Blood Test Results Disappointment

Pharma / TRT Testosterone Replacement
1

Hello All,

I have been reading plenty on this forum. Completed all the required blood work. I started TRT a couple of days ago ( test E 250 mg 1 amp). I am overseas at the moment, so I will be self administering. First shot was 65 mg, and plan on injecting E3D. Will also be taking Anastrozole in terms of pills, however I don’t know the required dosage.

Could you all please review my blood work, if you require any extra information please do no hesitate to ask, as I would like to resolve all my issues. Thank you for your help

Age: 36
Weight: 164lbs
Height: 5’6"
Waist: 34"
Body and Facial Hair: Chest and Face
Carrying Fat: Mostly around midsection
Health Symptoms: ED, Skin disorder (Alopecia at age 34, Psoriasis at age 35, Tinea pedis/fungus between toes for the past eight years ), difficulty losing fat/gaining muscle; lack of libido; no energy; depression; no cardio,

Diet: 75% Mediterranean.
Training: N/A.
LUTEINIZING HORMONE 2.42 (1.1 - 7.0 mIU/ml)
FOLLICLE STIMULATING HORMONE 3.55 (0.7 - 12.0 mIU/ml)
DHEA-S 2116 (1419 - 3867 ng/ml)
SHBG 22 (10 - 55 nmol/L)
FREE TESTOSTERONE-CALCULATED 6.88
ESTRADIOL E2 23.3 (< 62 pg/ml)
TESTOSTERONE LEVEL 226 (300 - 1080 ng/dl)
SEX HORM BIND GLOBULIN 24 (16.5-55.9 NMOL/L)
CALC FREE TESTOSTERONE 5.2 (4.8-25.7 NG/DL)
Cortisol Serum a.m 17.9 (6.4-21.0 ng/ml)
CRP 8.5 Less than 6.0 IU/ml
Vit D25(OH) Level 21.6 (Less than 24 deficient)
Vit B12 225.5 (220-960 pg/ml)
Ferritine Level 41.7 (18-359 ng/ml)
Folate level 8.1 (2-20 ng/ml)
Free T3 1.307 (1.45-3.48 PG/ML)
Free T4 2.25 (0.8-2.4 NG/ML)
Progesterone 241.7 (250-990 pg/ml)
Homocsteine Level 5.62 (Normal 5-9 mmol)
PROLACTIN 5.33 (3.0 - 25.0 NG/ML)
HEMATOCRIT 42.4 (37.0 - 49.0 %)
HEMOGLOBIN 15.1 (13.0 - 17.0 G/DL)
HbA1C 6% (4.5-6.0)
GLUCOSE 111 H (65-100 MG/DL)
BUN 13 (8-25 MG/DL)
CREATININE 0.90 (0.80-1.40 MG/DL)
eGFR AFRICAN AMER. 127 ( >60 ML/MIN/1.73)
eGFR NON-AFRICAN AMER. 109 (>60 ML/MIN/1.73)
CALCULATED BUN/CREAT 14 (6-28 RATIO)
SODIUM 144 (133-146 MEQ/L)
POTASSIUM 4.5 (3.5-5.3 MEQ/L)
CHLORIDE 106 (97-110 MEQ/L)
CARBON DIOXIDE 30 (18-30 MEQ/L)
CALCIUM 10.3 (8.5-10.5 MG/DL)
PROTEIN, TOTAL 7.8 (6.0-8.4 G/DL)
ALBUMIN 4.8 (2.9-5.0 G/DL)
CALCULATED GLOBULIN 3.0 (2.0-3.8 G/DL)
CALCULATED A/G RATIO 1.6 (0.9-2.5 RATIO)
BILIRUBIN, TOTAL 1.0 (0.1-1.3 MG/DL)
ALKALINE PHOSPHATASE 41 (30-132 U/L)
SGOT (AST) 19 (5-35 U/L)
SGPT (ALT) 21 (7-56 U/L)
CHOLESTEROL 196 (<200 MG/DL)
TRIGLYCERIDES 245 (<150 MG/DL)
HDL 35 (>39 MG/DL)
LDL CHOLESTEROL CALCULATED 112 (<100 MG/DL)
LDL/HDL RATIO, SERUM 3.20 (<3.55 RATIO)
WBC 6.8 (4.0-11.0 K/UL)
RBC 4.90 (4.10-5.70 M/UL)
HEMOGLOBIN 13.9 (13.0-17.0 G/DL)
HEMATOCRIT (41.8 37.0-49.0 %)
MCV 85.3 (80.0-100.0 fL)
MCH 28.4 (27.0-34.0 PG)
MCHC 33.3 (32.0-35.5 G/DL )
RDW 13.7 (11.0-15.0 %)
NEUTROPHILS 51 (40-74 %)
LYMPHOCYTES 40 (19-48 %)
MONOCYTES 7 (4-13 %)
EOSINOPHILS 2 (0-7 %)
BASOPHILS 0 (0-2 %)
PLATELET COUNT 214 (130-400 K/UL)
CHOLESTEROL 190 <200 MG/DL
TRIGLYCERIDES 74 Less than 150 MG/DL
HDL CHOLESTEROL 45 greater than 39 MG/DL
Less than 100 MG/DL CALCULATED LDL CHOL 130 H
RISK RATIO LDL/HDL 2.89 Less than 3.55 Ratio
DHEA SULFATE 297 (103-446 UG/DL)
Less than 4.0 NG/ML PSA, TOTAL 1.4
TSH 1.0 ( 0.5-4.7 UIU/ML)

