New Here, Looking for Advice

Pharma / TRT Testosterone Replacement
1

Hello everyone.

I found T Nation today while researching different options for T Replacement.

-32
-5’7"
-30
-178 lbs
-no chest hair, mustache and goatee, no full beard. Pit hair has always been slight, not a lot there.
-I’m not really fat, so it must be all over, that hasn’t changed.
-Overall healthy, had a hernia a few years ago that was repaired.
-no RX, ocassional OTC headache medicines.
-listed below
-Too much fast food.
-no training
-my left testical used to ache very bad out of the blue, it felt like someone kicked me with cowboy boots on. havent felt that pain in over a year.
-before injections I didn’t really notice a difference, other than I wasn’t waking my wife up anymore. But, I wasn’t having any ED issues. After injections, obviously at the end of my “cycle” I am dead to the world.

Back story, I was diagnosed in April 2012 with low t after complaining to my doctor about extreme fatigue. He did a blood lab for thyoroid issues. Those labs are listed below. All that he called me back about with concernes was the low t level, and recommended that I begin injections, @ 600mg/mnthly.

I had another lab at 3months and my t levels dropped again and he changed my injections to 1000mg/mnthly. With my latest labs which were taken January 4, 2013. My levels dropped again, so my doctor has upped my injections to 1400mg/mnthly. with my levels dropping I started researching docs with more knowledge in the testosterone area, I found several anti-aging docs and one that accepts my insurance, and they both recommmend pellets.

On thursday the 24th I saw a doctor at another location and they are having an assortment of labs taken, hopefully I will have that information early this week. I do know, through research, that I should be getting my dosage injections bi-weekly not monthly. My doctor has not wanted to change frequency, and also wants me to have the injections at his office, he will not allow me to self inject. It would be difficult for me to accomodate being able to take the injections and miss work. I have the first and last labs listed below. Please help I am SOO tired all the time.

Labs from April 2012

			   Reference Range

vitamin b12 703 211-946

			   Reference Range

tsh 1.42 0.450-4.500

			   Reference Range

t4,free(direct) 1.13 0.82-1.77

			   Reference Range

testosterone, serum 275 348-1197

			   Reference Range

bun 12 20 - 6
bilirubin, total 0.3 0.0-1.2
calcium, serum 10 8.7-10.2
alt (sgpt) 39 0-55
protein, total, serum 7.2 6.0-8.5
albumin, serum 4.8 3.5-5.5
chloride, serum 102 97-108
sodium, serum 141 134-144
alkaline phosphatase, s 72 25-150
ast (sgot) 23 0-40
creatinine, serum 0.79 0.76-1.27
glucose, serum 81 65-99
carbon dioxide, total 25 20-32
potassium, serum 4.2 3.5-5.2
bun/creatinine ratio 15 19 -8
egfr if nonafricn am 120 >59
a/g ratio 2 1.1-2.5
globulin, total 2.4 1.5-4.5
egfr if africn am 138 >59

			     Reference Range

rbc 5.02 4.10-5.60
basos 0 0-3
eos (absolute) 0.1 0.0-0.4
wbc 8.7 4.0-10.5
mcv 91 80-98
lymphs (absolute) 2.1 0.7-4.5
lymphs 25 14-46
platelets 294 140-415
immature granulocytes 0 0-2
eos 1 0-7
hematocrit 45.6 36.0-50.0
neutrophils (absolute) 5.8 1.8-7.8
monocytes(absolute) 0.6 0.1-1.0
hemoglobin 15.3 12.5-17.0
neutrophils 67 40-74
monocytes 7 13 -4
immature grans (abs) 0 0.0-0.1
baso (absolute) 0 0.0-0.2
rdw 13.8 11.7-15.0
mchc 33.6 32.0-36.0
mch 30.5 27.0-34.0

