T Nation

Dialing in on TRT with HCG, Energy, and Libido


#1

Hey everyone,

I’m new to the forum but not new to TRT.

Here is a bit about me:

29 years old Male
245lbs at 6’4" and 36 waist
Workout 3 to 4 days a week with weights/some cardio.
High protein diet with mainly organic foods.
Been on TRT for 10 months with Defy Medical
Previous went to the Low T center for 1 year.
I have tried a restart with clomid 2 times and on clomid I was in the mid to upper 400s for total T.
I have a small varicolie vein on one testicle but when I got the ultrasound it does not affect blood flow.
I did a salvia Cortisol test that was normal.
I did the sleep study at home and it came back as very mild sleep apnea (my sinuses probably cause that and one of my nostrils is always clogged).
I have dealt with anxiety for over 15 years now and used to take prescriptions for it but no longer do.
My hematocrit is always in the Low 50s on TRT and even without it I’m at the upper 40s. Not sure why.

So that should give you a good background. I have tried TRT with once a week dosing, 2 times a week, and EOD for test and HCG and that works the best because my SHBG is on the lower end of normal 19.2 on my last test.

I have been having a tough time falling asleep and staying asleep and do my injections at night. My anxiety has been ok but still not great. My energy is terrible and I feel very tired all day long. When I sit down it’s hard to get up.

Current protocol: 40mg of test cyp EOD(GLUTES), HCG EOD at 200iu (stomach inject). I also take 4 fish oil a day, calcium with d3, DIM 200mg daily to control estrogen, cholestoff, coq q 10, and b12 tablet that dissolves. Occasionally I will take a cialis trouche from compounded pharmacy.

A lot of times I’ll take a sleep aid but they don’t allow me to sleep through the night and I wake up groggy.

I’m on 29 and haven’t felt much better. I have no sex drive. My originally total t was 204 before TRT. My girlfriend always gets mad because I don’t feel like having sex or I’m too tired to try. When I masturbate or have sex it’s very quick. I just feel like I should be doing better for my age with no major health problems besides this, a bit high cholesterol, and anxiety. I eat healthy and like to workout and people at gym or at work think my muscle definition is good.

Please help. I’ll post up some labs soon. I need to see if I should go ED on my injections or what I need to switch up. Also what vitamins and supplements should I be taking on TRT that I’m not taking now. I do protein powder and coffee or preworkout as well. I like doing creatine but it makes me hold a ridiculous amount of water. I feel more bloated than ever but my estrogen is in the 20s.

EDIT LABS HERE: http://www.allthingsmale.com/community/threads/low-shbg-eod-or-ed-trt-please-help.27697/ (Please see first two posts on that forum for actual pictures of these labs. I have added the text below as well, but it is easier to see on the All things Male Dr. Crisler forum). Thanks)

MARCH 2015 LABS PRIOR TO TRT

NMR LipoProfile
LDL Particle Number 01
LDL-P 1754 High nmol/L <1000
Low < 1000
Moderate 1000 - 1299
Borderline-High 1300 - 1599
High 1600 - 2000
Very High > 2000 01
Lipids 01
LDL-C 85 mg/dL <100
Optimal < 100
Above optimal 100 - 129
Borderline 130 - 159
High 160 - 189
Very high > 189 01
HDL-C 32 Low mg/dL >=40 01
Triglycerides 139 mg/dL <150 01
Cholesterol, Total 145 mg/dL <200 01
LDL and HDL Particles 01
HDL-P (Total) 30.2 Low umol/L >= 30.5 01
Small LDL-P 1590 High nmol/L <= 527 01
LDL Size 19.5 Low nm > 20.5
----------------------------------------------------------
** INTERPRETATIVE INFORMATION**
PARTICLE CONCENTRATION AND SIZE
<–Lower CVD Risk Higher CVD Risk–>
LDL AND HDL PARTICLES Percentile in Reference Population
HDL-P (total) High 75th 50th 25th Low
>34.9 34.9 30.5 26.7 <26.7
Small LDL-P Low 25th 50th 75th High
<117 117 527 839 >839
LDL Size <-Large (Pattern A)-> <-Small (Pattern B)->
23.0 20.6 20.5 19.0
---------------------------------------------------------- 01

