You might have seen my name on here over the last 6 months trying to give what little advice I know about TRT and my experiences and obstacles over my 6 month journey.
Over the last several weeks I have experienced on and off episodes of acute shortness of breath with chest tightness on exhertion. I have worked as a Firefighter for the last 24 years and recently while at a fire noticed that I felt extremely winded and like someone was sitting on my chest. In addition to that I also felt an extreme flushed feeling in my face and had a dull headache for several days. I am also a Paramedic so I decided to do a 12 lead EKG, monitored my pulse oximetry and blood pressure.The results were an extreme wake up call for me. My blood pressure was 170/114 and my oxygen saturation in my blood was 96%, which is acceptable but not great. My EKG looked OK so I decided that I wasn’t going to fool around and made an appointment with a new Cardiologist at Men’s Health Boston, Dr Evan Applebaum. Dr Applebaum was great, he listened to everything I said and did a thorough exam to include a stress test and labs. My Troponin levels came back within normal limits, however, my MCV ( mean corpuscular volume) came back at 79 FL normal range 82-98 FL. Hemoglobin 15.1 g/dL normal range 13.7-17.5 g/dL, Hematacrit 44% normal range 40-51 %. Wondering if my MCV is low because my blood is too viscous (thick).
Fast forward 1 week. Today I went to my Urologist for my 6 month visit to go over my labs that I had done on 3/15/18, which couldn’t have come at a better time so I could discuss my recent symptoms. My Dr increased my Testosterone 6 weeks prior to 160 Mg weekly x 2 injections per week, 1000 IU of HCG every other day and 1/2 MG of Arimadex X2 per week. I felt as though my testosterone was going to be through the roof due to the increase in dose + Newly added HCG to the protocol. My labs were as follows from Quest Diagnostics.
Hemoglobin 15.1 range 13.7-17.5
Hematocrit 44.9 range 40-51 %
Total Test 106****** Range 250- 827 ng/dL
E2 52**** range <39 pg/ml
PSA .7 range <4.0 ng/ml
SHBG 17 range 10-50 nmol/L
My Dr decided to do labs again because the total testosterone was not making any sense. So here are the lab values taken 4 days after the above.
Total test 919
I asked how there could be such a variation in the total Testosterone level, his reply was, “probably lab error.” He still could not answer why my E2 was soo high. I guess the moral of the story is that don’t be too quick to adjust your protocol without a repeat of labs!