‘seems’ that I need to make a decision between the two, one or the other. Any recommendations. 55yrs. ,5’11" , 245 lbs . Insulin type ll and had a stent put in last October. Heart is clear . Bp good. Some ED. BW okay otherwise.
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12 /12/14 will have new blood work this month 5 /16/15
Labs to be done before you start TRT
-LH and FSH [LH/FSH] …
-TT
-FT or bio-T 46.0 …
-E2 46.9. …
-Prolactin [optional in most cases] …4.8
-DHT [sort of a waist of time and blood if your testosterone levels are low]
-PSA , specific, 0.2. ,',0.0 -4.0
Here is some of what I have asked for or doctors have recommended: ,
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Chemistry Panel (Metabolic panel with lipids
Chol. 237, non fast. ,130-200
Triglipd. ,',216. <200
Hdlc 37. , 40 -65
Ldl. 157. < 130
Nonhdl. ,200. ‘,’,<190
Vldl. 43. Cor. 6.4. , 2.0-5.0Test 3 ',vitd 30 ng. 30 - 100
Testosterone. , 319. Ng/ … 240 250 - 1100
- Complete Blood Count (CBC) ,
Na ,135mmol/l 135 -145
K , 4.0
CL. , 101 memos. ,',
Co2 ,23 ,22- 32
Glu 206,74- 118
Bun 15 , 6-23
Creat ,0.9,0.5,1.2
Gfr. 60> 60
Bcr. 17,6-25
Alb. 4.4,3.4- 5.2
Ast. ,15. ,0-43
Alt. ,23. ,0- 65
Hematocrit ,47 , 37. - 51.0
- Free Testosterone
- Total Testosterone (<500 is not good. 700-1000 is good)
- DHEA-S - Sulfate (low DHEA = increased risk of cardio complications + DHEA converts to T)
- Prostate-Specific Antigen (PSA)
- Estradiol
- Homocysteine
.* C-reactive protein ,2.92 …0.80-3.10 …(,High sensitivity) - (high = cardio risk)
.* TSH (Thyroid Stimulating Hormone) -,0.89uiu. 0.35-5.5, not that important. It is inaccurate and too many doctors use it as the holy grail; T4/T3 numbers are more important.
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Total T4
.+ Free T4 ,Ft4 1.19ng/dl. .0.89-1.76, -
Total T3
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Free T3
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Reverse T3 (excess T4 converts to RT3. High RT3 blocks free T3 - so your TSH and T3 numbers could look great, but are blocked by RT3 and you feel like @$#!)
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Thyroglobulin Antibodies
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Thyroid Peroxidase
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Cortisol (low cortisol = low overall cellular functions)
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LH (low LH = pituitary disfunction causing hypogonadism - need MRI to check for pituitary tumor)
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FSH (same as above)
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DHT (Dihydrotestosterone)
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SHBG
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IGF-1 (Insulin-Like Growth Factor) (indicator of Human Growth Hormone <200 = not great)
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Prolactin
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Progesterone
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Pregnenolone (precursor of Cortisol, DHEA, and Progesterone + Preg resolves brain fog and improved memory)
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VITAMIN B12
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Vitamin D, 25-OH Total (should be 70-100 I think - almost everyone is deficient)
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Vitamin D, 25-OH D3
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Ferritin (critical for cellular function - low ferritin = low transport capability of hormones, etc.)
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Iron, Total Binding Capacity
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Iron, Binding Capacity
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Magnesium, RBC (is important for cellular energy (ATP) production)
Rbc , 5.31. 5.31 , 4.14 - 5.80
Wbc ‘,’, 8.71. 3.4. , 10.8