       TESTS              RESULT	FLAG	UNITS	REFERENCE INTERVAL	LAB

LP-IR Score 50 High <= 45 01
The LP-IR Score combines information from lipoprotein particle concentration and size to give improved assessment of insulin resistance and diabetes risk. Small LDL-P, LDL Particle Size, HDL-Particle, and
LP-IR Score have been validated by LipoScience but not cleared by US FDA; the clinical utility of these test results has not been fully established.
INSULIN RESISTANCE MARKER
<–Insulin Sensitive Insulin Resistant–>
Percentile in Reference Population
Insulin Resistance Score
LP-IR Score Low 25th 50th 75th High
<27 27 45 63 >63
CBC With Differential/Platelet
WBC 5.6 x10E3/uL 3.4 - 10.8 02
RBC 5.49 x10E6/uL 4.14 - 5.80 02
Hemoglobin 17.7 g/dL 12.6 - 17.7 02
Hematocrit 50.3 % 37.5 - 51.0 02
MCV 92 fL 79 - 97 02
MCH 32.2 pg 26.6 - 33.0 02
MCHC 35.2 g/dL 31.5 - 35.7 02
RDW 13.3 % 12.3 - 15.4 02
Platelets 157 x10E3/uL 150 - 379 02
Neutrophils 74 % 02
Lymphs 16 % 02
Monocytes 8 % 02
Eos 1 % 02
Basos 1 % 02
Neutrophils (Absolute) 4.1 x10E3/uL 1.4 - 7.0 02
Lymphs (Absolute) 0.9 x10E3/uL 0.7 - 3.1 02
Monocytes(Absolute) 0.4 x10E3/uL 0.1 - 0.9 02
Eos (Absolute) 0.1 x10E3/uL 0.0 - 0.4 02
Baso (Absolute) 0.0 x10E3/uL 0.0 - 0.2 02
Immature Granulocytes 0 % 02
Immature Grans (Abs) 0.0 x10E3/uL 0.0 - 0.1 02
Basic Metabolic Panel (8)
Glucose, Serum 89 mg/dL 65 - 99 02
BUN 16 mg/dL 6 - 20 02
Creatinine, Serum 1.27 mg/dL 0.76 - 1.27 02
eGFR If NonAfricn Am 77 mL/min/1.73 >59
eGFR If Africn Am 90 mL/min/1.73 >59
BUN/Creatinine Ratio 13 8 - 19
Sodium, Serum 139 mmol/L 134 - 144 02
Potassium, Serum 4.2 mmol/L 3.5 - 5.2 02
Chloride, Serum 98 mmol/L 97 - 108 02
Carbon Dioxide, Total 24 mmol/L 18 - 29 02

       TESTS              RESULT	FLAG	UNITS	REFERENCE INTERVAL	LAB

Calcium, Serum 9.3 mg/dL 8.7 - 10.2 02
Hepatic Function Panel (7)
Protein, Total, Serum 6.9 g/dL 6.0 - 8.5 02
Albumin, Serum 4.7 g/dL 3.5 - 5.5 02
Bilirubin, Total 0.9 mg/dL 0.0 - 1.2 02
Bilirubin, Direct 0.22 mg/dL 0.00 - 0.40 02
Alkaline Phosphatase, S 88 IU/L 39 - 117 02
AST (SGOT) 27 IU/L 0 - 40 02
ALT (SGPT) 25 IU/L 0 - 44 02
Testosterone,Free and Total
Testosterone, Serum 202 Low ng/dL 348 - 1197 02
Comment:
Adult male reference interval is based on a population of lean males
up to 40 years old.
Free Testosterone(Direct) 9.8 pg/mL 9.3 - 26.5 03
Please note reference interval change
Hemoglobin A1c 4.7 Low % 4.8 - 5.6 02
Increased risk for diabetes: 5.7 - 6.4
Diabetes: >6.4
Glycemic control for adults with diabetes: <7.0
Thyroxine (T4) Free, Direct, S
T4,Free(Direct) 1.06 ng/dL 0.82 - 1.77 02
Cortisol 38.4 High ug/dL 2.3 - 19.4 02
Cortisol AM 6.2 - 19.4
Cortisol PM 2.3 - 11.9
TSH 1.360 uIU/mL 0.450 - 4.500 02
Vitamin B12 1086 High pg/mL 211 - 946 02

DATE OF THESE LABS: 3/2015 PRIOR TO GOING ON TRT

NMR LipoProfile
LDL Particle Number 01
LDL-P 1754 High nmol/L <1000
Low < 1000
Moderate 1000 - 1299
Borderline-High 1300 - 1599
High 1600 - 2000
Very High > 2000 01
Lipids 01
LDL-C 85 mg/dL <100
Optimal < 100
Above optimal 100 - 129
Borderline 130 - 159
High 160 - 189
Very high > 189 01
HDL-C 32 Low mg/dL >=40 01
Triglycerides 139 mg/dL <150 01
Cholesterol, Total 145 mg/dL <200 01
LDL and HDL Particles 01
HDL-P (Total) 30.2 Low umol/L >= 30.5 01
Small LDL-P 1590 High nmol/L <= 527 01
LDL Size 19.5 Low nm > 20.5
----------------------------------------------------------
** INTERPRETATIVE INFORMATION**
PARTICLE CONCENTRATION AND SIZE
<–Lower CVD Risk Higher CVD Risk–>
LDL AND HDL PARTICLES Percentile in Reference Population
HDL-P (total) High 75th 50th 25th Low
>34.9 34.9 30.5 26.7 <26.7
Small LDL-P Low 25th 50th 75th High
<117 117 527 839 >839
LDL Size <-Large (Pattern A)-> <-Small (Pattern B)->
23.0 20.6 20.5 19.0
---------------------------------------------------------- 01
Insulin Resistance Score 01

