Ok; guys brand new here and read all the stickies as ssuggested.
On TRT for 2 weeks now - 140 per week with daily .1 subQ injections. No HCG and No AI. Now, I have sore nipples - is that common? (seems like no from what i have read). Should I give it some more time before asking Doc for AI? Was hoping daily Test would help with estradiol issues…
49 years Old
6’00"
34 inch waist
190Lbs
normal body and facial hair
Carry a bit of fat in the gut - 21% body fat
Health is "fine - other than fatigue, lack of drive, weak sex drive, brittle nails, dry skin, piss poor attitude, no gains in gym.
No drugs for prostate, hair loss. Full head of hair.
Diet pretty good - Paleo-esq
Crossfit pretty consistently.
No testes ache; morning wood is “meh”
You will see in labs below couple of standout things (to me anyway) and the Dr…Test low on absolute basis and free. LH is low; Cholesterol is high. IGF -1 is high. Estradiol is low (which i think is good, but i cant tell if this was done with the proper test). PSA needs to be tracked. Vitamin D is low (on suplements for that). I dont use much iodized salt; but i will take my temperature. What else do you see guys? What am i missing… KSMan etc…
Your help is greatly appreciated.
CMP14+LP+6AC+CBC/D/Plt+TIBC…
Glucose, Serum 95 mg/dL 65 - 99
Hemoglobin A1c 5.5 % 4.8 - 5.6
Uric Acid, Serum 4.5 mg/dL 3.7 - 8.6
BUN 17 mg/dL 6 - 24
Creatinine, Serum 0.98 mg/dL 0.76 - 1.27
eGFR If NonAfricn Am 91 mL/min/1.73 >59
eGFR If Africn Am 105 mL/min/1.73 >59
BUN/Creatinine Ratio 17 9 - 20
Sodium, Serum 142 mmol/L 134 - 144 01
Potassium, Serum 4.5 mmol/L 3.5 - 5.2
Chloride, Serum 103 mmol/L 96 - 106
Carbon Dioxide, Total 23 mmol/L 18 - 29
Calcium, Serum 9.1 mg/dL 8.7 - 10.2
Phosphorus, Serum 3.5 mg/dL 2.5 - 4.5
Protein, Total, Serum 6.9 g/dL 6.0 - 8.5
Albumin, Serum 4.3 g/dL 3.5 - 5.5
Globulin, Total 2.6 g/dL 1.5 - 4.5
A/G Ratio 1.7 1.1 - 2.5
Bilirubin, Total 0.4 mg/dL 0.0 - 1.2
Bilirubin, Direct 0.07 mg/dL 0.00 - 0.40
Please note reference interval change
Alkaline Phosphatase, S 44 IU/L 39 - 117 01
LDH 144 IU/L 121 - 224
AST (SGOT) 19 IU/L 0 - 40
ALT (SGPT) 25 IU/L 0 - 44
GGT 15 IU/L 0 - 65
Iron Bind.Cap.(TIBC) 307 ug/dL 250 - 450
UIBC 242 ug/dL 111 - 343 01
Iron, Serum 65 ug/dL 38 - 169
Iron Saturation 21 % 15 - 55
Ferritin, Serum 429 High ng/mL 30 - 400
Lipids 01
Cholesterol, Total 239 High mg/dL 100 - 199
Triglycerides 112 mg/dL 0 - 149
HDL Cholesterol 63 mg/dL >39
VLDL Cholesterol Cal 22 mg/dL 5 - 40
LDL Cholesterol Calc 154 High mg/dL 0 - 99
T. Chol/HDL Ratio 3.8 ratio units 0.0 - 5.0
C-Reactive Protein, Cardiac 0.76 mg/L 0.00 - 3.00 01
Homocyst(e)ine, Plasma 7.3 umol/L 0.0 - 15.0
CBC, Platelet Ct, and Diff 01
WBC 5.8 x10E3/uL 3.4 - 10.8
RBC 4.88 x10E6/uL 4.14 - 5.80
Hemoglobin 15.3 g/dL 12.6 - 17.7
Hematocrit 45.9 % 37.5 - 51.0
MCV 94 fL 79 - 97
MCH 31.4 pg 26.6 - 33.0
MCHC 33.3 g/dL 31.5 - 35.7
RDW 13.9 % 12.3 - 15.4 01
Platelets 201 x10E3/uL 150 - 379
Neutrophils 66 %
Lymphs 17 %
Monocytes 16 %
Eos 1 %
Basos 0 %
Neutrophils (Absolute) 3.8 x10E3/uL 1.4 - 7.0 01
Lymphs (Absolute) 1x10E3/uL 0.7 - 3.1
Monocytes(Absolute) 0.9 x10E3/uL 0.1 - 0.9
Eos (Absolute) 0.1 x10E3/uL 0.0 - 0.4
Baso (Absolute) 0.0 x10E3/uL 0.0 - 0.2
Immature Granulocytes 0 % 01
Immature Grans (Abs) 0.0 x10E3/uL 0.0 - 0.1 01
Prl+Insul+IGF1+IGFBP3+V D25
Insulin-Like Growth Factor I 230 High ng/mL 67 - 205
IGF-BP3 4721 ug/L 2374 - 5891
Prolactin 9.0 ng/mL 4.0 - 15.2
Insulin 5.6 uIU/mL 2.6 - 24.9
Vitamin D, 25-Hydroxy 31.6 ng/mL 30.0 - 100.0 01
T4+TSH+TestT+LH+DHEA S+E2+S…
TSH-ICMA 1.6 uU/mL
Reference Range:
Pubertal Children and Adults:
0.5 - 4.8
Thyroxine (T-4), Serum 6.6 ug/dL
Reference Range:
Adults: 4.2 - 13.0
Free T-3 3.1 pg/mL
Reference Range:
=20y: 2.0 - 4.4
Testosterone, Serum (Total) 237 Low ng/dL 03
Reference Range:
Adult Males
18 years 348 - 1197
Free Testosterone, Serum 33 Low pg/mL
Reference Range:
Adult Males: 52 - 280
% Free Testosterone (Dialysis)
1.4 Low %
1.00
T
Adult Males: 1.5 - 3.2 Luteinizing Hormone (LH) ECL 1.5 mIU/ml
Reference Range:
Adult Males: 1.5 - 9
DHEA-Sulfate, LCMS 242 ug/dL
Reference Range:
Adult Males (41 - 50y): 16 - 390
Sex Hormone Binding Globulin 44.0 nmol/L
Reference Range:
Pubertal: 16.0 - 100.0
20 - 49y: 16.5 - 55.9
49y: 19.3 - 76.4
Estrone Sulfate 27 ng/dL
Reference Range:
Adult Males: <10 - 138
Estradiol, Serum, MS 11 pg/mL
Reference Range:
Adult Males: 8.0 - 35
PSA Total+% Free
Prostate Specific Ag, Serum 1.6 ng/mL 0.0 - 4.0
Roche ECLIA methodology.
PSA, Free 0.42 ng/mL N/A
Roche ECLIA methodology.
% Free PSA 26.3 %
Coenzyme Q10, Total
Coenzyme Q10, Total 0.78 ug/mL 0.37 - 2.20 02
1.00
Cortisol - AM 11.5 ug/dL 6.2 - 19.4