First off, I want to say how grateful I am for the support in this forum.
I read as much as I could on the stickies but I got some heavy brain fog going on.
I just started TRT last December and have experienced some great changes, but a few things have got me really plagued. I’ll post my blood work in a second.
I had a previous T-test done 3 years ago but didn’t really qualify. My doc left his practice 7 months ago and isn’t accessible now, so I’m stuck with a Nurse Practitioner (NP) who approved me for TRT but knows very little about TRT…and I’m a Cash Pay in a very unaffordable situation at this time.
She didn’t test for SHBG, Cortisol levels, Estradiol (E2), Progesterone levels, LH, FSH, PSA, DHT, T-4, T-3, FT-4, FT-3, RT-3, Ferritin, etc…and I didn’t ask her because I thought maybe she new protocol and I didn’t really know better (wish I read the stickies in December)
It’s too late to check LH, FSH, and Cortisol for baseline bloodwork since starting my injections over a month ago.
Yesterday I asked her to check SHBG (she didn’t know what that was and looked at me like I made it up), and my E2 levels. She said she usually only checked Estrogen for women but she would do it anyway. She won’t check Pregnenolone, Progesterone, DHT, or DHEA, but she gave in to testing SHBG and Estradiol. She tested me yesterday and I’ll know soon what my second set of labs look like.
Any ideas on how to work with this women? I brought up AI’s if E2 was suprahigh and she said she only prescribes the Testosterone and I’d have to find an endocrinologist. I’m almost flat broke right now and can’t cash pay a specialist.
Anyway my first labs are below. Everything with an “” next to it is concerning in regards to one another. What do you guys think?
Testosterone, Serum 587 (264-916 ng/dL)
Free Testosterone(Direct) 8.1 (8.7-25.1 pg/mL)
●TSH to T-4 Teflex
TSH 3.890 (0.450-4.500 uIU/mL)
●Lipid Reflex to Direct LDL
Cholesterol, Total 127 (100-199 mg/dL)
Triglycerides 57 (0-149 mg/dL)
HDL Cholesterol 46 (>39 mg/dL)
LDL Cholesterol Calc 70 (0-99 mg/dL)
●CBC With Differential/Platelet
WBC 6.6 (3.4-10.8 x10E3/uL)
RBC 5.26 (4.14-5.80 x10E6/uL)
Hemoglobin 10.8 (13.0-17.7 g/dL)
Hematocrit 34.8 (37.5-51.0 %)
Platelets 292 (150-379 x10E3/uL)
●Comp. Metabolic Panel
Glucose 86 (65-99 mg/dL)
Albumin 4.9 (3.5-5.5 g/dL)
Globulin, Total 2.5 (1.5-4.5 g/dL)
MY OLD TESTOSTERONE TEST LEVELS 9/24/2015 (prior to being qualified for TRT)
My NP started me out at 100mgs Test-c every 2 weeks (that didn’t go well), changed it to 50mgs weekly (meh…), then eventually 100mgs weekly…good times for a while. Now at 100mgs weekly my heart is racing, my BP is like 194/82 resting, and my libido, ED and energy levels have crashed this last week and a half. What the hell is up? I was feeling terrific for 3 weeks, then BOOM, problems!
To make matters worse, I injected 100mgs 2 days ago and she’s checking a peak T bloodwork level from yesterday rather than a trough bloodwork reading. I can only imagine how she’ll react to the numbers.
I’m switching my injection regimen to 50mgs twice weekly in hopes that my symptoms might clear up.
In the meantime
-What do I do about my situation with my NP? She doesn’t seem open to suggestions or patient provided information.
-Why on earth would my T be working miracles at 100mgs for 3 weeks and implode for the last week and a half?
-How do I manage with the unfinished initial labs and what do I do if my labs come back with high E2 or something? She looked at me crazy when I asked her what she thought about Anastrozole.
Hiz-elp pliz-ease if you have any suggestions, experience, or expertise in dealing with this crap. I liked my new life (so did my girlfriend)…where…did…it…go and what do I do? Anyone?