Quick bio, male, 54yrs old, 3x survivor of Non Hodgkins with chemo and radiation, clean now about 17 years with last treatment 12 years ago.
Fitness stuff: Cycling (mountain bike) 4x a week and supplemental lifting 2x a week, lift also when I can’t ride due to weather.
4 years ago TT 276 but FT was 10
on recheck from this value TT 310 and FT 9
The provider said all is okay you just need to lose weight (was about 200). Lost weight to 180 over the next couple of years.
2 years ago TT 320 and FT 8
Doc said you are in range so there’s not much I can do. I had been with this guy since 2007 so I trusted him.
So I recently searched and searched and hope I have found a new doc. I explained the issues I’m having.
increased belly fat on 2k diet, food tracked daily and working out 5x a week.
losing muscle mass in legs and overall strength though working out intensely with trainer (so frustrating).
Gynocomastia (not diagnosed by a health care professional but definitely appearance-wise)
The new provider listened and we started the path down the road with blood work and a physical.
Lab results back today and I’m not sure where to go with this info. All lab work is done using Labcorp and their ref ranges. We ran CBC with Diff and Comp Metabolic. Also TSH and T4, lipid panel and A1C. Everything looks great overall with some elevated kidney function stuff and I was happy my lipids are now normal after fighting with them since chemo in 2005.
Some values I think are important to note here.
TT = 316
FT = 4.8
TSH = .862
T4 = 1.22
HbA1C = 5.2
So one question is what else should I be asking for in terms of lab values? I see things like
Specific questions I have and I realize I need to consult a doc as well and am doing so, but wisdom from the counsel of many is helpful:
Will the FT increase if the TT gets boosted?
Does the risk of hypertension increase with TRT? I am diagnosed but well-controlled.
Is there any increased risk of lymphoma with TRT? I wouldn’t think so but it’s always a concern for me given, well, you know the big “C” history.
Is gyno something that goes away or will I always have the increased breast tissue?