Latest Bloodwork in, T and E are Too High

Pharma TRT
1

Hi,
I am currently on a protocol of:
60mg’s of T every Tues and Fri
250iu’s of hCG every M, W, and F

My doc originally prescribed 200MG’s of T, 200MG’s of Deca and 1500IU’s once a week but I adjusted the doseage based on what I read here and I didn’t take the Deca at all.

I took a 60mg shot of T and 250iu’s of hCG on Friday and took the test Sunday morning.

Here’s the results:
Here are my lab results:

Collected 12/15/13
Recieved 12/15/13

Quest Diagnostics

Cholesterol, total 137 Ref 125-200mg/dL
LDL Cholesterol, direct 89 ref <130mg/dL
Triglycerides 30 ref <150 mg/dL

HEPATIC FUNCTION PANEL
Protein, total 6.9 ref 6.1-8.1 g/dL
albumin 4.6 ref 3.6-5.1g/dL
Globulin, Calculated 2.3 ref 1.9-3.7 g/dL
A/G ratio 2.0 ref 1.0-2.5
Bilirubin, total 0.7 ref 0.2-1.2 mg/dL
Bilrubin, direct 0.2 ref <=0.2 mg/dL
Alkaline Phosphatase 52 ref 40-115 U/L
AST 23 ref 10-40 U/L
ALT 15 ref 9-46 U/L
Bilirubin, Indirect 0.5 ref 0.2 - 1.2 mg/dl

MICROALBUMIN, RANDOM
MICROALBUMIN 0.4 ref NOT ESTABLISHED mg/dL
MICROALBUMIN, RANDOM URINE 2 ref < 30 mcg/mg Creat

Creatine, Random urine 180 Ref 20-370 mg/dl

Hemaglobin A1C 5.6 ref <=5.7 consistent with abscence of diabetes

CBC INCLUDES DIFF/PLT
WBC 7.2 ref 3.8-10.8 Thous/mcL
RBC 5.60 ref 4.20-5.80 Mill/mcL
Hemoglobin 15.2 ref 13.2-17.1 g/dL
Hematocrit 47.6 ref 38.5-50%
MCV 84.9 ref 80.0-100.0 fL
MCH 27.2 ref 27.0-33.0 pg
MCHC 32.0 ref 32.0-36.0 g/dL
RDW 14.1 ref 11.0-15.0%
Platelet count 299 ref 140-400 Thous/mcL
MPV 9.0 ref 7.5-11.5 fL
Total neotrophils,% 53.4 ref 38-80%
Total lymphocytes,% 34.9 ref 15-49%
Moonocytes,% 9.9 ref 0-13%
eosinophils,% 1.5 ref 0-8%
Basophils,% 0.3 ref 0-2%
Neutrophils, Absolute 3845 ref 1500-7800 Cell/mcL
Lymphocytes, Absolute 2513 ref 850-3900 Cells/mcL
Monocytes, Absolute 713 ref 200-950 Cells/mcL
EOSINOPHILS, Absolute 108 ref 15-500 Cells/mcL
Basophils, Absolute 22 ref 0-200 cells/mcL
DIFFERENTIAL - An instrument differential was performed.

PSA, Total 1.1 ref <=4.0 ng/dl

FSH 0.7 Ref 1.6-8.0 miu/ml LOW
LH 0.2 Ref 1.5-9.3 miu/ml LOW
Prolactin 16.2 ref 2.0-18.0 ng/dl

Estradiol LC/MS/MS 84 ref <=29 pg/ml HIGH

Dihydrotestosterone, LCMSMS 69 ref 16-79ng/dl

Testosterone, TOT, LC/MS/MS 1408 ref 250-1100 ng/dl HIGH
Testosterone, Free 357.6 ref 35-155 pg/ML HIGH

I did not tell the doc that I lowered his protocol so he still thinks I’m still on the protocol I mentioned above (200 MG’s of T, etc.). He thinks everything is good and prescribed aromasin. I was thinking of dropping the test down to 40mg’s twice a week.

What do you guys think? I don’t want an AI so I’d rather lower my dosage to get my T and E down.

Thanks

2

A.) Please be honest with your doc. You (sort of) know what to do because, as you stated, of what you read here. However, he is probably treating a dozen others that don’t read here, nor do they know what you know. It will help the doc with others if you can articulate to him why you didn’t go with the deca and why you think you don’t need an AI.

B.) Lowering your T dosage may or may not lower your estradiol levels enough. You may need the AI. Why do you not want the AI?

3

You could probably cut your dose in half. I would do that and then retest to get a better idea of where E2 is going to be.

4

Icarus,
Thanks for the reply and you are correct, I will talk to the doctor. He’s an anti-aging doctor and they seem to love prescribing Deca. I don’t think there’s anything bad with it, it’s just that after I did my research, I feel that it’s not for me. I don’t have joint problems and I don’t need the extra mass or red blood cells that come with Deca. I just want a simple TRT protocol with only the necessary compounds.

I can accept it if I need the AI but I’m trying not to need it. I’m 20% bodyfat right now and I know the aromatase enzyme lives in fat. I’m currently working on my diet to get below 15% so hopefully that lowers estrogen. I’m also going to do more cardio to lower fat. I also want to lower testosterone because I don’t want to be at 1400. I feel that’s too high. If I can get down to a mid level with no AI, I’d accept that.

I’d rather be at 600-700 without an AI versus 900-1000 with an AI. Considering my prior test level was 290 and 277, anything above 600 would be a definite improvement.