       TESTS              RESULT	FLAG	UNITS	REFERENCE INTERVAL	LAB

LP-IR Score 50 High <= 45 01
The LP-IR Score combines information from lipoprotein particle concentration and size to give improved assessment of insulin resistance and diabetes risk. Small LDL-P, LDL Particle Size, HDL-Particle, and
LP-IR Score have been validated by LipoScience but not cleared by US FDA; the clinical utility of these test results has not been fully established.
INSULIN RESISTANCE MARKER
<–Insulin Sensitive Insulin Resistant–>
Percentile in Reference Population
Insulin Resistance Score
LP-IR Score Low 25th 50th 75th High
<27 27 45 63 >63
CBC With Differential/Platelet
WBC 5.6 x10E3/uL 3.4 - 10.8 02
RBC 5.49 x10E6/uL 4.14 - 5.80 02
Hemoglobin 17.7 g/dL 12.6 - 17.7 02
Hematocrit 50.3 % 37.5 - 51.0 02
MCV 92 fL 79 - 97 02
MCH 32.2 pg 26.6 - 33.0 02
MCHC 35.2 g/dL 31.5 - 35.7 02
RDW 13.3 % 12.3 - 15.4 02
Platelets 157 x10E3/uL 150 - 379 02
Neutrophils 74 % 02
Lymphs 16 % 02
Monocytes 8 % 02
Eos 1 % 02
Basos 1 % 02
Neutrophils (Absolute) 4.1 x10E3/uL 1.4 - 7.0 02
Lymphs (Absolute) 0.9 x10E3/uL 0.7 - 3.1 02
Monocytes(Absolute) 0.4 x10E3/uL 0.1 - 0.9 02
Eos (Absolute) 0.1 x10E3/uL 0.0 - 0.4 02
Baso (Absolute) 0.0 x10E3/uL 0.0 - 0.2 02
Immature Granulocytes 0 % 02
Immature Grans (Abs) 0.0 x10E3/uL 0.0 - 0.1 02
Basic Metabolic Panel (8)
Glucose, Serum 89 mg/dL 65 - 99 02
BUN 16 mg/dL 6 - 20 02
Creatinine, Serum 1.27 mg/dL 0.76 - 1.27 02
eGFR If NonAfricn Am 77 mL/min/1.73 >59
eGFR If Africn Am 90 mL/min/1.73 >59
BUN/Creatinine Ratio 13 8 - 19
Sodium, Serum 139 mmol/L 134 - 144 02
Potassium, Serum 4.2 mmol/L 3.5 - 5.2 02
Chloride, Serum 98 mmol/L 97 - 108 02
Carbon Dioxide, Total 24 mmol/L 18 - 29 02

       TESTS              RESULT	FLAG	UNITS	REFERENCE INTERVAL	LAB

Calcium, Serum 9.3 mg/dL 8.7 - 10.2 02
Hepatic Function Panel (7)
Protein, Total, Serum 6.9 g/dL 6.0 - 8.5 02
Albumin, Serum 4.7 g/dL 3.5 - 5.5 02
Bilirubin, Total 0.9 mg/dL 0.0 - 1.2 02
Bilirubin, Direct 0.22 mg/dL 0.00 - 0.40 02
Alkaline Phosphatase, S 88 IU/L 39 - 117 02
AST (SGOT) 27 IU/L 0 - 40 02
ALT (SGPT) 25 IU/L 0 - 44 02
Testosterone,Free and Total
Testosterone, Serum 202 Low ng/dL 348 - 1197 02
Comment:
Adult male reference interval is based on a population of lean males
up to 40 years old.
Free Testosterone(Direct) 9.8 pg/mL 9.3 - 26.5 03
Please note reference interval change
Hemoglobin A1c 4.7 Low % 4.8 - 5.6 02
Increased risk for diabetes: 5.7 - 6.4
Diabetes: >6.4
Glycemic control for adults with diabetes: <7.0
Thyroxine (T4) Free, Direct, S
T4,Free(Direct) 1.06 ng/dL 0.82 - 1.77 02
Cortisol 38.4 High ug/dL 2.3 - 19.4 02
Cortisol AM 6.2 - 19.4
Cortisol PM 2.3 - 11.9
TSH 1.360 uIU/mL 0.450 - 4.500 02
Vitamin B12 1086 High pg/mL 211 - 946 02

