So just curious what a good practice is for regular bloodwork on when on trt. Every 3 months? Every 6? And what specifics to get and watch out for, RBC of course, anything else?
If money is no problem, this would be ideal.once every 6 weeks then every 8 weeks then 12 weeks, then 6 months, or if you have symptoms check e2 or revisit thyroid, adrenals.
e2 and TT can be done cheap,If money is no problem, this would be ideal.
In some (like myself) using T can raise hemocrate levels and may require regular blood letting. I donate to Red Cross regularly and that is enough to keep my levels at an acceptable range.Please elaborate on TRT and elevated RBC risk?
I think I will be ordering the following test soon. SHBG is not included and mine was elevated on last 2 tests. However, considering my extreme stress level this past yr and especially now, I feel ok. Not good, but ok.e2 and TT can be done cheap,
Shbg tends to stay constant in majority of cases
t-4, Ft3 and ft4 is all that is needed for thyroid when on meds
for older guys I go after t and e2 stabilization then watch the thyroid function as HRT gets balanced because some time it may go down then return to normal over time. As long as symptoms are alleviate I suggest to ride it out, if symptoms come back after 4-5 months get e2 tested and ft3, ft4, t4 TT is pretty much constant.
I think I will be ordering the following test soon. SHBG is not included and mine was elevated on last 2 tests. However, considering my extreme stress level this past yr and especially now, I feel ok. Not good, but ok.
Also from PriviteMD
-------------------------
Male Deluxe Anti-Aging Panel
Description: The Male Deluxe Anti-Aging Panel contains the following tests:
-Lipid Profile
-Complete Blood Count w/ Differential
-Estradiol, Sensitive
-Insulin Growth Factor (IGF-1)
-Comprehensive Metabolic Panel
-Testosterone, Serum
-Prostate-Specific Antigen (PSA)
-Thyroid Profile
Significant deviations from the normal range may require further evaluation by your physician.
Includes: Cholesterol, total; high-density lipoprotein (HDL) cholesterol; low-density lipoprotein (LDL) cholesterol (calculation); triglycerides; very low-density lipoprotein (VLDL) cholesterol (calculation); Hematocrit; hemoglobin; mean corpuscular volume (MCV); mean corpuscular hemoglobin (MCH); mean corpuscular hemoglobin concentration (MCHC); red cell distribution width (RDW); percentage and absolute differential counts; platelet count; red cell count; white blood cell count; Estradiol, Sensitive; IGF-1; A:G ratio; albumin, serum; alkaline phosphatase, serum; ALT (SGPT); AST (SGOT); bilirubin, total; BUN; BUN:creatinine ratio; calcium, serum; carbon dioxide, total; chloride, serum; creatinine, serum; globulin, total; glucose, serum; potassium, serum; protein, total, serum; sodium, serum; Testosterone, Serum; Prostate-Specific Antigen (PSA), Serum;Free Thyroxine Index (FTI);Thyroxine (T4); Thyroid Hormone Binding Ratio (T3 Uptake); Thyroid-Stimulating Hormone (TSH)
Patient Instructions: Patient should fast for 12-14 hours before collection of the specimen. If using a testosterone cream please be sure you have not rubbed any into the antecubital area of your arm for the last 24 hours as it can give elevated results.
Categories: Hormones and Metabolism, Male Specific Tests, Fitness, Nutrition and Anti-Aging
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In some (like myself) using T can raise hemocrate levels and may require regular blood letting. I donate to Red Cross regularly and that is enough to keep my levels at an acceptable range.
What effect does a high red blood cell count have on the body?Please elaborate on TRT and elevated RBC risk?
Dehydration is common with high RBC and hemocrit. I have dr's patients retest next blood work to rule it out drinking 16 oz water prior to blood test.That was a nice read man. Thanks
Ordered labs and had blood drawn yesterdaye2 and TT can be done cheap,
Shbg tends to stay constant in majority of cases
t-4, Ft3 and ft4 is all that is needed for thyroid when on meds
for older guys I go after t and e2 stabilization then watch the thyroid function as HRT gets balanced because some time it may go down then return to normal over time. As long as symptoms are alleviate I suggest to ride it out, if symptoms come back after 4-5 months get e2 tested and ft3, ft4, t4 TT is pretty much constant.
