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blood test

boxerboy29

New member
going to docs for a blood test



going to ask him to test for these does this look ok for a trt blood test?


total test
free test
estradiol sensitive
shbg
dht
prolactin
dhea s

really want to get my estrogen in check as have had lost in libido at mo and been getting like foggy head and head aches


thanks guys some info and help would be grateful
 
At first glance I can say you most certainly need to add LH to the list. Any good doc would know to do that when asking about TRT though.
 
MakaveliThaDon said:
At first glance I can say you most certainly need to add LH to the list. Any good doc would know to do that when asking about TRT though.
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Need thyroid parameters
CBC
CMP
adrenal saliva cortisol which can now be done through lab corp 4 points
ferritin
vitamin D

Just by curiosity where you ever a boxer?
 
If you have trouble getting the doc to test everything you would like to see (I personally have to wrestle my endo for it), there is a sticky in the anabolics section titled 'Cheap Bloodwork - How To Get It Without Insurance' detailing a place to get quick and solid bloodwork without doc permission and for cheaper than many insurance companies will leave you with. My endo refused to put my on an AI when I ballooned up from my first Test Cyp shot and wouldn't even test my estradiol. He said it was an experimental use (which it technically is) and that I wouldn't be able to get it covered by the insurance (which is right, but more importantly he's just scared for his reputation). It's teribble how the insurance system will strangle a doctor's ability to perform.
 
rambofireball said:
If you have trouble getting the doc to test everything you would like to see (I personally have to wrestle my endo for it), there is a sticky in the anabolics section titled 'Cheap Bloodwork - How To Get It Without Insurance' detailing a place to get quick and solid bloodwork without doc permission and for cheaper than many insurance companies will leave you with. My endo refused to put my on an AI when I ballooned up from my first Test Cyp shot and wouldn't even test my estradiol. He said it was an experimental use (which it technically is) and that I wouldn't be able to get it covered by the insurance (which is right, but more importantly he's just scared for his reputation). It's teribble how the insurance system will strangle a doctor's ability to perform.
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Again understanding pathology is crucial to what steps to take next. Unforunately my time is limited with all the inquires and can not sift through all the data on an individual basis.
 
rambofireball said:
If you have trouble getting the doc to test everything you would like to see (I personally have to wrestle my endo for it), there is a sticky in the anabolics section titled 'Cheap Bloodwork - How To Get It Without Insurance' detailing a place to get quick and solid bloodwork without doc permission and for cheaper than many insurance companies will leave you with. My endo refused to put my on an AI when I ballooned up from my first Test Cyp shot and wouldn't even test my estradiol. He said it was an experimental use (which it technically is) and that I wouldn't be able to get it covered by the insurance (which is right, but more importantly he's just scared for his reputation). It's teribble how the insurance system will strangle a doctor's ability to perform.
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I just received my first test cyp shot--should I be concerned with ballooning up as well? What causes that to happen? I asked my urologist about an AI and he said no as well...
 
When using a substantial amount of testosterone it is almost inevitable that at least some of it will be converted to estrogen via the aromatase enzyme. Now, aromatase is present mainly in belly fat, so the amount of testosterone converted to estrogen is largely dependent on how much extra fat one is carrying. The main side effects of a large conversion rate (testosterone -> estrogen) are extra water retention in the soft tissues and gynecomastia, the development of breast tissue. I meant bloating when I said 'ballooning'. Obviously, the two easiest ways to prevent this bloating are to lean out before testosterone administration and/or the use of an aromatase inhibitor, which occupies the enzyme and effectively prevents the circulating testosterone from being converted to estrogen. Many endocrinologists and urologists will shy away from prescribing AIs as an adjunct to testosterone administration due to the fact that it is an 'off label' use of the product. However, many anti aging clinics will prescribe AIs with testosterone for the first several months until the patient drops enough belly fat to have a low/healthy conversion rate of testosterone -> estrogen. The only thing about that is that most anti aging doctors are in it for the money, and therefore refuse to accept any kind of insurance, even if the insurance agreed to cover the treatment, AND the clinic will usually require you to sign up for their entire treatment plan, not just the AI (more $$$).
 
rambofireball said:
When using a substantial amount of testosterone it is almost inevitable that at least some of it will be converted to estrogen via the aromatase enzyme. Now, aromatase is present mainly in belly fat, so the amount of testosterone converted to estrogen is largely dependent on how much extra fat one is carrying. The main side effects of a large conversion rate (testosterone -> estrogen) are extra water retention in the soft tissues and gynecomastia, the development of breast tissue. I meant bloating when I said 'ballooning'. Obviously, the two easiest ways to prevent this bloating are to lean out before testosterone administration and/or the use of an aromatase inhibitor, which occupies the enzyme and effectively prevents the circulating testosterone from being converted to estrogen. Many endocrinologists and urologists will shy away from prescribing AIs as an adjunct to testosterone administration due to the fact that it is an 'off label' use of the product. However, many anti aging clinics will prescribe AIs with testosterone for the first several months until the patient drops enough belly fat to have a low/healthy conversion rate of testosterone -> estrogen. The only thing about that is that most anti aging doctors are in it for the money, and therefore refuse to accept any kind of insurance, even if the insurance agreed to cover the treatment, AND the clinic will usually require you to sign up for their entire treatment plan, not just the AI (more $$$).
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Thanks for the reply. I appreciate all the knowledge you guys are willing to share. I do have a bit of stomach fat that I could've probably lost before starting treatment...but the doc wanted me to get going on treatment.
Ate there any alternatives to OTC AIs that may benefit me?
 
Yeah, if you legitimately need TRT it is better to get that process rolling, plus it can be easier to lose the weight once you are on TRT. There are a whole bunch of OTC AIs, I personally am not quick to trust them do to a pretty consistent lack of long term research (just because it may have a desired effect does not mean it is not also doing something else in your body that could potentially be harmful), however 6-OXO (4-Androstene-3,6,17-trione) and ATD (1,4,6,-Androstatrien-3,17-dione) seem to be among the more popular OTC choices with varying positive reviews. If it is an option you are considering I'd run through the ingredients of some products in the anti-estrogen section of Nutraplanet and plug them into pubmed at the least before you give it a try. Research research research.
 
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