[quote]nomadic wrote:
[quote]Ben Dover wrote:
I got an MRI scan which I should know the result of soon.
[/quote]
What made you decide to get the MRI?[/quote]
Elevated prolactin and also because not all adenomas secrete prolactin.
Wanted to be sure before jumping on TRT.
New labs
LIPID PANEL
CHOLESTEROL, TOTAL 136 125-200 mg/dL EN
HDL CHOLESTEROL 44 > OR = 40 mg/dL EN
TRIGLYCERIDES 61 <150 mg/dL EN
LDL-CHOLESTEROL 80 <130 mg/dL (calc) EN
CHOL/HDLC RATIO 3.1 < OR = 5.0 (calc) EN
NON HDL CHOLESTEROL 92 mg/dL (calc) EN
COMPREHENSIVE METABOLIC EN
PANEL
GLUCOSE 94 65-99 mg/dL
Fasting reference interval
UREA NITROGEN (BUN) 13 7-25 mg/dL
CREATININE 0.74 0.60-1.35 mg/dL
eGFR NON-AFR. AMERICAN 131 > OR = 60 mL/min/1.73m2
eGFR AFRICAN AMERICAN 152 > OR = 60 mL/min/1.73m2
BUN/CREATININE RATIO NOT APPLICABLE 6-22 (calc)
SODIUM 139 135-146 mmol/L
POTASSIUM 4.6 3.5-5.3 mmol/L
CHLORIDE 103 98-110 mmol/L
CARBON DIOXIDE 25 19-30 mmol/L
CALCIUM 9.4 8.6-10.3 mg/dL
PROTEIN, TOTAL 7.3 6.1-8.1 g/dL
ALBUMIN 4.6 3.6-5.1 g/dL
GLOBULIN 2.7 1.9-3.7 g/dL (calc)
ALBUMIN/GLOBULIN RATIO 1.7 1.0-2.5 (calc)
BILIRUBIN, TOTAL 1.8 H 0.2-1.2 mg/dL
ALKALINE PHOSPHATASE 83 40-115 U/L
AST 26 10-40 U/L
ALT 27 9-60 U/L
HEMOGLOBIN A1c 5.4 <5.7 % of total Hgb EN
TSH 0.54 0.40-4.50 mIU/L EN
PLASMA RENIN ACTIVITY, EZ
LC/MS/MS 1.62 0.25-5.82 ng/mL/h
WESTERGREN 9 < OR = 15 mm/h
URINALYSIS, COMPLETE EN
COLOR YELLOW YELLOW
APPEARANCE CLEAR CLEAR
SPECIFIC GRAVITY 1.009 1.001-1.035
PH 6.0 5.0-8.0
GLUCOSE NEGATIVE NEGATIVE
BILIRUBIN NEGATIVE NEGATIVE
KETONES NEGATIVE NEGATIVE
OCCULT BLOOD NEGATIVE NEGATIVE
PROTEIN NEGATIVE NEGATIVE
NITRITE NEGATIVE NEGATIVE
LEUKOCYTE ESTERASE NEGATIVE NEGATIVE
WBC NONE SEEN < OR = 5 /HPF
RBC NONE SEEN < OR = 3 /HPF
SQUAMOUS EPITHELIAL CELLS NONE SEEN < OR = 5 /HPF
BACTERIA NONE SEEN NONE SEEN /HPF
HYALINE CAST NONE SEEN NONE SEEN /LPF
CBC (INCLUDES DIFF/PLT) EN
WHITE BLOOD CELL COUNT 6.1 3.8-10.8 Thousand/uL
RED BLOOD CELL COUNT 4.57 4.20-5.80 Million/uL
HEMOGLOBIN 14.5 13.2-17.1 g/dL
HEMATOCRIT 43.7 38.5-50.0 %
MCV 95.7 80.0-100.0 fL
MCH 31.7 27.0-33.0 pg
MCHC 33.1 32.0-36.0 g/dL
RDW 12.6 11.0-15.0 %
PLATELET COUNT 181 140-400 Thousand/uL
ABSOLUTE NEUTROPHILS 4221 1500-7800 cells/uL
ABSOLUTE LYMPHOCYTES 1244 850-3900 cells/uL
ABSOLUTE MONOCYTES 451 200-950 cells/uL
ABSOLUTE EOSINOPHILS 165 15-500 cells/uL
ABSOLUTE BASOPHILS 18 0-200 cells/uL
NEUTROPHILS 69.2 %
LYMPHOCYTES 20.4 %
MONOCYTES 7.4 %
EOSINOPHILS 2.7 %
BASOPHILS 0.3 %
ANA IFA SCREEN W/REFL TO EN
TITER AND PATTERN, IFA
ANA SCREEN, IFA NEGATIVE NEGATIVE
treatment
0.5 mg cabergoline a week
250 iu HCG EOD
HCG monotherapy to deal with low T symptoms while adenoma shrinks, also as diagnostic to see if T increases.
