jonko
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Here is my most recent labs just as a reference:
Tot Testosterone: 233. Range 249-846
Free Testosterone: 5.3. Range 7.2-23
LH: 0.1. Range 1.7-8.6
FSH: 0.1. Range 1.5-12.4
Estradiol: 45.11. Range 7.6--42
Alc1 5.7. Non diabetes
Random Insulin: 11. Range 6-27
Vitamin D: 22.7. Range 32-100
Hydroxprogesterone: 14. Range ?
Pregnenolone: 29. Normal less then 139
Cholesterol: 152
Triglycerides: 149
HDL: 35
LDL: 95
Chol/HDL Ratio 4.3
LDL Particle Size 20.3 (Type B Small)
LDL Particle Total 1558 (high). Should be under 1000
Small LDL Particle 925
HDL Particle Count: 26.6
HDL Large Particle 1.3
hs CRP 3.2
Billirubin 1.3 Range 0-1.0 HIGH
HGB 17.8. Range 12.3-17
WBC 6.62 range 3.4 -11.8
RBC 5.94 range 4.2 -5.9
IGF-I (somatomedin-C) 76. Range 94-267
Thyroxine Free (FT4): .79 range.93-1.70
Insulin 11 range 6-27
Vit B12 719 range 211-911
Sedimentation rate 3. Range under 21
Folic acid >24 range >4
progesterone .56 range .20-1.49
Prolactin 13. Range 4-15
Ferritin 130 range 22-322
IGF I Somotomin C 76 and the Range is 94 - 267
SO I went to this NEW endo that is in my plan at AETNA. He happens to be the top guy and the only endo at Mt Sinai in NYC who does TRT.
I bring him copies of my most recent blood work form 2 weeks ago. He does an exam.
He says we need to get to the root of why you have low T. He claims that the only way to do that is for me to stop all T for about 3 months in order for my body to reset. Fo rexample, he said the the LH and FSH being almost non existent for me is normal, for a guy coming off Androgel. I was off Androgel one week when I did this blood. I asked him why so long, 3 months, can we do 1 month, he claims that 3 months is better, BUT if I feel really crappy we can just resume T now. So basically its my choice.
He said I was probably on too high a dose of Gel for my body. My T was up to 785 on 4 pumps a day. He thinks thats why I had trouble sleeping, high blood pressure, and high HCT and RBC. He said he would start at a small dose and monitor as we increase.
I am feeling like crap. Im thinking of going a couple more weeks then beginning again.
He gave me a script for new blood work, he said to try to wait 3 months, but if I cant just go anytime.
The script he wrote is for 8 am cortisol, total and free T, TS4, T41, IGF01, Estradiol, LH and FSH, and some other stuff I cant rad.
Now he also gave me a referral for a pituitary MRI !! That has me a little concerned. My prolactin was normal, but my IGH was low and he said I could still have a pit tumor with the growth hormone being low.
I noticed he was inspecting me for the signs of Cushings. I am overweight, my face is a little red (always has been) and after reading the symptoms I realize I have alot of stretch marks on my abdomen, had em for years.
Now I am freaking out that Im going to die from Cushings!
Im 5'11 weight 235, I was 250 a month ago. I have been bouncing between 235 and 250 ALL MY LIFE, im 46. I read with cushings there is sudden weight gain, large amounts of weight gain.
My wife pointed out I have always had lots of stretch marks from weight loss and gain. And I have been dieting for the last three weeks, due to my elevated cholestrol. I lost the15 pounds in the last 3 weeks by avoiding most carbs and grains. Also, stopping the androgel has normalized my blood pressure and Im probably not retaining water as much.
I dont have the fat hump between the shoulder blades. But I do kind of have a round face, some days redder then others.
I also have life long anxiety and panic, and depression.
I dont know why the first doc didnt check my cortisol levels with the blood test above, he checked everything else!
So in summation, my fears are:
1-DO I have Cushings? (everything I read about cushings says its fatal)
2-Should I really wait 3 months with no gel?
