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Pre cycle blood work shows low test, now what?

Tn250024

New member
Hi All

Long time lurker/first time posting since I have 0 experience with AAS. As the title state I just got my pre-cycle bloods back and it shows my test serum at 277. I know this is considered low but am not sure how to proceed at this point.

Stats are 28 216lb 16-18%bf(I know a little high)

The cycle I have/had planned was a simply begginer cycle:

1-12 test cyp 500 mg (250 mon / thur)
1-12 arimidex .25mg EOD
14-18 Nolvadex 40/40/20/20

So I misread my bloods and saw 727 and thought I was good to go. Pinned my first 250 this morning. Got to work today and re-read my bloods and realized I had reversed the 2 and 7 and realized it was 277. Not really sure what I should do from here. I started Ostarine may 30th and ran for 10 days but stopped as it was causing headaches. Below are the blood stats:


Testosterone , Serum
Testosterone, Serum 277
LH 4.0
FSH, Serum
FSH 3.2
Estradiol
Estradiol 18.8
Roche ECLIA methodology

My question is do I stop dead in my tracks and go see the doc or do I wait a week for the 250 I pinned today to get out of my system then see the doc??


Full bloods:
Test Name Result Flag Reference Range Lab
CBC With Differential/Platelet
WBC 4.6 3.4-10.8 x10E3/uL 01
RBC 4.94 4.14-5.80 x10E6/uL 01
Hemoglobin 14.9 12.6-17.7 g/dL 01
Hematocrit 43.3 37.5-51.0 % 01
MCV 88 79-97 fL 01
MCH 30.2 26.6-33.0 pg 01
MCHC 34.4 31.5-35.7 g/dL 01
RDW 14.1 12.3-15.4 % 01
Platelets 173 150-379 x10E3/uL 01
Neutrophils 41 % 01
Lymphs 47 % 01
Monocytes 8 % 01
Eos 3 % 01
Basos 1 % 01
Neutrophils (Absolute) 1.9 1.4-7.0 x10E3/uL 01
Lymphs (Absolute) 2.1 0.7-3.1 x10E3/uL 01
Monocytes(Absolute) 0.3 0.1-0.9 x10E3/uL 01
Eos (Absolute) 0.2 0.0-0.4 x10E3/uL 01
Baso (Absolute) 0.0 0.0-0.2 x10E3/uL 01
Immature Granulocytes 0 % 01
Immature Grans (Abs) 0.0 0.0-0.1 x10E3/uL 01
Comp. Metabolic Panel (14)
Glucose, Serum 98 65-99 mg/dL 01
BUN 20 6-20 mg/dL 01
Creatinine, Serum 0.88 0.76-1.27 mg/dL 01
eGFR If NonAfricn Am 118 >59 mL/min/1.73 01
eGFR If Africn Am 136 >59 mL/min/1.73 01
BUN/Creatinine Ratio 23 HIGH 8-19 01
Sodium, Serum 140 134-144 mmol/L 01
Potassium, Serum 4.4 3.5-5.2 mmol/L 01
Chloride, Serum 101 97-108 mmol/L 01
Carbon Dioxide, Total 24 18-29 mmol/L 01
Calcium, Serum 9.4 8.7-10.2 mg/dL 01
Protein, Total, Serum 7.0 6.0-8.5 g/dL 01
Albumin, Serum 4.3 3.5-5.5 g/dL 01
Globulin, Total 2.7 1.5-4.5 g/dL 01
A/G Ratio 1.6 1.1-2.5 01
Bilirubin, Total 0.4 0.0-1.2 mg/dL 01
Alkaline Phosphatase, S 133 HIGH 39-117 IU/L 01
AST (SGOT) 41 HIGH 0-40 IU/L 01
ALT (SGPT) 48 HIGH 0-44 IU/L 01
Testosterone, Serum
Testosterone, Serum 277 LOW 348-1197 ng/dL 01
Comment: Comment 01
Adult male reference interval is based on a population of lean males
up to 40 years old.
Luteinizing Hormone(LH), S
LH 4.0 1.7-8.6 mIU/mL 01
FSH, Serum
FSH 3.2 1.5-12.4 mIU/mL 01
1 of 2
Estradiol
Estradiol 18.8 7.6-42.6 pg/mL 01
Roche ECLIA methodology
 
Forgive me if I'm overlooking something, but what does your pre-cycle testosterone level have to do with the decision to stop/continue?
 
