- 06-20-2007, 12:26 AM
Thought I should start a log, since I'm beginning the journey. I will post my original blood work which was done 5/19/07. Thanks to all of you who contributed input on the thread "JesusReagan Blood Tests". I got the results back for LH and Thyroid Panel, those results are listed below the original test results.
Sodium: 141 scale 135-147
Potassium: 4.1 scale 3.5-5.2
Chloride: 106 scale 98-110
CO2: 26 scale 21-29
Anion Gap: 9 scale 5-15
BUN: 27 scale 8-25
Creatine: 1.08 scale >60
Glucose: 104 scale <100
Calcium: 9.9 scale 8.2-10.5
Albumin: 4.5 scale 3.4-4.8
Protein, Total: 7.4 scale 6.7-8.7
Bilirubin, Total: 0.4 scale 0.3-1.0
Alkaline Phosphate: 50 scale 39-117
ALT (SGPT): 19 scale 3-42
AST (SGOT): 19 scale 0-43
Cholesterol: 213 scale <200
Triglycerides: 164 scale <150
HDL Cholesterol: 41 scale >40
LDL Cholesterol: 139 scale <100
VLDL Cholesterol: 33 scale 7-35
PSA Total: 1.02 scale 0-3.50
Complete Blood Count:
WBC: 6.3 scale 4.0-10.0
RBC: 4.77 scale 4.5-6.0
HGB: 43.9 scale 13-17
HCT: 43.9 scale 39-52
MCV: 92.2 scale 80-100
MCH: 32.5 scale 26-34
MCHC: 35.2 scale 32-36
RDW: 12.5 scale 11-15
Platelets: 263 scale 150-450
MPV: 9.4 scale 6.7-10.8
Total Testosterone: 225 ng/dl scale 250-1100
%Free Testosterone: 1.35 scale 0.9-2.5
Free Testosterone: 30.4 pg/ml scale 35-155
I just got the results back for a second test which the Dr. ordered (Test done on 6/6/07):
Thyroid Reflex Panel
TSH: 3.069 uIU/mL scale: .350-5.500
LH: 1.8 mIU/mL scale: 1.5-9.3
Total Testosterone: 255 ng/dL scale: 241-827
I have an MRI scheduled for 7/3 to check the pituitary.
What do you guys make of the new info? I will ask for Estradiol test next visit.
- 07-06-2007, 05:54 PM
Angrogel started 7/5/07
I found a great doc in my hometown. He's an anti-aging specialist, and seems to know what he's talking about. He echoes much of what I have read here on the MAA board. Anyway, he gave me some Androgel, and a script for compounded test. Plus, he thinks (as has been noted), that I'm borderline hypothyroid, so he is going to see how the test works and in about a month, probably increase the heat to the boilers ;-)
- 07-06-2007, 06:13 PM
[QUOTE=plymouth city;888719]Good stuff!
What is his opinion of hcG?
He's all for it if the patient thinks they want it.
AI of choice?
He wants to see how i respond with just good zinc supplement and other herbal AI's. If that doesn't cut it, he will script Arimidex.
Sounds like a good guy. Start with compounded cream, I like him already
I really like this guy. He's an older gentleman, retired from his post at the local hospital. He has a passion for anti-aging, HRT. Get this, there is a pharmacy right next door to the dr. that is a compounding pharmacy, I guess one of only 3 compounding pharms in our county. So, I go over there after my dr. visit to get the scripts filled. The guy who owns the pharmacy, after seeing the script, comes out and tells me that he has been a patient of my doc's for 14 years. I thought the guy was in his early 40's, turns out he was 54. he came out from behind the counter to tell me how happy I was going to be as a patient of this doc. I picked up a bottle of 25mg DHEA while I was there - the pharm told me to put it back, that my doc would write me a script for a compounded DHEA that would be better than anything on the shelf. Oh, and my appt with the doc was supposed to be an hour long; I was there for 2.5 hours, peppering him with questions, and he peppering me with questions. He was in absolutely no hurry to get rid of me, in fact, he seemed to really enjoy the back-and-forth. Thus far, I feel pretty fortunate to have found him.
Day 4 Androgel
Ok, today is day 4 on Androgel. I don't pick up the compounded till Tuesday, but the doc wanted me to get going right away as did I, so he also gave me an Androgel script. Libido definitely on the upswing already, which suprises me so soon. Not sure, but seems like an energy upswing today as well.