LABS FROM 12/2016 ON CLOMID 25MG ED PRIOR TO GOING BACK ON TRT

CBC With Differential/Platelet
WBC 6.8 x10E3/uL 3.4 - 10.8 01
RBC 5.69 x10E6/uL 4.14 - 5.80 01
Hemoglobin 17.9 High g/dL 12.6 - 17.7 01
Hematocrit 51.3 High % 37.5 - 51.0 01
MCV 90 fL 79 - 97 01
MCH 31.5 pg 26.6 - 33.0 01
MCHC 34.9 g/dL 31.5 - 35.7 01
RDW 13.0 % 12.3 - 15.4 01
Platelets 175 x10E3/uL 150 - 379 01
Neutrophils 49 % 01
Lymphs 45 % 01
Monocytes 5 % 01
Eos 1 % 01
Basos 0 % 01
Neutrophils (Absolute) 3.3 x10E3/uL 1.4 - 7.0 01
Lymphs (Absolute) 3.1 x10E3/uL 0.7 - 3.1 01
Monocytes(Absolute) 0.4 x10E3/uL 0.1 - 0.9 01
Eos (Absolute) 0.1 x10E3/uL 0.0 - 0.4 01
Baso (Absolute) 0.0 x10E3/uL 0.0 - 0.2 01
Immature Granulocytes 0 % 01
Immature Grans (Abs) 0.0 x10E3/uL 0.0 - 0.1 01
Comp. Metabolic Panel (14)
Glucose, Serum 102 High mg/dL 65 - 99 01
BUN 18 mg/dL 6 - 20 01
Creatinine, Serum 1.07 mg/dL 0.76 - 1.27 01
eGFR If NonAfricn Am 94 mL/min/1.73 >59
eGFR If Africn Am 109 mL/min/1.73 >59

       TESTS              RESULT     FLAG      UNITS  REFERENCE INTERVAL  LAB

BUN/Creatinine Ratio 17 8 - 19
Sodium, Serum 142 mmol/L 134 - 144 01
Potassium, Serum 3.8 mmol/L 3.5 - 5.2 01
Chloride, Serum 102 mmol/L 96 - 106 01
Carbon Dioxide, Total 23 mmol/L 18 - 29 01
Calcium, Serum 9.5 mg/dL 8.7 - 10.2 01
Protein, Total, Serum 7.3 g/dL 6.0 - 8.5 01
Albumin, Serum 4.3 g/dL 3.5 - 5.5 01
Globulin, Total 3.0 g/dL 1.5 - 4.5
A/G Ratio 1.4 1.1 - 2.5
Bilirubin, Total 0.8 mg/dL 0.0 - 1.2 01
Alkaline Phosphatase, S 73 IU/L 39 - 117 01
AST (SGOT) 29 IU/L 0 - 40 01
ALT (SGPT) 24 IU/L 0 - 44 01
Lipid Panel
Cholesterol, Total 186 mg/dL 100 - 199 01
Triglycerides 194 High mg/dL 0 - 149 01
HDL Cholesterol 29 Low mg/dL >39 01
VLDL Cholesterol Cal 39 mg/dL 5 - 40
LDL Cholesterol Calc 118 High mg/dL 0 - 99
Testosterone,Free and Total
Testosterone, Serum 427 ng/dL 348 - 1197 01
Comment:
Adult male reference interval is based on a po up to 40 years old.
Free Testosterone(Direct) 11.9 pulation pg/mL of lean males
9.3 - 26.5 02
Thyroxine (T4) Free, Direct, S
T4,Free(Direct) 1.32 ng/dL 0.82 - 1.77 01
DHEA-Sulfate 327.3 ug/dL 138.5 - 475.2 01
TSH 2.800 uIU/mL 0.450 - 4.500 01
Luteinizing Hormone(LH), S
LH 2.7 mIU/mL 1.7 - 8.6 01
Prostate-Specific Ag, Serum
Prostate Specific Ag, Serum 0.8 ng/mL 0.0 - 4.0 Roche ECLIA methodology.
According to the American Urological Association, Serum PSA should
decrease and remain at undetectable levels after radical
prostatectomy. The AUA defines biochemical recurrence as an initial PSA value 0.2 ng/mL or greater followed by a subsequent confirmatory 01

       TESTS              RESULT     FLAG      UNITS  REFERENCE INTERVAL  LAB
 PSA value 0.2 ng/mL or greater.
 Values obtained with different assay methods or kits cannot be used      interchangeably. Results cannot be interpreted as absolute evidence      of the presence or absence of malignant disease.
Reverse T3, Serum                        21.6	ng/dL	   9.2 - 24.1	02
Estradiol, Sensitive                     19.0	pg/mL	   8.0 - 35.0	02
 This test was developed and its performance characteristics      determined by LabCorp. It has not been cleared by the Food and
 Drug Administration.
 Methodology: Liquid chromatography tandem mass spectrometry(LC/MS/MS)
Thyroglobulin Antibody                   <1.0	IU/mL	   0.0 - 0.9	01
 Thyroglobulin Antibody measured by Beckman Cou

Progesterone 0.2 High lter Methodology ng/mL 0.0 - 0.1 01
Thyroid Peroxidase (TPO) Ab 9 IU/mL 0 - 34 01
Triiodothyronine,Free,Serum 3.3 pg/mL 2.0 - 4.4 01

