Hello all - first post here at T-Nation, but I've been lurking for quite a while and have been lurking at other sites also.
Back in March, I mentioned to my Urologist that I've had a lack of libido for some time (thinking 15+ years). He had a Testim poster on his wall that had 10 symptoms listed and the only one I could point at that potentially could be caused by low T was the lack of libido. Anyway, the poster sparked me to ask the doc about it.
So, we drew blood that day. About 3 weeks later he calls me into his office. Total T = 250 (ref range of 250-1100) and Free T was at the bottom of the ref range also (don't recall the # or the ref range). No other tests were done other than Total T and Free T.
So, the doctor said I was a candidate for TRT. The protocol he prescribed was 400mg every 3 weeks injected in his office (yes, I had/have to go to his office to get the injection). No mention of E control, or hcg use. I feel like a million bucks for about 2 of the 3 weeks. The last week starts to get quite rough.
I started looking up what TRT was and it's benefits/potential downfalls were and found multiple web sites (including this one) with a lot of great information. Seeing that my doctor was severely lacking in the protocol, I started talking to him about a more frequent, smaller dose protocol and the use of some sort of E control. He has not necessarily said no, but in my conversations with him I can tell he's hesitant to do anything different. So, I've been exploring other options including hrt clinics.
I recently found one that seemed open and not overly priced. Their blood work requirements were much more substantial than my last set of labs. I had blood drawn 1 day post my normal injection (every 3 week protocol). I was trying to get blood done 1 day pre my next injection to see where my levels were, but scheduling didn't allow it to happen. So, you'll see that my total T and Free T are in the "high" range, and that's the reason (I'm assuming).
Here's the labs done and the numbers:
Glucose, Serum 84mg/dl (65-99)
BUN 14mg/dl (5-26)
Creatinine, Serum 1.06mg/dl (0.76-1.27)
eGFR >59 (>59)
EGFR AfricanAmerican >59 (>59)
BUN Creatinine Ratio 13 (8-27)
Sodium, Serum 141 (135-145)
Potassium, Serum 3.9 (3.5-5.2)
Chloride, Serum 102 (97-108)
Carbon Dioxide, Total 24 (20-32)
Calcium, Serum 102 (97-108)
Protein, Total, Serum 7.3 (6.0-8.5)
Albumin, Serum 4.7 (3.5-5.5)
Globulin, Total 2.6 (1.5-4.5)
A/G Ratio 1.8 (1.1-2.5)
Bilirubin, Total 1.0 (0.0-1.2)
Alkaline Phosphatase, S 48 (25-150)
AST (SGOT) 25 (0-40)
ALT (SGPT) 22 (0-55)
Cholesterol, Total 200 HIGH (100-199)
Triglycerides 57 (0-149)
HDL Cholesterol 63 (>39)
VLDL Cholesterol Cal 11 (5-40)
LDL Cholesterol Calc 126 HIGH (0-99)
LDL/HDL Ratio 2.0 (0.0-3.6)
TSH 1.42 (0.45-4.5)
Thyroxine (T4) 8.0 (4.5-12.0)
Triiodothyronine, Free, Serum 3.7 (2.0-4.4)
T4 Free (Direct) 1.44 (0.82-1.77)
Protate Specific Ag, Serum 0.8 (0.0-4.0)
Insulin-Like Growth Factor I 192 (109-284)
Testosterone, Serum 1169 HIGH (280-800)
Free Testosterone (Direct) 36.9 HIGH (8.7-25.1)
LH 1.2 LOW (1.7-8.6)
Estradiol 46.2 HIGH (7.6-42.6)
Insulin 5.3 (0.0-24.9)
CBC, Platelet Ct, and Diff WBC 4.9 (4.0-10.5)
RBC 4.95 (4.10-5.60
Hemoglobin 15.2 (12.5-17.0)
Hematocrit 44.0 (36.0-50.0)
MCV 89 (80-98)
MCH 30.7 (27.0-34.0)
MCHC 34.5 (32.0-36.0)
RDW 13.4 (11.7-15.0)
Platelets 221 (140-415)
Neutrophils 62 (40-74)
Lymphs 30 (14-46)
Monocytes 8 (4-13)
Eos 0 (0-7)
Basos 0 (0-3)
Neutrophils (Absolute) 3.1 (1.8-7.8)
Lymphs (Absolute) 1.5 (0.7-4.5)
Monocytes (Absolute)0.4 (0.1-1.0)
Eos (Absolute) 0 (0-0.4)
Baso (Absolute) 0 (0-0.2)
Immature Granulocytes 0 (0-1)
Immature Grans (Abs) 0 (0-0.1)
Now, this clinic is VERY aggressive and suggested my same dose (400mg), only weekly (split into 2 injections) along with hcg (250iu twice (1 each day prior to injection)) and tamoxifin (20mg eod). The T dose seems like complete overkill to me and I mentioned that to them. Their response was, well we want you to feel good, that's our goal, but you could take a smaller dose if you would like, you just can't go over what the script is for.
So, I will be starting out with a much smaller dose and see how things go.
Do you see any other issues in either my lab work or protocol that could be improved?
Thanks for you help in advance.