Tn250024 said:
Hi All

Long time lurker/first time posting since I have 0 experience with AAS. As the title state I just got my pre-cycle bloods back and it shows my test serum at 277. I know this is considered low but am not sure how to proceed at this point.

Stats are 28 216lb 16-18%bf(I know a little high)

The cycle I have/had planned was a simply begginer cycle:

1-12 test cyp 500 mg (250 mon / thur)
1-12 arimidex .25mg EOD
14-18 Nolvadex 40/40/20/20

So I misread my bloods and saw 727 and thought I was good to go. Pinned my first 250 this morning. Got to work today and re-read my bloods and realized I had reversed the 2 and 7 and realized it was 277. Not really sure what I should do from here. I started Ostarine may 30th and ran for 10 days but stopped as it was causing headaches. Below are the blood stats:


Testosterone , Serum
Testosterone, Serum 277
LH 4.0
FSH, Serum
FSH 3.2
Estradiol
Estradiol 18.8
Roche ECLIA methodology

My question is do I stop dead in my tracks and go see the doc or do I wait a week for the 250 I pinned today to get out of my system then see the doc??


Full bloods:
Test Name Result Flag Reference Range Lab
CBC With Differential/Platelet
WBC 4.6 3.4-10.8 x10E3/uL 01
RBC 4.94 4.14-5.80 x10E6/uL 01
Hemoglobin 14.9 12.6-17.7 g/dL 01
Hematocrit 43.3 37.5-51.0 % 01
MCV 88 79-97 fL 01
MCH 30.2 26.6-33.0 pg 01
MCHC 34.4 31.5-35.7 g/dL 01
RDW 14.1 12.3-15.4 % 01
Platelets 173 150-379 x10E3/uL 01
Neutrophils 41 % 01
Lymphs 47 % 01
Monocytes 8 % 01
Eos 3 % 01
Basos 1 % 01
Neutrophils (Absolute) 1.9 1.4-7.0 x10E3/uL 01
Lymphs (Absolute) 2.1 0.7-3.1 x10E3/uL 01
Monocytes(Absolute) 0.3 0.1-0.9 x10E3/uL 01
Eos (Absolute) 0.2 0.0-0.4 x10E3/uL 01
Baso (Absolute) 0.0 0.0-0.2 x10E3/uL 01
Immature Granulocytes 0 % 01
Immature Grans (Abs) 0.0 0.0-0.1 x10E3/uL 01
Comp. Metabolic Panel (14)
Glucose, Serum 98 65-99 mg/dL 01
BUN 20 6-20 mg/dL 01
Creatinine, Serum 0.88 0.76-1.27 mg/dL 01
eGFR If NonAfricn Am 118 >59 mL/min/1.73 01
eGFR If Africn Am 136 >59 mL/min/1.73 01
BUN/Creatinine Ratio 23 HIGH 8-19 01
Sodium, Serum 140 134-144 mmol/L 01
Potassium, Serum 4.4 3.5-5.2 mmol/L 01
Chloride, Serum 101 97-108 mmol/L 01
Carbon Dioxide, Total 24 18-29 mmol/L 01
Calcium, Serum 9.4 8.7-10.2 mg/dL 01
Protein, Total, Serum 7.0 6.0-8.5 g/dL 01
Albumin, Serum 4.3 3.5-5.5 g/dL 01
Globulin, Total 2.7 1.5-4.5 g/dL 01
A/G Ratio 1.6 1.1-2.5 01
Bilirubin, Total 0.4 0.0-1.2 mg/dL 01
Alkaline Phosphatase, S 133 HIGH 39-117 IU/L 01
AST (SGOT) 41 HIGH 0-40 IU/L 01
ALT (SGPT) 48 HIGH 0-44 IU/L 01
Testosterone, Serum
Testosterone, Serum 277 LOW 348-1197 ng/dL 01
Comment: Comment 01
Adult male reference interval is based on a population of lean males
up to 40 years old.
Luteinizing Hormone(LH), S
LH 4.0 1.7-8.6 mIU/mL 01
FSH, Serum
FSH 3.2 1.5-12.4 mIU/mL 01
1 of 2
Estradiol
Estradiol 18.8 7.6-42.6 pg/mL 01
Roche ECLIA methodology
Click to expand...