APRIL 2017 ON TRT FOR 4 MONTHS

CBC With Differential/Platelet
WBC 6.9 x10E3/uL 3.4 - 10.8 01
RBC 5.64 x10E6/uL 4.14 - 5.80 01
Hemoglobin 17.9 High g/dL 12.6 - 17.7 01
Hematocrit 51.4 High % 37.5 - 51.0 01
MCV 91 fL 79 - 97 01
MCH 31.7 pg 26.6 - 33.0 01
MCHC 34.8 g/dL 31.5 - 35.7 01
RDW 12.7 % 12.3 - 15.4 01
Platelets 208 x10E3/uL 150 - 379 01
Neutrophils 52 % 01
Lymphs 42 % 01
Monocytes 5 % 01
Eos 1 % 01
Basos 0 % 01
Neutrophils (Absolute) 3.6 x10E3/uL 1.4 - 7.0 01
Lymphs (Absolute) 2.9 x10E3/uL 0.7 - 3.1 01
Monocytes(Absolute) 0.3 x10E3/uL 0.1 - 0.9 01
Eos (Absolute) 0.1 x10E3/uL 0.0 - 0.4 01
Baso (Absolute) 0.0 x10E3/uL 0.0 - 0.2 01
Immature Granulocytes 0 % 01
Immature Grans (Abs) 0.0 x10E3/uL 0.0 - 0.1 01
Comp. Metabolic Panel (14)
Glucose, Serum 72 mg/dL 65 - 99 01
BUN 18 mg/dL 6 - 20 01
Creatinine, Serum 1.16 mg/dL 0.76 - 1.27 01
eGFR If NonAfricn Am 85 mL/min/1.73 >59
eGFR If Africn Am 99 mL/min/1.73 >59
TESTS RESULT FLAG UNITS REFERENCE INTERVAL LAB
BUN/Creatinine Ratio 16 9 - 20
Sodium, Serum 140 mmol/L 134 - 144 01
Potassium, Serum 4.4 mmol/L 3.5 - 5.2 01
Chloride, Serum 102 mmol/L 96 - 106 01
Carbon Dioxide, Total 22 mmol/L 18 - 29 01
Calcium, Serum 9.4 mg/dL 8.7 - 10.2 01
Protein, Total, Serum 7.2 g/dL 6.0 - 8.5 01
Albumin, Serum 4.6 g/dL 3.5 - 5.5 01
Globulin, Total 2.6 g/dL 1.5 - 4.5
A/G Ratio 1.8 1.2 - 2.2
Bilirubin, Total 0.7 mg/dL 0.0 - 1.2 01
Alkaline Phosphatase, S 92 IU/L 39 - 117 01
AST (SGOT) 46 High IU/L 0 - 40 01
ALT (SGPT) 42 IU/L 0 - 44 01
Lipid Panel
Cholesterol, Total 205 High mg/dL 100 - 199 01
Triglycerides 299 High mg/dL 0 - 149 01
HDL Cholesterol 25 Low mg/dL >39 01
VLDL Cholesterol Cal 60 High mg/dL 5 - 40
LDL Cholesterol Calc 120 High mg/dL 0 - 99
Iron and TIBC
Iron Bind.Cap.(TIBC) 352 ug/dL 250 - 450
UIBC 246 ug/dL 111 - 343 01
Iron, Serum 106 ug/dL 38 - 169 01
Iron Saturation 30 % 15 - 55
Testosterone,Free and Total
Testosterone, Serum 508 ng/dL 348 - 1197 01
Comment:
Adult male reference interval is based on a po up to 40 years old.
Free Testosterone(Direct) 20.3 pulation pg/mL of lean males
9.3 - 26.5 02
DHEA-Sulfate 304.2 ug/dL 138.5 - 475.2 01
TSH 2.150 uIU/mL 0.450 - 4.500 01
Prostate-Specific Ag, Serum
Prostate Specific Ag, Serum 0.8 ng/mL 0.0 - 4.0 Roche ECLIA methodology.
According to the American Urological Association, Serum PSA should
decrease and remain at undetectable levels after radical
prostatectomy. The AUA defines biochemical recurrence as an initial 01

       TESTS              RESULT     FLAG      UNITS  REFERENCE INTERVAL  LAB
 PSA value 0.2 ng/mL or greater followed by a subsequent confirmatory      PSA value 0.2 ng/mL or greater.
 Values obtained with different assay methods or kits cannot be used      interchangeably. Results cannot be interpreted as absolute evidence      of the presence or absence of malignant disease.

Estradiol, Sensitive 8.9 pg/mL 8.0 - 35.0
This test was developed and its performance characteristics determined by LabCorp. It has not been cleared by the Food and
Drug Administration.
Methodology: Liquid chromatography tandem mass spectrometry(LC/MS/MS) 02
Ferritin, Serum 29 Low ng/mL 30 - 400 01
Sex Horm Binding Glob, Serum 12.5 Low nmol/L 16.5 - 55.9

LABS FROM AUGUST 2017 ON TRT STILL EOD 40MG OF TEST 200IU OF HCG (HCG WAS INJECTED PRIOR TO GOING IN FOR THE BLOOD DRAW HERE).