2

Wait 6 weeks and redo bloods with no AI. At least I wish I had done that. I didn’t need a significant AI and my original doc put me on heavy AI which drove my E to nothing. I would have liked to have a baseline response first. Otherwise, the stickies recommend 1mg week spread out.

3

Blshaw,

Thank you for your prompt reply. My plan is to do exactly as you stated. However, I am more concerned about investigating the root cause of of the issues. My Urologist stated that I have a minor varicocele in my left vein, which does not require surgery.

I would appreciate it if more folks chip in with their opinions.

Seeing that my free T3 and T4 slightly below the minimum range is a concern.
Seeing that my LH and FSH is on the low side is also a concern.
Any suggestions to perform or obtain an extra exams or tests.

4

The fact that they are both low and you also have low T is a condition of secondary hypogonadism. You can either try an HPTA restart or go on TRT like you have. I don’t know much about the thyroid hormones, KSman or a mod may be able to elaborate.

5

Good Morning Guys,

I have been on TRT for the past 7 months now.
The only thing that I have been taking is in a shot of Test Enanthate (60 mg) every 4 days. Also, I have donated blood twice in this period. Below is my blood work results:

CBC W/AUTO DIFF WITH PLATELETS
WBC 7.5 4.0-11.0 K/UL MAIN
RBC 5.50 4.10-5.70 M/UL
HEMOGLOBIN 16.1 13.0-17.0 G/DL
HEMATOCRIT 46.5 37.0-49.0 %
MCV 84.5 80.0-100.0 fL
MCH 29.3 27.0-34.0 PG
MCHC 34.6 32.0-35.5 G/DL
RDW 12.8 11.0-15.0 %
NEUTROPHILS 49.3 40.0-74.0 %
LYMPHOCYTES 41.7 19.0-48.0 %
MONOCYTES 6.8 4.0-13.0 %
EOSINOPHILS 1.7 0.0-7.0 %
BASOPHILS 0.5 0.0-2.0 %
PLATELET COUNT 253 130-400 K/UL
PSA, TOTAL 1.95 <=4.00 NG/ML

ESTRADIOL 45.8 <=60.7 PG/ML MAIN

TESTOSTERONE 1138 H 300-1080 NG/DL MAIN
SEX HORM BIND GLOBULIN 28.3 16.5-55.9 NMOL/L
CALC FREE TESTOSTERONE 30.6 H 4.8-25.7 NG/DL

