T Nation

High T, FSH, SHBG, Low E2 No Libido. My Lab Results (pellets)


#203

Blood Work 1-16-19 …

Prior to this blood work, I increased dim to 2 per day; continued to reduce vitamin d from 4000 to 2000/day; eliminated dhea completely.


Estradiol increased slightly. This is one of the strangest parts of monitoring my hormones. For years during my issues, my Estradiol was SUPER LOW. Now it is higher (borderline HIGH) and I’m feeling better.


Hematocrit rose again! I caught a virus during this time which I am GUESSING is why my RBC was high trying to fight what I had.

I still plan to test HCT in the afternoon - but I want to control the experiment and have it tested in the morning and the afternoon of the same day by the same lab. Coming soon.


I am still surprised that my Alkaline Phosphatase, LDL/HDL are all back to normal after I eliminated the ultra high dose of Vitamin D. I am back in the US now, which means I will need slightly more Vitamin D than when I was in Asia, but I will stay away from the intense dose I was taking.


Testosterone is 1473. My free T percentage is not as high as my goal and that was disappointing – only 2.4%.


SHBG decreased slightly to 37.38. I am on danazol every day but for the past 90 days, I have been on 100mg per day in one capsule. I am back in the USA on my 50mg x 2 per day and am interested to see if there is a difference in test results based on a most constant amount of the steroid in my body. This is NOT the lowest I have been as I went down to 27.3 one time.

I am a sucker for punishment, so I have decided to see how long I can go before my next insertion since I have not interrupted the Danazol in months. The last time I tried this, I was on and off Danazol and I felt like total shit as I hit month four. But my T insertion dose was lower as well.

I would like to see if I could make it at least five months before needing the insertion. I will never know until I try - and the higher starting dose might make it possible … although I am not confident I can make it past the fourth month. I am at the end of my third month right now.


Hematocrit: How High is Life Threatening?
#204

Excellent.

Fill me in on the dropping the bit D dose to affect Alk. phos, LDL/HDL. What is the correlation here?


#205

In my Oct 18 post, I started looking for corollaries between Low Alkaline Phosphatase and ANYTHING that I might be doing to cause this change. I found one reference which tied it to excess vitamin D; but the poster also gave a dozen other possible reasons.

My Asian doctor wanted me off the Vit D. She felt my numbers were too high (borderline toxic), and was likely throwing other numbers out of balance. I took her advice and my results returned to normal.

In December, I found a study linking Danazol to a reduction of HDL-C; For me, it appears at this time that Danazol wasn’t my issue - but increased Vit D (and possibly increased DHEA-S) was. My American doctor also agreed “He was surprised to see HDL go low, but agreed with my research that Testosterone and Steroids can artificially lower this number, when none of the other reasons fit.”


#206

I mentioned before that I wanted to take a Hematocrit test twice in a day; once in the morning after fasting; and once in the evening. I had those tests yesterday but have not received the results yet.

I also added a “Lactate dehydrogenase (LDH)” test. I had read that this might be a good test to show whether there is any overall “cell damage” (tissue damage) in my system (liver specifically).

Lactate dehydrogenase (LDH) is an enzyme that helps the process of turning sugar into energy for your cells to use. When illness or injury damages your cells, LDH may be released into the bloodstream, causing the level of LDH in your blood to rise. High levels of LDH in the blood point to acute or chronic cell damage.

Low levels of LDH affect how the body breaks down sugar for energy, particularly in muscle cells. It is very uncommon for an individual to have low LDH levels or a lactate dehydrogenase deficiency.

To detect high levels of lactate in the blood , which may be an indication of lack of oxygen (hypoxia) or the presence of other conditions that cause excess production or insufficient clearing of lactate from the blood

BTW, I used “Ulta Wellness” labs this time because they were running a special of $12.95 for a CBC test.

In reading about the results, “119” is considered normal, even though it is at the lower end of the spectrum. Below 80 is where evidence of damage is shown. “Normal” ranges across the internet are from 100-333.


#207

god I love bargains


#208

Holy shit there is one in my town!

Edit: Oh I see now…you can order the tests and get it done at Quest. Perfect.
E2 + Total T + Free T = $69 Yes please!


#209

I now have the tests, separated by 8 hours and proved my theory WRONG. I theorized that my HCT was high in the morning because I had not consumed water in 10 hours which fit the theory that others had – that I was dehydrated.

Now with an afternoon test where I was fully hydrated, I know that isn’t the case. Although it eliminates one diagnosis, it creates more concern.

I charted my hematocrit back to Oct 2013 (which is the oldest results I previously scanned). Prior to TRT, my HCT averaged 44.3%, with highs of 47.8 and 49.3. My post TRT average is 51.9%.

My Hemoglobin has also shown a slow rise as well.

I found an interesting study …

Optimum values in an adult male are: Hemoglobin 14–18 gm/dL and hematocrit 40.0% to 54.0% Source and Source


Hematocrit: How High is Life Threatening?
EPO (Erythropoietin) Tests? High Hematocrit
#210

That’s cheap. Discounted labs was about 80 for these three.


#211

It looks fine maybe with normal T levels that’s where you are supposed to be? If those other hcg tests were done with lower T then it makes sense why there so low.


#212

I posted a huge dump of reading material and current evaluations of the story on HCT/HGB increases for those who are supplementing with Testosterone on a different thread.

I want to post my current HCT history here so that I have it with the records of my journey.


Totally New Here, Need Help
My TRT Journey Starts Now
#213

Three weeks ago, I returned to the USA and began having sleep problems again. It has been months since I have experienced any insomnia before this. I assumed it was because of traveling and began taking melatonin again thinking my circadium rhythm was off.

