MarkLA
Member
- Awards
- 0
Hi,
First post here
I've been reading messages for the last few days and getting educated. I'm 35, my T is 187 (165 on another test day), sex drive non-existent so I know I need help. I have no steriod history, not taking any other meds. I did take propecia for a short time a few years ago, but do not now.
I had blood work done and saw an Endo already. I have LH of 2.3. I had a Pituitary MRI which came back normal, so the diagnosis Idiopathic Secondary Hypogonadism. Idiopathic = it's low but we don't know why.
I see a new doc on Sat and am going to ask him to test Estradiol to make sure that's not involved. I'm annoyed the first doc did not check this. I figure I should be prepared when I go to see the second doc so I can manage the process and tell him what I think the troubleshooting methodology should be/what the treatment should be.
My goal is to get into the normal range -- maybe 600-900 T without screwing up the rest of my system. If this can be done without directly taking T forever, great. If not then I'll take the T.
Here's what I'm thinking:
1. If Estradiol >30 ask for Arimidex 0.25mg E3D. Then should I wait to see if this increases my natural T or should I get T now as well?
2. If Estradiol <30
a. Ask for 10% compounded cream. I have insurance, but they are a PITA getting them to pay for Androgel. I'm ok paying out of pocket and like that there's less volume of the stuff to apply. I'm trying to minimize needles.
b. Check T in 3 weeks. Adjust dosage up or down.
c. Check again in 2 months. If OK, ask for HcG 250iu E3D. (I know this is a needle).
I'd appreciate any suggestions. I know FAR more than I did a week ago from my reading but there's a lot to learn.
Following is my bloodwork:
I should also add that I weight train and eat protein/low carb. For some reason, the docs like to stick me in the office without telling me to fast first. Thus I think the BUN would probably be closer to normal if I were fasting.
I'm putting a ** near anything out of range.
Glucose 86
Sodium 142
Potassium 3.7
Chloride 101
Carbon Dioxide 27
Anion Gap 14
**UREA Nitrogen 35
Creatinine 1.2
Calcium 9.8
Bilirubin, total 0.3
Protein Total 7.0
Albumin 4.7
Alkaline Phosphotase 82
**Aspartate Aminotransfera 47
**Alanine Aminotransferase 54
Cortisol 15.3
FSH 5.6
LH 2.3
Prolactin 10.5
Thyroxine 6.5
T Uptake 31.0
Adjusted T4 6.7
TSH 1.26
**Testosterone Total 165
**Testosterone Free 20.7
**Testosterone Free 1.25%
Somatomedin-C (IGF-1) 239
PSA 0.12
WBC 5.2
RBC 4.86
Hemoglobin 15.4
Hemocrit 47.1
MCV 96.9
MCH 31.7
MCHC 32.8
RBC Distribution Width 13.7
Platelet Count 156000
Mean Platelet Vol 9.4
Diffs Automated
Polys 53
Lymphs 28
Monos 7
Eos 12
Basos 1
ABS Polys 2.7
ABS Lymphs 1.5
ABS Monos 0.4
**ABS EOS 0.6
ABS Basos 0.1
RBC Morphology Normal
Type of Differential Auto
First post here
I've been reading messages for the last few days and getting educated. I'm 35, my T is 187 (165 on another test day), sex drive non-existent so I know I need help. I have no steriod history, not taking any other meds. I did take propecia for a short time a few years ago, but do not now.
I had blood work done and saw an Endo already. I have LH of 2.3. I had a Pituitary MRI which came back normal, so the diagnosis Idiopathic Secondary Hypogonadism. Idiopathic = it's low but we don't know why.
I see a new doc on Sat and am going to ask him to test Estradiol to make sure that's not involved. I'm annoyed the first doc did not check this. I figure I should be prepared when I go to see the second doc so I can manage the process and tell him what I think the troubleshooting methodology should be/what the treatment should be.
My goal is to get into the normal range -- maybe 600-900 T without screwing up the rest of my system. If this can be done without directly taking T forever, great. If not then I'll take the T.
Here's what I'm thinking:
1. If Estradiol >30 ask for Arimidex 0.25mg E3D. Then should I wait to see if this increases my natural T or should I get T now as well?
2. If Estradiol <30
a. Ask for 10% compounded cream. I have insurance, but they are a PITA getting them to pay for Androgel. I'm ok paying out of pocket and like that there's less volume of the stuff to apply. I'm trying to minimize needles.
b. Check T in 3 weeks. Adjust dosage up or down.
c. Check again in 2 months. If OK, ask for HcG 250iu E3D. (I know this is a needle).
I'd appreciate any suggestions. I know FAR more than I did a week ago from my reading but there's a lot to learn.
Following is my bloodwork:
I should also add that I weight train and eat protein/low carb. For some reason, the docs like to stick me in the office without telling me to fast first. Thus I think the BUN would probably be closer to normal if I were fasting.
I'm putting a ** near anything out of range.
Glucose 86
Sodium 142
Potassium 3.7
Chloride 101
Carbon Dioxide 27
Anion Gap 14
**UREA Nitrogen 35
Creatinine 1.2
Calcium 9.8
Bilirubin, total 0.3
Protein Total 7.0
Albumin 4.7
Alkaline Phosphotase 82
**Aspartate Aminotransfera 47
**Alanine Aminotransferase 54
Cortisol 15.3
FSH 5.6
LH 2.3
Prolactin 10.5
Thyroxine 6.5
T Uptake 31.0
Adjusted T4 6.7
TSH 1.26
**Testosterone Total 165
**Testosterone Free 20.7
**Testosterone Free 1.25%
Somatomedin-C (IGF-1) 239
PSA 0.12
WBC 5.2
RBC 4.86
Hemoglobin 15.4
Hemocrit 47.1
MCV 96.9
MCH 31.7
MCHC 32.8
RBC Distribution Width 13.7
Platelet Count 156000
Mean Platelet Vol 9.4
Diffs Automated
Polys 53
Lymphs 28
Monos 7
Eos 12
Basos 1
ABS Polys 2.7
ABS Lymphs 1.5
ABS Monos 0.4
**ABS EOS 0.6
ABS Basos 0.1
RBC Morphology Normal
Type of Differential Auto