CBC With Differential/Platelet
WBC 8.1 x10E3/uL 3.4 - 10.8 01
RBC 5.82 High x10E6/uL 4.14 - 5.80 01
Hemoglobin 18.1 High g/dL 12.6 - 17.7 01
Hematocrit 51.3 High % 37.5 - 51.0 01
MCV 88 fL 79 - 97 01
MCH 31.1 pg 26.6 - 33.0 01
MCHC 35.3 g/dL 31.5 - 35.7 01
RDW 14.2 % 12.3 - 15.4 01
Platelets 195 x10E3/uL 150 - 379 01
Neutrophils 50 % 01
Lymphs 43 % 01
Monocytes 6 % 01
Eos 1 % 01
Basos 0 % 01
Neutrophils (Absolute) 4.0 x10E3/uL 1.4 - 7.0 01
Lymphs (Absolute) 3.5 High x10E3/uL 0.7 - 3.1 01
Monocytes(Absolute) 0.5 x10E3/uL 0.1 - 0.9 01
Eos (Absolute) 0.1 x10E3/uL 0.0 - 0.4 01
Baso (Absolute) 0.0 x10E3/uL 0.0 - 0.2 01
Immature Granulocytes 0 % 01
Immature Grans (Abs) 0.0 x10E3/uL 0.0 - 0.1 01
Comp. Metabolic Panel (14)
Glucose, Serum 73 mg/dL 65 - 99 01
BUN 15 mg/dL 6 - 20 01
Creatinine, Serum 0.93 mg/dL 0.76 - 1.27 01
eGFR If NonAfricn Am 111 mL/min/1.73 >59
eGFR If Africn Am 128 mL/min/1.73 >59
BUN/Creatinine Ratio 16 9 - 20

       TESTS              RESULT     FLAG      UNITS  REFERENCE INTERVAL  LAB

Sodium, Serum 142 mmol/L 134 - 144 01
Potassium, Serum 4.4 mmol/L 3.5 - 5.2 01
Chloride, Serum 100 mmol/L 96 - 106 01
Carbon Dioxide, Total 22 mmol/L 18 - 29 01
Calcium, Serum 9.6 mg/dL 8.7 - 10.2 01
Protein, Total, Serum 7.3 g/dL 6.0 - 8.5 01
Albumin, Serum 4.7 g/dL 3.5 - 5.5 01
Globulin, Total 2.6 g/dL 1.5 - 4.5
A/G Ratio 1.8 1.2 - 2.2
Bilirubin, Total 0.5 mg/dL 0.0 - 1.2 01
Alkaline Phosphatase, S 94 IU/L 39 - 117 01
AST (SGOT) 32 IU/L 0 - 40 01
ALT (SGPT) 33
Lipid Panel IU/L 0 - 44 01
Cholesterol, Total 177 mg/dL 100 - 199 01
Triglycerides 440 High mg/dL 0 - 149 01
HDL Cholesterol 26 Low mg/dL >39 01
VLDL Cholesterol Cal mg/dL 5 - 40
The calculation for the VLDL cholesterol is not valid when triglyceride level is >400 mg/dL.
LDL Cholesterol Calc mg/dL 0 - 99
Triglyceride result indicated is too high for an accurate LDL cholesterol estimation. Testosterone,Free and Total
Testosterone, Serum 897 ng/dL 264 - 916 Adult male reference interval is based on a population of healthy nonobese males (BMI <30) between 19 and 39 years old. Travison, et.al. JCEM 2017,102;1161-1173. PMID: 28324103. 01
Free Testosterone(Direct) 21.3 pg/mL 9.3 - 26.5 02
DHEA-Sulfate 216.0 ug/dL 138.5 - 475.2 01
TSH 2.750 uIU/mL 0.450 - 4.500 01
Estradiol 26.0 pg/mL 7.6 - 42.6
Roche ECLIA methodology
Prostate-Specific Ag, Serum 01
Prostate Specific Ag, Serum 0.7 ng/mL 0.0 - 4.0 01
Roche ECLIA methodology.
According to the American Urological Association, Serum PSA should
decrease and remain at undetectable levels after radical prostatectomy. The AUA defines biochemical recurrence as an initial PSA value 0.2 ng/mL or greater followed by a subsequent confirmatory PSA value 0.2 ng/mL or greater.

       TESTS              RESULT     FLAG      UNITS  REFERENCE INTERVAL  LAB
 Values obtained with different assay methods or kits cannot be used      interchangeably. Results cannot be interpreted as absolute evidence      of the presence or absence of malignant disease.

Estradiol, Sensitive 23.2 pg/mL 8.0 - 35.0
This test was developed and its performance characteristics determined by LabCorp. It has not been cleared by the Food and
Drug Administration.
Methodology: Liquid chromatography tandem mass spectrometry(LC/MS/MS) 02
Sex Horm Binding Glob, Serum 19.4 nmol/L 16.5 - 55.9

Thanks so much for all of your help!!!


#2

Please list all previous labs and past protocols, it can give insight to how your body reacts to testosterone. It definitely sounds like you still not dialed in, sometimes it takes guys a while to find a protocol that works best. These low T clinics start most guys out on aggressive protocols that do little to help ease one suffering and often stall one’s recovery until a more reasonable protocol is adopted. I was on Klonopin for almost 3 decades and it can take several month to years to undo the damage these mind altering frankenstein drugs do to the mind and body. It’s taken me 6 months to start feeling consistently better, I used to feel inconsistent from week to week and now it’s hours to hours as if the countdown to full consistency is slowly approaching. Hormones are not like the instant high you get when taking medications, it often can take a little more than a year to feel your old self again once you find the protocol that works for you. Sex drive can be the last thing to improve.