5

[quote]dhickey wrote:
You could probably cut your dose in half. I would do that and then retest to get a better idea of where E2 is going to be.[/quote]

That’s a great idea.

Thank you

6

[quote]CobraMustangSVT wrote:
Icarus,
Thanks for the reply and you are correct, I will talk to the doctor. He’s an anti-aging doctor and they seem to love prescribing Deca. I don’t think there’s anything bad with it, it’s just that after I did my research, I feel that it’s not for me. I don’t have joint problems and I don’t need the extra mass or red blood cells that come with Deca. I just want a simple TRT protocol with only the necessary compounds.

I can accept it if I need the AI but I’m trying not to need it. I’m 20% bodyfat right now and I know the aromatase enzyme lives in fat. I’m currently working on my diet to get below 15% so hopefully that lowers estrogen. I’m also going to do more cardio to lower fat. I also want to lower testosterone because I don’t want to be at 1400. I feel that’s too high. If I can get down to a mid level with no AI, I’d accept that.

I’d rather be at 600-700 without an AI versus 900-1000 with an AI. Considering my prior test level was 290 and 277, anything above 600 would be a definite improvement.[/quote]

Great answer. I hope you can get your levels to where you want them and don’t have issues with the E anymore.

7

[quote]CobraMustangSVT wrote:
Icarus,
Thanks for the reply and you are correct, I will talk to the doctor. He’s an anti-aging doctor and they seem to love prescribing Deca. I don’t think there’s anything bad with it, it’s just that after I did my research, I feel that it’s not for me. I don’t have joint problems and I don’t need the extra mass or red blood cells that come with Deca. I just want a simple TRT protocol with only the necessary compounds.

I can accept it if I need the AI but I’m trying not to need it. I’m 20% bodyfat right now and I know the aromatase enzyme lives in fat. I’m currently working on my diet to get below 15% so hopefully that lowers estrogen. I’m also going to do more cardio to lower fat. I also want to lower testosterone because I don’t want to be at 1400. I feel that’s too high. If I can get down to a mid level with no AI, I’d accept that.

I’d rather be at 600-700 without an AI versus 900-1000 with an AI. Considering my prior test level was 290 and 277, anything above 600 would be a definite improvement.[/quote]

Keeping free T towards the top of the range and E2 in the 20s is probably all you need to feel good, unless there are other issues of course, but more T isn’t going help then anyway. This is a generalization but should be a decent rule of thumb.

8

Hey CobraMustang, Are you from the U.S.? I’ve never heard a doc. prescribing Deca here. I didn’t even know it was avail. through the pharmacy. Do you get through a compounding pharmacy? The reason I ask is I’d like to add it to my program.

Thanks

9

[quote]Icarus wrote:

[quote]CobraMustangSVT wrote:
Icarus,
Thanks for the reply and you are correct, I will talk to the doctor. He’s an anti-aging doctor and they seem to love prescribing Deca. I don’t think there’s anything bad with it, it’s just that after I did my research, I feel that it’s not for me. I don’t have joint problems and I don’t need the extra mass or red blood cells that come with Deca. I just want a simple TRT protocol with only the necessary compounds.

I can accept it if I need the AI but I’m trying not to need it. I’m 20% bodyfat right now and I know the aromatase enzyme lives in fat. I’m currently working on my diet to get below 15% so hopefully that lowers estrogen. I’m also going to do more cardio to lower fat. I also want to lower testosterone because I don’t want to be at 1400. I feel that’s too high. If I can get down to a mid level with no AI, I’d accept that.

I’d rather be at 600-700 without an AI versus 900-1000 with an AI. Considering my prior test level was 290 and 277, anything above 600 would be a definite improvement.[/quote]

Great answer. I hope you can get your levels to where you want them and don’t have issues with the E anymore.
[/quote]

Thank you

10

[quote]dhickey wrote:

[quote]CobraMustangSVT wrote:
Icarus,
Thanks for the reply and you are correct, I will talk to the doctor. He’s an anti-aging doctor and they seem to love prescribing Deca. I don’t think there’s anything bad with it, it’s just that after I did my research, I feel that it’s not for me. I don’t have joint problems and I don’t need the extra mass or red blood cells that come with Deca. I just want a simple TRT protocol with only the necessary compounds.

I can accept it if I need the AI but I’m trying not to need it. I’m 20% bodyfat right now and I know the aromatase enzyme lives in fat. I’m currently working on my diet to get below 15% so hopefully that lowers estrogen. I’m also going to do more cardio to lower fat. I also want to lower testosterone because I don’t want to be at 1400. I feel that’s too high. If I can get down to a mid level with no AI, I’d accept that.

I’d rather be at 600-700 without an AI versus 900-1000 with an AI. Considering my prior test level was 290 and 277, anything above 600 would be a definite improvement.[/quote]

Keeping free T towards the top of the range and E2 in the 20s is probably all you need to feel good, unless there are other issues of course, but more T isn’t going help then anyway. This is a generalization but should be a decent rule of thumb.
[/quote]

Thanks for the advice. I do notice that my free t is very high so I could probably get away with a lower total t number

11

[quote]Bigguns129 wrote:
Hey CobraMustang, Are you from the U.S.? I’ve never heard a doc. prescribing Deca here. I didn’t even know it was avail. through the pharmacy. Do you get through a compounding pharmacy? The reason I ask is I’d like to add it to my program.

Thanks
[/quote]

I’m in the US and I’ve noticed that many anti-aging clinics prescribe Deca. The Deca would have been made by a compounding pharmacy that the clinic works with (how convenient) and my insurance wouldn’t have covered it.