46 -age
5’ 11"-height
46" -waist
260 -weight
-describe body and facial hair
overweight, moderate/light facial hair
-describe where you carry fat and how changed
midsection/hips/thighs
-health conditions, symptoms [history]
generally healthy, significant weight loss over past 18 months (86lbs through diet and exercise)
-Rx and OTC drugs, any hair loss drugs or prostate drugs ever
multi vit and occasional phentermine (12.5mg 2 - 3 times per week)
-describe diet [some create substantial damage with starvation diets]
low carb <50 p/day for past 8 weeks
-describe training [some ruin there hormones by over training]
recently started lifting three days per week. beginner level
-testes ache, ever, with a fever?
no problems here
-how have morning wood and nocturnal erections changed
major increase since starting TRT
Backstory: Went to a Health & Wellness doc to get on a supervised diet plan. The diet plan is basically just a low carb diet. He tested total T and result was 320. He has me getting weekly injections of 200mg Test Cyp. I suspect this facility is mostly interested in my money… I decided to get some blood work done just for the hell of it after 7 weeks of diet and TRT shots.
The doc said at one point over the past several weeks that I would “probably” see around a 100pt rise in my total T from the shots. He has never said anything about Free T, Estradiol, etc.
Lab Work (LabCorp)
Lab work was taken 10:00AM on a Tues. 6 days AFTER my last T shot. 12hr fasting.
Testosterone, Serum >1500 High 348-1197
Free Testosterone 37.4 High 6.8-21.5
Estradiol 79.9 High 7.6-42.6
DHEA,s 124.8 71.6-375.4
Total Cholesterol 165 100-199
Triglycerides 74 0-149
HDL 33 Low >39
LDL 117 High 0-99
T.Chol/HDL Ratio 5 0-5
TSH 5.84 High .45-4.5
T4 6.8 4.5-12
T3 35 24-39
Free Thyroxine Index 2.4 1.2-4.9
Albumin, Serum 4.2 3.5-5.5
Alkaline Phosphatase S 129 High 44-102
ALT 21 0-44
AST 19 0-40
Bilirubin, Total .9 0-1.2
Protein, Total 7 6-8.5
Globulin, Total 2.8 1.5-4.5
A/G Ratio 1.5 1.1-2.5
GGT 17 0-65
BUN 11 6-24
Creatinine .92 .76-1.27
BUN/C Ratio 12 9-20
Uric Acid 5.9 3.7-8.6
Fasting Glucose 92 65-99
A1c 5.6 4.8-5.6
Est Avg Glu 114
C-Reactive Protein, Cardiac 1.04 0.00-3.0
Vit D, 25-Hydroxy 26.8 Low 30-100
Iron 81 40-155
Calcium 9.3 8.7-10.2
Phosphorus 2.4 Low 2.5-4.5
Ferritin 106 30-400
Progesterone .8 .2-1.4
It looks like I need to have a conversation with him regarding an AI. Correct? And probably also lowering my dosage to 100mg p/week?
I’m reading this forum like crazy but wanted to get some input from those more knowledgeable than I.
I actually feel pretty amazing right now. Body comp is changing more over the past several weeks than it had in the past 10 months. Libido is high. Energy high. Sleep is not good but it really never has been.
Anyway, could I get some feedback regarding my numbers and potential direction. I didn’t go into this guy for TRT. But if I’m going to do this, I want to do it right.
Thanks in advance.