One week ago I noticed night-time itching of my face and scalp. I don’t know the relationship or whether it is a coincidence or not, but it does make me wonder. Night pruritis (itching) is one of the symptoms of Polycythemia Vera (along with High Hematocrit).

I was already planning an Erythropoietin test to rule out PV, but now I will need to rush that test along. It is frustrating because I am not anemic, and all of my iron levels have been acceptable.

I’m in my 4th month of pellets. Usually by now, I would have had a re-insertion, but am trying to see how far I can go (5months? 6months) now that I have my SHBG under control.


#214

I want to comment about my USA doctor. I approached him in the beginning, brought years of blood work, and told him up-front that I was going to be a problem patient. My hormones were out-of-whack and defied common “rules” for hormones. I asked him if he wanted my case or should I “move on”.

Obviously, he wanted me to stay but admitted that he didn’t have much experience with PROBLEM CASES such as mine. He has worked with me on modifications and medicines (and RESEARCH that I did not pay for) to get me balanced. He provided me with his email address and allowed me to send him labs when I was out of the country. He reviewed and commented via email at no charge. I told him I would pay for email consults; he declined. He is also a pellet user - and has been for years.

Doctors who prescribe pellets aren’t all trying to drain your bank account or convince you to accept a treatment that you are not happy with. I’m sure there are bad pellet doctors; but read any of the threads on this board and you will see a HUGE percentage of TRT doctors that do not know what they are doing.


My TRT Journey Starts Now
#215

Good bad everywhere.


#216

I was worried that the onset of night itching COMBINED WITH my high HCT might be pointing me toward a different problem (polycythemia vera).

Blood work is back and I can put that worry to rest.

The test that I was concerned with was Erythropoietin. My results came back within range which is what I was hoping for.

My reading material:

Patients with polycythemia vera have extremely elevated hemoglobin or hematocrit and decreased serum erythropoietin level.

Secondary polycythemia is associated with disorders that cause tissue hypoxia such as living at high altitude, chronic obstructive pulmonary disease, cyanotic heart disease, sleep apnea, high affinity hemoglobinopathy, smoking, or localized renal hypoxia. In secondary polycythemia, EPO production is increased in an attempt to increase oxygen delivery to tissues by increasing the number of oxygen carrying red blood cells. Patients with secondary polycythemia have elevated hemoglobin or hematocrit and higher than normal serum EPO level.

I also tested iron and Ferritin to further eliminate any type of anemia (which shouldn’t have been possible with my high Hemoglobin); but also to verify that they were within range.

I found it interesting that my Ferritin was on the low end of the scale; and the Iron was on the high end of the scale.

From my reading:

A lower -than- normal ferritin level can indicate that you have an iron deficiency ; rephrased “low level of ferritin usually indicates a low level of stored iron.”

I also found a study where a doctor indicated that anything below 75 should be considered “iron deficiency” even though that isn’t what the reference ranges show. I find that hard to believe - but as I wrote previously, I have been having sleep issues again … and then I see this: “Low ferritin is known to cause sleep disorders, most notably Restless Leg Syndrome.” Another report also agreed that anything under 50 is considered “borderline” iron deficient. This is something I would have never considered.

And finally, my HCT was 51.3 (down slightly) and HGB was 17.2, also down slightly.

I’m looking at my multi-vitamin to see if I am taking iron supplementation or not.

“You need iron in your body to maintain a healthy red blood cell count and to produce hemoglobin.” … hmmmmm. I got both of those beat.


#217

Usually mens multis don’t have iron because we get enough through diet and we don’t lose blood every month.


#218

There you go, he’s doing what is best for him and obviously believes in taking his own medicine. Sounds like a good guy, up front and honest with you and willing to work with and learn from the experience. He’ll be better prepared for his next “PROBLEM” case.

Great for you and congrats.


#219

Yes, that is exactly what I found when I checked my multi. I also found a highly rated, low-dose iron supplement (Pure Encapsulations - Iron-C), but I am unsure if I want to add iron considering the tested level. When I read here, guys who talk about low ferritin REALLY have low ferritin - not borderline.

[Iron] benefits those who suffer from iron deficiency, but may cause harm in those who are not iron -deficient.

Updated … I should have checked my lab history.
12/29/2016 Ferritin 109.70 before TRT
1/4/2018 Ferritin 184.70 before TRT
2/15/2019 Ferritin 49 (current) after TRT

SO, my blood works contradicts what I thought. I have had substantial changes in Ferritin levels since TRT. Million dollar question - am I iron deficient?


#220

I wrote this in January 18, 2018. I am quoting it now to point out the difficulties of making the right life choices.

I gave up Almonds because they were shown to increase SHBG (in women tested) by 16%.

Yes, Almonds are the food group with a lot of BORON (2.42mg/100g), which has been proven to LOWER SHBG. Source

My guess is that there is something in Almonds (separate from Boron) that raises SHBG, while the boron contained in Almonds tries to counteract it and lower SHBG.

To put that in perspective, you would need to eat more than 4ounces of almonds to equal two capsules of most supplements; meaning the supplement wins as a better source. Plus, the supplement has never been shown to increase SHBG.

I believed in (and still do believe in) the importance of boron supplements because I do not eat the best foods for getting boron into my body (Avocado, Red Kidney Beans, Prunes).

All i know is I miss my damn Almonds @alphagunner.


#221

Is this coincidence that physiologik just posted a study on boron and says most of his clients take it? Or did that article send you down a path?


#222

I was participating on another thread about boron, and decided to add the comment to my page after Physiologik jumped in with his own Boron discussion.

I have been touting Boron ever since my labs proved it lowered my SHBG.

Plus I’m hungry for chocolate covered almonds. And they are off-limits since January 2018.