Labs from January 2013

			Reference Range	Units

testosterone, serum 156 348-1197 ng/dL

			Reference Range	Units

bilirubin, total 0.4 0.0-1.2 mg/dL
chloride, serum 101 97-108 mmol/L
bun 9 20 - 6 mg/dL
egfr if nonafricn am 98 >59 mL/min/1.73
a/g ratio 2.4 1.1-2.5 1
protein, total, serum 7.1 6.0-8.5 g/dL
sodium, serum 140 134-144 mmol/L
alkaline phosphatase, s 57 25-150 IU/L
alt (sgpt) 52 0-44 IU/L
egfr if africn am 113 >59 mL/min/1.73
bun/creatinine ratio 9 19 - 8 1
globulin, total 2.1 1.5-4.5 g/dL
ast (sgot) 29 0-40 IU/L
potassium, serum 4.1 3.5-5.2 mmol/L
glucose, serum 72 65-99 mg/dL
carbon dioxide, total 24 20-32 mmol/L
calcium, serum 9.7 8.7-10.2 mg/dL
albumin, serum 5 3.5-5.5 g/dL
creatinine, serum 1.01 0.76-1.27 mg/dL

			Reference Range	Units

hdl cholesterol 36 >39 mg/dL
triglycerides 141 0-149 mg/dL
cholesterol, total 192 100-199 mg/dL
ldl/hdl ratio 3.6 0.0-3.6 ratio units
vldl cholesterol cal 28 40 - 5 mg/dL
ldl cholesterol calc 128 0-99 mg/dL

2

This probably sounds counterintuitive (and I admit I’m no doctor), but might your dose be too high? Our bodies don’t really know how to handle TRT, so in high doses a lot of it will be converted into estradiol. I notice your labs didn’t measure your estrogens. I’m on TRT because of a congenital deficiency but 50mg every other week is enough to bring me up to normal levels and I weigh almost as much as you.

3

Did you get LH and FSH measured before starting the injections? Did he make a diagnosis of Primary or Secondary Hypogonadism? If he did so without testing LH/FSH then you immediately need to drop him as these are two of the most important labs when dealing with low T. Unfortunately, these are labs that need to be done before starting TRT, as synthetic testosterone shuts down your natural production of both of these hormones.

Do you know what kind of testosterone you were getting? Cypionate? Enanthate? Propionate?

Did you have any effect from the shots? Any period of feeling good? You are correct in that you should be doing shots bi-weekly, and prescribing such a huge dose once a month is insane and probably negligent. The average TRT patient will be taking 400mg a month (in divided doses) and he was giving you nearly four times that!

You are likely spiking the shit out of your E2 levels - without taking an Aromatase Inhibitor (AI) which controls estradiol production - couple with the fact that you aren’t taking anything to keep your testicles (hCG) alive and getting the beneficial hormones that they produce. Right now, what is happening is this: You get the shot and your testosterone levels are spiking to those of un-human levels, followed by your E2 levels; If you are on testosterone-cypionate then ~8 days later you are at half of your max testosterone level; At ~16 days you’re at 25%, and by the time you get your next shot, you are well below any functional levels of testosterone. You are on one hell of a roller-coaster!

Having high E2 levels for a prolonged period of time leads to a lot of bad things, worst among them gynecomastia, or “bitch tits”. If you don’t control your E2 levels you WILL grow breast tissue. Not trying to scare you, just making sure you know what’s at stake.

Make sure you read through the protocol and labs stickies. I don’t know if you should cycle off the Tets in order to get accurate labs - I can’t make that choice for you. But without knowing whether you are Primary or Secondary, and given that you have been on testosterone for almost a year, both complicate getting an accurate diagnosis now.

Going to an anti-aging doc can be fine, but make sure you know what you want before you go there. Most (though not all) AACs are simply drug-pushers and you’ll end up on another stupid mix that could be potentially dangerous long-term.

I’ve heard mixed reviews about the pellets, and that choice is yours. Right now you’re working with an incomplete diagnosis (unless you have labs that you didn’t post), and so getting the labs outlined in the “Blood Work” sticky would be useful. (Though again, given the fact that you are already on Test screws things up - especially given that you are on a crazy dose.)

Read up, ask a lot of questions, and keep us posted as to how things are going!

4

[quote]ctastrophe wrote:
Did you get LH and FSH measured before starting the injections? Did he make a diagnosis of Primary or Secondary Hypogonadism? If he did so without testing LH/FSH then you immediately need to drop him as these are two of the most important labs when dealing with low T. Unfortunately, these are labs that need to be done before starting TRT, as synthetic testosterone shuts down your natural production of both of these hormones.

