Hi-
My name is John. I’m now 4 weeks into TRT. For the past 5 years I’ve been losing energy and gaining weight like crazy, especially in the past 2 years. Lots of aches and pains. For all my life I’ve been a competitive athlete, despite carrying too much weight. Played Div I college baseball at 30 lbs overweight. I continue to play today, although its getting tougher. I’m a lawyer so I spend a lot of time at my desk and traveling. I’ve read the tacked threads.
My PCP (from Northwestern Univ Hospital) tells me I eat too much and that I should have weight loss surgery. He initially refused to test for low T at my most recent physical 3 months ago. When it came back as 210 he told me “see that’s normal”. I then went to Dr. Bloom in Boca Raton, FL at the advice of a client. He ran a full panel and prescribed:
1 ml Test Cyp 200 mg once per week with .5 ml of Vit D in the same syringe. (IM)
0.5 ml HCG on 5th and 6th days after T injection (SubQ)
25 units Sermorelin GT 20.4mg nightly (SubQ)
1 mg Anastrozole 3 times per week
1 ml Glutathione (IM) per week.
I’ve switched to an every 3 day protocol with .25 HGC every other day. I’ve followed the same dosage of A. Since starting, the minor aches and pains have disappeared. I’ve lost a little weight, but my diet just started in earnest, this week.
Without further ado, here are my stats.
age: 48
-height: 5’ 10"
-waist: 46
-weight: 325
-describe body and facial hair: went through puberty in 6th grade, shaving by 7th. Can grow a full beard in about 3 days. Moderate hair on chest and arms. Very little on legs. Full head of hair but started turning gray at 30 and I color it.
-describe where you carry fat and how changed: I carry fat in my stomach and love handles and face. I am barrel chested
-health conditions, symptoms: After standing or walking for 10 minutes or so, I get what feels like an adrenal response and sweat like crazy, no matter what the temp. Sweat comes from head and face Good results on stress tests, no blockages. Tired all the time. Used to be the life of the party and now don’t feel like talking to people. Was a single guy on the hunt all the time, now I have no drive. Gaining weight like crazy. Low carb diet makes me feel good and lose weight, can’t seem to stick to it , where it used to be no problem. Lots of little aches and pains. Used to drink a lot. For the past 10 years I drink a few drinks per month, at most.
-Rx and OTC drugs, any hair loss drugs or prostate drugs: Only OTC pain relievers, mostly Alleve.
-lab results with ranges: see below
-describe diet: Alternate between low carb (meat and veggies) to complete binge junk food. Love to cook, but just feel too lazy some times.
-describe training: Pitch 5 to 6 inning per week. (real baseball) couch potato otherwise
-testes ache, ever, with a fever?: never ache
-how have morning wood and nocturnal erections changed: occasional morning wood. Used to get nocturnal erections 2 or 3 times per night. Now very rare. Borderline ED.