How long have you been on your current protocol?

How long has it been since you ceased these anxiety medications?


#3

Do you have thyroid labs? Low thyroid function is common with guys here and would explain your symptoms. Root cause is often iodine deficiency from not using iodized salt. You could then also experience feeling cold easily or sparse outer eyebrows. Low thyroid function also makes one easily gain fat and we see some cases of anxiety that resolve when thyroid issues are addressed. Low thyroid function and low-T increase cholesterol.

Please use oral body temperatures as discussed below to eval overall thyroid function.

LH/FSH before TRT is important data and at your age prolactin should be checked. Cannot check after starting TRT as these -->zero.

You can inject T subq in upper legs with #29 1/2" 0.5ml insulin syringes.
ED will do nothing useful. Subq is smoother less peaky T and avoids decades of muscle damage. Glute injections are risky, too many large vessels and nerves.

Most are magnesium deficient, not calcium. See “ZMA” in the Biotest store. Why calcium? Most need 5000iu Vit-D3. A calcium-D3 combo sounds inadequate.


Please read the stickies found here: About the T Replacement Category

  • advice for new guys - need more info about you
  • things that damage your hormones
  • protocol for injections
  • finding a TRT doc

Evaluate your overall thyroid function by checking oral body temperatures as per the thyroid basics sticky. Thyroid hormone fT3 is what gets the job done and it regulates mitochondrial activity, the source of ATP which is the universal currency of cellular energy. This is part of the body’s temperature control loop. This can get messed up if you are iodine deficient. In many countries, you need to be using iodized salt. Other countries add iodine to dairy or bread.

KSman is simply a regular member on this site. Nothing more other than highly active.

I can be a bit abrupt in my replies and recommendations. I have a lot of ground to cover as this forum has become much more active in the last two years. I can’t follow threads that go deep over time. You need to respond to all of my points and requests as soon as possible before you fall off of my radar. The worse problems are guys who ignore issues re thyroid, body temperatures, history of iodized salt. Please do not piss people off saying that lab results are normal, we need lab number and ranges.

The value that you get out of this process and forum depends on your effort and performance. The bulk of your learning is reading/studying the suggested stickies.


#4

Hey i have all of my labs but can’t find a way to upload them without sharing my name, address, phone number etc since labcorp includes all of that on them. Any suggestions?

Thanks for your reply, I really appreciate it. I was taking clonopin pretty much daily for 7 years and lexapro 15mg daily for a few years. I went off of them almost 2 years ago now. I tried vitamins and herbs for anxiety but they seem to spike my anxiety. I’m not sure why.

I’ve been on the EOD protocol I’m on now for 10 months. The low t center had me on 160mg weekly 1 time and 1000iu of HCG weekly.

I’m working with Defy but as you know everytime you want to ask them questions you have to pay for a consultation with the doc. It’s crazy.

Thanks for any help in this matter.


#5

Hey this is all very helpful! I should definitely read some stickies. I’ve just been freaking out because my anxiety hasn’t been stable and my energy, sleep and sex drive are suffering.

How do I upload my labs without showing all of my confidential info from labcorp? I did do the thyroid labs and defy said it looks fine. I am also never cold. I am pretty much always hot and get these hot flashes that trigger my anxiety.

That’s a great idea on injecting sub q. I hate doing it into the glutes and almost always hit a nerve. It just doesn’t ever feel right. I’m surprised that you can get the oil based test cyp to load in that small syringe. I do hcg in the stomach. Should i not do it there too? Should I do hcg on the same day as test or just keep both EOD?

I actually bought the calcium since it has d3 in it. I didn’t know I could buy that by itself.

Do you have a list of what supplements at what doses I should be taking with my protocol?

Thanks a bunch ! I’m going to be on top of this thread to make sure I use all of your guys advice and get to feeling better !


#6

Melatonin works, but wakes you up later as is wears off, dropping melatonin levels are the mechanism of the brain waking up. Look carefully and you can find 5-6mg time release melatonin - or sustained release. Benadryl also wears off after you become used to it. Magnesium and 1000mg vit-C at bed time may also help.


#7

Are you saying to use magnesium and vitamin c with melatonin or just by themselves without it? What dose of magnesiyn should I do?

I am going to do a pdf of my labs tomorrow and take out the sensitive information. Hopefully the labs will show you guys more about my situation.

Thanks again for all of your help so far!


#8

Hey guys! Please see the first post for my updated labs (I have a link to another health forum where there is full pictures to easily see on there as well for easy viewing)… The first labs are the ones from March of 2015 in which I found out I had Low T by a normal routine blood test for my cholesterol.

The second labs are from December of 2016 when I was on Clomid 25mg ED and was seeking Defy to do TRT.

The third labs are from April 2017 in which I was on TRT since January on 40mg of Test Cyp EOD with 200IU of HCG.