Do you know what kind of testosterone you were getting? Cypionate? Enanthate? Propionate?

Did you have any effect from the shots? Any period of feeling good? You are correct in that you should be doing shots bi-weekly, and prescribing such a huge dose once a month is insane and probably negligent. The average TRT patient will be taking 400mg a month (in divided doses) and he was giving you nearly four times that!

You are likely spiking the shit out of your E2 levels - without taking an Aromatase Inhibitor (AI) which controls estradiol production - couple with the fact that you aren’t taking anything to keep your testicles (hCG) alive and getting the beneficial hormones that they produce. Right now, what is happening is this: You get the shot and your testosterone levels are spiking to those of un-human levels, followed by your E2 levels; If you are on testosterone-cypionate then ~8 days later you are at half of your max testosterone level; At ~16 days you’re at 25%, and by the time you get your next shot, you are well below any functional levels of testosterone. You are on one hell of a roller-coaster!

Having high E2 levels for a prolonged period of time leads to a lot of bad things, worst among them gynecomastia, or “bitch tits”. If you don’t control your E2 levels you WILL grow breast tissue. Not trying to scare you, just making sure you know what’s at stake.

Make sure you read through the protocol and labs stickies. I don’t know if you should cycle off the Tets in order to get accurate labs - I can’t make that choice for you. But without knowing whether you are Primary or Secondary, and given that you have been on testosterone for almost a year, both complicate getting an accurate diagnosis now.

Going to an anti-aging doc can be fine, but make sure you know what you want before you go there. Most (though not all) AACs are simply drug-pushers and you’ll end up on another stupid mix that could be potentially dangerous long-term.

I’ve heard mixed reviews about the pellets, and that choice is yours. Right now you’re working with an incomplete diagnosis (unless you have labs that you didn’t post), and so getting the labs outlined in the “Blood Work” sticky would be useful. (Though again, given the fact that you are already on Test screws things up - especially given that you are on a crazy dose.)

Read up, ask a lot of questions, and keep us posted as to how things are going![/quote]

Thanks for the reply,

The only lab work that was done prior to the start of TRT, is the first set I posted. There wasn’t any testing for lh, or fsh. I have no clue as far as primary or secondary.

I am on Test. Cyp. 200mg/ml.

As far as Feeling, I do have a good Week, and then, well as one would assume, I skyrocket back to the bottom. Its absolutely killing me. I am so tired all of the time. I am not too concerned about the HCG. I am more than fulfilled with children. I just recently, Monday January 21, had my fourth son. I am however very concerned about the AI. I am being tortured by hot flashes. I was assuming, before finding this mountain of information here at T-Nation, that it had to do with estrogen counteraction.

You aren’t scaring me with the “moobs” thats one of the reasons I am here. Trying to figure out my best course face of action.

I just had a new lab pulled Friday, still waiting for results. It was done from the anti-aging doc. They figured that since my last shot was january 4, that I should be ok to do a new lab with more information. It feels like they are pushing the pellets a little too hard for my likings. Just trying to convince my previouos doctor, GP, that I need the protocol laid out by Ksman(?), my GP has no idea what he is doing but he is willing to look into stuff.

I have started reading the stickies, and am finding a ton of new information.

I will be using some of the stickies to convince my doc to follow.

Thanks again

5

Read the advice for new guys sticky and note the health issues other than low T. These are discussed because they are relatively common amongst the guys who find their way here.

Read the protocol for injections sticky. You have been doing the worst possible thing.

Note that lab values when injecting infrequently are often meaningless and the result is more dependant on lab timing than doses.

You are on an AI or not? If your serum T levels are not steady, proper AI dosing and E2 management will be impossible.

Read the protocol for injections sticky and note that we have most here injecting twice a week, or 3.5 times per week.

Your first doctor was a complete idiot.

6

[quote]KSman wrote:
Read the advice for new guys sticky and note the health issues other than low T. These are discussed because they are relatively common amongst the guys who find their way here.

Read the protocol for injections sticky. You have been doing the worst possible thing.

Note that lab values when injecting infrequently are often meaningless and the result is more dependant on lab timing than doses.

You are on an AI or not? If your serum T levels are not steady, proper AI dosing and E2 management will be impossible.

