Starting Treatment Dr. M

Taxi Driver

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Heres the labs I had done before seeing Dr. Mariano:

Aldosterone................... ......11ngdl <28ngdl
Vitamin B12........................530 >174
Folate, Serum......................18. 6 >5.2
Fsh........................... .........5.1 1.3-19.3
Lh............................ ..........3.4 1.2-8.6
Growth Hormone................<0.1 < or = 10
Iron total......................... .110 45-125
Test total......................... .240 250-1100
Free %............................. 2.05% 1.2-2.2%
49.2pg/ml 3.5-155
Progesterone.................. ...0.6 ng/ml .3-.9
Ferritin...................... .......161g/ml 25-371
T3 total......................... ....146 ng/ml 77-178
anti-thyroglobulin Ab..........<20 iu/ml <20
Free T4............................ .1 ng/dl .6-1.7
TSH ultrasentive tsh..........1.85 uiu/ml .47-5.01
IGf binding protein-3...........3 mg/l 3.4-7.8
Vitamin D(1,25 Dihydroxy)....45 pgml 15-60
Renin Activity, Plasma.........2.2 ng/ml/hr .65-5
Cortisol, free, serum............83 mcg/dl .07-.93 8:00am-10:00am
Vitamin D, 25-oh total...........25 ng/ml 20-100
(it says something about endogenous production and supplementation being indicated.)
Vitamin D, 25-Oh, D3...........20 ng/ml
Vitamin D, 25-OH, D2...........5
Magnesium..................... ...1.9 1.8-2.4
Uric Acid.......................... ..8.7 2.6-7.2

CBC
White blood count.............7.6 3.8-10.8
Red blood cell count..........5.41 4-6.20
Hemoglobin.................... ..15.3 14-18
Hematocrit.................... ....44.5 42-54
MCV........................... ...82 82-101
MCH........................... ...28.2 26-34
MCHC.......................... .34.4 32-36
RDW........................... ..11.9 <14.5
Neutrophil.................... ..52 40-80
Lymphocyte.................... 34 12-44
Monocyte...................... .9 0-12
Eosinophil.................... .4 0-7
Basophil...................... .1 0-2
Platelet Count...............275 140-440

Metabolic Profile
Glucose....................85 70-99 fasting
BUN.........................16 7-18
Creatinine................1.1 .6-1.3
GFR non african american..>60 Gfr< 60=chronic kidney disease
Sodium..................139 134-145
Potassium..............4.3 3.6-5.2
Chloride..................101 100-108
CO2.......................29 23-31
Calcium....................9.1 8.5-10.5
SGOT(AST).................15 15-37
SGPT(ALT).................40 30-65
Akaline Phosphate......60 50-136
Bilirubin, total..............0.5 0-1
Protein, total..................7.6 0-1
albumin....................... ...4.2 3.2-5.0

Hemoglodin A1C...............5.4 <7

Urinalysis completely normal no problems.

Semen Analysis
Volume ........................3.5 1.5-5
Viscosity..................... ..normal
pH............................ .8.5 7-8
Motility 30 min...........80 80-100
motility 1hr...............75 80-100
Motility 3 hr.................70 50-100
total count..................160 million 60-150
morphology.................70 >70 normal forms

I left one paper at the doctors office from what I remember
My cholesterol is high
Ldl..................169 <110
Total cholesterol 228 <200
Hdl ??????? normal range

I have upcoming bloodwork prescribed by Dr. Mariano with more complete thyroid and adrenals.......

He put me on this for now:

-Levothyroxine
-2.5mg Lexapro
-.5 Arimidex
-Naltrexone
-Vitamin B100
-Vitamin B12 sublingual
-Vitamin A

He was very intelligent and seemed like a good guy. I hope this works out.

I already take fish oil, multi-vitamin, vitamin d and am on a low carb high protein diet with lots of leafy greens. I guess this is it for now and in about two months I am going to retest.

Thoughts?
 
JanSz

JanSz

Well-known member
Awards
1
  • Established
Heres the labs I had done before seeing Dr. Mariano:

Aldosterone................... ......11ngdl <28ngdl
Vitamin B12........................530 >174
Folate, Serum......................18. 6 >5.2
Fsh........................... .........5.1 1.3-19.3
Lh............................ ..........3.4 1.2-8.6
Growth Hormone................<0.1 < or = 10
Iron total......................... .110 45-125
Test total......................... .240 250-1100
Free %............................. 2.05% 1.2-2.2%
49.2pg/ml 3.5-155
Progesterone.................. ...0.6 ng/ml .3-.9
Ferritin...................... .......161g/ml 25-371
T3 total......................... ....146 ng/ml 77-178
anti-thyroglobulin Ab..........<20 iu/ml <20
Free T4............................ .1 ng/dl .6-1.7
TSH ultrasentive tsh..........1.85 uiu/ml .47-5.01
IGf binding protein-3...........3 mg/l 3.4-7.8
Vitamin D(1,25 Dihydroxy)....45 pgml 15-60
Renin Activity, Plasma.........2.2 ng/ml/hr .65-5
Cortisol, free, serum............83 mcg/dl .07-.93 8:00am-10:00am
Vitamin D, 25-oh total...........25 ng/ml 20-100
(it says something about endogenous production and supplementation being indicated.)
Vitamin D, 25-Oh, D3...........20 ng/ml
Vitamin D, 25-OH, D2...........5
Magnesium..................... ...1.9 1.8-2.4
Uric Acid.......................... ..8.7 2.6-7.2