GLUCOSE 111 H 70-99 MG/DL MAIN
BUN 15 6-20 MG/DL
CREATININE 1.10 0.80-1.40 MG/DL
eGFR AFRICAN AMER. 99 >60 ML/MIN/1.73
eGFR NON-AFRICAN AMER. 85 >60 ML/MIN/1.73
CALC BUN/CREAT 14 6-28 RATIO
SODIUM 138 133-146 MEQ/L
POTASSIUM 4.4 3.5-5.4 MEQ/L
CHLORIDE 96 95-107 MEQ/L
CARBON DIOXIDE 25 18-29 MEQ/L
CALCIUM 10.1 8.5-10.5 MG/DL
PROTEIN, TOTAL 7.9 6.1-8.3 G/DL
ALBUMIN 4.9 3.5-5.2 G/DL
CALC GLOBULIN 3.0 1.9-3.7 G/DL
CALC A/G RATIO 1.6 1.0-2.6 RATIO
BILIRUBIN, TOTAL 0.3 <=1.2 MG/DL
ALKALINE PHOSPHATASE 40 L 46-118 U/L
AST 32 9-50 U/L
ALT 31 5-50 U/L

I plan on starting HCG 250 mg EOD, I have 1500 ampules of dry powder however don’t know how to do the math.
Arimedex I have 1 mg tablets, will be dissolving them in Appple Cider Vinegar in a gradual dropper, also, I don’t know how to do the math.

Could you please help.

6

I have never heard of that. I would expect the acid could damage anastrozole. Can you dissolve 1mg/ml in vodka? Count drops per ml in with a dropper bottle and do the math or measure with a syringe to take 0.5mg anastrozole twice a week.

Please inject T 52.5mg twice a week and take anastrozole at that time.

Mix hCG in 1.5 ml BA water, 0.5% benzyl alcohol. Inject 0.25 mg SC EOD

You can inject hCG SC with #31 0.3-0.5ml [30-50iu] insulin syringes.
You can inject T with #29 1/2" 0.5ml insulin syringes. Try SC over quads, if you get lumps or swelling, try SC in belly fat.

You had low T and insulin resistance. Also know as syndrome-X or metabolic disorder. A1C=60 requires some changes. TRT does help with all of this.

You have vitamin B deficiency contributing to low HDL, find a high potency B-complex multi-vit that lists trace elements including iodine+selenium, 130-180mcg+150-200mcg. Also must not list iron!

Also, take fish oil or other EFAs, nuts, flax seed oil/meal

**Blood donations: **
Ferritin should be 80 or better to support proper fT4–>fT3 conversion.

f**T3 was well below target/optimal of mid-range. **
Eval overall thyroid function as per last paragraph in this post.
Low thyroid function, and low-T contribute to or cause insulin resistance.

Stop eating potatoes, white rice, sugars, white bread.

Your CRP indicated generalize inflammation somewhere in your body.
Homocysteine is cardio specific suggesting inflammatory processes in your arteries - aka heart disease. Estrogen dominance can contribute to this. DHEA-S=297 was good -supportive. The lining of the arteries, the one cell thick endothelium is suffering.

How is your BP and pulse?

Anti-fungals can contribute to secondary hypogonadism as well as other medications, Rx or OTC.

Please read the stickies found here: About the T Replacement Category - #2 by KSman

  • advice for new guys
  • things that damage your hormones
  • protocol for injections
  • finding a TRT doc

Evaluate your overall thyroid function by checking oral body temperatures as per the thyroid basics sticky. Thyroid hormone fT3 is what gets the job done and it regulates mitochondrial activity, the source of ATP which is the universal currency of cellular energy. This is part of the body’s temperature control loop. This can get messed up if you are iodine deficient. In many countries, you need to be using iodized salt. Other countries add iodine to dairy or bread.

7

I missed this post last August, was way.

8

KSman,

Thank you for your promptness in reply. Also, thank you for taking the time to review my thread and reply to it.