Read the protocol for injections sticky and note that we have most here injecting twice a week, or 3.5 times per week.

Your first doctor was a complete idiot.[/quote]

Thank you for you Reply,

I have read and printed out the injection protocol, I will be giving to my doctor.

I am not on an AI.

With the latest blood test and my levels just declining, I decided to do more research and try to find a better solution. Unfortunately there aren’t any doctors in my area that take insurance, that offer TRT, unless I have just missed them. I have spoken with and seen a doctor at an office that has a “Hormone Specialist”, however I cannot see him directly because my insurance won’t pay for it. So I see another doc in the office, and they do my labs and the “specialist” looks at the labs and guides the other doctor on what to prescribe.

Also all of my labs have been performed three months apart, and they are all fasting labs, first thing in the morning. As you can see though they are not loaded with the information necessary to “fix” me.

I can’t put all of the blame on my doctor, I should have done more research and asked more questions before starting TRT.

Thank you guys again for taking the time out of your day to help me get on the right track.

7

One more question,

Would it be benficial to cease TRT, and wait, however long, and redo labs? Does it matter why my T is low? Is primary treated differently than secondary? I am sorry, for not knowing, I really did just last week start looking deep into why I have low T, and for the life of me the amount of information out there is overwhelming.

I really want to feel like a 32 year old, not like I have to sleep every waking moment of the day.

Thank you.

8

If one has primary, then if there is a defect in the veins that service the teste[s] that can be fixed. Otherwise there is not much to be done.

If secondary, there might be a growth on the pituitary that is the problem and that can be treated/managed in some cases with good results. Thyroid problems are sometimes primary or secondary players and that can be treated. And adrenal fatigue can cause direct problems and secondary thyroid problems.

Secondary can be from starvation diets and or over-training.

Drugs can cause secondary and these can be identified and dealt with. These drugs an be Rx or OTC. Exposure to fumes or toxins can do this. Alcohol can too. There are cases where lavender in skin creams causes gyno in young boys. The issue here is the liver’s ability and capacity to clear estrogens from the blood stream. So liver conditions can cause secondary and we look for liver markers. Drugs etc can make demands on the same liver enzyme pathways that clear estrogens and can reduce estrogen clearance. Estrogens are negative feedback signals that reduce LH and FSH production. E goes up, T goes down, SHBG goes up, FT fraction of reduced TT goes down.

Blows to the head can damage the pituitary and cause secondary. Not much to be done but then you know its not a growth and can stop hunting for some other possibilities.

The important thing for younger men, when age related decline is not a consideration, is to look for growths on the pituitary and if found, to be able to treat them and prevent growth to avoid surgery. If neglected, the optic nerves can be affected. When there are visual field disturbances, such as reduced width of peripheral vision, the situation is getting urgent.

Sometimes the HPTA is stuck in an estrogen dominant state and a “restart” can restore normal function. More often can work for the young, useless for old guys with age related decline.

9

[quote]KSman wrote:
If one has primary, then if there is a defect in the veins that service the teste[s] that can be fixed. Otherwise there is not much to be done…[/quote]

Ok, well then. I have, in the past but not since TRT, had extreme testicular pain on the left side. My doctor, the one that started me on TRT, looked at it and said there wasn’t anything wrong. I am starting to believe that may be the problem that was never diagnosed. My complaint about the pain was probably six months before I was diagnosed with Low T.

[quote]
If secondary, there might be a growth on the pituitary that is the problem and that can be treated/managed in some cases with good results. Thyroid problems are sometimes primary or secondary players and that can be treated. And adrenal fatigue can cause direct problems and secondary thyroid problems.[/quote]

I will try to talk to a doctor that knows what they are doing, and see if they can schedule some head work to get done. I do know that the Anti-Aging practice I have been to mentioned something about doing a possible MRI. We’ll see.

[quote]
Secondary can be from starvation diets and or over-training.[/quote]

Nothing here of concern, don’t really diet, and have never trained.

Would like to change the last part of that, the training.