I'd say go for the cycle, seeing that it is going to suppress you anyway. Then check T levels again after PCT. If it's still low, then figure out then with your doc what you can do.
 
It's always interesting to see the differences between american- and european-style cycles :)

Regarding your bloods: I didn't look at every position, honestly said. Just focussing your question.
The mentioned values are the HPTA and sexual hormones. When using hormones via exognic pathway they will decrease anyway. There is no need to produce testosterone when you are giving your body a higher amount.

If the steroids are legit your LH will decrease to <0, FSH to <0 and Testosterone will increase above the upper reference value (+1197 units). Just keep the estrogen 17-beta in the eye because it may and will rise. Reason is the higher amount of injected testosterone in comparison to your natural value and the aromatization rate of it - leveraged by your "higher" body fat (body fat is not "dead" fat, it's active).

But you are a smart boy and already have a AI on hand. Liver values may rise during the PCT, but you are in an acceptable range.

The most imporant part of your cycle will be the PCT. Tamoxifen needs approx. six weeks to unfold its maximum effect. If you can add at least one more week to your plan it would be nice for you.
 
Your total test could have been low because of the 10 days of ostarine. It's possible you suppressed yourself a bit and your levels just haven't gotten up to normal yet. Either way, like others have said you're gonna suppress yourself with the cycle either way so you may as well go for it and worry about your test levels once you come off.
 
I guess I am just surprised that I would be suppressed from osta so quick. So the concensus is to go ahead and cycle and see the doctor if I don't recover after since my test is already low.

This affects my decision to proceed or stop since I would prefer to be full healthy to start so I know if I have issues after
 
It is known, that SARM like Ostarine will repress the testosterone from the androgen receptor. That means in your and everybody's case that in first line the Ostarine will docking. If there is enough free AR - this is normally the case - then they will be covered by the tesosterone.
Therefore, it's not a surprise that your total testosterone value decreased. Your free testosteron - which wasn't measured, as far as I can see - will remain on the same amount (more or less). The ratio from free to total testosterone will increased (which is a good sign).

Please, forget the testosterone. Everybody is focussing on that, but I can understand this. What's really important is the HPTA (LH and FSH). While using exogenous hormones, they will decreased and in common language we speak from a "shutdown". The most important factor in this case - the LH - is in a good range. If you would let time pass by and doing another panel after some weeks you will notice, that your sexual hormones - especially the testosteorn - will be again in the range. As long as the LH is positive, there is no need for panic.

Acutally, it doesn't make "sense" to see a doctor regarding your testosterone value. This one will increase due to the used supraphysiological value of Test C. Your test will raise and your HPTA will have a shut down (that is also the reason why you have to use a SERM as a PCT). Do eight weeks after PCT again a blood panel. You will see: if every substance used was legit, your testosterone value is recovered with high probability.

I can only assume, that your normal hormonal status of testosterone was low anyways. The usage of Ostarine worsed this. Never saw such a strong drop in a very short time period.
 
sanmarino said:
It is known, that SARM like Ostarine will repress the testosterone from the androgen receptor. That means in your and everybody's case that in first line the Ostarine will docking. If there is enough free AR - this is normally the case - then they will be covered by the tesosterone.
Therefore, it's not a surprise that your total testosterone value decreased. Your free testosteron - which wasn't measured, as far as I can see - will remain on the same amount (more or less). The ratio from free to total testosterone will increased (which is a good sign).

