TRT Journey - Help with Results

Pharma / TRT Testosterone Replacement
1

I started a TRT program on 10/8/11 with the following
Would like any info or advice please

-age -48
-height 5’9
-waist 36
-weight 220
-describe body and facial hair Plenty
-describe where you carry fat and how changed Around my waist and stomach
-health conditions, symptoms [history] High Blood Pressure, IBS
-Rx and OTC drugs, any hair loss drugs or prostate drugs ever Ratadine
-lab results with ranges see below for results
-describe diet [some create substantial damage with starvation diets] 60% Paleo
-describe training [some ruin there hormones by over training] Crossfit 4-5 times a week
-testes ache, ever, with a fever? never
-how have morning wood and nocturnal erections changed rarely no changed

10/25/11
Test 192 (285-950)
Free test 58 (50-247)
Estradiol 20

starting protocol

100mg Test Cyp 2x a week (50mg each injection)
250mg Hcg injection EOD
.5mg Anastazole 2x a week

1/4/12
Test 654 (285-950)
Free test 178 (50-247)
Estradiol <20

For a while I felt great but have noticed a sluggish tired feeling again
I think this is due to the level of Estradiol.
I am going to increase my Test Cyp to 120mg 2x a week (60mg each injection)
and leave the rest alone.
I have talked to a friend and we think I need to increase the Estradiol level. I am hoping that this increase in Test will increase the Estardiol level. I only want to adjust one thing at a time. i don want my Test numbers closer to the high end.

Any input you have would be appreciated

2

This is one of those cases where more in depth tests would really be needed in order to discern why you are feeling beat up…its possible the demands of the extra T are placing undue stress on your thyroid and/or adnreals…you should get a full work-up (see the blood test sticky) to make heads or tails of this.

3

1280×960 188 KB

VTBalla34

Thanks for the reply here is the info you requested
It is kind of hard to read.
I was going to post it as a spreadsheat but couldnt figure that out
I will attach photos of the sheat if that would be easier to look at

                        8/8/2011	10/25/2011	1/4/2012

CHOLESTEROL 236 230 251
TRIGLYCERIDES 69 71 132
HDL 46 41 35
DIRECT LDL 177 175 191
CHOLESTEROL/HDL RATIO 5.1 5.6 7.2
NON-HDL CHOLESTEROL 190

LIPOPROTIEN (A) 66

APOLIPOPROTEIN A-1 129
APOLIPOPROTEIN B 124
APOLIPOPROTEIN B/A RATIO 1

C-REACTIVE PROTEIN, HS .86L

TESTOSTERONE, FREE TOTAL

TESTOSTERONE, TOTAL 344 192 654
TESTOSTERONE, FREE TOTAL 74 58 178
TESTOSTERONE, %FREE 2.2 3 2.7
SEX BIDING GLOBULIN 26 11 20

ESTRADIOL 27 20 <20
LUTEINIZING HORMONE 1.5 4 <.5
TSH 1.39

PROSTATE SPECIFIC ANTIGEN 1.2 0.8

COMPLETE BLOOD COUNT

WHITE BLOOD COUNT 5.7 5.2
RED BLOOD COUNT 4.64 5.36
HEMOGLOBIN 15.3 17.2
HEMATOCRIT 43.3 50.8
MCV 93 95
MCH 32.9 32.1
MCHC 36.3 33.9
RDW 12.8 12.5
PLATELET COUNT 183 191
NEUTROPHILS TOTAL 49.2 51.6
NEUTROPHILS ABSOLUTE 2.8 2.7
LYMPHOCYTES 42.7 39.9
LYMPHOCYTES ABSOLUTE 2.4 2.1
MONOCYTES 5.6 5.9
MONOCYTE ABSOLUTE 0.3 0.3
EOSINOPHILS 2.4 2
EOSINOPHIL BASOLUTE 0.1 0.1
BASOPHILS 0.1 0.5
BASOPHIL ABSOLUTE 0 0

COMPREHENSIVE METABOLIC 1

GLUCOSE 98 95
UREA NITROGEN SERUM 20 14
CREATININE SERUM 0.91 0.97
GFR non-aferican american >60 >60
GFR african american >60 >60
BUN/CREAT RATIO 1.2 14
BILRUBIN TOTAL 20 0.9
AST (SGOT) 24 26
ALT (SGPT) 48 29
ALKALINE PHOSPHATEASE 9.4 44
CALCIUM 9.1

SODIUM 143 138
POTASSIUM 4.4 4.2
CHLORIDE 109 105
CO2 24 27
PROTEIN SERUM 6.8 6.9
ALBUMIN SERUM 4.8 4.5
GLOBULIN 2 2.4
A/G RATION 2.4 1.9

PROLACTIN 5.6

4

1280×960 180 KB

Here is page one
Sorry couldnt figure out how to attach two images at once

5

TSH is slightly elevated, but by itself it does not demand extra testing UNLESS supported by related symptoms.

speaking of which - what are all of your symptoms/issues/concerns?
Do you have cold feet/hands?
Issues with exhaustion, etc?

6

Symptoms I had that made me look at TRT
Brain Fog
Tired in afternoon
Fat carried around midsection like a woman
cold easily - mild mostly in feet and chest
Joint aches

the brain fog is mostly gone and I felt great about 4-5 weeks in. after that started feeling tired again.
My estradiol is low and thinking that may be causing it.

7

please read 18 Summaries of Things We Have Learned - Stop The Thyroid Madness

please consider getting additional thyroid tests like FT4, FT3, RT3, 8am cortisol, ferritin, and the standard thyroid antibody tests.