Tot Testosterone: 233. Range 249-846
Free Testosterone: 5.3. Range 7.2-23
LH: 0.1. Range 1.7-8.6
FSH: 0.1. Range 1.5-12.4
Estradiol: 45.11. Range 7.6--42
Alc1 5.7. Non diabetes
Random Insulin: 11. Range 6-27
Vitamin D: 22.7. Range 32-100
Hydroxprogesterone: 14. Range ?
Pregnenolone: 29. Normal less then 139
Cholesterol: 152
Triglycerides: 149
HDL: 35
LDL: 95
Chol/HDL Ratio 4.3
LDL Particle Size 20.3 (Type B Small)
LDL Particle Total 1558 (high). Should be under 1000
Small LDL Particle 925
HDL Particle Count: 26.6
HDL Large Particle 1.3
hs CRP 3.2
Billirubin 1.3 Range 0-1.0 HIGH
HGB 17.8. Range 12.3-17
WBC 6.62 range 3.4 -11.8
RBC 5.94 range 4.2 -5.9
IGF-I (somatomedin-C) 76. Range 94-267
Thyroxine Free (FT4): .79 range.93-1.70
Insulin 11 range 6-27
Vit B12 719 range 211-911
Sedimentation rate 3. Range under 21
Folic acid >24 range >4
progesterone .56 range .20-1.49
Prolactin 13. Range 4-15
Ferritin 130 range 22-322
IGF I Somotomin C 76 and the Range is 94 - 267
SO I went to this NEW endo that is in my plan at AETNA. He happens to be the top guy and the only endo at Mt Sinai in NYC who does TRT.
I bring him copies of my most recent blood work form 2 weeks ago. He does an exam.
He says we need to get to the root of why you have low T. He claims that the only way to do that is for me to stop all T for about 3 months in order for my body to reset. Fo rexample, he said the the LH and FSH being almost non existent for me is normal, for a guy coming off Androgel. I was off Androgel one week when I did this blood. I asked him why so long, 3 months, can we do 1 month, he claims that 3 months is better, BUT if I feel really crappy we can just resume T now. So basically its my choice.
He said I was probably on too high a dose of Gel for my body. My T was up to 785 on 4 pumps a day. He thinks thats why I had trouble sleeping, high blood pressure, and high HCT and RBC. He said he would start at a small dose and monitor as we increase.
I am feeling like crap. Im thinking of going a couple more weeks then beginning again.
He gave me a script for new blood work, he said to try to wait 3 months, but if I cant just go anytime.
The script he wrote is for 8 am cortisol, total and free T, TS4, T41, IGF01, Estradiol, LH and FSH, and some other stuff I cant rad.
Now he also gave me a referral for a pituitary MRI !! That has me a little concerned. My prolactin was normal, but my IGH was low and he said I could still have a pit tumor with the growth hormone being low.
I noticed he was inspecting me for the signs of Cushings. I am overweight, my face is a little red (always has been) and after reading the symptoms I realize I have alot of stretch marks on my abdomen, had em for years.
Now I am freaking out that Im going to die from Cushings!
Im 5'11 weight 235, I was 250 a month ago. I have been bouncing between 235 and 250 ALL MY LIFE, im 46. I read with cushings there is sudden weight gain, large amounts of weight gain.
My wife pointed out I have always had lots of stretch marks from weight loss and gain. And I have been dieting for the last three weeks, due to my elevated cholestrol. I lost the15 pounds in the last 3 weeks by avoiding most carbs and grains. Also, stopping the androgel has normalized my blood pressure and Im probably not retaining water as much.
I dont have the fat hump between the shoulder blades. But I do kind of have a round face, some days redder then others.
I also have life long anxiety and panic, and depression.
I dont know why the first doc didnt check my cortisol levels with the blood test above, he checked everything else!
So in summation, my fears are:
1-DO I have Cushings? (everything I read about cushings says its fatal)
2-Should I really wait 3 months with no gel?