[quote]
Drugs can cause secondary and these can be identified and dealt with. These drugs an be Rx or OTC. Exposure to fumes or toxins can do this. Alcohol can too. There are cases where lavender in skin creams causes gyno in young boys. The issue here is the liver’s ability and capacity to clear estrogens from the blood stream. So liver conditions can cause secondary and we look for liver markers. Drugs etc can make demands on the same liver enzyme pathways that clear estrogens and can reduce estrogen clearance. Estrogens are negative feedback signals that reduce LH and FSH production. E goes up, T goes down, SHBG goes up, FT fraction of reduced TT goes down.[/quote]

The only prescription drugs that I am on is the Test. Occasional OTC for headaches, and heartburn. Here lately I have been having some pretty major headaches.

I don’t really drink that much, at most a six pack of beer a week, usually a month or two between. And the occasional Jack/coke.

As for the rest of this section, I am not really certain about that.

[quote]
Blows to the head can damage the pituitary and cause secondary. Not much to be done but then you know its not a growth and can stop hunting for some other possibilities.[/quote]

This goes back to finding a good doc.

[quote]
The important thing for younger men, when age related decline is not a consideration, is to look for growths on the pituitary and if found, to be able to treat them and prevent growth to avoid surgery. If neglected, the optic nerves can be affected. When there are visual field disturbances, such as reduced width of peripheral vision, the situation is getting urgent.

Sometimes the HPTA is stuck in an estrogen dominant state and a “restart” can restore normal function. More often can work for the young, useless for old guys with age related decline.[/quote]

I do thank you for giving me a good baseline to talk to my doctor about. I will be going back to the Anti-Aging doctor thursday to decide if they are the ones for me or not. I really hope that they try to appease me as their patient. If not I will continue the search for a knoweledgeable doctor.

10

I didn’t have time to really read through everything both you guys posted, but when I have a minute I’ll make sure to reply to what’s been said.

What I did notice was your comment about the hCG. It isn’t just about fertility. When you take exogenous T your testicles shut down. They will shrivel and in some cases (like mine for example) they will cause a good amount of pain/discomfort and can even start trying to climb back up into your body. Not everybody has all of these happen to them (I did =/), but most get some or all of them to a degree. HCG also keeps your testicles producing Pregnenolone which is vital for well-being.

Just thought I’d drop that off to ya.

11

[quote]ctastrophe wrote:
I didn’t have time to really read through everything both you guys posted, but when I have a minute I’ll make sure to reply to what’s been said.

What I did notice was your comment about the hCG. It isn’t just about fertility. When you take exogenous T your testicles shut down. They will shrivel and in some cases (like mine for example) they will cause a good amount of pain/discomfort and can even start trying to climb back up into your body. Not everybody has all of these happen to them (I did =/), but most get some or all of them to a degree. HCG also keeps your testicles producing Pregnenolone which is vital for well-being.

Just thought I’d drop that off to ya. [/quote]

Ok, thank you for that information. I will discuss this with the doctor I am scheduled to see on Thursday. I am still waiting for my lab results from fridays draw, to see what all they had done. I didn’t ask. But it was $2100 worth of tests so I guess they ordered what they needed. Alot more than previous doc did though.

Hope you guys have a great day. Thanks again

12

[quote]ctastrophe wrote:
I didn’t have time to really read through everything both you guys posted, but when I have a minute I’ll make sure to reply to what’s been said.

What I did notice was your comment about the hCG. It isn’t just about fertility. When you take exogenous T your testicles shut down. They will shrivel and in some cases (like mine for example) they will cause a good amount of pain/discomfort and can even start trying to climb back up into your body. Not everybody has all of these happen to them (I did =/), but most get some or all of them to a degree. HCG also keeps your testicles producing Pregnenolone which is vital for well-being.

Just thought I’d drop that off to ya. [/quote]

Thank you, I will talk to the doctor I am seeing on Thursday about this.

13

So, I went to the new doctor today. I was meeting with the nurse practioner, because I was told I wouldn’t see the doctor unless I was going to have pellet therapy, then he would install it.

I had printed out all of the stickies and had those in my hand, everything was going fine. I explained to her what I was looking for and hoping she would be able to help. We went over my lab work, they ran a Thyroid panel, she said everything looked excellent, and I asked her what that meant, trying to figure out where they wanted the numbers to be. She replied with my numbers were in the middle of the range.