CBC
White blood count.............7.6 3.8-10.8
Red blood cell count..........5.41 4-6.20
Hemoglobin.................... ..15.3 14-18
Hematocrit.................... ....44.5 42-54
MCV........................... ...82 82-101
MCH........................... ...28.2 26-34
MCHC.......................... .34.4 32-36
RDW........................... ..11.9 <14.5
Neutrophil.................... ..52 40-80
Lymphocyte.................... 34 12-44
Monocyte...................... .9 0-12
Eosinophil.................... .4 0-7
Basophil...................... .1 0-2
Platelet Count...............275 140-440

Metabolic Profile
Glucose....................85 70-99 fasting
BUN.........................16 7-18
Creatinine................1.1 .6-1.3
GFR non african american..>60 Gfr< 60=chronic kidney disease
Sodium..................139 134-145
Potassium..............4.3 3.6-5.2
Chloride..................101 100-108
CO2.......................29 23-31
Calcium....................9.1 8.5-10.5
SGOT(AST).................15 15-37
SGPT(ALT).................40 30-65
Akaline Phosphate......60 50-136
Bilirubin, total..............0.5 0-1
Protein, total..................7.6 0-1
albumin....................... ...4.2 3.2-5.0

Hemoglodin A1C...............5.4 <7

Urinalysis completely normal no problems.

Semen Analysis
Volume ........................3.5 1.5-5
Viscosity..................... ..normal
pH............................ .8.5 7-8
Motility 30 min...........80 80-100
motility 1hr...............75 80-100
Motility 3 hr.................70 50-100
total count..................160 million 60-150
morphology.................70 >70 normal forms

I left one paper at the doctors office from what I remember
My cholesterol is high
Ldl..................169 <110
Total cholesterol 228 <200
Hdl ??????? normal range

I have upcoming bloodwork prescribed by Dr. Mariano with more complete thyroid and adrenals.......

He put me on this for now:

-Levothyroxine
-2.5mg Lexapro
-.5 Arimidex
-Naltrexone
-Vitamin B100
-Vitamin B12 sublingual
-Vitamin A

He was very intelligent and seemed like a good guy. I hope this works out.

I already take fish oil, multi-vitamin, vitamin d and am on a low carb high protein diet with lots of leafy greens. I guess this is it for now and in about two months I am going to retest.

Thoughts?

Fsh........................... .........5.1 1.3-19.3
Lh............................ ..........3.4 1.2-8.6
Test total......................... .240 250-1100
Cortisol, free, serum............83 mcg/dl .07-.93 8:00am-10:00am
Growth Hormone................<0.1 < or = 10
IGf binding protein-3...........3 mg/l 3.4-7.8
Magnesium..................... ...1.9 1.8-2.4
Uric Acid.......................... ..8.7 2.6-7.2

Semen pH............................ .8.5 7-8

Ldl..................169 <110
Total cholesterol 228 <200

Lexapro is an antidepressant in a group of drugs called selective serotonin reuptake inhibitors (SSRIs).

What is -Vitamin B100 ??????????


====================================================================
====================================================================

High uric acid
Gout
Excess serum accumulation of uric acid can lead to a type of arthritis known as gout.[17]
Elevated serum uric acid (hyperuricemia) can result from high intake of purine-rich foods, high fructose intake (regardless of fructose's low glycemic index (GI) value) and/or impaired excretion by the kidneys. Saturation levels of uric acid in blood may result in one form of kidney stones when the urate crystallizes in the kidney.

it was shown in a prospective follow-up study that high serum uric acid is associated with higher risk of type 2 diabetes independent of obesity, dyslipidemia, and hypertension.[22]
====================================================================
====================================================================
Growth Hormone
per Tierry Hertoghe MD Hormone Solution
supplementation required when
IGF-1<150mcg/L
IGFBP-3>4000mcg/L=4mg/L=140(nmol/L)
-------------

Your IGFBP-3=3

You do not have much GH but your pituitary is not asking for it.
Your do not have much TotalTestosterone but your pituitary is not asking for it.

Post your uri-analysis.

====================================================================
====================================================================
Naltrexone is an opioid receptor antagonist used primarily in the management of alcohol dependence and opioid dependence.
====================================================================

Unless you are drug addict,
other than Naltrexone
I would not give you any of the medications or vitamins that you were given.

====================================================================
You problem is in pituitary

Get pituitary MRI.
Investigate high uric acid

get a whole set from one blood draw:

TotalTestosterone
SHBG
Albumin
E2-Estradiol-Sensitive
E1
DHT
3a-Androstanediol Glucuronide
CBG
Total Cortisol
====================================================================

Post information about your self.
Age, height, weight, waist size, fitness
Past injuries, specially head injuries
Known health problems
any hereditary conditions

--------------------------------------------------------------------------------------
Sodium..................139 134-145(142 would be better)
Potassium..............4.3 3.6-5.2
Chloride..................101 100-108
Aldosterone................... ......11ngdl <28ngdl
Renin Activity, Plasma.........2.2 ng/ml/hr .65-5
Cortisol, free, serum............83 mcg/dl .07-.93 8:00am-10:00am

Ferritin...................... .......161g/ml 25-371
T3 total......................... ....146 ng/ml 77-178 (=77+(178-77)/3*2=144)

your thyroid is in good condition
your adrenals are not that bad

At this time I would not concentrate on adrenal/thyroid)

but if you do thyroid analysis, make sure it includes
TT4, TT3 & rT3

=====================================================================

Pituitary problems are rather unfixable.
Lets hope that you will not need any surgery in that area.

You will need to get at proper TRT and GH supplementation.
plus
whatever the reasons for high uric acid and high alcalinity.

If you really want, you may want to tweak slightly adrenals and thyroid (last on priority list).

aim at sodium~142
and
TT3~161
but your current values are respectable.

