Hi Guys,
- 28 years old
- 6’'1
- 36"
-103Kg
So I have been placed on TRT 4 weeks ago 250mg T, (Primotestion Depot) every 2 weeks, First week of two week inject I feel great, second week not to great.
I booked in with my andrologist after 4 weeks as within 4 I put on 10kgs of water weight. Pinch test confirmed.
I only booked in to discuss reducing the water weight, however as result of my ups and downs and high T / E2 in the first week and low T / E2 in the second week we have changed to 125mg T every week. Starting on Monday.
Blood work pre TRT which caused my GP to send me to an Andrologist.
Serum
Haemoly - Nil
Icterus - Nil
Lipaemia - Nil
Na - 145 mnol/L - ( 135-145 )
K - 4.8 mnol/L - ( 3.6-5.4 )
Cl - 110 mnol/L - ( 95-110 )
HCO3 - 24 mnol/L - ( 22-32 )
An Gap - 16 mnol/L - ( 10-20 )
Urea - 6.0 mnol/L - ( 2.5-7.5 )
eGFR - 90 - mL/min/1.73M2
Bili - 7 - umol/L - ( <20 )
AST - 33 - U/L - ( <35 )
ALT - 18 - U/L - ( <45 )
GGT - 14 - U/L - ( <40 )
ALK Phos - 67 - U/L - ( 50-110 )
Protein - 77 - g/L - ( 60-82 )
Albumin - 46 - g/L - ( 38-50 )
Glob - 31 - g/L - ( 20-38 )
Serum/Plasma Glucose ( Fasting )
Serum - 5.3 - mnol/L - ( 3.4-5.4 )
Thyroid Profile
TSH - 1.1 - mIU.L - ( 0.5-4.0 )
Serum Hormone Profile
FSH - 2 - IU/L - ( <7 )
LH - 3.1- IU/L - ( <7 )
E2 - 111 - pmol/L - ( <150 )
PROG - 3 - nmol/L - ( 0.9-3.9 )
Lipid Studies ( Fasting )
Chol - 4.9 - mnol/L - ( 3.0-5.2 )
Trig - 1.0 - mnol/L - ( 0.5-1.7 )
HDL - 1.3 - mnol/L - ( 1.0-2.0 )
LDL - 3.1 - mnol/L - ( 1.5-3.4 )
Non-HDL - 3.6 - mnol/L - ( 1.5-3.4 )
Chol/HDL - 3.8 - mnol/L - ( <5.0 )
Haematology
HB - 160 - g/L - ( 130 -180 )
Hct - 0.47 - - ( 0.40-0.54 )
RCC - 5.5 - x10power12/L - ( 4.5-6.5 )
MCV - 85 - fL - ( 79-99 )
MCH - 29 - pg - ( 27-34 )
MCHC - 343 g/L - ( 320-360 )
RDW - 13.5 - % - ( 10.0-17.0 )
WBC - 9.2 - x10power9/L - ( 4.0-11.0 )
Neut - 5.6 - x10power9/L - ( 2.0-7.5 )
Lynph - 1.9 - x10power9/L - ( 1.0-4.0 )
Mono - 0.8 - x10power9/L - ( 0.2-1.0 )
Eos - 0.2 - x10power9/L - ( <0.7 )
Baso - 0.1 - x10power9/L - ( <0.2 )
Plat - 259 - x10power9/L - ( 150-400 )
Androgens
Total Test (Centaur) - 11 - nmol/L - ( 8.3-29 )
Sex Hormone Binding Globulin - 32 - nmol/L - ( 11-71 )
DHEAS - 12 - umol/L - ( 3.0-10 )
Calculated Free Test - 216 - pmol/L - ( 225-725 )
Blood work Andrologist performed looking for other options then TRT.
LH - 2 - IU/L - (1-10)
FSH - 1 - IU/L - (1-10)
E2 - 90 - pmol/L - ( <150 )
Test - 8 - nmol/L - ( 10.0-33.0 )
FTest - 249 - pmol/L - ( 150-700 )
SHBG - 8 - nmol/L - ( 13-71 )
DHEAS - 3800 - ug/L - ( 1000-4000 )
First week of 250mg T next morning
Test - 28 - nmol/L - ( 10.0 - 33.0 )
E2 - 160 - pmol/L - ( <150 )
End of second week no shot in morning
E2 - 90 - pmol/L - ( <150 )
Test - 17 - nmol/L - ( 10.0-33.0 )
FTest - 488 - pmol/L - ( 150-700 )
SHBG - 19 - nmol/L - ( 13-71 )
Sorry for the inconstant bloods, I’m still trying to find the right GP for my own blood work monitoring. This first GP got offended when I said I wanted to monitor my own blood work.
In 3 weeks time I will get new blood work for the new protocol I have been placed on. which is 125mg T every week. Doc is hoping my E2 to plateau out at 120 pmonl/L and my T to 22 nmol/L.
With the water retention he has placed me on 40mg of Lasix per day
He has also prescribed 100mg Viagra if I have any issues through the transition.
What are your thoughts?