Hey guys, I could use some advice. I am going to see my Dr. to start TRT in one hour, but I am still not certain that exogenous testosterone is the best treatment in my case. I’d feel alot better if some of you pros could read over the lab results attached to this post below and let me know if you think I should be on TRT? My Dr. is proposing 200mg T-Cyp Weeky with Anastrozole and hCG (the added hCG was my idea, he wasn’t going to use it initially). For the last 9 weeks I’ve been dieting and eating only T boosting foods, taking a number of T booster supplements, lifting 2 hours daily… etc, trying to raise my T, and it doubled, but is still very low ( see below). Should I just give up and start TRT? or should I try supplementing DHEA possibly starting thyroid treatment and then retesting in a month? My total testosterone doesn’t seem to be a problem, it’s like my free testosterone is low because my absurdly high SHBG levels are binding to all of the Free T rendering it useless? Also based on my seemingly low FSH and LH levels it looks like I may have secondary hypogonadism is this correct? Doesn’t this mean I should first try an HPTA restart protocol or possibly clomid before jumping to T-Cyp?
Thanks,
Gary M.
HDL Cholesterol:
2012/03/20: 35 mg/dL (LOW)
2013/03/08: 36 mg/dL (LOW)
2016/11/04: 48 mg/dL (NORMAL)
2017/08/24: 52 mg/dL (NORMAL)
LDL Cholesterol:
2012/03/20: 133 mg/dL (HIGH)
2013/03/08: 119 mg/dL (NORMAL)
2016/11/04: 131 mg/dL (HIGH)
2017/08/24: 101 mg/dL (HIGH)
Glucose:
2012/03/20: 92 mg/dL (NORMAL)
2013/03/08: 51 mg/dL (LOW)
2017/08/24: 93 mg/dL (NORMAL)
2017/11/09: 92 mg/dL (NORMAL)
Thyroid Stimulating Hormone (TSH):
2012/03/20: 1.61 mIU/L (NORMAL)
2013/03/08: 1.29 mIU/L (NORMAL)
2016/11/04: 2.20 uIU/mL (NORMAL)
2017/08/24: 4.54 uIU/mL (HIGH)
2017/09/08: 2.25 mUI/L (NORMAL)
Total Thyroxine 4 (TT4):
2017/09/08: 6.7 μg/dL (NORMAL)
Free Thyroxine 4 (FT4):
2016/11/04: 1.34 ng/dL (NORMAL)
2017/08/24: 1.51 ng/dL (NORMAL)
2017/09/08: 1.10 ng/dL (NORMAL)
2017/11/09: 1.33 ng/dL (NORMAL)
Total Thyroxine 3 (TT3):
2017/09/08: 82 ng/dL (NORMAL)
Free Thyroxine 3 (FT3):
2017/09/08: 3 pg/mL (NORMAL)
Reverse Thyroxine 3 (RT3):
2017/09/08: 17 ng/dL (NORMAL)
T-Uptake (Thyroxine Binding Sites):
2017/09/08: 34 %
Free Thyroxine Index:
2017/09/08: 2.3
Thyroid Peroxidase Antibodies (TPOAb):
2017/08/31: 17 IU/mL (NORMAL)
2017/09/08: 17 IU/mL (NORMAL)
Anti-Thyroglobulin Antibodies (TGAb):
2017/08/31: 2.6 IU/mL (HIGH)
2017/09/08: 2.6 IU/mL (HIGH)
Total Testosterone (TT):
