collected in a red-top tube with no gel. The Endrocrine Society recommends obtaining at least two morning (8-10am) samples of different days when screening for hypogonadisim.

Testosterone, Total, LC/MS/MS: 535 Ref Range: 250-1100 ng/dL

[bass]

what is your complete TRT protocol? i am surprised your test is coming back low with only 4 days after your shot! yes lowering E2 can raise your T some but not enough to make a big difference. do you know what your SHBG level is? you could be binding in this area.

[SF1098]

Hi Bass, I am really having trouble here and assume most of us are on the forum guess that's why we are on here meaning my MD is just a means to get a script. I should have requested SHBG he never ordered it...just like the E2 test...he just ordered Estradiol (not the sensitive assay) and moved on...it wasn't until I got on here and started reading that I knew to request the sensitive assay. As far as my TRT protocol goes it was 200mg Test Cyp. Every 14 days... and come back and see me in 3 months. I decided to split the dose to 100mg per week but in light of my E2 maybe I should split again to ever 3.5days. Thoughts? Maybe request a private lab SHBG?

[VTX1800]

U can't go wrong on 3.5 days!!!! It can keep your e2 in check, more so than weekly or bi weekly due to the fact you maintain optimum trough levels.

[bass]

yes, splitting your dose to twice a week will not only raise your test and keep it stable but it will also manage your E2 better. if your doc wont check for SHBG then that's what i would do, simply get the order from "private md labs . com"

[SF1098]

Thanks guys! I'll order the test tonight and repost with the results. Care to weigh in on the T3 and Clen? I gotta get this weight off...it's not helping my E2,BP or anything for that matter.

[bass]

i'd say one thing at a time, get your TRT dialed in then try other things. clen is really hard on the heart, be careful.

[SF1098]

Understood and Thank you!

[rustyjames]

any particular reason for only doing cardio for your exercise?

[SF1098]

I have just been struggling with being motivated to do anything else. Today was a rough day..seems like I was in a fairly good mood this morning...now feeling very irritable, tired and quick to angry. I have got to get my TRT dialed in...I'm hoping that switching to 3.5 days at 50mg test cyp will help with the mood swings. Quick question: I have been doing some reading on SHBG and it seems as though the more frequent injections should help "push it down" I believe Kelkel said that...anything else I can do? I am just guessing its high because Bass suggested it might be contributing to a lower T than he expected after looking at by BW 4 days post injection.

[Trific]

That vitamin d will help lower the SHBG.

Think you need to knock your E2 down a bit, might be why you're moody.

[VTX1800]

My senior year in college I ran clen for 12 weeks with no issues. I wasn't on anything else, had been off aas for about 6 months and needed to cut some weight. I watched my diet and kept it clean and went from 17% to 10%. Prob. The best shape of my life at that point. Since then I've married and drink a hell of ALOT of beer so I'm back to 20%bf. been working on adding more cardio to my 5 day lifting routine.
If you run clen follow a good protocol and adjust it as your body will come accustom to a particular dose. U will sweat like crazy due to your body temp staying higher than normal. If you are prone to anxiety it may not be a good choice.