Please see my reply below, I italicized my replies, so you don’t get mixed up with prior post reply.

I have never heard of that. I would expect the acid could damage anastrozole. Can you dissolve 1mg/ml in vodka? Count drops per ml in with a dropper bottle and do the math or measure with a syringe to take 0.5mg anastrozole twice a week.
My intention was to avoid alcohol due to a religious restriction. Do you reckon after mixing with Vodka, I could dilute the 0.5 mg dosage in water to dispose of the taste and quality of alcohol?
Please inject T 52.5mg twice a week and take anastrozole at that time.
Will do
Mix hCG in 1.5 ml BA water, 0.5% benzyl alcohol. Inject 0.25 mg SC EOD
This is the bacteriostatic water that I purchased hospira bacteriostatic water. Will be following your suggestion.

You can inject hCG SC with #31 0.3-0.5ml [30-50iu] insulin syringes.
You can inject T with #29 1/2" 0.5ml insulin syringes. Try SC over quads, if you get lumps or swelling, try SC in belly fat.
Will do
You had low T and insulin resistance. Also know as syndrome-X or metabolic disorder. A1C=60 requires some changes. TRT does help with all of this.
I read more about it, I believe it’s genetics as I avoid sugars as much as I can.
You have vitamin B deficiency contributing to low HDL, find a high potency B-complex multi-vit that lists trace elements including iodine+selenium, 130-180mcg+150-200mcg. Also must not list iron!
I recently added iodine pills to my diet 250mcg, with 5,000 IU of vitamin D. Just purchased selenium and vitamin B complex and probiotics.
It must be something that I missed, why should it not list IRON?
Also, take fish oil or other EFAs, nuts, flax seed oil/meal
Will do
Blood donations: **
Ferritin should be 80 or better to support proper fT4–>fT3 conversion.
Do I need to increase my Feritin levels? The only reason I donated blood is to keep HEMATOCRIT within normal levels.
fT3 was well below target/optimal of mid-range. **
Eval overall thyroid function as per last paragraph in this post.
Low thyroid function, and low-T contribute to or cause insulin resistance.
I purchased a digital thermometer last night and took a reading this morning it was at 95.7 F. I shall take one every morning for the next 5 days.
Stop eating potatoes, white rice, sugars, white bread.
Started doing that today
Your CRP indicated generalize inflammation somewhere in your body.
Homocysteine is cardio specific suggesting inflammatory processes in your arteries - aka heart disease. Estrogen dominance can contribute to this. DHEA-S=297 was good -supportive. The lining of the arteries, the one cell thick endothelium is suffering.
My Homocsteine Level 5.62 (Normal 5-9 mmol) looks normal.
Worried about my CRP, how I can know where is the general inflammation is?
I was not able to understand your statement of “one cell thick endothelium is suffering”, could you please elaborate?
How is your BP and pulse?
Purchased a blood pressure monitor today, SYS 134 mmHg, DIA 77 mmHg, Pulse 67 BPM.
Anti-fungals can contribute to secondary hypogonadism as well as other medications, Rx or OTC.
Please read the stickies found here: About the T Replacement Category - #2 by KSman
• advice for new guys
• things that damage your hormones
• protocol for injections
• finding a TRT doc (WHO NEEDS A DOCTOR WHEN THEY HAVE YOU)
Evaluate your overall thyroid function by checking oral body temperatures as per the thyroid basics sticky. Thyroid hormone fT3 is what gets the job done and it regulates mitochondrial activity, the source of ATP which is the universal currency of cellular energy. This is part of the body’s temperature control loop. This can get messed up if you are iodine deficient. In many countries, you need to be using iodized salt. Other countries add iodine to dairy or bread.