Day 14 on TRT
I used 1 packet of Androgel for the first four days, waiting for my compounded cream to be ready, and have been using .5ml of my 10% compounded cream since. During the first 4-5 days, I was suprised at some of the reactions I had. I became extremely emotional (unlike me) and moody. Lots of hot flashes. Once I switched to the compounded cream, those issues went away within 2 days. Maybe they would have occurred had I started with the cream - who knows?
I have a significant increase in libido. I went from basically never wanting it to being good once a day, maybe twice, plus wet dreams and morning wood. As for energy, I have noticed a slight increase, nothing major. Just a little more alert, a little less brain fog, not completely exhausted by 6pm. In the gym, I have noticed no strength increase as of yet.
I newer had a problem with Androgel.
Dry quick, absorbed according to upper range of what is in booklet.
When my grandson was born I had to look for change.
Tcream on calfs did not work for me.
Now I am on SubQ shots.
Since you must wash hands afterward, no cream is wasted in washing process.
Not only that, I have heard that various compounded creams will eventually wear out color in clothes/stain. Applying to forearms avoids that. Even if you wear a long sleeve, its usually loose enough around that area to not affect clothing. the same cannot be said for shoulders.
Sounds like a fantastic doc...does he have a web site or name you can share?? Does he work on adrenals, thyroid too? Does he do female HRT (my wife is getting low too....Seven Dwarfs of Menopause: Itchy, *****y, Sweaty, Sleepy, Bloated, Forgetful, and All-Dried Up )?
Started taking 60mg zinc today.
I'm not having much in the way of e2 related issues. Maybe a little, not much. Doc thought I should be taking 60mg of zinc per day, though.
Referred to Endo, got blood drawn.
Ok, so I'm seeing the anti-aging doc, who is great. However, to keep getting blood tests that are paid by insurance, I need to keep things going with my gp. So, I saw him yesterday. I requested tests for Total T and BioAv T, Estradiol, Free T3, Free T4, SHBG. He ok'd the tests, I got the blood drawn immediately because it was about the same time of day I had my last two test drawn, around 3pm. He did not want to put me on TRT, he thought that an endo should make that call, so he referred me. My blood test is going to come back with much higher T than I had before, so I will have to tell the endo that I am on the 10% compounded cream. I didn't tell the gp. The appt with the endo is Sept 18th.
Did you ask him if he treats women?
How much is the first visit, and follow up visits?
I tend to like methods that emphasize testing and going "by the wire" using test results, feelings of patient being secondary and used only as indicator for additional testing. That is why I always have my blood test list as my fall back position. Possibly simplistic and narrow, student's approach.
Any web site that I have seen describes lots of feelings, descriptions of hormone interactions and little of testing. I think of it as hand waving, since those interactions may actually happen or not, or may not even be applicable to the situation at hand.
Possibly it is about a clientele. I think of women as more feelings oriented while men are as mote technical.
No offence to either sex, I respect both.
With this in mind, wonder if I took my blood test list, removed PSA, and use it for my wife, use test results to balance her hormones, thyroid and so on, using women's ranges, would that be reasonable approach?
My wife is 61yo, no periods for some time, so the hormones are rather at stable (if undesirable) levels.
In Susan Sommers book she describes old ladies (in 80's, IIRC,) being adjusted in such a way so they start having periods again, that would probably require much more understanding.
New Blood test - day 40 on TRT
Total Testosterone: 777 Previous: 221 Range: 250-1100
% Free Test: 2.27 Previous: 1.37 Range: 0.9-2.5
Free Test: 176.2 Previous: 30.4 Range: 35-155
TSH: 3.004 Previous: 3.069 Range: .350 -5.5
Free T4: 1.1 No Previous Range: 0.8-1.7
Free T3: 2.9 No Previous Range: 2.3-4.2
Estradiol: 28 No Previous Range: <52
Prolactin: 6.2 No Previous Range: 2.8-29.9
I'm still waiting on SHBG to come back. Main thing - I feel great. Excellent libido, rigid erections, brain fog all but gone, greatly increased energy, some strength gains. Oh, I have had dry, itchy skin for several years, and that's gone as well.
Your labs are dead on !! As long as you are feeling good and improving thats all that matters, If your shbg is around 20-25 you should be very happy with the results. mya be after 4-5 weeks on stable test add in the hcg 250 ius every 3 rd day will fill in the gaps and complete the TRT. and then after 4 weeks retest and see where e2 is. Your lucky that you can absorb the cream alot of people can not !! As cells regenerated and turn over in 3-4 months your thyroid may pick up a bit as well just so you know !!
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