LabCorpOrdered labs and had blood drawn yesterday
-Lipid Cholesterol Profile
-Complete Blood Count w/ Differential
-Estradiol, Sensitive
-Hemoglobin A1c
-Cardiac C-Reactive Protein Test, High Sensitivity
-Insulin Growth Factor (IGF-1)
-Thyroxine-Stimulating Hormone (TSH)
-Gamma Glutamyl Transpeptidase (GGT)
-Insulin, Fasting
-Comprehensive Metabolic Panel
-Luteinizing Hormone(LH)
-Testosterone Serum
-Sex Hormone binding Globulin, Serum
-Urinalysis, Routine
-Follicle-Stimulating Hormone (FSH)
-Magnesium, Serum
-Thyroxine (T4) Free, Direct
-Ferritin, Serum
-Prostate-Specific Antigen (PSA)
-Iron Serum w/TIBC
-Dehydroepiandrosterone Sulfate (DHEA)
I wish I could afford more tests Janz but let me explainLabCorp
Salivary Cortisol, MS
Test Number: 500179 CPT Code: 82533
eight (8) serial samples
Salivette tubes (item # 51.1532) and
specialized patient collection kits
(item # 38330G)
255.3
255.8
255.4
===================================
blood
T3, Total
T4, Total
T3, Free
T4,Free
T3, Reverse
Ultrasensitive TSH
Pregnenolone
Progesterone
=====================================
Make sure that you have
iodine (even excess is ok)
Selenium
...
First couple years may be ok but after a while there is a good chance thatI've been on TRT for over 5 years and I still do it twice a year.
This is not feasible or realisitic for the normal person who has a 9-5 job.First couple years may be ok but after a while there is a good chance that
pregnenolone and progesterone will tank.
Pregnenolone is made from cholesterol.
Cholesterol is carried by HDL and LDL LipoProteins, but only cholesterol that is in LDL is being converted.
To convert cholesterol--->pregnenolone
we need
ACTH, LH & FSH
Being on TRT, specially for prolonged time reduces LH and FSH to zero.
That is one reason why production of pregnenolone tanks.
Lack of pregnenolone have a dire consequences.
Most often we talk about Adrenal Fatigue, which is not Fatigue at all.
But it results in Low FreeCortisol.
That is a cortisol which can be measured by saliva testing.
There is many people on Adrenal Fatigue for their own reasons, but we are creating it to ourselves by using Testosterone.
When we need testosterone we do not have much choice,
but
we have to know what we are doing by taking testosterone
and
take preventive measures.
If low, Pregnenolone can be supplemented.
Some people are already doing it.
99% that supplementation is worthless.
Pregnenolone must be supplemented
very frequently
using only excellent product
The only pregnenolone that works is very high density in Lipoderm base.
Many compounding pharmacies can do what we need.
I have found best deal (below).
If someone finds better deal, please let me know, I am always short of $$.
Important note, it must be loaded into Topi-Click.
That is a tool to dispense accurate dose and to spread it on skin without loosing any even smallest amount of cream.
================================
I spread pregnenolone on my neck, progesterone on my thigh.
Always same location, no need for additional washing other than usual.
Keep skin clean, Lipoderm transports any junk better than DMSO does.
Guys working in dust, welders, (painters?), chemical lab technicians,
probably should not use this.
================================
Last dose, bedtime, is better when instead of pregnenolone
progesterone is used, unless you newer had any prostate issue.
Divide any thyroid hormones into equal portions per each preg dose,
0100
0200
0300
0400
0500
0600
0700 wakeup--1click-pregnenolone + thyroid hormone
0800
0900
1000 ---------1click-pregnenolone + thyroid hormone
1100
1200
1300 ---------1click-pregnenolone + thyroid hormone
1400
1500
1600 ---------1click-pregnenolone + thyroid hormone
1700
1800
1900 ---------1click-pregnenolone + thyroid hormone
2000
2100
2200 bedtime--1click-progesterone + thyroid hormone
2300
2400
================================
University Compounding Pharmacy
1875 3rd Ave, San Diego, CA 92101, USA
Toll Free: 1-800-985-8065
Local: 1-619-683-2005
Fax: 1-619-683-2008
Email*[email protected]
=================================
Script
300grams pregnenolone cream
200mg/gram in Lipoderm base
in 30mL Topi-Clic
total 10 Topi-Clicks
use 3mL/day=600mg/day
6 refils
Total cost $199.95 including $15 2nd day Fed-Ex
==================================
Script
150mL progesterone cream
100mg/gram in Lipoderm base
in 30mL Topi-Clic
total 5 Topi-Clicks
6 refils
Total cost $119.95 plus $15 for 2nd day Fed-Ex
==================================
Why do not you take thyroid hormones and testosterone once a month.This is not feasible or realisitic for the normal person who has a 9-5 job.
For christ sakes, I have better things to do then to set my alarm clock to take meds, people at work think you are fkn nuts !!
I be stressed out trying to fit this on top of seeing, training, phone consults,working out myself, returning emails, time on forum.
I have a hard enough time taken my thyroid meds 2 times a day LOL
I am in the process of working on taking none of it to tell you the truth...Why do not you take thyroid hormones and testosterone once a month.
It would be much less intrusive.
..