Good luck.


..........




////////
 

pmgamer18

Well-known member
Awards
1
  • Established
Dr. M is great I must tell you doing .5 mgs of Arimidex is a lot I did not see your Estradiol test to see how high you were but it your not over 50 don't do more then .5mgs every 3 days here is what I tell men so they don't go to low on Arimidex.
====================================
What I found is if you go to low taking arimidex, it's the length of time your to low, if your too low say for 8 weeks it can take your body a longer time to make more Estradiol. Bottom line is to know how not to go to low. Keep a log on your dose and how you feel men going to low can't get it up taking Viagra. I went to low when I first tried Arimidex and did not know about going to low or how one feels to low, so I was low a good 8 weeks. I did not know I was low until my next labs.

The best gage I have found to control your Estradiol levels is to gage your night time and morning wood. At good levels or what I call the sweet spot you get your night time and morning wood back so strong it will wake you up and you can hang a coat on it.

Most men do good taking .25 mgs or 1/4 of a 1mg. pill, I use a pill cutter to cut the small pill in half then I stand it on the cut end and use a single edge razor to cut this in half. A good way to take arimidex is by how high your levels are. I tested over 90 pg/ml so we tried doing .5 mgs every other day after 8 weeks my next set of labs showed it did not move below 90, test said >90. So we did .5 mgs. every day in about 2 weeks I got some strong night time and morning wood back after not having them for many yrs.

I kept doing this dose and in 8 weeks my next set of labs said <20 back in the day labs were like this they did not have to good labs we have today they could not read lower the 20. My Dr. told me this looks to low to stop taking the Arimidex. The one thing I noticed was my wood stopped and stopping the Arimidex my wood came back in about 7 weeks my next test at 8 weeks was 24 pg/ml. So we went back on the Arimidex but the Dr. told me to take .5 mgs every 3 days I was on this dose not a week and lost wood. This is when I figured out going to low you lose wood. And the longer your too low the longer it takes to get levels back up.

I stopped the arimidex right away and got my wood back in 4 days. I then after playing with the dose for a time found the best dose is .25mgs every 2 to 3 days.

So lets say your labs are less the 50 pg/ml if your take .5 mgs you can go down so dam fast your miss the sweet spot of your wood and go to low. It's best with lower levels 50 and under to do less Arimidex .25mgs every 2 days if later your lose wood when it comes back go to every 3 days.

I have found estradiol is the hardest hormone to control, it goes up or down from month to month some times I need .25mgs every 2 days other times I need .25mgs everyday most of the time I do well on every 3 days.

So between wood and labs I do great and so do most of the men I have told this to. I keep a log on how much I am taking and how I feel. Doing this and reading back in my log I was able to tell when I was going to high or to low my Dr. lets me dose my arimidex by how I feel.

Over the yrs. I have posted this story until I am blue in the face.


----------------------------------------------------------------
And one of the mods chillin at Dr. John's forum dose this.
=====================================
Most compounding pharmacies will require a prescription from a doctor, before they do this.

Once your prescription says "300 caps x 0.1mg" or "600 caps x 0.05mg" anastrozole "from 1 to 4 daily", (anastrozole = generic arimidex) then they will compound your arimidex, or generic anastrozole, and they will usually supply the arimidex as compounded into the caps you require.

My compounding pharmacist was prepared to allow me to supply the arimidex too. If you have several boxes of arimidex in your cupboard, then you may want to ask your pharmacist to do this for you.

If you don't have any arimidex stores, then just let the compounding pharmacy supply the whole lot.

###

A pack of 30 tabs of 1.0mg arimidex will give 300 caps at 0.1mg-per-cap, or 600 caps at 0.05mg-per-cap.

So if your pharmacy chooses to supply arimidex as opposed to generic anastrozole, then your pharmacy will most likely not agree to only charge you for a half-a-box of arimidex, and most likely they'll charge for a whole box, even if your prescription says 300 caps at 0.05mg-per-cap (total of 15mg)
----------------------------------------------------------------.
Going to low on Estradiol will kill your sex life and getting it down to a good levels will give it back to you.
 

Philec48

Member
Awards
1
  • Established
Your IGF-3 is below range suggesting that your growth hormone is low.

You listed your GH number as <0.1 < or = 10. If I read that right, it says greater than .1 and less than or equal to 10. This looks like merely a range and not a real reading. Didn't they record an actual direct level that showed something like ng/dl?
 

Taxi Driver

New member
Awards
0
Fsh........................... .........5.1 1.3-19.3
Lh............................ ..........3.4 1.2-8.6
Test total......................... .240 250-1100
Cortisol, free, serum............83 mcg/dl .07-.93 8:00am-10:00am
Growth Hormone................<0.1 < or = 10
IGf binding protein-3...........3 mg/l 3.4-7.8
Magnesium..................... ...1.9 1.8-2.4
Uric Acid.......................... ..8.7 2.6-7.2

Semen pH............................ .8.5 7-8

Ldl..................169 <110
Total cholesterol 228 <200

Lexapro is an antidepressant in a group of drugs called selective serotonin reuptake inhibitors (SSRIs).

What is -Vitamin B100 ??????????


====================================================================
====================================================================

High uric acid
Gout
Excess serum accumulation of uric acid can lead to a type of arthritis known as gout.[17]
Elevated serum uric acid (hyperuricemia) can result from high intake of purine-rich foods, high fructose intake (regardless of fructose's low glycemic index (GI) value) and/or impaired excretion by the kidneys. Saturation levels of uric acid in blood may result in one form of kidney stones when the urate crystallizes in the kidney.

it was shown in a prospective follow-up study that high serum uric acid is associated with higher risk of type 2 diabetes independent of obesity, dyslipidemia, and hypertension.[22]
====================================================================
====================================================================
Growth Hormone
per Tierry Hertoghe MD Hormone Solution
supplementation required when
IGF-1<150mcg/L
IGFBP-3>4000mcg/L=4mg/L=140(nmol/L)
-------------

Your IGFBP-3=3

You do not have much GH but your pituitary is not asking for it.
Your do not have much TotalTestosterone but your pituitary is not asking for it.