She then went on to say that my WBC was extremely elevated, don’t remember the numbers more on that in a minute. She said that one of my liver markers was also elevated, I knew which one but I asked anyway if it was my ALT, and of course she said yes. But this time it was a lot higher than normal, mine is usually around 50, it was 78 this time. She also mentioned that my Vitamin D was VERY LOW at 16. E2 was @ 28, and E1 is high @ 66. I know without a range these numbers are useless, but they were done at LabCorp, If that helps.

Everything was going very well, until there was a knock on the door, and the nurse was taken out of the room, about 10 minutes later she returned and said that the doctor had just come in and she wanted to discuss my stuff with him. I told her that was awesome, and she left the room. Another 10 minutes passed and the doctor opens the door, tells me that he was talking to the nurse about everything. And wanted to talk to me about it. He tried to push pellets again, and I said that I just was not interested in it. I have seen, through research and the correct protocol, that injections are the way to go. He also wanted me to go on clomid because of E1 being high. He did say that I needed to be on HCG.

At this point it quickly turned south. Because I had the sheets I knew what I wanted to say. I wanted to discuss multiple injections per week using #29 insulin needles SubQ. And HCG EOD, and an AI. I had everything I needed to back it up. This guy looks at me and says sternly, that he doesn’t care where I read it, but it is not possible to use an insulin needle for test injections. He wanted to no first and foremost how you would even draw it into the needle. It will NEVER happen he tells me. And then he tells me EVEN IF I could get it to draw into the needle, that injecting it the way I was asking would create an almost allergic reaction, and it would be painful. I brought up the Canadian study and he just ignored it. So I asked him if he had ever done it himself, his reply was yes. My reaction to him was “so you are telling me that you have done protocol that I was asking for and that it did not work” he responded emphatically that He had done it Personally, and that it is a lie to believe that it could ever work. I stood up told him I didnt believe him and walked out the door.

At this point, I asked if I could get a copy of my labs, he responded with yes you can, “Ladies can you get a release form for him to fill out, so his next PCP can request his records”, then he looked at me and told me “oh yeah You WILL be charged for that”. I said “Yeah no if you are charging me for it goodbye.”

Long story and I am sorry for that. Here I sit at the end of the Month and I am flat dead on energy, my Head is killing me because of the headaches.

Labs from memory (see story for detail)

TT 339

Vitamin D 16

ALT 78

E2 28

E1 66

They also told me that my LH/FSH were low but that was to be expected. DUH!

I will have access to the full lab when it gets pushed to me from labcorp.

Thank you for your time.

Man I am Bummed

14

I can’t understand how jerks can just make up shit and talk like they have factual information. That guy should be a politician. Dr Crisler did the same thing, stating that T would not flow, but if you did inject it would create such an intense jet that it would cut through tissues. But you can inject water based peptides, insulin and B-12 with the same needle and the injection can be very fast, but THAT will not act as a cutting jet. I think that these idiots deal with so many things that they do not understand that making things up that they do not understand is a job requirement.

BTW, with peptides such as hCG and HGH, you load the syringe slowly and inject slowly. Otherwise it is believed that the shear forces will damage the peptide molecules. And the peptides in solution should never be shaken, you can swirl to mix.

15

Ok, so I have my labs from last friday. And I didn’t have to pay the JackHole doctor that ordered it.

One thing I don’t see in it is either free, or Total Testosterone. All though I do know that they did It because I saw it on the Sheet.

But here is what they delivered.

And again this was done first thing in the morning while fasting.

