Recent Lab Results
- 01-02-2008, 06:18 PM
Recent Lab Results
stats: 22/male 5'4".5 @ 130lbs
Hey guys, had some blood work done because i was feeling tired, low libido, poor sleep, etc.
Attatched is a copy of my test results which I was hoping you guys wouldn't mind interpreting. I am seeing my endo doc tomorrow, so i want to know what to ask him about etc.
- 01-02-2008, 06:41 PM
no known reason, if you want to know, do LH and FSH testing,
before you do anything.
You have a high SHBG
that increases demand for extra testosterone.
Even if you had good (natural testosterone) levels,
you would not have enough
Depending on your health insurance/financial status, mind set etc, you may go different routes.
I will givie you what I do for my self:
Blood test as on my post #44
Jan's BloodTest April13/2007
That is done at Quest Diagnostics blood drawn at Quest.
Also at Genova Diagnostics
Ask more questions as you need.
01-02-2008, 07:03 PM
On a side note, my TSH tested in at 0.704 UIU/mL (range:0.200-4.700)..on the low side (sister is on synthroyid) and Glucose was 63 mg/dL (range: 70-99)
These hold any relevance?
01-02-2008, 08:12 PM
01-02-2008, 09:00 PM
If you want to do piece meal;
Usually you have to know what you want, endos are tought to get to cooperate. That is in general, your particular may be different.
Best, learn, it will help you.
Go thru my threads and read thru this board.
Jan's BloodTest April13/2007
JanSz-Metabolic Analysis and Cellular Energy
01-03-2008, 11:37 AM
Have him check your estradiol or E2, which can lower testosterone if to high. Ask him if he would be willing to do any treatments and what they are. Check back with forum.
01-03-2008, 07:21 PM
hey guys. i saw my endo doc today and showed him my list of things i wanted him to test for, but he only thought my LH and FSH were going to be needed. So he had me draw blood again to check those and my total and free testosterone.
His diagnosis right now is hypogandism, but said we'd know for sure in a couple days. He told me I could go on TRT if the numbers came back low again, which he thought they would.
I'll post the results of the blood test as soon as i get them.
01-03-2008, 07:41 PM
195 1312 xxxx 300 xx55 250
Jan's BloodTest April13/2007
You have to start with 195mg/week
E2D schedule, every other day
use 200mg/ml DepoT
BD 31Ga 5/16" long needle 3/19cc insuline syringe
for either T or hcg shots
use 380iu HCG E2D
Day #1 T shot plus Liquidex
Day #2 380iu HCG
Liquidex if used, max 1.5cc, but blood tested values take precedence
test 6 weeks to three months after starting
you need to know your E2
FreeT3 close to top range
FreeE2 (0.45 -0.6)
to find out need for adjustment do these tests at Quest Diagnostics, blood drawn at Quest at the day of the shot, time of the shot, before shot
Estradiol, Free, LC/MS/MS (36169X)
Testosterone, Free, Bio/Total (LC/MS/MS)
01-03-2008, 08:01 PM
JanSz thanks for a very informative post. I have a question for you.
My doctor said he usually goes with a patch. I'd rather do the injections, but he says they are once every 2 weeks...i told him that would put me on an hormonal rollercoaster..he said that's why he likes to use patches..
Is there anyway to get him to do shots once a week instead? I was thinking of asking him about it, if my tests do in fact comeback warranting TRT.
01-03-2008, 08:08 PM
Assuming everything there is ok it is hard to get SHBG down,
you would be low on BAT even if your testis were 100%
Up hill battle with your doc.
use what you can, look for another doc.
Paches, creams, gells will not provide enough testosterone,
plus it will increase your DHT.
That assuming good thyroid.
If thyroid needs help, usually transdermals are totally useless.
Transdermals can be tried only if someone have low DHT.
By shots I mean every other day you do T shot.
Forget about one every 2 weeks.
01-03-2008, 11:55 PM
01-04-2008, 10:28 AM
First you going to have too much then nothing at all.
Good way to get screwed.
I have given you detailed information in post #8 on this thread.
if you are outside of USA
I calculated your dose assuming (common) 200mg/ml strenght
check what you will have, recalculate if it is not 200mg/ml
If you have 200mg/mL
one shot = 28 units on insuline syringe
least expensive T at womens intntnl
keep asking untill you 100% sure
01-10-2008, 08:30 PM
Well I got the results from my second blood test back and it looks like I have a "mild" case of hypogandism. My test came in at 0.93..the range was 0.95-4+..so my doc told me to pick up a Rx for Androgel tomorrow and get started right away.