Post your uri-analysis.

====================================================================
====================================================================
Naltrexone is an opioid receptor antagonist used primarily in the management of alcohol dependence and opioid dependence.
====================================================================

Unless you are drug addict,
other than Naltrexone
I would not give you any of the medications or vitamins that you were given.

====================================================================
You problem is in pituitary

Get pituitary MRI.
Investigate high uric acid

get a whole set from one blood draw:

TotalTestosterone
SHBG
Albumin
E2-Estradiol-Sensitive
E1
DHT
3a-Androstanediol Glucuronide
CBG
Total Cortisol
====================================================================

Post information about your self.
Age, height, weight, waist size, fitness
Past injuries, specially head injuries
Known health problems
any hereditary conditions

--------------------------------------------------------------------------------------
Sodium..................139 134-145(142 would be better)
Potassium..............4.3 3.6-5.2
Chloride..................101 100-108
Aldosterone................... ......11ngdl <28ngdl
Renin Activity, Plasma.........2.2 ng/ml/hr .65-5
Cortisol, free, serum............83 mcg/dl .07-.93 8:00am-10:00am

Ferritin...................... .......161g/ml 25-371
T3 total......................... ....146 ng/ml 77-178 (=77+(178-77)/3*2=144)

your thyroid is in good condition
your adrenals are not that bad

At this time I would not concentrate on adrenal/thyroid)

but if you do thyroid analysis, make sure it includes
TT4, TT3 & rT3

=====================================================================

Pituitary problems are rather unfixable.
Lets hope that you will not need any surgery in that area.

You will need to get at proper TRT and GH supplementation.
plus
whatever the reasons for high uric acid and high alcalinity.

If you really want, you may want to tweak slightly adrenals and thyroid (last on priority list).

aim at sodium~142
and
TT3~161
but your current values are respectable.

Good luck.


..........




////////
age: 27
weight: 296 (down from 320 two months ago)
waist:40
height:6'
fitness level 1-10: 4
Known health problems: Besides what you see in the labs. I am hypertensive regularly bp is aroun 130/89-140/90 the highest was 140/96. I am waiting to see my gp to go on meds. I feel like I have no choice at the moment but to take meds until I get fit and get my blood in order.

JanSz I take the Lexapro for anxiety which was becoming unbearable. I take only 2.5mg a day and so far I guess it is helping. That is a quater of the minimum dose prescribed.

I have a problem with sleeping. Right before bed my mind races and it is almost impossible for me to sleep sometimes. This isn't every night, but he prescribed it to help me get to sleep as opposed to something like ambien. Also I have fibromaylgia like symptoms. I have family members with fibromaylgia and thyroid problems.

I am trying the arimidex to see what it does to my test levels. I realize I will probably be taking test and hopefully hcg. The first step in my treatment will be treating my anxiety and depression caused by stress about my health.

Urinalaysis

Color:Yellow
Apperance: Clear
Specific Gravity: 1.020 1.005-1.030
ph: 6 5-7.5
protein: neg
glucose: neg
Ketones: neg
urobilinogen: .2 .1-1
bile pigments: neg
leukocyte esterase: neg
nitrite: neg
microscopic: neg

Compared to the doctors I have been seeing about my problems
I trust Dr. Mariano. I did some of my research about who to see here on
the minds and he came highly recommended. Honestly I need to put my
trust in someone and I'll try him. Part of the anxiety I have is from health.
 

Taxi Driver

New member
Awards
0
Dr. M is great I must tell you doing .5 mgs of Arimidex is a lot I did not see your Estradiol test to see how high you were but it your not over 50 don't do more then .5mgs every 3 days here is what I tell men so they don't go to low on Arimidex.
====================================
What I found is if you go to low taking arimidex, it's the length of time your to low, if your too low say for 8 weeks it can take your body a longer time to make more Estradiol. Bottom line is to know how not to go to low. Keep a log on your dose and how you feel men going to low can't get it up taking Viagra. I went to low when I first tried Arimidex and did not know about going to low or how one feels to low, so I was low a good 8 weeks. I did not know I was low until my next labs.

The best gage I have found to control your Estradiol levels is to gage your night time and morning wood. At good levels or what I call the sweet spot you get your night time and morning wood back so strong it will wake you up and you can hang a coat on it.

Most men do good taking .25 mgs or 1/4 of a 1mg. pill, I use a pill cutter to cut the small pill in half then I stand it on the cut end and use a single edge razor to cut this in half. A good way to take arimidex is by how high your levels are. I tested over 90 pg/ml so we tried doing .5 mgs every other day after 8 weeks my next set of labs showed it did not move below 90, test said >90. So we did .5 mgs. every day in about 2 weeks I got some strong night time and morning wood back after not having them for many yrs.

I kept doing this dose and in 8 weeks my next set of labs said <20 back in the day labs were like this they did not have to good labs we have today they could not read lower the 20. My Dr. told me this looks to low to stop taking the Arimidex. The one thing I noticed was my wood stopped and stopping the Arimidex my wood came back in about 7 weeks my next test at 8 weeks was 24 pg/ml. So we went back on the Arimidex but the Dr. told me to take .5 mgs every 3 days I was on this dose not a week and lost wood. This is when I figured out going to low you lose wood. And the longer your too low the longer it takes to get levels back up.

