Well he balked at adding E2. Says it’s not “something he follows” and “if it was low, what would we do? because I don’t traditionally treat it either”.
And then said he could refer me to an endo. Told him if I was going to go to someone else it was going to be a switch to a 1 stop shop TRT doctor. As it is, I’m already giving oncology labs, urology labs and GP labs, once every 3 months.
To hell with adding an ENDO for probably no result.
Guess I’ll be ordering my own E2 labs and then sourcing my own AI from india or whatever.
PS: I’m still looking for a TRT doc that takes my insurance and it within driving distance and will switch over when I find one.
The only labs I have a paper copy of right now are 2 months old from before starting TRT but I’ll post the newest ones Monday or Tuesday when they have them available on myCHART.
So Quick update… Pretty much everything that was getting better is now back to where it started. Have more energy and I’m not lethargic anymore but everything else is at least as bad as it was.
Annnnddd…nobody will test my E2 so I ordered my own requisition and will be getting that done monday. Will go ahead and source some Arimidex from Overseas so I have it when my tests come back with an inevitable skyhigh E2 result.
Your cholesterol is too low. Any dietary links that you can think of?
Vit-D25 is to low. Look for 5000iu small oil caps. Take 25,000 per day for 4 days then 5000 every day.
DHEA may be low.
“TT of 220 and an FT of 55” as FT levels vary a lot from hour to hour, your effective FT could be lower than indicated. TT-220 is the best measure of your status.
I made a few long term “anti-reccurence” diet changes when I was going through treatment. No sugar, almost no fast food, smaller portions on everything ( to lose weight ). I use to be almost completely carnivorous with something like a 90% meat to 10% veg ration. Now it’s probably 50/50 and pretty much everything that is cooked is a weight watchers recipe ( Gf’s thing and she does the cooking so I eat whatever she makes ). Not sure what to do to bring it up to spec.
Will go get some VIT D. Thanks.
I don’t think DHEA has ever been ran and if so I can’t see it anywhere. Would the low cholesterol be dragging that down?
And those T numbers were taken at 8am which means my mean functioning T levels are probably more along the lines of 160T and 40F.
All of your steroid hormones are based on cholesterol. I link this:
In the advice for new guys sticky. More on cholesterol there.
Try eggs and cheese to support cholesterol.
Never test for DHEA, test DHEA-S as the indicator.
Please see the thyroid basics sticky. When you get your TSH results, that might be useful info. I probably will not stumble across your next lab data when you post it. You can check your body temps now.
I always run around 97.6 degrees via the mouth. It’s never been lower than that and the only time it gets higher is when I’m sick. Time of day doesn’t even matter. Same when I wake up as it is all day.
I know I had thyroid stuff done way back when I started my journey but I wasn’t educated enough to ask for the results and just accepted the doctor’s “it’s fine” as gospel.
I’m going to move my labs to the first post and just keep them updated with changes and additions so anyone who cares to look can find them easier.
Just noticed those labs DO have a TSH result in them I just formatted it wrong.
Glucose, Serum 99 65-99 mg/dL 01
BUN 10 6-20 mg/dL 01
Creatinine, Serum 1.03 0.76-1.27 mg/dL 01
eGFR If NonAfricn Am 96 >59 mL/min/1.73 01
eGFR If Africn Am 111 >59 mL/min/1.73 01
BUN/Creatinine Ratio 10 8-19 01
Sodium, Serum 140 134-144 mmol/L 01
Potassium, Serum 3.7 3.5-5.2 mmol/L 01
Chloride, Serum 101 97-108 mmol/L 01
Carbon Dioxide, Total 26 18-29 mmol/L 01
Calcium, Serum 9.5 8.7-10.2 mg/dL 01
Protein, Total, Serum 6.7 6.0-8.5 g/dL 01
Albumin, Serum 4.4 3.5-5.5 g/dL 01
Globulin, Total 2.3 1.5-4.5 g/dL 01
A/G Ratio 1.9 1.1-2.5 01
Bilirubin, Total 0.4 0.0-1.2 mg/dL 01
Alkaline Phosphatase, S 71 39-117 IU/L 01
AST (SGOT) 26 0-40 IU/L 01
ALT (SGPT) 31 0-44 IU/L 01
Testosterone, Serum
Testosterone, Serum 1045 348-1197 ng/dL 01
Luteinizing Hormone(LH), S
LH <0.2 LOW 1.7-8.6 mIU/mL 01
FSH, Serum
FSH 0.5 LOW 1.5-12.4 mIU/mL 01
Estradiol
Estradiol 104.1 HIGH 7.6-42.6 pg/mL 01
E2 is obviously way high. Already have adex on it’s way. with where it’s at, would the 1mg/week in divided doses protocol be suffcient?
I think I remember seeing somewhere in the stickies that testing for or trying to fix LH and FSH ( both very low ) is pointless for people on TRT. Is this correct?
How long after starting the Adex should I order labs again to check it without wasting money or waiting too long?
Went ahead and got some iodoral for what looks like low iodine. Still waiting for the adex to get here from the middle of nowhere. Will probably not check DHEA-S until I do the next labs after starting adex.
That E2 was crazy. Years ago I would have suggested a higher dose of anastrozole. But with the collective experiences and misery from very low E2 levels for anastrozole over-responders, it does not make any sense to start with more that 1.0mg/week.
You will soon have a sense of how that is working. If you feel a lot better, you know that you are in a useful range. The problem with E2 that is too low is that you will not get useful lab data that can be used for a calculation. If they report <[a cut off number>, you cannot calculate the new dose [as per stickies].
[TRT without hCG can lower pregnenolone production the testes then pregnenolone–>DHEA in the adrenals can be lowered.]
I have note reviewed this thread to see if hCG or SERM might be a factor in high E2. If so, anastrozole would have a limited effect.
No hcg or any serm has been taken. I never had and still dont have any signs of gyno even above 100 but i suspect it wouldnt be much longer before i saw signs
. There was a pretty profound sweet spot that i fell through about 3 weeks after starting trt which i assume was the few days my e2 wasnt low or high.
Hopefully im not wildly under or over responsive to the adex so dialing in is easier.
The only issue i dont have a solution in play for is my cholesterol being way low. After all the bowel surgery i am violently lactose intolerant so milk or cheese is out of the question which essentially leaves eggs as the go to which i guess i could stomach if it was going to work. Any googling for other fixes only bombardes me with ways to go lower…
Speaking of low energy: You can do “AM Cortisol”, do this at 8AM. We have not fully explored thyroid. Your body temperatures are low. Need fT3, fT3 and rT3[because of low energy, stress from cancer treatment radiation, surgery etc]. Concerns is adrenal fatigue, more on that in the advice for new guys sticky.