I’m receiving treatment from Defy Medical. I’ve been on Clomid for the last 5 weeks. The doctor started me on 12.5 Clomid EOD, and .125 Anastrozole 3x per week + a variety of over the counter supplemetns. 2.5 weeks in, talking with one of the nurses at Defy Medical aboutmy low e2 reading, and symptoms, she told me to drop the Anastozole.
I continued on just clomid and other OTC supplements that were recommended to me by the original trt doc I spoke with (iodine, selenium vit d3,vit k2, dhea, stinging nettle root). I have my blood tested 4 weeks from the start of my treatment (2.5 weeks Clomid/Anastozole/OTC stuff. 1.5 Weeks just clomid/OTC). Below are my previous lab results, and current lab results, with standard ranges in parenthesis.
Total test 579 (264-916)
Free test 10.9 (8.7-25.1)
LH – 2.7 (1.7-8.6)
Estradiol Senitive – 7.4 (8-35)
SHBG 58.6 (16.5 – 55.9)
TSH 2.090 uIU/mL 0.450 - 4.500 01
Thyroxine (T4) 5.4 ug/dL 4.5 - 12.0 01
Triiodothyronine (T3) 81 ng/dL 71 - 180 01
Triiodothyronine (T3), Free 2.4 pg/mL 2.0 - 4.4 01
T4,Free(Direct) 1.23 ng/dL 0.82 - 1.77 01
Reverse T3, Serum A 13.8 ng/dL 9.2 - 24.1 01
Thyroid Peroxidase (TPO) Ab 18 IU/mL 0 - 34 01
Thyroglobulin Antibody <1.0 IU/mL 0.0 -0.9
-----New labs taken 4/1/19--------
Total test 656 (264-916)
Free test 15.9 (8.7-25.1)
LH – 3.9 (1.7-8.6)
Estradiol Senitive – 12.6 (8-35)
SHBG not tested
Thyroid not tested
I have my follow up consultation scheduled with Dr. Caulkins from Defy later this week. I’m sure he will address many questions I have and provide recommendations. However, I wanted to share it here for comments or insight from the above.
I’m currently 5 weeks in. I feel no relief in my symptoms, yet. Still stubborn weight hanging around, despite very calculated/tracked diet & exercise. Still low libido. Urination incredibly frequent, and always cracking joints. I do see improvement in lab results. Should I expect this to continue to improve and thus feel relief in my symptoms moving forward?
Would there be anything else you would suggest tested? Thyroid? SHBG? The above is what was tested, along with CBC and Hemoglobin. This was Defy medical who said these were the necessary labs to order. My SHBG was high in the previous lab. I was curious to what this would come in at. I’ve heard that if LH is tested, that could be a big enough indicator where SHBG isn’t needed?
Does anyone have experience with Dr. Calkins? I know Dr. Saya from Defy is very highly regarded. However, he was booked up for at least a couple weeks. I paid extra to get a consultation from one of the doctors instead of one of the assistants. I hope to get my stuff figured out and have the best plan moving forward.