I stopped the arimidex right away and got my wood back in 4 days. I then after playing with the dose for a time found the best dose is .25mgs every 2 to 3 days.

So lets say your labs are less the 50 pg/ml if your take .5 mgs you can go down so dam fast your miss the sweet spot of your wood and go to low. It's best with lower levels 50 and under to do less Arimidex .25mgs every 2 days if later your lose wood when it comes back go to every 3 days.

I have found estradiol is the hardest hormone to control, it goes up or down from month to month some times I need .25mgs every 2 days other times I need .25mgs everyday most of the time I do well on every 3 days.

So between wood and labs I do great and so do most of the men I have told this to. I keep a log on how much I am taking and how I feel. Doing this and reading back in my log I was able to tell when I was going to high or to low my Dr. lets me dose my arimidex by how I feel.

Over the yrs. I have posted this story until I am blue in the face.


----------------------------------------------------------------
And one of the mods chillin at Dr. John's forum dose this.
=====================================
Most compounding pharmacies will require a prescription from a doctor, before they do this.

Once your prescription says "300 caps x 0.1mg" or "600 caps x 0.05mg" anastrozole "from 1 to 4 daily", (anastrozole = generic arimidex) then they will compound your arimidex, or generic anastrozole, and they will usually supply the arimidex as compounded into the caps you require.

My compounding pharmacist was prepared to allow me to supply the arimidex too. If you have several boxes of arimidex in your cupboard, then you may want to ask your pharmacist to do this for you.

If you don't have any arimidex stores, then just let the compounding pharmacy supply the whole lot.

###

A pack of 30 tabs of 1.0mg arimidex will give 300 caps at 0.1mg-per-cap, or 600 caps at 0.05mg-per-cap.

So if your pharmacy chooses to supply arimidex as opposed to generic anastrozole, then your pharmacy will most likely not agree to only charge you for a half-a-box of arimidex, and most likely they'll charge for a whole box, even if your prescription says 300 caps at 0.05mg-per-cap (total of 15mg)
----------------------------------------------------------------.
Going to low on Estradiol will kill your sex life and getting it down to a good levels will give it back to you.
Thanks Pm my Ultrasensitive estriadol was 55 just trying to see what effects lowering it will produce. I am scared to lower it to much, because I was warned if it gets too low cholesterol can raise, which i don't need.
 

Taxi Driver

New member
Awards
0
Your IGF-3 is below range suggesting that your growth hormone is low.

You listed your GH number as <0.1 < or = 10. If I read that right, it says greater than .1 and less than or equal to 10. This looks like merely a range and not a real reading. Didn't they record an actual direct level that showed something like ng/dl?
yes it was ng/dl sorry

I was told if I balance out other things Gh might come back or regulate. It is hella expensive I have heard. So far if I DIDN'T have insurance all my prescribed meds would run about $198 for two months without the test I will need or much less the HCG and possibly Gh. Arimidex is freakin expensive. If I go on those scripts I may end up ordering it online though i don't know yet.
 

Taxi Driver

New member
Awards
0
Can you guys post examples of your hrt regimens including cost and amounts please I'm curious?

How much would it cost to do a regimen of test, hcg, and gh monthly?
 

pmgamer18

Well-known member
Awards
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First your right about GH if you get the other hormones leveled off and keep your Estradiol down your GH levels can come back up mine did but not high enough. To do Testosterone C shots you can get a 10ml vial of 200mgs /ml for $60.00 at Costco's and at 100 mgs/wk this will give you about 19 shots or weeks worth. HCG you can get for $45 to $75 depends on were you buy it I use novarel. But most of the time everyone is out of it and guys get it on line. You can get 10 box's of 2000 IU's from the ADC for $80.00 but the water that comes with it is meant to be use as soon as you mix it. Most men do 250 IU's the 2 days each just before there next T shot so you would use 500 IU's /wk. this would last you 4 weeks but you need to buy some bacteriostatic water to mix it with so it will keep in the fridge for 30 days here is how you mix it.
https://www.alldaychemist.com/1264-h.html
What you need to do is to get your Total and Free T levels up into the upper 1/3 of your labs range and to keep your Estradiol levels down to about 20 pg/ml don't worry about going to low on your arimidex just gage it by your wood. If you lose your night time and morning wood that morning before getting out of bed see if you can get it up if not stop the arimidex until your wood comes band and go back on it but do less.
====================================
BTW...the water you need to reconstitute HCG is bacteriostatic water.

Calculating HCG:

There isn't a specific ratio of cc/ml to IU. It depends on how you mix it. It's quite simple. If you dillute 5,000 IUs HCG with 5ml (cc) solvent, the end result is 1,000 IUs per ml (cc). Divide the same 5,000 IUs with 10 ml (cc) and the end result is 500 IUs per ml (cc). Therefore, a large part depends on the concentration of HCG per ampoule or vial.

Mixing HCG:
(Items needed: bacwater h20 and some 5ml emty vials-get****).