9

Hello Ksman and everyone reading this,

I have included the following in my diet since your reply 5 days ago:

I reread the stickie’s especially the one pertaining to the thyroid, it is a very interesting topic. It got me thinking after monitoring my morning temps that I might have a low thyroid.
200 mcg of selenium
250 mcg of iodine
B12 vitamin
Probiotics
5000 iu of vitamin D
I eat nuts daily with my oat meal (pumpkin seed, cashews, almonds), raw honey, flaxseed
Coconut oil and olive oil
Also, I have been monitoring my rest blood pressure and temperature
3/5 Temp 97.2F Pressure 120/70 Heart Rate 70
3/6 Temp 97.2F Pressure 125/72 Heart Rate 72
3/7 Temp 96.5F Pressure 118/68 Heart Rate 69
3/8 Temp 96.5F Pressure 122/70 Heart Rate 72
3/9 Temp 97.2F Pressure 128/70 Heart Rate 75
I measure my pressure through the day and the average is between 120-130 70-75
Note I had a thicker blanket on the days my temp was 97.2F. Also, how accurate are digital thermometers, do you recommend me buying more than one to compare results.

Your comments are appreciated.

10

Hello All,

I recently took my blood work and below are my results. I inject 20 ml of rnanthate E3D, 200 ml of HCG EOD and 0.25 mg of arimidex. I take a multi vitamin and try to eat healthy, I have beem on trt for a year now. Please advise if you see anything out of the norm.

DHEA-S 2116 (1419 - 3867 ng/ml)
SHBG 30.01 (10 - 55 nmol/L)
FREE TESTOSTERONE-CALCULATED 31.10 (9-39 ng/ml)
ESTRADIOL E2 19.41 (< 62 pg/ml)
TESTOSTERONE LEVEL 983 (300 - 1080 ng/dl)
SEX HORM BIND GLOBULIN 24 (16.5-55.9 NMOL/L)
CALC FREE TESTOSTERONE 5.2 (4.8-25.7 NG/DL)
Estrogen 41.67 (22-77 microgr/ml)
CRP 8.0 Less than 6.0 IU/ml
Vit D25(OH) Level 29.7 (Less than 24 deficient)
Vit B12 297 (220-960 pg/ml)
Folate level 8.1 (2-20 ng/ml)
Free T3 1.48 (1.45-3.48 PG/ML)
Free T4 2.10 (0.8-2.4 NG/ML)
T3 0.519 (0.45-1.37 NG/ML)
T4 10.74 (4.5-12 microg/dl)
Progesterone 241.7 (250-990 pg/ml)
Homocsteine Level 5.62 (Normal 5-9 mmol)
PROLACTIN 12.41 (1.66 - 18.7 NG/ML)
HEMATOCRIT 46 (37.0 - 49.0 %)
HEMOGLOBIN 15.1 (13.0 - 17.0 G/DL)
HbA1C 6% (4.5-6.0)
GLUCOSE 104 H (65-100 MG/DL)
BUN 10.5 (8-25 MG/DL)
CREATININE 0.90 (0.80-1.40 MG/DL)
SODIUM 144 (133-146 MEQ/L)
POTASSIUM 4.5 (3.5-5.3 MEQ/L)
CHLORIDE 106 (97-110 MEQ/L)
CARBON DIOXIDE 30 (18-30 MEQ/L)
CALCIUM 10.3 (8.5-10.5 MG/DL)
PROTEIN, TOTAL 7.8 (6.0-8.4 G/DL)
ALBUMIN 4.8 (2.9-5.0 G/DL)
CALCULATED GLOBULIN 3.0 (2.0-3.8 G/DL)
CALCULATED A/G RATIO 1.6 (0.9-2.5 RATIO)
BILIRUBIN, TOTAL 1.0 (0.1-1.3 MG/DL)
ALKALINE PHOSPHATASE 41 (30-132 U/L)
SGOT (AST) 29 (5-35 U/L)
SGPT (ALT) 25 (7-56 U/L)
CHOLESTEROL 177 (<200 MG/DL)
TRIGLYCERIDES 104 (<150 MG/DL)
HDL 35 (>39 MG/DL)
LDL CHOLESTEROL CALCULATED 119 (<100 MG/DL)
WBC 8.9 (4.0-11.0 K/UL)
RBC 5.73 (4.10-5.70 M/UL)
HEMOGLOBIN 15.5 (13.0-17.0 G/DL)
HEMATOCRIT 46 (37.0-49.0 %)
MCV 90.3 (80.0-100.0 fL)
MCH 28.4 (27.0-34.0 PG)
MCHC 33.3 (32.0-35.5 G/DL )
RDW 13.7 (11.0-15.0 %)
NEUTROPHILS 61 (40-74 %)
LYMPHOCYTES 32 (20-40 %)
MONOCYTES 3 (0-8 %)
EOSINOPHILS 2 (0-7 %)
BASOPHILS 0 (0-2 %)
PLATELET COUNT 214 (130-400 K/UL)
DHEA SULFATE 297 (103-446 UG/DL)
Less than 4.0 NG/ML PSA, TOTAL 1.4
TSH 1.77 ( 0.5-4.7 UIU/ML)
Hemocystine 299.6 (250-920 pg/ml)
PSA 0.28 Normal <4 ng/ml