He wants me to take 2.5mg everyday. He said he wants me to be in the middle range when I asked where it was going to put my test levels. I was kind of disappointed to hear this, but I guess it's better than nothing. Anyway to up it without experiencing any negative sides?
I am going to get a hard copy of the blood work tomorrow, so I'll be able to post the numbers on here when I get home. He said my LH, FSH. and Prolactin all came back normal. He didn't mention anything about HCG or AI..so I'm still planning to see Dr. Crisler to be on the safe side and get his opinion.
What do you guys think?
01-10-2008, 09:22 PM
Do not waste time buying 2.5gram Androgel.
Look at my post #8 on this thread.
Recent Lab Results
You need someone who knows what that men.
Possibly a lawyer.
Androgel is not the way, you would need 15 or 20 grams to get close to TT that you need.
That would screw everything else.
01-10-2008, 09:48 PM
Well unfortunately it's the best I can do for the moment until i can see Dr. Crisler. Would upping the dose help? Not sure if doing so will make the testes shut down or up my estrogen levels though.
I plan on making an appt to see Crisler tomorrow, should I start taking the Androgel now or should I just wait?
My endo said my SHBG was in normal range..
01-11-2008, 03:09 AM
AFAIK any external testosterone will shutoff your natural production.
Your SHBG is within range. The range is 8 to 50. That's pretty wide. The more SHBG you have, the more of your T is bound up and not Free Testosterone.
High SHBG requires a bigger T dosage to get Free T to a normal level. A nice side effect of T supplementation is that it seems to reduce SHBG.
My advice (not a doctor) is to not fill the prescription and just go find someone more knowledgeable.
01-11-2008, 10:08 AM
01-11-2008, 10:17 AM
You cannot do HRT without PROPER testing.
Transdermal T raise DHT
Injected T raises E2
You newer know how much, and where they balance.
Need to wait 6 week after starting new change in schedule
do PROPER testing.
There is a lot of wrong testing going around, then guys are stuck with meningless numbers and try to guess what it should have been.
Wrong testing is doctor's fault, but once someone starts reading this and other boards, it is his fault if he allows doc screwing him.
It is new field for most doctors, we should be gratefull if they are open minded and make effort to help us, but we have to wach our backs.
01-11-2008, 10:39 AM
The plan right now is to pick up Rx for Androgel, but wait to use it until I can make an appt. to see Dr. Crisler.
I'm going to go soon to pick up my bloodwork, so you guys will be able to get a better idea of the situation (hopefully).
One more quick question, it's my understanding that Androgel is to be put on in the AM. We'll the only time i can get my workouts in is then, right before classes. Does this mean I can still workout with the gel on..or should I wait to do it at night?
Thanks a ton.
01-11-2008, 11:09 AM
01-11-2008, 11:16 AM
I'm sort of in the same boat..but waiting on new blood work for the new endo. I don't think she treats with HCG (I think she told me only a select # of urologists here in NYC will use it), unless a patient is aiming for fertility, then they treat with HCG / HMG...so I went and sourced my own HCG to stock up on for now, in case I start treatment with her until changing dr's. I'm also going to refuse treatment with gel if my DHT #'s come back high...I guess I can do the same if she's not wanting to use HCG too.
We'll see what happens though, I may be able to convince her to prescribe HCG...even though it's not toooo expensive for me to buy on my own...I'd just rather not self-prescribe HRT at all.
01-11-2008, 11:32 AM
01-11-2008, 05:08 PM
Here are my latest Lab reports, which were done on Jan. 3
Srry for the small image, not sure why the other was bigger. These numbers seem ok to me the Prolactin(3.9), FSH(2.9) and LH(2.6) are on the low side but still normal...My Total T actually went up from 405 to 548 ,which maybe explains why he has me at 2.5g instead of 5g or 7.5g daily for the Androgel. How much should I expect my Total T to go up..possibly to the 700 or 800 range?
My Free T again tested below the range, hence the reason for TRT.
After seeing the results of this test, I plan on following through with his wishes(taking the Androgel) and checking my levels again when I for my physical on Jan.25. If things test abnormal I will take further action(ie: change my dose/talk with Dr. Crisler).
Thanks all for the help.
01-13-2008, 06:37 PM
You can expect your T to go up to 700 for about a week. This is the external T adding to your endogeous T. You'll feel better.
At about week 2 or 3, I'd expect your T to be 400. Your endogenous T would be shut down and only the Androgel will be supplying your testosterone. You'll feel worse than before.
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