1) Open hcg/amp with powder
2) Use a syringe to pull out 1cc of BacWater and put in amp with HCG
3) It will instantly dissolve
4) Then Use an empty 5ml vial (sterile and sealed) put 4ml of Bacwater in the vial
5) Take syringe and ad the mixed HCG solution to the 5ml vial
6) Shake it and you have 5000IU's of HCG
7) Than draw 1cc and inject
8) put the rest in the refrigerator

•The reason your discarding the amp of solvent cause its made for 1 times use and you wouldn’t be able to refrigerate it and use it a week later again. That’s why you need Bac H2o.
•The most common side affect associated with HCG is gynecomastia. The concurrent intake of Nolvadex with HCG prevents gynecomastia, prevents/minimizes leydig cell desensitization and contiues the stimulation of pituitary LH once HCG has been discontinued.
•HCG will last approximately 30 days if mixed with Bac h2o instead of the solvent it comes with.
•You can keep the mixed hcg in vial or pins In the fridge till use
 
JanSz

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Thanks Pm my Ultrasensitive estriadol was 55 just trying to see what effects lowering it will produce. I am scared to lower it to much, because I was warned if it gets too low cholesterol can raise, which i don't need.
I see that you have not posted all your blood tests in first post.
Ultrasensitive estriadol was 55

would explain use of Arimidex as a first choice.
If you lucky, that may be all that is required for your TRT.

I suggest that you ether re-write your post #1
or we are going to have unnecessary surprises.

Hopefully your use of Lexapro is temporary and you will be able to discontinue it after you get into proper hormonal levels.
Mostly teststerone, estradiol, thyroid adrenals.
 
JanSz

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age: 27
weight: 296 (down from 320 two months ago)
waist:40
height:6'
fitness level 1-10: 4
Known health problems: Besides what you see in the labs. I am hypertensive regularly bp is aroun 130/89-140/90 the highest was 140/96. I am waiting to see my gp to go on meds. I feel like I have no choice at the moment but to take meds until I get fit and get my blood in order.

JanSz I take the Lexapro for anxiety which was becoming unbearable. I take only 2.5mg a day and so far I guess it is helping. That is a quater of the minimum dose prescribed.

I have a problem with sleeping. Right before bed my mind races and it is almost impossible for me to sleep sometimes. This isn't every night, but he prescribed it to help me get to sleep as opposed to something like ambien. Also I have fibromaylgia like symptoms. I have family members with fibromaylgia and thyroid problems.

I am trying the arimidex to see what it does to my test levels. I realize I will probably be taking test and hopefully hcg. The first step in my treatment will be treating my anxiety and depression caused by stress about my health.

Urinalaysis

Color:Yellow
Apperance: Clear
Specific Gravity: 1.020 1.005-1.030
ph: 6 5-7.5
protein: neg
glucose: neg
Ketones: neg
urobilinogen: .2 .1-1
bile pigments: neg
leukocyte esterase: neg
nitrite: neg
microscopic: neg

Compared to the doctors I have been seeing about my problems
I trust Dr. Mariano. I did some of my research about who to see here on
the minds and he came highly recommended. Honestly I need to put my
trust in someone and I'll try him. Part of the anxiety I have is from health.
weight: 296 (down from 320 two months ago)
waist:40
height:6'
fitness level 1-10: 4

I assume that you are un-fit
===============================
If you want to make it real simple on your self,
you have to loose 110-120#

There is no way that you can do that except if
you drop
all grains
potatos
sugar
and any other high GI food that is not listed above

You have to eat fat, fatty meat and fish and eggs.

Get you self a kitchen scale
every morning make a two piles
on the left 1kg~2lbs of fat, fatty meat, fish and eggs
on right as much of green leafy vegetables as it takes to shut down any remaining hunger

also
only tap water, as much as you want

You will use only steam to prepare your food.
===============================================
You may want to exercise a little bit, just for amusement, nothing that would stress you out.
===============================================

Right now, with a weight of 296# you may have all kind of problems that are due to you being overweight.
You may have
sleep-apnea
diabetes
high blood pressure
high cholesterol
metabolic syndrome
what not

most of that stuff will go away when you loose that 120#

It is not worth discussing those problems now.

Lets see how many problems remains after you get to 180#

We will deal with those problems at that time.

............
But if you will be in the area of 180#, 6' you will still be a fatso,
so you better get to some fitness program around that time,
otherwise aim at 170# or 33" waist whichever comes first.
 

cumkwakka

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There is no way that you can do that except if
you drop
all grains
potatos
sugar
and any other high GI food that is not listed above

You have to eat fat, fatty meat and fish and eggs.

Get you self a kitchen scale
every morning make a two piles
on the left 1kg~2lbs of fat, fatty meat, fish and eggs
on right as much of green leafy vegetables as it takes to shut down any remaining hunger

also
only tap water, as much as you want

You will use only steam to prepare your food.
===============================================
You may want to exercise a little bit, just for amusement, nothing that would stress you out.
===============================================
JansZ

Please post your complete daily sample diet (day #1), and another day to see how you vary it.

Thanks!
 
The Matrix

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JansZ

Please post your complete daily sample diet (day #1), and another day to see how you vary it.

Thanks!
This one is a no brainer
Vitamin d leads into low magnesium levels which can spark a whole chain of events in and of it self AKA low T and low thyroid. I did not see t4 and t3 readings so I can not comment. B-12 is low defintely as noted by several different indicators. I would have loaded on b-12, vitamin D with magnesium, calcium properly balanced and see what that would have done in 6 weeks then go from there.

Vitamin d helps stimulate igf-1 production as well as doubled testosterone levels in many patients. This is why i stick with a natural approach for 6 weeks then measure the response.
 
JanSz

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JansZ

Please post your complete daily sample diet (day #1), and another day to see how you vary it.

Thanks!
I am glad you asked.

I promise you it is very boring diet.
It is boring only because most of us were raised on wheat and corn.
Pancakes with maple syrup.
If you do not know any better, you eat what kills you.

Think of your self as a Lion in big cage in a ZOO.

There is only running water available
and

chicken, turkey, pigs a calfs are running around.

Lion is probably bored with a chicken or steak all the time,
he would rather eat 3 days old, rotten gazelle that he got from hyena.