COMPLETE BLOOD COUNT
WHITE BLOOD CELL 8.2 3.9 - 11.1 K/ul
RED BLOOD CELL 5.72 4.2 - 6.0 M/ul
HEMOGLOBIN 16.4 13.2 - 18.0 g/dl
HEMATOCRIT 47.8 38.5 - 54.0 %
MCV 84 80.0 - 100.0 fl
MCH 28.8 26.0 - 34.0 pg
MCHC 34.4 31.0 - 37.0 g/dl
RDW 15.0 11.0 - 15.5 %
PLATELET COUNT 199 140 - 400 k/ul
MPV 8.8 7.5 - 11.6 fl
DIFFERENTIAL
GR% 61.0 38 - 75 %
LY% 25.9 15 - 49 %
MO% 10.4 2.0 - 13.0 %
EO% 2.2 0 - 8 %
BA% 0.5 0 - 2 %
GR# 5.0 1.6 - 8.4 K/ul
LY# 2.1 1.0 - 3.6 K/ul
MO# 0.9 0.0 - 0.9 K/ul
EO# 0.2 0.0 - 0.6 K/ul
BA# 0.0 0.0 - 0.2 K/ul
GENERAL CHEMISTRY
GLUCOSE 105 H 65 - 100 mg/dl
BUN 21 H 6 - 20 mg/dl
CREATININE, SERUM 1.2 0.5 - 1.2 mg/dl
URIC ACID 9.9 H 3.4 - 7.0 mg/dl
SODIUM 141 133 - 145 mmol/L
POTASSIUM 3.9 3.3 - 5.1 mmol/L
CHLORIDE 102 96 - 108 mmol/L
CO2 24 22 - 32 mmol/L
CALCIUM 9.4 8.5 - 10.5 mg/dl
TOTAL PROTEIN 7.6 6.4 - 8.3 g/dl
ALBUMIN 4.8 3.2 - 4.8 g/dl
GLOBULIN 2.8 2.1 - 3.6 g/dl
BILIRUBIN, TOTAL 0.9 0.0 - 1.0 mg/dl
ALKALINE PHOSPHATASE 66 35 - 129 U/L
ALT 60 H <42 U/L
AST 40 H <39 U/L
Albumin/Globulin Ratio 1.7 0.8 - 2.0
BUN/CREAT RATIO 17.5 7.3 - 21.7
GFR, estimated 69 ml/min
HEMOGLOBIN A1C 5.5 < 5.7
INSULIN, Fasting 36.3 H 2.6 - 24.9 (was not fasting)
IRON/ANEMIA EVALUATION
FERRITIN 732.4 H 30 - 400 ng/ml ( HIGH)
VITAMIN B12 822 243 - 894 pg/ml
FOLATE, SERUM 13.0 9.1 - 30.9 ng/ml
CORONARY RISK
LIPID PANEL
CHOLESTEROL, TOTAL 214 H <200 mg/dl (High)
TRIGLYCERIDES 239 H <150 mg/dl (High)
HDL CHOLESTEROL 30 L >40 mg/dl
LDL CHOLESTEROL, calc. 136 H <100 mg/dl
CHOL/HDL RATIO 7.1 H <5.0
CRP, Cardio 5.7 H <3.0 mg/L
HOMOCYSTEINE 14.9 4.5 - 15.0 umol/L
LIPOPROTEIN (a) < 5.4 < 30.0 mg/dl
Vitamin D,25-OH,Total 10 L >30 ng/ml (LOW)
Reverse T3 28.4 H 8 - 25 ng/dL
T3, FREE 4.0 1.8 - 4.6 pg/ml
T4, FREE 1.19 0.9 - 1.7 ng/dl
TSH 2.880 0.27 - 4.2 uIU/ml
THYROID PEROXIDASE Abs 34.6 <35 IU/ml
THYROGLOBULIN Abs 36.0 <115 IU/ml
PSA, TOTAL 0.531 0.0 - 4.0 ng/ml
ENDOCRINE EVALUATION
FSH 3.5 1.5 - 12.4 mIU/ml
LH 5.7 1.7 - 8.6 mIU/ml
PROLACTIN 6.5 4.1 - 18.4 ng/ml
PROGESTERONE 0.43 0.2 - 1.4 ng/ml
ESTRONE (E1) 8.8 <60 pg/ml.
ESTRADIOL (E2) 38.1 7.6 - 42.6 pg/ml
DHEA-SULFATE 160.5 44.3 - 331.0 ug/dl
DIHYDROTESTOSTERONE 18.6 11.2 - 95.5 ng/dl
TESTOSTERONE, TOTAL 210 L 280 - 1100 ng/dl
SEX HORMONE BIND GLOBULIN 35 10 - 80 nmol/L
TESTOSTERONE, FREE 3.68 1.9 - 27 ng/dl
IGF-1 48.8 L 119 - 252 ng/ml
Results verified by repeat analysis.
CORTISOL 16.3 ug/dl 2.3 - 12.3 (Afternoon)
Any thoughts?