This looks good, keep sampling for a while. You may still need to have more iodine on-board.
It may be that when exposed to heat loss as you describe, that your body cannot maintain temperature and iodine/thyroid status might be a factor with that. I have never seen that issue explored; but it makes sense that that might be an issue.
I got a Rx for follow-up testing to be done, probably this week, hopefully I can walk in first thing tomorrow. should I add anything else to this list:
CBC
BMP
E2
total and free test
DHEA-S
cortisol
LH
FSH
TSH
ft3, ft4
LFT’s
labs from 11/28 finally came in. I had a CBC and BMP done also. note the slightly elevated BUN, I had trained legs fairly hard a day or two prior to getting the labs drawn. results from 11/9 are shown bolded where available.
Lab Test Results
Cbc/Diff Ambiguous Default
Test Low Normal High Reference Range Units
Basos 0 0-3 %
Mchc 33.2 31.5-35.7 g/dL
Lymphs 37 14-46 %
Monocytes(Absolute) 0.4 0.1-1.0 x10E3/uL
Platelets 252 140-415 x10E3/uL
Mcv 90 79-97 fL
Mch 30.0 26.6-33.0 pg
Monocytes 8 4-13 %
Immature Granulocytes 0 0-2 %
Eos (Absolute) 0.1 0.0-0.4 x10E3/uL
Baso (Absolute) 0.0 0.0-0.2 x10E3/uL
Immature Grans (Abs) 0.0 0.0-0.1 x10E3/uL
Rdw 12.8 12.3-15.4 %
Neutrophils 53 40-74 %
Wbc 4.8 4.0-10.5 x10E3/uL
Eos 2 0-7 %
Neutrophils (Absolute) 2.5 1.8-7.8 x10E3/uL
Lymphs (Absolute) 1.8 0.7-4.5 x10E3/uL
Hematocrit 45.2 37.5-51.0 %
Rbc 5.00 4.14-5.80 x10E6/uL
Hemoglobin 15.0 12.6-17.7 g/dL
Estradiol
Test Low Normal High Reference Range Units
Estradiol 16.8 7.6-42.6 pg/mL 12
Testosterone,Free And Total
Test Low Normal High Reference Range Units
Testosterone, Serum 345 348-1197 ng/dL 247
Free Testosterone(Direct) 10.4 8.7-25.1 pg/mL 9.6
Venipuncture
Test Low Normal High Reference Range Units
Hepatic Function Panel (7)
Test Low Normal High Reference Range Units
Alt (Sgpt) 26 0-44 IU/L
Alkaline Phosphatase, S 72 25-150 IU/L
Ast (Sgot) 23 0-40 IU/L
Bilirubin, Total 0.6 0.0-1.2 mg/dL
Albumin, Serum 4.9 3.5-5.5 g/dL
Protein, Total, Serum 7.5 6.0-8.5 g/dL
Bilirubin, Direct 0.13 0.00-0.40 mg/dL
Triiodothyronine (Total/Free)
Test Low Normal High Reference Range Units
Triiodothyronine (T3) 96 71-180 ng/dL
Triiodothyronine,Free,Serum 3.1 2.0-4.4 pg/mL 3.2
Fsh And Lh
Test Low Normal High Reference Range Units
Lh 2.6 1.7-8.6 mIU/mL 5.4
Fsh 3.2 1.5-12.4 mIU/mL 3.5
Ambig Abbrev Hfp7 Default
Test Low Normal High Reference Range Units
Ambig Abbrev Bmp8 Default
Test Low Normal High Reference Range Units
Tsh
Test Low Normal High Reference Range Units
Tsh 1.620 0.450-4.500 uIU/mL 1.61
Cortisol
Test Low Normal High Reference Range Units
Cortisol 15.4 2.3-19.4 ug/dL 19.8
Thyroxine (T4) Free, Direct, S
Test Low Normal High Reference Range Units
T4,Free(Direct) 1.53 0.82-1.77 ng/dL 1.5
Dhea-Sulfate
Test Low Normal High Reference Range Units
Dhea-Sulfate 438.5 160.0-449.0 ug/dL 425.8
Basic Metabolic Panel (8)
Test Low Normal High Reference Range Units
Bun/Creatinine Ratio 24 8-19 1
Glucose, Serum 111 65-99 mg/dL
Bun 22 6-20mg/dL
Potassium, Serum 4.5 3.5-5.2 mmol/L
Calcium, Serum 9.8 8.7-10.2 mg/dL
Carbon Dioxide, Total 24 20-32 mmol/L
Creatinine, Serum 0.91 0.76-1.27 mg/dL
Sodium, Serum 139 134-144 mmol/L
Chloride, Serum 102 97-108 mmol/L
Egfr If Nonafricn Am 113 >59 mL/min/1.73
Egfr If Africn Am 130 >59 mL/min/1.73
I am considering a SERM kickstart with Nolva, probably for 5 weeks on a 20/20/20/10/10mg dose daily. if my free test stays up afterwards then great, if not then I guess it’s time for TRT.