,,,,,,,,
 

Taxi Driver

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Back with more labs. Appreciate your thoughts on them.

Vitamin B12 1796pg/ml 211-946 <-----------HIGH (supplementing)
Folate, serum 17.2ng/ml >3.1
Vitamin D 25 hydroxy total 43 ng/ml 20-100
Vitamin A 76 mcg/dl 38-98
Magnesium 1.8 mg/dl 1.8-2.4
Glucose 97 mg/dl fast 70-99
BUN 11 mg/dl 7-18
Creatinine 1.1 mg/dl .6-1.3
Sodium 140 meq/l 134-145
Potassium 4.4 meq/l 3.6-5.2
Chloride 102 meq/l 100-108
CO2 30 meq/l 23-31
Calcium 8.7 mg/dl 8.5-10.5
SGOT (AST) 15 IU/L 15-37
SGPT (ALT) 40 IU/l 30-65
Alkaline Phosphate 55Iu/L 50-136
Bilirubin, total .3mg/dl .00-1
Protein total 7.5 gm/dl 6.4-8.2
Albumin 4.3gm/dl 3.4-5.0
Hemoglobin A1C 5.9 <7
Insulin 11.2 2.6-24.9
Uric Acid 9.2 mg/dl 2.6-7.2<-------------------HIGH


White Blood Count 6.8 3.8-10.8
Red Blood count 5.55 4-6.2
Hemoglobin 15.1 14-18
Hematocrit 27.2 42-54 <----------------LOW
MCV 81 82-101<----------------LOW
MCH 27.2 26-34
MCHC 33.6 32-36
RDW 12.1 <14.5
Neutrophil 57 40-80
Lymphocyte 32 12-44
Monocyte 7 0-12
Eosinophil 4 0-7
Basophil 0 0-2
Platelet Count 264 140-440

Estradiol 54 <207 (was supposed to be ultrasensitive)
Cortisol am 13.7 6-25
DHEA 320 61-1636
Total testosterone 426 280-800 (more than doubled since last test)
Progesterone .6 .3-.9
Free T4 1.1ng/dl .06-1.70
TSH (Ultrasensitive) .55uiu/ml .47-5.01
T3 total 95 80-200
Dhea-S 334 85-690

Cholesterol 185 <200
Triglycerides 62 <150
Hdl 41 >39
Chol/hdl ratio 4.5 ratio <5
Ldl 132 <100 (could be related to low carb high protein diet?)


Again treatment plan has been:

-Levothyroxine 10 mcg daily
-5mg Lexapro daily
-.5 Arimidex on monday and friday
-Naltrexone (stopped taking to aid sleep due to side effects)
-Vitamin B100
-Vitamin B12 sublingual
-Vitamin A
-fish oil cap with every meal
-One a day mens health multiple vitamin
-vitamin d

Sleep is decent.

Diet could be cleaner, but I am working on it. High protein with greens. Staying away from hi gi carbs.

Weight is SLOWLY coming off after the initial rapid weight loss.

Testosterone more than doubled in a little over 2 months of treatment. I am worried a little about my blood counts though with the hematocrit and MCV being low. I know it can indicate anemia, internal bleeding, renal disease...., but my doctor said I'm okay.

I haven't spoken to Dr. M about the results just my GP. He ordered the labs so my insurance covered it. I have a appointment with Dr M in a couple of days and want to be able to discuss the results with him. Any thoughts are appreciated.
 

Taxi Driver

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If you need the specific units for anything let me know. It's late and I got a little lazy. Scanner is broken.
 

Philec48

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Your vitamin D is still on the low end. Consider adding more. How much do you take now? If your vit-D supplement is not fat-based, i.e. a powered capsule, then take it with a little fat to aid absorption.

Keep a VERY close watch on blood sugar and A1C regularly. I'm type II diabetic, and I've had better readings than yours for A1C. If you are on a low-carb diet and getting no lower than 5.9, you may be pre-diabetic. Of course, depending on how well the tech performed the test, readings can vary fairly widely.

I just now saw you are at 290lbs. At 6' that might be ok if mostly muscle. But I suspect not, based on your lab results. Dropping some lbs may help delay or prevent diabetes.
 

Taxi Driver

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Your vitamin D is still on the low end. Consider adding more. How much do you take now? If your vit-D supplement is not fat-based, i.e. a powered capsule, then take it with a little fat to aid absorption.

Keep a VERY close watch on blood sugar and A1C regularly. I'm type II diabetic, and I've had better readings than yours for A1C. If you are on a low-carb diet and getting no lower than 5.9, you may be pre-diabetic. Of course, depending on how well the tech performed the test, readings can vary fairly widely.

I just now saw you are at 290lbs. At 6' that might be ok if mostly muscle. But I suspect not, based on your lab results. Dropping some lbs may help delay or prevent diabetes.
I don't remember exactly the amount I am supplementing off hand and I'm at work. I will be back with that info.

That sucks about the blood sugar and A1C. The last time I took a A1C test was a couple months ago similar diet and the reading was 5.4. Is that a for sure thing I am pre-diabetic? I know you said you have had better readings, but that is with treatment and a target goal correct?

I'm working on my weight issue.

Any thoughts on my Hematocrit?

Thanks for the feed back.
 

Taxi Driver

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I read that low Hematocrit can cause a overestimation of Blood Glucose.
 

Philec48

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I don't take any meds for my diabetes (diet and exercise only). Your 5.9 reading with your low-carb diet does not automatically mean that you are pre-diabetic. As I mentioned before, readings can vary fairly widely based on how well the lab tech performs the test. But it is at least an orange flag, if not red.

