I need some ideas for trying to figure this all out and was hoping some people smarter on this board could lend a brother a hand
A quick background
I have been self administering HRT for a couple of years. I am 51. My original test levels were in the 200-300 range. My Dr. did not want to help out so I took things into my own hands. I started out at 100mg/wk of test and have been playing with the amount used depending upon the blood test results which were done quarterly. As a result of being on HRT my iron stores went high as well as my HCT/RBC/HG. I dont have hemochromotosis, but I do have androgen induced erythrocytosis. I have been slowly lowering the HRT amount until the out of range tests were back in range.
Fast forward. The latest replacement amounts have been ~40mg/4 days. This has gotten my iron/HCT/RBC/HG at the high end of normal or slightly out of range but my test levels results have come back as
Free = 29.9pg/ml high (7.2-24)
Serum = 347 in range but low (241-927).
The high hct/rbc/HG levels made me very short of breath and tired. So I really wanted to drive them down. At the high end the symptoms are pretty much gone.
What precipitated the lastest round of testing was I have been extremely tired (could sleep forever which is not normal) and a puffy face (around eyes and sinuses).
I prefer not to get into the discussion of which test is best and why. Lets assume for the sake of this discussion the results are accurate. Does anyone have any ideas on why my Free test levels are high and serum on the low end (SBHG?). If I continue with the disparity which should I view as the gold standard? The free?
Thanks, in advance, for your ideas/help/assistance\
If you need any further background let me know.
JANSZ - i would appreciate your thoughts