Default Blood Work 1 Month Apart

JReinhal

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Blood Work 1 Month Apart

Hello,
Here are some numbers from blood work I had in February and March. After the initial bloodwork I received TRT from a doctor which I HAVE NOT started as of yet:

February
ALT.......................48.................0-44 IU/L
Hematocrit........... 49.2 ............37.5-51.0 %
Testosterone.......329..............348-1197 ng/dL
Free Test...............8.3 ...............8.7-25.1 pg/mL

Hemoglobin A1c....5.7............... 4.8-5.6 %
DHEA-Sulfate .......171.4 ..........102.6-416.3 ug/dL
TSH ......................4.830 ...........0.450-4.500 uIU/mL
LH ........................2.8 ................1.7-8.6 mIU/mL
FSH......................3.4................ 1.5-12.4 mIU/mL
Prolactin .............10.8................4.0-15.2 ng/mL
Estradiol, Sen ......8 ...................3-70 pg/mL
SHGB .................15.3 ..............16.5-55.9 nmol/L

March
ALT........................80.................0-44 IU/L
Hematocrit.............48.1............37.5-51.0 %
Testosterone..........454..............348-1197 ng/dL
Free Test...............15.48 ...........8.7-25.1 pg/mL

TSH ......................3.18 .............0.450-4.500 uIU/mL
T4..........................8.7................... ...4.5-12 ug/dL
T3 Uptake..............31....................24-39%
Free Thyroxine.......2.7..................1.2-4.9
Estradiol, Sen .......7 ...................3-70 pg/mL


Here are my questions:

1) Should I start TRT?
2) My estrogen has been very low for several years now. How should I address that, if I should at all?
3) I am very concerned about my elevated ALT levels. Almost double the high-norm. Thoughts?

Thank you for your help.
 

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