My opinion, I am not a doctor.
HighDHEA
I am using your blood test results as posted by you here:
http://www.corpdns.net/temp/users/highdhea/
At the moment I have no theory about high DHEA, possibly outlier, bad test??
Too bad I do not see SHBG and DHT.
Assume that you are within normal range on DHT.
Testim is not working for you, common for people with thyroid problem.
You have to go back to shots of Testosterone.
You have to do it E3D better E2D, alternating T & hcg shots.
You have to do injections your self, using smallest available needle for either shot.
The smallest that I know of 31ga 5/16" long 3/10cc
This is really small and painless and you do not worry about getting test into your blood stream.
Draw test into syringe with the same needle, do not worry that it takes 2 or 3 minutes to draw.
Your goal is
FreeT~300
as read from dr Shippen's chart, post #41
http://anabolicminds.com/forum/male-anti-aging/66268-jans-bloodtest-april13-2.html
That is really a shortcut and approximation for general public.
People who could use Quest Diagnostics to do their blood testing would use this test:
Testosterone, Free, Bio/Total (LC/MS/MS)
output of this test is this:
67 /------------------------------------ Testosterone Total (included in T panel)
68 /------------------------------------ Testosterone Free(included in T panel)
69 /------------------------------------ Testosterone Bioavailable(included in T panel)
70 /------------------------------------ SHBG(included in T panel)
71 /------------------------------------ Albumin, serum(included in T panel)
you then want to be at the top, usually BAT, so you may be slightly high on FreeT
Adjusting T dose is an iterative process. I do not have your SBBG to make a better guess for your T dose.
If I had it, I would use table on post #40
You can safey start at 100-140mg/week, but you have to stick with what you do, and do not change it untill next test (6 weeks to 3 months).
For ease of communication, we always talk about average weekly dose and then recalculate that dose to get size of individual T shot.
Assume you are using Depo_testosterone 200mg/mL density. You can get 30mL vial for $100, dirt cheap and all legal, will last almost a year.
100mg/week=100/200=0.5cc/week---->0.5/7*2=0.2cc/E2D~14.5 units on insuline syringe
140mg/week=140/200=0.7cc/week---->0.7/7*2=0.143cc/E2d=20 units on insuline syringe
On days that you do not do T shots, do HCG 250iu
Testosterone shots are known to increase E2 level more than transdermals would do.
So far your E2 did not looked bad either on shots or testim, but you have never got enough T.
Keep Arimidex or better Liquidex handy.
If the blood test shows that you have to use it, start with 0.3cc/E2D on days of T shot
that equals 0.3*7/3=1.05 Arimidex pill/week
make adjustments from there, in 0.1cc increments.
Use syringe with cut off needle to measure Liquidex, you may have to widen the tip or remove needle completely when the remains of the needle gets clogged.
Use this test from Quest to guide you.
Estradiol, Free, LC/MS/MS (36169X)
output of this test is:
59 /------------------------------------ Estradiol, Free (Males (Adult): < or = 0.45 pg/mL )
60 /------------------------------------ Estradiol (Males (Adult): < or = 29 pg/mL)
Aim at FreeE2 to be no less and no more than 10-20% higher than 0.45 (0.45 - 0.6) (my personal experience, your mileage may differ)
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You need good test for Thyroid.
37--- T3 Free <<<--------------
38 T3 uptake
39 T3,Total
40--- T4,Free <<<-------------
41 T4,Total
42 TSH
43--- Thyroid Peroxidase and Thyroglobulin Antibodies (7260X) <<<----------
The 25mcg Levoxyl that you are taking helps your
FreeT4=1.66ng/dL(0.61-1.76)
You have to figure out what is your
FreeT3 and keep it on the top range with the use of Armour Thyroid.
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Once a year I do blood test at Quest, see list on post # 44
Last time it cost me $6 and change out of pocket, insurance =Medicare.
Every 2-4 x/year I do shorter tests, see attachment to post # 62
http://anabolicminds.com/forum/404images/18772d1190061017-jans-bloodtest-april13-bloodtest-aug30-2007.jpg
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Lately I am digging deeper using tests from Genova, see post # 44 below blood test list.
My short list is Estroessence, check bad estrones.
---
longer list
Estroessence
ONE
----------
Full bore
GDX ONE - Optimal Nutrition Evaluation
The ONE - Optimal Nutrition Evaluation - consists of:
Metabolic Analysis
Amino Acid Analysis
Oxidative Stress Analysis
Essential & Metabolic fatty acid Analysis,
EstroEssence
Comprehensive Digestive Stool Analysis (CDSA 2.0)
Comprehensive Detoxification Profile.
Hair Elemental Analysis
I just shaved back of my head in preparation for hair analysis.
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Good luck