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  1. trn450

    Last bloods, Waiting Endo News

    No problem. I also realized I forgot to ask if you're overweight and/or snore. Sleep apnea is a huge issue that would mean getting adequate hours of poor quality.
  2. trn450

    Last bloods, Waiting Endo News

    Looks like you're doing a lot of the right stuff. With all of that in order and T levels low, if she is dismissive of your concerns I'd immediately get to a second opinion.
  3. trn450

    Just Diagnosed Iron Deficient

    Sarcoidosis causes an "anemia of chronic disease", not an iron deficiency anemia, to the best of my recollection. The reality is you need to have a healthcare provider help you through this as something like this requires some continuity.
  4. trn450

    Will 400mg EQ mess with TRT bloods?

    Increasing testosterone will have a number of negative side effects that come with the muscle-building benefits. (a) Hematocrit will increase. How much? No idea. People are individuals. Is this bad? If you're doping for a sport and want to carry more oxygen, no. If you want to limit your risk...
  5. trn450

    45 y/o blood work results

    A total testosterone of 217 isn't "slightly low", that's very low. People often start having some symptoms in the low 400s, definitely by 350, and 300 is almost universally accepted as the cutoff for low testosterone (and that's probably missing a lot of cases, IMO). Tests should be at...
  6. trn450

    Last bloods, Waiting Endo News

    Your total T is low-normal (borderline even), your FSH and LH are also very low-normal (borderline). While that may not trigger a hypogonadism diagnosis for some people, I personally think it looks to be fairly suggestive of testosterone deficiency of central origin. SHBG is fairly solidly in...
  7. trn450

    Just Diagnosed Iron Deficient

    When Iron Deficiency is diagnosed, the etiology needs to be determined. It can range from "benign" (e.g. diet related), to varying degrees of pathologic such as pernicious anemia (easy enough fix) or some other pretty bad things I won't mention. The combination of swollen lymph nodes and iron...
  8. trn450

    TRT, mental fatigue, and cycling

    That's much of medicine though, to be honest. For quite a while people emphasized the art AND science of medicine. In the context of insurers and other organizations imposing strict regulations on providers meeting quality of care metrics based on very lower resolution analyses of broad patient...
  9. trn450

    Thinking about TRT 38 year old male.

    As long as the Vitamin D blood levels are within acceptable limits then it wouldn't bother me how many IU's got you there. ^_^
  10. trn450

    Best OTC alternative to viagra

    That's a different issue. Start-stop training (e.g. forcing yourself to stop before you ejaculate and then resuming to slowly desensitize yourself) is one great way to start working on that on your own. And, believe it or not, the mainstay of medical treatment for this issue is...
  11. trn450

    Thinking about TRT 38 year old male.

    I don't think I've ever seen a truly low T of > 500. That is, when paired with LH/FSH I wouldn't expect to see LH/FSH levels to be altered to outside the normal range or even at the extreme limits of the normal range. People in the 300-400 range, sure. But, not > 500. Starting T for the...
  12. trn450

    Prostate urination on trt

    How much a person urinates during the day really varies. It's not uncommon for a person who keeps well hydrated to go 8-12 times daily. If a person is urinating easily, without hesitation, and it's on the lighter side that many times daily it's not really concerning. If a person is urinating...
  13. trn450

    Sudden testicle shrinkage. No libido, fatigue. Varicocele?

    "In the beginning of September, it was 890 ng/ml. The diet may have helped that, but when I questioned one doctor in particular in July - he said my testosterone (given my fitness and age and so on) should be around 1,000." This is not something I imagine most MD's, especially endocrinologists...
  14. trn450

    Girl who lifts, needs cutting advice!

    Great :) I'm sure that will make a big difference. Those cheat meals can be impressive. lol. My wife had a 6,800 kcal day yesterday. Her daily maintenance is around 1,900-2,000 kcal. So, she basically gained 1.4 lbs in one day. lol. The next two weeks will be dedicated to fixing that.
  15. trn450

    Girl who lifts, needs cutting advice!

    Hi, congrats on results so far. Now, I know you said you're weighing/counting everything. But, does that include your cheat meal/day? At your weight and body fat percentage, I'm surprised to see you failing to lose weight with your above regimen.
  16. trn450

    POLYCYTHEMIA update

    I understand. I'm familiar with the pathways and the hypothetical arguments. Having said that, you can just repeat tests at the end of those 2 months and see where you're at if you're already planning some time off. I'd be interested in seeing the results.
  17. trn450

    POLYCYTHEMIA update

    Your cholesterol is excellent. I won't give you medical advice, but I would say if I were in your shoes I'd want to see what my levels were off of hCG to see if they're still good (although I wouldn't need them to be "exactly" as good). Hypothetically speaking, even if the panel did change...
  18. trn450

    Arimidex dose

    This is advice I can agree with. I tailor my results to symptoms and lab results.
  19. trn450

    POLYCYTHEMIA update

    Was your lipid panel terrible to begin with? At 200 mg/wk, I doubt you'd have a significantly altered cholesterol panel. There have been admittedly short studies, but doses up to 600mg/wk weren't producing significantly terrible outcomes on lipid panels in otherwise healthy individuals without...
  20. trn450

    34YO - 2 Sets of Bloodwork - Dr. Giving me choice of TRT - SHBG Thru the Roof

    Looking at your bloodwork, I have questions about your body composition. What is your BMI (bodyweight / height can tell me if you don't know) and estimated percentage body fat? Your cholesterol is pretty darn bad, and given that's almost always driven by lifestyle/obesity in the context of your...
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