AKA private doctors
Where the hell did you learn all this, Harvard? episodic, your brilliant. If I had read this thread yesterday it would have saved an entire discussionā¦regardless, thanks.
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Some new bloodwork for people to look over if possible chaps for a little input.
@episodic i would certainly value your input here man.
Full blood count
Haemoglobin concentration 190 g/L [135.0 - 170.0]
Outside reference range
Total white blood count 5.9 109/L [3.5 - 11.0]
Platelet count - observation 221 109/L [140.0 - 400.0]
Haematocrit 0.532 Ratio [0.4 - 0.51]
Outside reference range
Red blood cell count 6.17 1012/L [4.25 - 6.0]
Outside reference range
Mean cell volume 86.2 fL [80.0 - 99.0]
Mean cell haemoglobin level 30.8 pg [27.5 - 32.5]
Mean cell haemoglobin concentration 357 g/L [310.0 - 350.0]
Outside reference range
Neutrophil count 2.95 109/L [1.7 - 8.0]
Lymphocyte count 2.10 109/L [1.0 - 4.0]
Monocyte count - observation 0.60 109/L [0.2 - 0.8]
Eosinophil count - observation 0.17 109/L [0.04 - 0.4]
Basophil count 0.04 109/L [0.02 - 0.1]
Nucleated red blood cell count 0.00 10*9/L
Bone profile
Serum calcium level 2.42 mmol/L [2.2 - 2.6]
Serum albumin level 45 g/L [35.0 - 50.0]
Serum adjusted calcium concentration 2.32 mmol/L [2.2 - 2.6]
Serum inorganic phosphate level 0.80 mmol/L [0.8 - 1.5]
Serum electrolyte levels
Serum sodium level 139 mmol/L [133.0 - 146.0]
Serum potassium level 4.5 mmol/L [3.5 - 5.3]
Serum chloride level 104 mmol/L [95.0 - 108.0]
Serum creatinine level 96 umol/L [48.0 - 128.0]
GFR calculated abbreviated MDRD 75 mL/min/1.73m*2
The EGFR quoted above must be multiplied by 1.2 if the
patient is of Afro-Caribbean origin.
Liver function tests
Serum total bilirubin level 9 umol/L [< 21.0]
Serum alkaline phosphatase level 93 iu/L [30.0 - 130.0]
Serum alanine aminotransferase level 50 iu/L [< 40.0]
Outside reference range
Acute kidney injury warning stage Not applicable
AKI STAGE NA - No Flag Alert (9)
Serum TSH level 2.4 mu/L [0.2 - 4.0]
Haemoglobin A1c level - IFCC standardised 38 mmol/mol [18.0 - 41.0]
Im aware tsh alone isnt so helpful but im at the mercy of my doctor unfortunately unless i order private labs which i reckon Iāll have to do now to check ft3 ft4 and rt3 as my tsh is above what im led to believe is good
@thehokiefloydā¦thank you, my friend.
I really appreciate the positive attitude everyone seems to have.
Bump.
Any input? I wont be able to donate blood so unsure if i should be overly concerned or seeking was to adjust these numbers
I was wondering the same thing. My haemoglobin and haematocrit levels are mid range which strikes me as odd because Iām supposed to be low due to my blood disease. My RDW and RBC are out of range and the nurse had trouble pulling blood from a fat veinā¦which made me wonder if my blood is syrup thick. Iāve also not been bleeding at all when I stick myself for the last 10 injections in the side of my quads. Hoping Iām not getting some thick blood. To soon for a damn phlebotomy.
I know most labs measure blood thickness by haematocrit as the end all be all for blood thickness but Iām thinking thereās more to it than that concerning clot concerns.
Appreciate you taking the time to help others episodic!
I have a few comments and would like to hear your thoughts,.
My initial impression based on what I have seen countless others do (in person). Again, I am not a physician.
The Test dosing used by most posting seems low compared to what I typically see.
There seems to be a number of guys posting here with on TRT with continuming symptoms of T deficiency. My experience is that most guys find relief/significant improvement in 3-6 weeks. Some take longer, of course.
I know zero guys that inject T sub q. I know some that inject twice per week. Most certainly symptoms of T deficiency are related to serum testosterone concentration. I have tried it both ways and clearly it simplified matters if we maintain weekly trough test concentration above some number that is specific to the individuial. If I have the choice to stabalize test concentration with multiple injections per week or simply increase dose such that we never fall below a weekly minimum, then the choice is very clear, the latter works with fewer problems. I donāt believe we notice the change in blood levels if the dose is high enough. I also see no evidence of side effects with higher weekly dosing.