I’ve been unable to maintain first AM body temps at 97.7 without staying under the covers (which makes it hard to sleep) and during the day I can’t maintain 98.6, though I don’t feel like I’m cold in the house. I’m considering iodoral also as per the article.
The thyroid data is still confusing. With low T4, my suspicions are the same.
If SERM increases E2, it would be good to be on 0.5mg/week anastrozole then cruise on that. Read the estradiol thread. Suggest SERM taper to …5/5/0
I had repeat labs taken after 4 weeks of Nolvadex 20mg ED.
1/9/2013
10:39 AM
Original lab test results (1/19/2013 4:05:17 AM).pdf
.PDF
Lab Test Results
Ambig Abbrev Cmp14 Default
Test Low Normal High Reference Range Units
Estradiol
Test Low Normal High Reference Range Units
Estradiol 12.5 7.6-42.6 pg/mL
Free Thyroxine + T4
Test Low Normal High Reference Range Units
T4,Free(Direct) 1.43 0.82-1.77 ng/dL
Thyroxine (T4) 6.6 4.5-12.0 ug/dL
Venipuncture
Test Low Normal High Reference Range Units
Cbc With Differential/Platelet
Test Low Normal High Reference Range Units
Immature Granulocytes 0 0-2 %
Eos (Absolute) 0.1 0.0-0.4 x10E3/uL
Mch 30.4 26.6-33.0 pg
Mcv 93 79-97 fL
Immature Grans (Abs) 0.0 0.0-0.1 x10E3/uL
Platelets 235 140-415 x10E3/uL
Lymphs (Absolute) 1.4 0.7-4.5 x10E3/uL
Rbc 4.93 4.14-5.80 x10E6/uL
Basos 1 0-3 %
Hemoglobin 15.0 12.6-17.7 g/dL
Wbc 4.4 4.0-10.5 x10E3/uL
Lymphs 32 14-46 %
Monocytes 6 4-13 %
Monocytes(Absolute) 0.3 0.1-1.0 x10E3/uL
Neutrophils 59 40-74 %
Baso (Absolute) 0.0 0.0-0.2 x10E3/uL
Neutrophils (Absolute) 2.6 1.8-7.8 x10E3/uL
Hematocrit 45.8 37.5-51.0 %
Mchc 32.8 31.5-35.7 g/dL
Eos 2 0-7 %
Rdw 12.8 12.3-15.4 %
Comp. Metabolic Panel (14)
Test Low Normal High Reference Range Units
Glucose, Serum 105 65-99 mg/dL
Sodium, Serum 145 134-144 mmol/L
Chloride, Serum 104 97-108 mmol/L
Alt (Sgpt) 23 0-44 IU/L
Creatinine, Serum 1.00 0.76-1.27 mg/dL
Protein, Total, Serum 7.4 6.0-8.5 g/dL
Bilirubin, Total 0.5 0.0-1.2 mg/dL
Bun 19 6-20 mg/dL
Albumin, Serum 4.7 3.5-5.5 g/dL
Ast (Sgot) 24 0-40 IU/L
Calcium, Serum 9.8 8.7-10.2 mg/dL
Alkaline Phosphatase, S 62 25-150 IU/L
Potassium, Serum 3.8 3.5-5.2 mmol/L
Carbon Dioxide, Total 24 20-32 mmol/L
A/G Ratio 1.7 1.1-2.5 1
Egfr If Nonafricn Am 100 >59 mL/min/1.73
Globulin, Total 2.7 1.5-4.5 g/dL
Egfr If Africn Am 115 >59 mL/min/1.73
Bun/Creatinine Ratio 19 8-19 1
Fsh And Lh
Test Low Normal High Reference Range Units
Lh 5.8 1.7-8.6 mIU/mL
Fsh 4.4 1.5-12.4 mIU/mL
Cortisol - Am
Test Low Normal High Reference Range Units
Cortisol - Am 32.2 6.2-19.4 ug/dL
Triiodothyronine (Total/Free)
Test Low Normal High Reference Range Units
Triiodothyronine,Free,Serum 3.3 2.0-4.4 pg/mL