11

Good Evening Gentlemen,

It does not seem like I have my dose right. Currently I take test enanthate 250 mg. I finish the ampule which contains 1 ml in 2 weeks. I take a shot every 3.5 days, the shot is taken using an insulin injection, and it’s marked on the needle anywhere between 25 to 30 units. Furthermore, I inject 25 units which converts to 250 ml of hcg. I have one arimidex pill and I split it into 4 small pills.

My libido for the past three months have been very down, I also suffer from ED during sex, so I would stop taking arimidex and take proviron 2 50 mg pills every 12 hours for a week.
I just got my blood work completed and it is not good, I need your help. Below are my results, please let me know how to go about this immediate. I plan on stopping injections for a couple of weeks.
I eat healthy and have been on ketosis diet for the past week.

Testosterone, Serum >1500 ng/dL 264 - 916

Free Testosterone(Direct) >50.0 pg/mL 8.7 - 25.1

Dihydrotestosterone 122 ng/dL 30-85

T4,Free(Direct) 1.31 ng/dL 0.82 - 1.77 01

TSH 0.928 uIU/mL 0.450 - 4.500 01

Prolactin 10.5 ng/mL 4.0 - 15.2 01

Estradiol, Sensitive 109.9 pg/mL 8.0 - 35.0 03

Glucose 96 mg/dL 65-99
Uric Acid 6.8 mg/dL 3.7-8.6
BUN 11 mg/dL 6-20
Creatinine 0.96 mg/dL 0.76-1.27
eGFR If NonAfricn Am 100 mL/min/1.73 >59
eGFR If Africn Am 115 mL/min/1.73 >59
BUN/Creatinine Ratio 11 9-20
Sodium 137 mmol/L 134-144
Potassium 4.9 mmol/L 3.5-5.2
Chloride 96 mmol/L 96-106
Carbon Dioxide, Total 25 mmol/L 18-29
Calcium 9.6 mg/dL 8.7-10.2
Phosphorus 3.0 mg/dL 2.5-4.5
Protein, Total 7.2 g/dL 6.0-8.5
Albumin 4.5 g/dL 3.5-5.5
Globulin, Total 2.7 g/dL 1.5-4.5
A/G Ratio 1.7 1.2-2.2
Bilirubin, Total 1.1 mg/dL 0.0-1.2
Alkaline Phosphatase 56 IU/L 39-117
LDH 163 IU/L 121-224
AST (SGOT) 63 High IU/L 0-40
ALT (SGPT) 44 IU/L 0-44
Iron 83 ug/dL 38-169
Cholesterol, Total 204 High mg/dL 100-199
Triglycerides 54 mg/dL 0-149
HDL Cholesterol 44 mg/dL >39
VLDL Cholesterol Cal 11 mg/dL 5-40
LDL Cholesterol Calc 149 High mg/dL 0-99
T. Chol/HDL Ratio 4.6 ratio 0.0-5.0
WBC 6.8 x10E3/uL 3.4-10.8
RBC 5.20 x10E6/uL 4.14-5.80
Hemoglobin 15.8 g/dL 13.0-17.7
Hematocrit 45.8 % 37.5-51.0
MCV 88 fL 79-97
MCH 30.4 pg 26.6-33.0
MCHC 34.5 g/dL 31.5-35.7
RDW 14.3 % 12.3-15.4
Platelets 222 x10E3/uL 150-379
Neutrophils 57 % Not Estab.
Lymphs 34 % Not Estab.
Monocytes 8 % Not Estab.
Eos 1 % Not Estab.
Basos 0 % Not Estab.
Neutrophils (Absolute) 3.8 x10E3/uL 1.4-7.0
Lymphs (Absolute) 2.4 x10E3/uL 0.7-3.1
Monocytes(Absolute) 0.6 x10E3/uL 0.1-0.9
Eos (Absolute) 0.1 x10E3/uL 0.0-0.4
Baso (Absolute) 0.0 x10E3/uL 0.0-0.2
Immature Granulocytes 0 % Not Estab. RN
Immature Grans (Abs) 0.0 x10E3/uL 0.0-0.1 RN