TSH+T4F+T3Free

TSH 1.590 uIU/mL 0.450 - 4.500

Triiodothyronine,Free,Serum 4.0 pg/mL 2.0 - 4.4

T4,Free(Direct) 0.98 ng/dL 0.82 - 1.77

CBC With Differential/Platelet

WBC 16.0 High x10E3/uL 4.0 - 10.5

RBC 5.42 x10E6/uL 4.14 - 5.80

Hemoglobin 16.7 g/dL 12.6 - 17.7

Hematocrit 49.7 % 37.5 - 51.0

MCV 92 fL 79 - 97

MCH 30.8 pg 26.6 - 33.0

MCHC 33.6 g/dL 31.5 - 35.7

RDW 14.6 % 12.3 - 15.4

Platelets 254 x10E3/uL 140 - 415

Neutrophils 78 High % 40 - 74

Lymphs 11 Low % 14 - 46

Monocytes 9% 4 - 13

Eos 2 % 0 - 7

Basos 0 % 0 - 3

Neutrophils (Absolute) 12.4 High x10E3/uL 1.8 - 7.8

Lymphs (Absolute) 1.7 x10E3/uL 0.7 - 4.5

Monocytes(Absolute) 1.5 High x10E3/uL 0.1 - 1.0

Eos (Absolute) 0.3 x10E3/uL 0.0 - 0.4

Baso (Absolute) 0.0 x10E3/uL 0.0 - 0.2

Immature Granulocytes 0 % 0 - 2

Immature Grans (Abs) 0.0 x10E3/uL 0.0 - 0.1

Comp. Metabolic Panel (14)

Glucose, Serum 83 mg/dL 65 - 99

BUN 13 mg/dL 6 - 20

Creatinine, Serum 0.96 mg/dL 0.76 - 1.27

eGFR If NonAfricn Am 104 mL/min/1.73 >59

eGFR If Africn Am 120 mL/min/1.73 >59

BUN/Creatinine Ratio 14 8 - 19

Sodium, Serum 143 mmol/L 134 - 144

Potassium, Serum 4.6 mmol/L 3.5 - 5.2

Chloride, Serum 103 mmol/L 97 - 108

Carbon Dioxide, Total 26 mmol/L 20 - 32

Calcium, Serum 9.7 mg/dL 8.7 - 10.2

Protein, Total, Serum 7.3 g/dL 6.0 - 8.5

Albumin, Serum 4.9 g/dL 3.5 - 5.5

Globulin, Total 2.4 g/dL 1.5 - 4.5

A/G Ratio 2.0 1.1 - 2.5

Bilirubin, Total 0.4 mg/dL 0.0 - 1.2

Alkaline Phosphatase, S 55 IU/L 25 - 150

AST (SGOT) 30 IU/L 0 - 40

ALT (SGPT) 72 High IU/L 0 - 44

FSH and LH

LH <0.2 Low mIU/mL 1.7 - 8.6

FSH 0.3 Low mIU/mL 1.5 - 12.4

Dihydrotestosterone

Dihydrotestosterone 23 Low ng/dL
Reference Range:
Adult Male: 30 - 85

DHEA-Sulfate 303.9 ug/dL 160.0 - 449.0

Prolactin 11.4 ng/mL 4.0 - 15.2

Estradiol 28.6 pg/mL 7.6 - 42.6
Roche ECLIA methodology

Prostate Specific Ag, Serum 0.9 ng/mL 0.0 - 4.0
Roche ECLIA methodology.

IGFâ??1
Insulin-Like Growth Factor I 220 ng/mL 71 - 241

Vitamin D, 25-Hydroxy 16.0 ng/mL 30.0 - 100.0

Estrone,Serum 88 pg/mL 12 - 72

I also went back to the doctor that started me on TRT, mainly because I was due for my injection. I talked with him for about 30 minutes, and we agreed to start doing weekly injections. I told him that I had read the Pfizer book that says a maximum dose of 400mg a month. Well he wants to do 400mg a week, I figure when we do the labs in three weeks and its an astronimcal figure he will drop it. I also showed him the “TRT a recipe for success” from Dr. Crislor. He said that he knew of it. I think once we are able to get me on the right path I will be able to talk him about HCG, and an AI. He is learning as I am. I have talked to a few pharmacist and they all give me his name first, and have a hard time remembering anyone else. He will not let me self inject, but he is only going to charge me for one office visit a month. I am hopeful that together we can teach him the ways.

Thanks for your Time.

Edit

I received my testosterone results this morning and they are as follows

Testosterone, Serum 339 ng/dL 348 - 1197

Free Testosterone(Direct) 13.6 pg/mL 8.7 - 25.1

These levels are 3 weeks after a 1000mg injection of Testosterone Cypionate, my levels at that time were.

Testosterone, Serum 156 ng/dL 348-1197

Free Tesosterone (Direct) 4.2 pg/mL 8.7 - 25.1