2016/11/04: 376 ng/dL (LOW-NORMAL)
2017/08/31: 324 ng/dL (LOW-NORMAL)
2017/09/05: 610 ng/dL (NORMAL)
2017/11/09: 569 ng/dL (NORMAL)
Free Testosterone (FT):
2016/11/04: 5.3 pg/mL (LOW)
2017/08/31: 2.6 pg/mL (LOW)
2017/09/05: 7.7 pg/mL (LOW)
2017/11/09: 3.7 pg/mL (LOW)
Follicle Stimulating Hormone (FSH):
2017/11/09: 1.5 mIU/mL (VERY LOW-NORMAL)
Luteinizing Hormone (LH):
2017/11/09: 2.6 mIU/mL (LOW-NORMAL)
DHEA-Sulfate:
2017/11/09: 91.9 ug/dL (LOW)
Sex Hormone Binding Globulin (SHBG):
2017/11/09: 105.8 nmol/L (VERY HIGH)
Albumin:
2012/03/20: 4.9 g/dL (NORMAL)
2013/03/08: 4.9 g/dL (NORMAL)
2016/11/04: 5.2 g/dL (NORMAL)
2017/08/24: 4.6 g/dL (NORMAL)
2017/11/09: 4.9 g/dL (NORMAL)
Cortisol - AM (Blood):
2017/09/05: 14.5 ug/dL (NORMAL)
Prolactin:
2017/11/09: 13.6 ng/dL (NORMAL)
Creatinine:
2012/03/20: 0.89 mg/dL (NORMAL)
2013/03/08: 0.84 mg/dL (NORMAL)
2016/11/04: 0.85 mg/dL (NORMAL)
2017/08/24: 1.00 mg/dL (NORMAL)
2017/11/09: 1.01 mg/dL (NORMAL)
BUN/Creatinine Ratio:
2016/11/04: 12 (NORMAL)
2017/08/24: 11 (NORMAL)
2017/11/09: 08 (LOW)
AST (SGOT):
2012/03/20: 29 U/L (NORMAL)
2013/03/08: 24 U/L (NORMAL)
2016/11/04: 31 IU/L (NORMAL)
2017/08/24: 65 IU/L (HIGH)
2017/11/09: 36 UI/L (NORMAL)
Sodium, Serum:
2012/03/20: 138 mmol/L (NORMAL)
2013/03/08: 139 mmol/L (NORMAL)
2016/11/04: 145 mmol/L (HIGH)
2017/08/24: 141 mmol/L (NORMAL)
2017/11/09: 140 mmol/L (NORMAL)
Calcium, Serum:
2012/03/20: 9.9 mg/dL (NORMAL)
2013/03/08: 9.8 mg/dL (NORMAL)
2016/11/04: 10.5 mg/dL (HIGH)
2017/08/24: 9.4 mg/dL (NORMAL)
2017/09/05: 10.1 mg/dL (NORMAL)
2017/11/09: 9.7 mg/dL (NORMAL)
Chloride, Serum:
2012/03/20: 103 mmol/L (NORMAL)
2013/03/08: 103 mmol/L (NORMAL)
2016/11/04: 99 mmol/L (NORMAL)
2017/08/24: 98 mmol/L (NORMAL)
2017/11/09: 95 mmol/L (LOW)
Vitamin B12:
2017/08/31: 1082 pg/mL (HIGH)
Vitamin D, 25-Hydroxy:
2017/09/05: 11.3 ng/mL (VERY LOW)
Mononucleosis Test, Qual
2017/09/05: Negative
2017/11/09: Negative
EBV, Early Antigen, Ab, IgG:
2017/08/31: 13.8 U/mL (HIGH/POSITIVE)
2017/11/09: 12.1 U/mL (HIGH/POSITIVE)
EBV Ab VCA, IgG
2017/08/31: >600 U/mL (EXTREMELY HIGH/POSITIVE)
2017/11/09: >600.0 U/mL (EXTREMELY HIGH/POSITIVE)
EBV Nuclear Antigen Ab, IgG
2017/08/31: 441.0 U/mL (EXTREMELY HIGH/POSITIVE)
Cytomegalovirus (CMV) Ab, IgG
2017/08/31: 6.40 U/mL (HIGH/POSITIVE)
Cytomegalovirus (CMV) Ab, IgM
2017/08/31: <30.0 (NEGATIVE)
CMV PCR:
2017/08/31: Negative (NO CMV DNA DETECTED)
Hepatitis B Surface Antibody QL:
2013/03/08: Borderline
Hepatitis B Core AB Total:
2013/03/08: Non-Reactive