Back in November I finally got an appointment with an Endo for symptoms of poor sleep, lack of energy, lack of motivation, difficulty with erections, difficulty losing weight and general depressed mood. Im 6’1" and I have gained 40lbs in the last year out of no where. Current weight 241lb. Labs were as follows:
-11/14/2013 Testosterone, Total Males : 279 ng/dL <241-827 ng/dL>
-8/18/2016
GLUCOSE 96 65-99 mg/dL
Fasting reference interval
UREA NITROGEN (BUN) 15 7-25 mg/dL
CREATININE 1.00 0.60-1.35 mg/dL
eGFR NON-AFR. AMERICAN 100 > OR = 60 mL/min/1.73m2
eGFR AFRICAN AMERICAN 116 > OR = 60 mL/min/1.73m2
BUN/CREATININE RATIO NOT APPLICABLE 6-22 (calc)
SODIUM 140 135-146 mmol/L
POTASSIUM 4.4 3.5-5.3 mmol/L
CHLORIDE 104 98-110 mmol/L
CARBON DIOXIDE 28 20-31 mmol/L
CALCIUM 10.0 8.6-10.3 mg/dL
PROTEIN, TOTAL 7.0 6.1-8.1 g/dL
ALBUMIN 4.7 3.6-5.1 g/dL
GLOBULIN 2.3 1.9-3.7 g/dL (calc)
ALBUMIN/GLOBULIN RATIO 2.0 1.0-2.5 (calc)
BILIRUBIN, TOTAL 0.9 0.2-1.2 mg/dL
ALKALINE PHOSPHATASE 54 40-115 U/L
AST 45 H 10-40 U/L
ALT 100 H 9-46 U/L
CBC (INCLUDES DIFF/PLT) NL1
WHITE BLOOD CELL COUNT 5.8 3.8-10.8 Thousand/uL
RED BLOOD CELL COUNT 5.25 4.20-5.80 Million/uL
HEMOGLOBIN 15.8 13.2-17.1 g/dL
HEMATOCRIT 46.4 38.5-50.0 %
MCV 88.2 80.0-100.0 fL
MCH 30.1 27.0-33.0 pg
MCHC 34.1 32.0-36.0 g/dL
RDW 13.0 11.0-15.0 %
PLATELET COUNT 227 140-400 Thousand/uL
SEX HORMONE BINDING GLOBULIN 9 L 10-50 nmol/L NL1
TSH W/REFLEX TO FT4 1.38 0.40-4.50 mIU/L NL1
TESTOSTERONE, TOTAL, LC/MS/MS 323 250-1100 ng/dL
-11/07/2016
IRON, TOTAL 95 50-180 mcg/dL NL1
AST 48 H 10-40 U/L NL1
ALT 119 H 9-46 U/L NL1
CBC (INCLUDES DIFF/PLT) See Endnote 1 NL1
WHITE BLOOD CELL COUNT 5.9 3.8-10.8 Thousand/uL
RED BLOOD CELL COUNT 5.54 4.20-5.80 Million/uL
HEMOGLOBIN 16.5 13.2-17.1 g/dL
HEMATOCRIT 47.9 38.5-50.0 %
MCV 86.4 80.0-100.0 fL
MCH 29.8 27.0-33.0 pg
MCHC 34.5 32.0-36.0 g/dL
RDW 13.2 11.0-15.0 %
PLATELET COUNT 219 140-400 Thousand/uL
MPV 7.9 7.5-11.5 fL
ABSOLUTE NEUTROPHILS 2649 1500-7800 cells/uL
ABSOLUTE LYMPHOCYTES 2348 850-3900 cells/uL
ABSOLUTE MONOCYTES 643 200-950 cells/uL
ABSOLUTE EOSINOPHILS 189 15-500 cells/uL
ABSOLUTE BASOPHILS 71 0-200 cells/uL
NEUTROPHILS 44.9 %
LYMPHOCYTES 39.8 %
MONOCYTES 10.9 %
EOSINOPHILS 3.2 %
BASOPHILS 1.2 %
FSH 4.6 1.6-8.0 mIU/mL NL1
LH 4.4 1.5-9.3 mIU/mL NL1
PROLACTIN 6.4 2.0-18.0 ng/mL NL1
TESTOSTERONE, TOTAL, MALES (ADULT), IA 252 250-827 ng/dL
8/2016 PCP wanted me to start on Lisinopril because of the weight gain causing bp to climb to 140-90. Up until 4/2016 bp hung around 120/70
On 11/20/2016 The Endo started me on 4 pumps of Androgel 1.62% and by 12/26/2016 I was more tired than before. Androgel stopped. 1/9/2017 Endo started me on test cypionate 200mg EW 25g x 5/8th needle in the glute…though with no one around I had to do quad for injections 2-4.
My concern is this. Injections done on Sundays, Last weekend 1/28-1/29 I felt my self getting cranky before my next injection, and noticed my feet swelling a little as well as face. My bp was up to 150/80 and still is up there. I called the Endo and he told me doesnt know what that could be , no other males of his have the issue. Said to go ahead with the appt we have in late April, keep doing the test injections and do the blood work in late March.
My concern is could test cypionate causing me to have elevated bp and why? Is it e2 creeping up? Maybe erythropoiesis? 1 month of injections too soon for those things to likely be happening? Just concerned because high bp is nothing to mess with, especially when your Dr. says “Gee I dont know what that could be.” If there is an issue with either e2 or erythropoiesis… do I have that long to wait for a blood test?
Also SHBG is low, how is this helping or hurting me?
Thanks,
J