I assume your doc is paying attention to your hematocrit/hemaglobin? The general rule at camp is that if both hematocrit and hemoglobin elevated - give blood. Your doc should advise you on this.
HCG metabolismā¦ Administration causes an elevated plasma testosterone concentration within two hours of administration. Plasma level reaches a plateau or declines after the initial rise.and then starts to increase again by 48 hours, and plasma estradiol levels increase and reach a peak 24 hours after HCG administration, a time corresponding to the nadir between the two testosterone responses. Your system will temporarily desensitize to HCG (inhibition of the 17,20 lyse reaction) for appprox 48 hours after admin to accomodate the rise/fall/rise of T. Of course long term admin of hcg will result in elevated T, E2 and 17 hydroxyprogesterone. (Williams Textbook of Endo).
My read (with the limited data available) is to decrease frequency of hcg to twice per week and up the aromatase inhibitor. Remember that estradiol stimulates the sympathetic nervous system. If itās too high anxiety, too low, then fatigue, no libido.
DHT is responsible for the mechanics of he hardon. HCG stimulates the leydig cells to release testosterone. It also stimulates the sertoli cells to produce spermatazoa.
The higher the variables the variable count, the more difficult it is going to be to find the problem.
I think you will best off if you address testosterone such that your low is no lower than upper quintike (20%) for a healthy 18-21 year old and drop estradiol to a comforabler levle betwen 20 and 30 pg/ml.
Sidebar
What factors impact elevated Estradiol or increases aromatase activity:
- Alcohol consumption.>1 drink Stop
- Coffee consumption >2 cups Stop ā I know those first 2 are killers.
- Obeisity - decrease body fat
There are about 5 other activities that impact aromatase activity however; they are not as common. I can list them if you are interested.
Once that is straightened out and if still have complaints, then it makes sense to address thyroid (in my view
Thoughts?
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@episodic
Cheers man. Let me lay it out again so we all know where weāre at.
Hcg has been dropped over a week ago after having blood drawn. My last hcg shot was 2 days before the test (i think. This memory thing has REALLY gotten bad). Since dropping it and popping a little extra aromasin and then dropping back into my 12.5mg aromasin twice weekly routine i feel MUCH better. I want bloods doing while i feel great to confirm numbers i feel good at but im king kong right now. I am still suffering some early morning fuzziness and later day tiredness, oh and im struggling (and have done for a LONG time) to fall asleep and often wake up,memory is rubbish and i dont feel quite perfect but I feel great in terms of wanting to fuck and raging hardons.
I dont have any issues with test levels and had them drawn on Wednesday morning. My first shot of test is on a monday and my next on a Thursday night so Wednesday morning testing seemed like a decent half way point to avoid a peak or trough.
My only real concerns right now is the bloodwork ive just posted above concerning blood cells, liver, tsh etc.
My doctor is of zero use and plays no part in my trt whatsoever and never will as has been made clear to me. And thats not just my doctor, the nhs in general. Its never going to happen. Heck, they havent even been in contact with me about my results i had to log in to my nhs portal and look if my results where back yet for myself and they have been back for a while so i guess the docs has no intention of addressing anything either. The upper range is 4.0 for tsh so at 2.4 they arnt going to investigate further no matter how i protest. And i cant give blood because of steroid use ,so really unsure as to what direction i should take regarding high hemo etc.
Also not sure if the 2.4 tsh should be concerning. From what ive read it is and as some doctors seem to be pushing for the ranges to be changed to a 2.5 maximum that would put me in a cause for concern range.
The only factors i feel shot up my e2 to start with was getting back on hcg. I can feel the difference massively now ive ceased.
Other e2 factors,
I dont drink or if i do on the extremely rare occasions then i never get drunk.
Im not obese. I have a little extra on my gut than i would like but literally that is all. I am not however very fit in regards to cardio etc. Nothing wrong as such ive just always been about powerlifting and not cardio.
Coffee, well i drink one upon waking and maybe one other during the day later on. I do drink maybe 2 cups of tea betweem 6pm and 10pm. Other than that its water or a morning animal pak shake.
As for subq injections i chose this route for 2 reasons.
1 I use a 27g insulin syringe which is a nice break from years of stabbing myself with 21 or 23g needles and
2 i read that you get a more stable release and therefore stable levels. I must say since swapping i cant say i noticed any difference but its always worked really well.
To make it clear ive not had an issue regarding my trt until i messed with hcg again. And now ive dropped it im getting back to spot on.
My issue over the last year or so has been energy, memory and to some point social emotions. I.e ive gotten pretty disinterested in people ,life etc, no compassion etc and rather grumpy. Throughout that time even feeling like that ive had a great sex drive and connection with my wife and had no erection issues to complain about.