Triiodothyronine (T3) 90 71-180 ng/dL
Testosterone,Free And Total
Test Low Normal High Reference Range Units
Testosterone, Serum 335 348-1197 ng/dL
Free Testosterone(Direct) 9.3 8.7-25.1 pg/mL
Dhea-Sulfate
Test Low Normal High Reference Range Units
Dhea-Sulfate 478.4 160.0-449.0 ug/dL
Cbg With Free Cortisol
Test Low Normal High Reference Range Units
Cort.bind.glob.(Cbg) 5.0 mg/dL
Cortisol, Serum Lcms 27 ug/dL
Percent Free Cortisol, Serum 4.1 %
Free Cortisol, Serum 1.1 ug/dL
Vitamin D, 25-Hydroxy
Test Low Normal High Reference Range Units
Vitamin D, 25-Hydroxy 41.9 30.0-100.0 ng/mL
Pregnenolone, Ms
Test Low Normal High Reference Range Units
Pregnenolone, Ms 125 ng/dL
Tsh
Test Low Normal High Reference Range Units
Tsh 1.750 0.450-4.500 uIU/mL
Test Low Normal High Reference Range Units
Reverse T3, Serum
Test Low Normal High Reference Range Units
Reverse T3, Serum 23.5 9.2-24.1 ng/dL
i was hoping for better results. seems the nolva increased my LH and FSH like it was supposed to, but that had no effect on my test. not sure why my cortisol went up unless it’s just from stress. I spent all of December stressing out about a project at work, then after I handed it in on 12/31 we started house hunting.
rT3 is a worry - stress, Wilson’s book ‘adrenal fatigue’
what is your iodine intake and body temperatures [thyroid basics sticky]
E2 is low, if using AI, cut dose in half. If you change the SERM, the whole game changes and E2 will need to be reevaluated.
Yes, LH and FSH are improved and TT is not great. We know that this is not from a lack of DHEA.
If I was in this situation, I would try more SERM noting that E2 is low and therefore intratesticular TT is not getting out of hand and driving high ITT–>E2. Not suggesting that that would be a long term solution.
How did testes respond in terms of hanging, size and firmness?
I’ve been taking Iodoral 12.5mg ED for a couple months now. waking temps are around 97.5.
I wasn’t taking any AI’s.
I’m going to see my MD next Tuesday and ask for a referral to a sperm bank/fertility clinic before I start TRT.
My testes maybe hang a smidgen lower… nothing amazingly different otherwise. I felt a little more sociable but again not a huge difference.
Cortisol needs to be by saliva not blood and is better when you take 4 times a day read the stickies I posted a lot of testimonials of guys who have treated adrenal fatigue and returned to normal
Iodoral at 12.5 for eight weeks is the same as 50 for two weeks. So that should have your iodine stores in working range.
It would be a good idea to get your semen looked at for a sperm count to determine if the quality is good before committing to storage.