After taking the advice of several members here, I got a blood panel done. A couple of things off balance here and I’m looking for some advice and what to watch out for.
TIA
Male 39YO
6’1"
184
12.6%BF
23.8 BMI
All natural.
CMP12+LP+6AC+CBC/D/Plt+PSA+
Glucose 104 High mg/dL 65-99
Uric Acid 4.4 mg/dL 3.7-8.6
BUN 11 mg/dL 6-20
Creatinine 1.04 mg/dL 0.76-1.27
eGFR If NonAfricn Am 90 mL/min/1.73 >59
eGFR If Africn Am 104 mL/min/1.73 >59
BUN/Creatinine Ratio 11 9-20
Sodium 140 mmol/L 134-144
Potassium 5.0 mmol/L 3.5-5.2
Chloride 100 mmol/L 96-106
Calcium 9.8 mg/dL 8.7-10.2
Phosphorus 3.6 mg/dL 2.5-4.5
Protein, Total 7.1 g/dL 6.0-8.5
Albumin 5.0 g/dL 3.5-5.5
Globulin, Total 2.1 g/dL 1.5-4.5
A/G Ratio 2.4 High 1.2-2.2
Bilirubin, Total 0.5 mg/dL 0.0-1.2
Alkaline Phosphatase 75 IU/L 39-117
LDH 153 IU/L 121-224
CMP12+LP+6AC+CBC/D/Plt+PSA+
AST (SGOT) 28 IU/L 0-40
ALT (SGPT) 35 IU/L 0-44
GGT 38 IU/L 0-65
Iron 113 ug/dL 38-169
Cholesterol, Total 174 mg/dL 100-199
Triglycerides 77 mg/dL 0-149
HDL Cholesterol 72 mg/dL >39
LDL Cholesterol Calc 87 mg/dL 0-99
T. Chol/HDL Ratio 2.4 ratio 0.0-5.0
Estimated CHD Risk < 0.5
Albumin is also high. T binds “loosely” to albumin, but it does bind to it. Your blood counts are low (RBC and WBC). Low RBC is not surprising with low free T. So, the problem revolves around your free T, and why it is low. SHBG is most likely high. Are you on TRT now? If yes, up your dose. If no, talk to the doc about lowering SHBG.
FYI, sorry if its TMI, but I jerk it about 5x wk sometimes twice/day because the wife only gives it up about once a week. Super hard erections get up real quick and I can go twice if I need to.
Lost some motivation in the gym and I’m a really hard gainer. Minimal body hair (dont mind that).
There are drugs for it. There are some things that naturally raise your test levels, which would probably help your free T by extension. Google “elevate testosterone” or something to that effect and see which things you can do realistically.
your A1c is high. reduce carbs (do not cut them !) chose wisely your carbs. go low IG carbs.
and intermittent fasting will reduce your glucose and A1c.
you should go a little higher on your T dosage.
I wouldn’t do it, at least not yet. Your E2 was lower end and with your SHBG at 45, you may not have any trouble with higher E2 levels. In fact, you may need it.
Keep in mind the test was taken while not fasting. I do eat a lot of carbs. I also just dropped 1% in body fat in the last month.
I think I will stay with the current dosage as I can feel the results. We’ll see what the next blood lab reveals.
Thank you for the advice.
Yesterday I had one of the best workouts Ive had in a long time. Feeling great too.
A little more aroused than usual. Dick function is still top notch.
Slightly more agitated than normal. I woke up this morning to having an irritating dream.
Noticeably getting more ripped already. I dont usually notice my gains, but my abs are definitely showing more, and I’ve gotten a few recent comments about looking good/ripped. Like I mentioned above I’ve also dropped a % in BF and I haven’t changed my diet.
So the TRT is definitely working. Although the results are mild so far, based on other threads, I wasnt expecting such rapid results. I’m very happy with the results and I dont feel I need to step it up from here.
Two questions. What side effects should I keep an eye out for? When should I get my next labs done?
I hesitate to say. If you rub your nipples enough trying to figure out if they are sore……….they will get sore. High E2, fluid retention, nipple sensitivity, puffiness, tenderness (which is mastalgia, not gynecomastia), sexual dysfunction, emotional, moodiness, etc. Go with what you are feeling, not the number.