Please, forget the testosterone. Everybody is focussing on that, but I can understand this. What's really important is the HPTA (LH and FSH). While using exogenous hormones, they will decreased and in common language we speak from a "shutdown". The most important factor in this case - the LH - is in a good range. If you would let time pass by and doing another panel after some weeks you will notice, that your sexual hormones - especially the testosteorn - will be again in the range. As long as the LH is positive, there is no need for panic.

Acutally, it doesn't make "sense" to see a doctor regarding your testosterone value. This one will increase due to the used supraphysiological value of Test C. Your test will raise and your HPTA will have a shut down (that is also the reason why you have to use a SERM as a PCT). Do eight weeks after PCT again a blood panel. You will see: if every substance used was legit, your testosterone value is recovered with high probability.

I can only assume, that your normal hormonal status of testosterone was low anyways. The usage of Ostarine worsed this. Never saw such a strong drop in a very short time period.
Click to expand...

This makes sense. I think I will go ahead with the cycle.

Should i continue with my current planned cycle and just add a extra week to pct at 12.5? I am going to add NAC for liver support.
 
Tn250024 said:
This makes sense. I think I will go ahead with the cycle.

Should i continue with my current planned cycle and just add a extra week to pct at 12.5? I am going to add NAC for liver support.
Click to expand...


Continue cycle and just do a lopnger pct. Im running 4 compounds right now and im going to do an 8 week PCT of clomid and nolva
 
Tn250024 said:
This makes sense. I think I will go ahead with the cycle.

Should i continue with my current planned cycle and just add a extra week to pct at 12.5? I am going to add NAC for liver support.
Click to expand...

I don't recommend abuse of anabolic steroids, but yes, you can continue.
If you can, add one more week at least. Better than only four weeks.
Your liver enzymes are a bit over the upper range, but no need for panic, there are various reasons for that (simple strenght training can increase them). Next time, test also GGT.
Just keep your liver healthy as possible. You can add NAC as a supprt.
 
Have you used any orals recently? Or anything hepatoxic? Your elevated Alk Phos is questionable in addition to your elevated ALT. Although not very elevated, alt is rarely if ever elevated for no reason and your bodies ability to keep alt within normal range is very good, meaning alt is never elevated for no reason.

It could possibly be if you trained to close to blood work, but an elevated alk Phos which doesn't pose that same correlation is questionable.

You BUN at 20 indicates a state of dehydration in correlation to your hct. I wouldn't guess renal impairment based on your creatinine values for having an elevated ratio.

Your serum glucose of 98 is most alarming to me though. You are pushing the envelop of pre diabetes unless you were not fasting. When my fasting was 90 I wasn't happy. You should get a HbA1c done to check your 3 month tolerance..

As far as your test, up to you. Either accept it, or figure out and correct the cause with a physician.
 
criticalbench said:
Have you used any orals recently? Or anything hepatoxic? Your elevated Alk Phos is questionable in addition to your elevated ALT. Although not very elevated, alt is rarely if ever elevated for no reason and your bodies ability to keep alt within normal range is very good, meaning alt is never elevated for no reason.

It could possibly be if you trained to close to blood work, but an elevated alk Phos which doesn't pose that same correlation is questionable.

You BUN at 20 indicates a state of dehydration in correlation to your hct. I wouldn't guess renal impairment based on your creatinine values for having an elevated ratio.

Your serum glucose of 98 is most alarming to me though. You are pushing the envelop of pre diabetes unless you were not fasting. When my fasting was 90 I wasn't happy. You should get a HbA1c done to check your 3 month tolerance..

As far as your test, up to you. Either accept it, or figure out and correct the cause with a physician.
Click to expand...


No orals or anything that I know of which is hepatoxic (unless osta is) . Previous work out was over with at 6pm the night before.

I have been supplementing creatine would that raise the bun level? I shouldn't be dehydrated as I drink so much water my urine is normally very light if not clear.

I have been running low carb for ~6 months and just started carb cycling to get more energy on leg/back days and working carbs back in(all of them complex carbs such as oats or fruit). Would that have any effect on serum glucose?

I have the feeling I should just go see the doc and get everything straightened out. Before this blood work I though I was fairly healthy even though I have been having a hard time getting below 216 even with a strict 2500 cal 40/30/20 diet
 
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