Help with Lab Results

Pharma / TRT Testosterone Replacement
1

Here are my 1st 2 sets of labs. 1st set was prior to TRT. 2nd set is a month and a half in on 100mg test cyp 1x a week. 2 different doctors ordered these so not all categories have 2 sets of data.

8/11/2017	10/12/2017

WBC 6.3 7.4
RBC 5.81 5.43
HEMOGLOBIN 16.9 16
HEMATOCRIT 50.4 48.6
MCV 87 90
MCH 29.1 29.5
MCHC 33.5 32.9
RDW 13.9 14.3
PLATELETS 309 267
NEUTROPHILS 64 64
LYMPHS 27 25 —
MONOCYTES 4 7
EOS 4 3. —
BASOS 1 1
TOTAL CHOLEST. 179 161
TRIGLYCERIDES 64 78
HDL CHOLEST. 61 46
VLDL CHOLEST. 13 16
LDL CHOLEST. 105 99
DHT 28 ------
HEMOGLOBIN ALC 5.4 5.3
DHEA-SULFATE 252.4 ----
CORTISOL 8.2 ----
TEST SERUM 377 491
TSH 3.49 3.9
LH 7.1 ----
FSH SERUM 4.7 ----
ESTRADIOL 17.9 -----
PROSTATE SPECIFIC SERUM 0.7 0.7
IGF-1 219 -------
REVERSE T3 SERUM 17.6 18.5
VIT. D 25-HYDROXY 38.8 ------
FREE TEST DIRECT 11.9 12.2
AST 19 —
ALT 20 —
T4 7.6 1.17
T3 116 143
VIT. B-12 599 –
MAGNESIUM SERUM 2.3 2.2
INSULIN 8.7 —
SHBG 41.2 —
PROLACTIN — 16.9
BUN – 22
BUN/CREATININE RATIO – 26

2

Only 1 set posted?

3

First thing that jumps out is that Total T only went up to 491 from 377 and Free T went from 11.9 to 12.2.
Virtually negligible results.

4

There are 2 sets of numbers. I don’t have 2 sets of values for everything due to difference in testing between the two. Sorry the formatting was lost when pasting from Excel.

5

I was surprised as well at the low free t after having been on TRT for a little while.

Other things I’m concerned about are high prolactin, high shbg before starting TRT, and high rbc. Apparently my blood is really thick too.

6

My follow up with my doc to go over results was rescheduled for a another 1.5 weeks. Hopefully we can increase dosage. I am concerned that he didn’t order the test to check for shbg or estradiol like the first doc