The 4th and final labs are from August 2017 in which I was still on TRT from January (8 months) on the same above dose. I did do my shot of HCG 200iu a few hours prior to going to do the draw so it may have thrown off some of the T numbers (I’ve never had that high of total T show up).

On the most recent labs I had added 200mg of DIM vitamin every day to help with Estrogen and it looked like it worked pretty well.

Any help would be greatly appreciated. Sorry for the copying of the labs. I have clean JPG’s of them but it won’t allow me to update more than 1 picture (I have 22). If you would like me to email my actual labs, I can do that as well if it is hard to read.

These are all from Labcorp. Please help me out. Thanks


#9

Hey did you get a chance to look at all of my labs? I added 400mg of magnesium and 5000iu of vitamin d3 to my protocol. I also went to Costco and purchased 29 gauge half inch . 5ml syringes to inject the T sub q. Here is also a picture of my salvia cortisol test i had done. Please help. Im not sure what my background in table salt is. I mainly use white crystal or pink crystal salt. I’m not sure if either has it in it. I could also add another pill to my diet. Which one do you suggest? Thank you.


#10

Has anyone got any insight to help me? I posted all of my bloodwork. I’m really trying to get to feel better. Please help.


#11

Ksman did say he would be inactive for a week or two, he is the extremely knowledgable one here. Boy is he going to be playing catch-up when he gets back! Lol!


#12

Well, your most recent Total T, Free T, and Estradiol look good but something is strange with your blood lipids. I also did the Lipids Particle Analysis. I am pre-diabetic with insulin resistance (Fasting Glucose > 100, HbA1C > 5.6) but my LP-IR score was slightly below average risk at age 58. In your case you are high risk by that analysis at age 29 so something is amiss. However your fasting glucose readings in the 70s and HbA1C of 4.7% are not consistent with insulin resistance.

Your triglycerides went from 194 in Dec 2016 to 299 in April then to 440 in August. I suggest you get a comprehensive review of all your blood tests with a knowledgeable physician.


#13

BTW your labs are very comprehensive - they look to be the Male Ultimate Anti-Aging Panel with Free Testosterone from PrivateMD Labs. I do those every 6 months at a cost of $357. No way my GP would agree to scheduling all these tests and he barely looks at the results anyway. I do my own research and analysis.

Another test that might be helpful is Vitamin D-25 Hydroxy. Just about everyone seems to be Vitamin D deficient these days unless they take supplements.


#14

Hey Birdman, thanks for the reply! I’m not sure if my Total T is that good since I pinned HCG a couple of hours prior to getting that recent blood draw though. Wouldn’t that mess up the reading? My Lipids definitely concern me as well… I’m not sure what to think of it, but I have a good feeling that the readings were very inaccurate since I ate the day of as well… I’m not sure what I ate, but it could have messed the readings up for that panel as well. I am going to do it again soon and make sure that I fast for it. I just gave blood today to get my hematocrit down some more so I will be doing a follow up lab in 2 weeks and I will make sure to do another full lipid panel as well as glucose, etc. I have also started Berberine which is supposed to help with cholesterol and blood glucose as well. I am hoping with the supplements I’m taking now it will help the lipid panel… If not, I’ll probably need to go on a cholesterol medicine in the near future.

Also, I just started taking Vitamin D3 5000iu daily so that should help if my Vitamin D level is low.

let me know if you think of anything else. I’ll definitely post up my labs once I get them done in a couple of weeks. I am hoping to get in there 2 weeks from this Tuesday.

Thanks!


#15

You need to be fasting 10-12 hours before blood draw for lipids and glucose. HbA1C does not require fasting. Eating before a glucose test can actually drive the number down if your pancreas has a strong insulin response. A fasting insulin test can also be quite valuable if available to you (for some reason Drs rarely order it).

Triglycerides can spike from heavy alcohol consumption the day before the test. Once again any non-fasting triglyceride level is not meaningful.

If Vitamin D deficient you need to begin with a megadose (20,000 iu daily) for a week and then back off to the 2000-5000 iu/day dosage. Take the oil-filled capsules not the caplets/tabs.


#16

So when I fast 10-12 hours before… Do I just drink water, nothing else? I have fasted before and I felt like I was going to pass out when they took my blood. How do I avoid that bad feeling again? I’ve never had it before a fasting test. I will definitely look into a fasting insulin test as well. I rarely drink alcohol and if I do, it is just a half glass of wine so that wouldn’t be it.

I will still do the Vitamin D test. Vitamin D3 oil-filled pills are for this, correct? I currently have the mini ones that are 5000iu that I am taking daily.

Thanks!


#17

Yes, you have to do the tests while fasting to get valid results. Water is OK. Try to schedule blood draw as early as possible in the AM. I go to LabCorp at the least busy location I can find.


#18

Stormlifts, I’m in a very similar situation unfortunately. I’m also 29 years old and have been on TRT for several years with many of the same problems you are experiencing. I’ve never felt that sense of well-being and virility that many on TRT talk about, but I’m still trying to find it. Hang in there buddy. I’ll be following this thread