Its the energy, wound healing (just thought of this), increased amount of infections or colds etc thats been a concern. If wake up tired, be ok once got going or had caffeine and then hit a wall later on. Or say after 5pm meal id just want to sleep or go to bed early etc. Like an old man needing a nap. Id still want to fuck the wife though and when i see / saw her naked for example itd be game on lol.
Thanks
If it helps post 63 is the post Iām referring too that i feel concerned and unsure about in case youd missed it.
Thanks man, appreciate your time
Ive not had any issues regarding thickness when bleeding or having blood drawn. Yours sound really thick.
This is an area i know very little about so im a little concerned and unsure as what to do. I presume i should book an appointment with my doctors surgery and try get one of the ones i know is pretty good to deal with as the last one a saw is useless.
Confrontational and condescending and borderline unprofessional. Ive not seen her before though so possibly was a temp.
Im a bit taken a back at not being contacted about the results however given that there are multiple values out of range
Jesus dnok! Iām starting to think your healthcare is in worse shape than ours. I mean the medical world here is no cakewalk but itās sounds like one thing after the next in England. I couldnāt believe hardly one over there prescribed T. I saw a British man with a YouTube channel for mens health who was taking Sustanon and talking about TRT but god knows who he had to blow to get it.
Yeah dude, Iām almost considering picking a vein with a 25gauge syringe and seeing if I can get a good draw myself. Canāt tell much by looking at the shit but the fact that it took the nurse a minute was weird as hell.
You can go private but its mental expensive. For some its the only way though.
There are the āunicornā doctors knocking about but they are essentially impossible to find.
7 years ive been at war with the nhs regarding mine and my wifes health. And now with my mother in law.
Its a fucking shit position to be in, so much so both my ladies trust me more than they do their own healthcare and as such im in charge of all 3 of us. I dont even know much compared to some here but i guarantee we are ahead of the nhs. Sickening it really is.
My mother in law bless her went through fucking hell, well as did my wife and still is all be it to a slowly lessening amount, but now she is a joy to behold. She has gone from being a shell of a person so worn out, run down and depressed it was heart breaking to now being so full of life shes practically wired lol. So satisfying to see such a massive change. Im just hoping the wife keeps going in the same direction now.
If you end up in accident and emergency over here you will get the best of the best. Oh, and cancer. Theyve saved me twice already. But anything else and your fucked mate. Its all about budget and necessity. If your not on deaths door you can go fuck yourself basically lol
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This has crossed my mind but even after many many years of needle play the idea of going iv scares me lol
I hear that. Money goes where guys like me walk by and wonder. I know where money goes and a whole lot of it is an illusion. But if youāve got the money, theyāll make you tall if your short and vice versa at your request.
Theyāre lucky to have you man. To me, thatās what makes us human. Take everything away and all we have is those we love and love is done better than itās said.
Thatās the way of it really. We arenāt an exception here. Health Insurance here took a dive way back when. Some Insurance policies are worth a damn but most donāt cover seriously expensive preventive care without deep pockets.
2 guys have a heart attack. One will get weekly check ups, the other not checked again till his next heart attack.
ā¦got moneyā¦got moneyā¦got moneyā¦or you donāt.
I had a friend that worked as a nurse in Vanderbilt University Hospital. Dude told me an 86 year old man with late stage terminal cancer on his deathbed had a hip replacement. Doctor ordered the shit KNOWING he was gonna die. Why? Because the doc was cashing in on the mans Insurance and some of that money left over when he died. He charged the guyā¦for aā¦HIP REPLACEMENTā¦whileā¦he wasā¦DYING! You believe that shit?! Guy died 5 months from cancer after the surgery.
thatās wild man! Iām weirded out by IM injections cause theyāre so deep and I did a shit ton of intravenous drugs when I was younger
Yeah dude! I got no problem plugging a vein but Iām still getting used to burying a needle in my quads!
Wow. That is beyond fucked up. Cutting the poor bastard up on his death bed. Unreal
Itās not unusual apparently. Vanderbilt is an Ivy league school and a major medical hospital in the nation. Itās good to know lots of types of people from different walks of life.
I learn a lot more that way.
Lmfao. Ive sniffed,.smoked and injested, and being addicted to just about anything imaginable in my wilder years lol but stayed away from iv.
Im is like breathing lol. Hit plenty of veins over the years and got a quick gusher or even hit a nerve head on!! Unfuckingpleasant that one lol.
Oh and shot peptides into joints too which feels so wrong.
If it comes to it i will learn though if its a matter of importance to my health