Specific Gravity 1.016 1.005-1.030
pH 6.0 5.0-7.5
Urine-Color Yellow Yellow
Appearance Clear Clear
WBC Esterase Negative Negative
Protein Negative Negative/Trace
Glucose Negative Negative RN
Ketones 1+ Abnormal Negative
Occult Blood Negative Negative
Bilirubin Negative Negative
Urobilinogen,Semi-Qn 0.2 EU/dL 0.2-1.0
Nitrite, Urine Negative Negative
Hemoglobin A1c 5.6 % 4.8-5.6
DHEA-Sulfate 347.5 ug/dL 102.6-416.3
Cortisol 8.7 ug/dL
C-Reactive Protein, Cardiac 11.36 High mg/L 0.00-3.00
Magnesium 2.1 mg/dL 1.6-2.3
Insulin 2.6 uIU/mL 2.6-24.9

12

Are you still dissolving your arimidex in vinegar?

13

Who came up with vinegar?
There is no acid in vodka.
8 drops of vodka is hardly a big deal.

You need to start doing self-study with google for things like: Endothelium - Wikipedia

A1C is at top of range which means that after higher starch/sugar meals your glucose is getting high.

You stopped anastrozole and not E2 is high. What were you thinking?

AST=63: Did you have sore muscles at this time?

Sodium and chloride were a bit low. Lack of salt?

You seem to be injecting 62.5mg T twice a week.

Stopping injections: If you keep doing things like this you will not find what is right for you.

What exactly was your protocol for the labs and for how long?

We need AM and mid-afternoon body temperatures.

Please take 5,000iu Vit-D3 per day.

Men typically do not need any added iron unless they have a blood loss through their gut. We have no data suggesting that ferritin is low.

Cortisol=8.7: This is low if labs done at 8AM or 1 hour after waking up.

CRP higher now. Are your gums healthy? Any fungal infections? Something is not right.

Insulin=2.6: A bit high. What was last meal and when? Should be fasting. See A1C comment above.

14

No I am just using a pill cutter and cutting it into 4 quarters.

15

And still taking it? Your post was a little unclear with that. Your E2 reading says maybe you stopped?

16

I just started yesterday, I took 2 1mg pill, and morning wood was back, however, not at full capacity. At this point all I am concerned about is lowering Estradiol.
Also, if I lower the T dosage from 62.5 to 40 it might help lower everything else related to T.
In the next 4 weeks I will be doing E2 sensitive test once a week to monitor my estradiol. Once that is under control, I will focus on everything else.
Does that sound right, or do you advice of something else.
My morning temp every morning is at 97.5
I take the following supplements. Sea kelp, Selenium from trace minerals, vitamin D 5000, vitamin D and DIM. I was hoping that DIM would do the job of the anastrazole, however, I was wrong.