The key for you I think is body-fat percentage. You mentioned that you are working on weight, and that's good. Keep in mind that aerobic exercise alone is not as efficient at raising metabolism and losing fat, as a combo of aerobic and weight lifting exercises. See your doc first before changing your exercise protocol.

Your hematocrit being 44.5 in a range of 42-54 is just fine.
 

Taxi Driver

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I don't take any meds for my diabetes (diet and exercise only). Your 5.9 reading with your low-carb diet does not automatically mean that you are pre-diabetic. As I mentioned before, readings can vary fairly widely based on how well the lab tech performs the test. But it is at least an orange flag, if not red.

The key for you I think is body-fat percentage. You mentioned that you are working on weight, and that's good. Keep in mind that aerobic exercise alone is not as efficient at raising metabolism and losing fat, as a combo of aerobic and weight lifting exercises. See your doc first before changing your exercise protocol.

Your hematocrit being 44.5 in a range of 42-54 is just fine.
Thanks for the feedback.

The hematocrit you are quoting was from my first set of labs the glucose and a1c were both lower when my hematocrit was higher. The most recent results had me at 27 when the bottom of the range is 42/ Probably a fluke. I retest a basic panel including cbc in a month. The other thing is that I was under the impression more testosterone meant more red blood cells meaning higher hematocrit.

Since your suggestions I have been reading on various diabetic forums and most of what i have read is a normal reading is around 5 for a1c. You are 100% right about the weight I think it is my main problem. It's weird though that my glucose levels are toward the high end while I am eating very low carb and no high gi foods. Maybe my kidneys are converting protein to much?

What about my testosterone levels rising? Do you think that means I am secondary? The level doubled in about 2 months of my treatment.
 

Taxi Driver

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Come on there was over 400 views. Anyone else? My appointment is in two days.
 

Philec48

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Your hematocrit reading of 27 may be a fluke as you mentioned, but it would be good to retest it. If it's still low in conjunction with low MCV, then your ferritin may be low - that should be retested as well if that's the case.

Your elevated uric acid needs to be treated, as this is associated with insulin resistance and kidney failure. Your elevated glucose may have some kidney and liver involvement.

You need a good doc, and a good set of tests (both urine and serum) to check your kidney function.

You can start taking better care of your kidneys now by cutting back on protein intake (or at least drink a gallon or so of water per day). Acetyl-L-Carnitine is good for kidney health.

For the liver, do the following: nix all alcohol for now. Take alpha-lipoic acid, milk thistle, and vitamin C.
 

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Spoke to the Dr. and new treatment includes:

-Doubling levothyroxine
-one more half tab arimidex a week
-milk thistle
-probiotic
-I forgot there was one more supplement
-continue diet
-get more bloodwork
-get stool & urine test
-determine cause of low hematocrit and mcv

The thing that sucks is the low hematocrit and mcv. I am on a high protein low carb diet and I eat plenty of red meat and my testosterone doubled so this is kinda a opposite result. So there is a possibility that I am bleeding somewhere internally. I have more bloodwork upcoming and a stool test. Wish me luck being a hypochondriac this isn't helping.

The saga continues.

Thanks Phil appreciate your insight.
 

Philec48

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You're most welcome Taxi Driver. Can't stress enough your kidney health. Having a high protein diet means you need to drink a lot of water per day, and with your elevated uric acid, I'd start pronto on the acetyl-l-carnitine.
 

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Just go off the phone with gp. Blood count is normal my hematocrit is within range. That was a relief. Also spoke to doctor M. new things added to treatment are double levothyroxine daily, increase arimidex by adding half tab to one more day a week, vitamin c, probiotic, and increase fish oil intake. He will be watching my cortisol as it is a little bit low.

Another thing he noted was my pitituatary is not responding to me taking the levothyroxine as my tsh should be lower. My estradiol is high even on arimidex. We talked about that it could be my weight and it could be a genetic thing.

I also realized in the previous post I typed the wrong dosage for the levothyroxine. It was supposed to be 50mg not 10mg and now it will be increased to 100mg a day.
 

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sounds like youre on the way then, congratulations. FYI to lower hematocrit you can take vitamin E or a baby aspirin, they both thin your blood.
 

Philec48

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Aspirin, vitamin E, fish oil, etc... will _not_ lower hematocrit unless they are a contributing factor to internal bleeding.

They will make blood less likely to clot by affecting the stickiness of platelets.

Donate blood regularly if hematocrit needs to be lowered, or stop TRT. By the way, don't tell the Red Cross you are donating to lower your hematocrit. They will not accept your donations again. I don't know why that is.
 

Taxi Driver

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sounds like youre on the way then, congratulations. FYI to lower hematocrit you can take vitamin E or a baby aspirin, they both thin your blood.
Thanks spinn it's weird, because my hematocrit was low even though my test more than doubled. That's why it was a relief it was looking like I was either not absorbing iron or i was bleeding internally, because i eat high protein my problem couldn't have been low iron.
 

Taxi Driver

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Aspirin, vitamin E, fish oil, etc... will _not_ lower hematocrit unless they are a contributing factor to internal bleeding.

They will make blood less likely to clot by affecting the stickiness of platelets.

Donate blood regularly if hematocrit needs to be lowered, or stop TRT. By the way, don't tell the Red Cross you are donating to lower your hematocrit. They will not accept your donations again. I don't know why that is.
My hematocrit was low for no obvious reason so I was scared. I am not on TRT only what I stated previously. the fish oil is to try and help raise my hdl and the vitamin e is for my eyes I think. I told the doc I have floaters before I started treatment.

I think maybe it would be a liability thing. If they know maybe they could get in trouble? Or maybe it could be an indicator of in their minds steroid use or disease?
 

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