blubbard
New member
37 yo. Just started TRT, doc put me on 5g of 1% Testim ED. I do still have some lingering concerns about transfer risk, but for now I think I will stay with the transdermals. Currently using rubber gloves to apply and using a loofa on areas where I apply (chest, shoulders and inner thigh).
Most recent bloodwork:
shbg 13.3 nmol/L (13-71)
test, total 189 ng/dL (262-1593)
albumin - 4.6 g/dL (3.5-5.0)
estradiol - 44.1 pg/mL (11-41)
FSH - 3.8 mU/mL (1-18)
LH - 3.0 mIU/mL ( <10)
T4, free 1.08 ng/dL (0.82-1.77)
TSH - 2.82 uIU/mL (0.45-4.5)
Aldosterone - 4.0 ng/dL (0-30)
Vit D - 29.6 ng/mL (32-100)
AST - 43 (15-46)
ALT - 59 (13-69)
Inhibin B 113 (47-308)
Glucose, Serum 85 (65 - 99)
I've been reading around and I have some concerns with the E2 levels, and the SBHG levels. My thinking is I will need to watch E2 closely. I'm scheduled for follow up bloodwork the end of March. Also, was wondering if I may want to look into Thyroid and/ or Andrenal Insufficiency given some of the things I have read on Aldosterone, and given the relateively low level in my bloodwork.. Also, at 189 total t I feel just about as bad as I did with high 300's (with just a slight improvement in sex drive at high 300s). Additionally, I have so far noticed an improvement in sex drive, but not so much in the energy department (I realize I need to give it more time to fully access). So I'm beginning to wonder if I may need to treat multiple issues. I changed my diet 2 months ago since the bloodwork (better fats, better carbs, less carbs, no refined cards or gluten, better protein sources - grass fed beef, omega eggs). In terms of the diet, the only benefit I have felt is the lack of need for OTC prilosec, which I have taken for the last three years (prior mild ulcer).
The liver enzymes are a little elevated as well. I drink about once a week now (2-3 beers), but during my college years through early 30s I did drink quite heavily.
I also tested about 5-6 years ago for Rheumatoid Factor. When to a specialist who basically said if I had no symptoms, there is nothing to worry about . {insert sarcastic font here} Thanks Doc!
I am also taking 4000 IU of D3 daily to improve the Vitamin D levels.
If you see anything in the bloodwork, or have any feedback that would be great. I would like to pursue the root cause if at all possible, but also need some short term relief in the form of therapy. So was wondering what tests I should ask for next (saliva, liver ultrasound, more complete thyroid panel, etc.)
Thanks!
Most recent bloodwork:
shbg 13.3 nmol/L (13-71)
test, total 189 ng/dL (262-1593)
albumin - 4.6 g/dL (3.5-5.0)
estradiol - 44.1 pg/mL (11-41)
FSH - 3.8 mU/mL (1-18)
LH - 3.0 mIU/mL ( <10)
T4, free 1.08 ng/dL (0.82-1.77)
TSH - 2.82 uIU/mL (0.45-4.5)
Aldosterone - 4.0 ng/dL (0-30)
Vit D - 29.6 ng/mL (32-100)
AST - 43 (15-46)
ALT - 59 (13-69)
Inhibin B 113 (47-308)
Glucose, Serum 85 (65 - 99)
I've been reading around and I have some concerns with the E2 levels, and the SBHG levels. My thinking is I will need to watch E2 closely. I'm scheduled for follow up bloodwork the end of March. Also, was wondering if I may want to look into Thyroid and/ or Andrenal Insufficiency given some of the things I have read on Aldosterone, and given the relateively low level in my bloodwork.. Also, at 189 total t I feel just about as bad as I did with high 300's (with just a slight improvement in sex drive at high 300s). Additionally, I have so far noticed an improvement in sex drive, but not so much in the energy department (I realize I need to give it more time to fully access). So I'm beginning to wonder if I may need to treat multiple issues. I changed my diet 2 months ago since the bloodwork (better fats, better carbs, less carbs, no refined cards or gluten, better protein sources - grass fed beef, omega eggs). In terms of the diet, the only benefit I have felt is the lack of need for OTC prilosec, which I have taken for the last three years (prior mild ulcer).
The liver enzymes are a little elevated as well. I drink about once a week now (2-3 beers), but during my college years through early 30s I did drink quite heavily.
I also tested about 5-6 years ago for Rheumatoid Factor. When to a specialist who basically said if I had no symptoms, there is nothing to worry about . {insert sarcastic font here} Thanks Doc!
I am also taking 4000 IU of D3 daily to improve the Vitamin D levels.
If you see anything in the bloodwork, or have any feedback that would be great. I would like to pursue the root cause if at all possible, but also need some short term relief in the form of therapy. So was wondering what tests I should ask for next (saliva, liver ultrasound, more complete thyroid panel, etc.)
Thanks!