Some of the side effects of cabergoline even at a low dose sound scary, specially heart valve damage even at three months.
Should I opt for surgery?
I noticed TSH went down to 0.54 this is after cutting iodized salt for BP.
Recently, after the tests (and before getting the results), I started taking 1 mg kelp iodine, to prevent deficiency. Should I stop?
“”"
Side effects
Side effects are mostly dose dependent. Much more severe side effects are reported for treatment of Parkinson’s disease and (off-label treatment) for restless leg syndrome which both typically require very high doses. The side effects are considered mild when used for treatment of hyperprolactinemia and other endocrine disorders or gynecologic indications where the typical dose is 10-100 times smaller than for Parkinson’s disease.[citation needed]
“”"
“”" The lower doses required for treatment of hyperprolactinemia have been found to be not associated with clinically significant valvular heart disease or cardiac valve regurgitation.[14][15]
“”"
Try the caber. Surgery for an adinoma may trash other pituitary functions.
TSH & iodine: What are current body temperatures? Waking and mid afternoon? See thyroid basics sticky.
B6: If not taking supplements, that would be abnormal. Note that this is a measure of what is seen in the general population and does not imply that larger amounts are in any way detrimental.
Began Cabergoline.
So far just brain fog. Does it need to be split to .25 twice a week or is .5 once a week ok.
I suck at cutting the pills lol
Insurance rejected HCG and none of the compounding pharmacies near me have it.
Does anyone know a good priced place to order from?
Script is 10,000 IU
I’m gonna sound really stupid, but here’s what happened.
I asked for 10ml of BAC water and they instead gave me a 10ml vial of sterile water.
I mixed 10,000 iu of HCG with 10ml of the water before I read the fine print and found out it wasn’t BAC.
It has only been 1 day what should I do or add to it?
I think the difference between the BAC water and the sterile water is simply that the BAC has a preservative in it in order to keep the hCG fresh longer. You know it needs to be refrigerated after you mix it up, right?
As far as what you should do, I don’t know. I’m not a doctor, so I can only speculate that your hCG would have a shorter time until it lost effectiveness.
Yes I know about refrigerating. Dang I feel like an idiot I trusted the pharmacy when they said it was BAC water. I read the small letters and surprise surprise.
Anyway, this is going to sound super weird, but my nuts have been tingling since I started HCG, I’m assuming this is a good sign?
Any of you guys on HCG not embarrassed enough to comment on your side effects?
New labs:
Prolactin 0.4 4.0 - 15.2 ng/ml
E2 25.6 7.6 - 42.6 pg/ml
Free T direct 15.1 9.3 - 26.5 pg/ml
SBGH 19.3 16 - 55
Caber is working very well! Dopamine is expected to increase. Are you feeling better mood wise. Increased reward from good food or things that you enjoy?
[quote]KSman wrote:
Caber is working very well! Dopamine is expected to increase. Are you feeling better mood wise. Increased reward from good food or things that you enjoy?[/quote]
KS!!! thanks for replying.
I was for the first week. After that I got really weird mood swings with sadness then aggressiveness. Erratic.
The first two weeks with HCG libido was up quite a bit in general maybe 65% back to normal, I still feel better than before, but not as good as the first weeks.
The pharmacy doesn’t think HCG has lost potency due to them giving me sterile water instead of BAC as I had asked. The labs were done at three weeks.
Doc feels that maybe adding a little bit of T might make me feel even better and closer to 100%. I’m willing to give it an honest try for at least 6 months and if there is an improvement, continue until adenoma shrinks and I can try a restart.
Thanks really like feedback!!!
Hello TRT’rs.
Here’s my new protocol:
16mg of T per day 250 iu HCG EOD and 1mg arimidex per week in divided doses.
Effects so far:
New body hair. A lot of body acne.
And one big problem I need advice on. I had slight gyno on one side during puberty that went away completely, but has now flared up after a month of TRT. What should I do?
My first thought is E is too high and will try to get labs asap, but what do you guys suggest?
Results
Testosterone, Serum 761 348-1197 ng/dL
Free Testosterone(Direct) 29.1 9.3-26.5 pg/mL
Estradiol <6.0 7.6-42.6 pg/mL
Taking 1/4 of 1mg adex eod.
Over responder?
Yes over responder.
Stop the adex for one week and go back at 1/4 that dose. Or stop AI and see how that goes.
My E2 lowered onc I started T and cleaned up my diet and supplemented.
Realize we are all very different
U should recheck prolactin also and see where that is now