Thank you very much for the reply KSman.
Lol sorry, Hematocrit on that test was 44.3.
I can do the waking and mid afternoon body temps tomorrow. That said, regarding TSH. I will list some previous lab results below, but historically my TSH was typically above 2.5. My current provider felt that my adrenal and thyroid function wasn't optimal. I currently take Adrenal Cortex and Pantothenic Acid morning and noon, and EcoThyro 125 early morn. I noticed a dramatic difference in afternoon energy levels after about 7-10 days on this combo. We also added in 2 drops of Nascent Iodine per day. TSH dropped to 1.5 as you see above. But I will check temp.
Other medical issues. Nothing that stands out other than elevated blood pressure. This is something that is prevalent in my family, and I've had it as far back as I can remember, at least since 18 yrs old. I am very active, I was a professional fighter for 13 yrs, and still train brazilian jiu jitsu several times per week. I eat what many would consider a very healthy diet, count all my macros, etc. Generally I tend to feel pretty good, but sexual aspects have changed since being younger. Other medications I am on would be 5mg of Lisinopril per day, I started this early this year. I did not see BP elevations during TRT. BP elevations tend to be tied to my weight. Also, I should add, it is only my systolic that tends to get into ranges of 140ish at times. My Diastolic typically remains below 75.
In terms of when did my hormones change... I haven't seen a Total Test serum above 500 since about 25 years old. But I also didn't test regularly until last year. Only anabolics I ran in my life was low dose of deca durabolin in a juvenile attempt to heal an injury when I was 24, and this was for only 2 weeks.
See below for more labs and dates/dosages etc for these labs... I hope its ok that on some of these I have provided screenshots:
PRE-TRT: JULY 30 2015:
PRE-TRT: DEC 30 2015:
*at this point I was feeling pretty bad. Very low energy in workouts, decreased motivation and moody, which is very unusual for me:
SHBG: 27.7, range 16.5 - 55.9
Apolipoprotein B 121, 52-135 range
*Began TRT early January 2016. Approx Jan 7. Provider at the time prescribed me 200 mg per week, 1 shot per week, with 0.5 mg arimidex weekly, one dose mid week. No HCG at this time. For the first 2 days or so after injections it felt like my adrenaline was through the roof, lots of tension... by day 5 it would be down again. In regards to sex and such I felt great for about 3 weeks. Week 4 and 5 I began feeling extremely lethargic, penis shriveled, libido crashed entirely...here are the labs 6 weeks after beginning TRT at this high dose.
FEB 25 2016
At this point I switched providers. The provider I was with at the time was completely unresponsive to my symptoms. He insisted I keep going on the same protocol and would not hear otherwise. So I left this provider.
The new provider (my current provider), he moved my T dosage down to 160 mg per week in 2 weekly injections, and insisted subQ injections. He got me off the arimidex entirely, and placed me on HCG. The HCG protocol was 100units every day, so nothing crazy.
These labs are approximately 8 weeks after the protocol change. I was incorrect in my first post. The E wasn't 42 it was 47 after the HCG. On this new protocol I felt ok for about 4 weeks then started getting lots of acne, hot at night, bph type symptoms..
MAY 10 2016
Hemoglobin A1C: 5.5 range: 4.8 - 5.6
Prolactin 7.5, range 4-15.2
MAY 17 2016: X4 Cortisol Test...
At this time, my provider allowed me to switch back to intramuscular injections, and lowered my HCG dose to 300 units per week split up. An estradiol test on July 11 showed me at 42.
At this point is when my provider started me on the adrenal and thyroid supplements listed above.
JULY 11 2016
Total T: 934, 348-1197
Free T: 234, 52-280
BioAvailable T: 577, 128-430
Vitamin D 25-Hydroxy: 70.3, 30-100
DHT: 63, 30-85
Hemoglobin A1C: 5.6, 4.8-5.6
T4: 1.46, 0.82-1.77
DHEA-S: 366.6, 102-416
TSH: 1.54, 0.45-4.5
Iodine, Urine: 52.7, 28-544
Insulin: 4.7, 2.6-24.9
Triiodothyronine,Free,Serum: 3.2, 2-4.4
SHBG: 25.2, 16.5 - 55.9
Hopefully the formatting of this post is ok with screenshots.
Cliff notes on your specific questions:
1) Lisinopril at 5 mg per day started this year
2) LH/FSH were 3.6 and 4 respectively before starting TRT... so on the low end
3) HCG dosing was 100 units per day to start
Thanks again for your help.