Did you fast 12 hours before lab?
Recap protocol.
And tell us how you feel
I did not fast as defy didn’t specify that I had to, I did an afternoon test so I had a coffee and some eggs and hamburger before the test.
I am on 80mg of test every 3.5 days and 500iu of HCG along with Cytomel for thyroid
Overall I feel good, Energy is not thru the roof but I am steady. Workouts have been improved and I am just starting to notice very small body composition changes.
Thank you
Ahhh. Well you have done a non fasting lipid panel. No worries then. Cholesterol expected to be elevated.
Next time fast.
Did you pay for the test. You should ask defy for a refund on the lipid panel…
so they have you on thyroid meds and don’t Check tsh. Interesting.
Can you feel just as good or better with 120 or 140 MG a week maybe. Are you body building if not what’s the point of maintaining an above range free t?
I did pay for the lipid panel and I should ask them as they didn’t specify that I fast, That would make a difference with my cholesterol?
They did test my TSH and its 0.750 Ref range 0.450-4.500 uiU/ml
I only put down what I thought I needed in the post if theres anything else I should put I will add them.
My T3 has stayed the same even though I have been on the thyroid medicine which seems weird to me.
This is my first 3 month blood and I don’t think I have ever had free T even in range so I would say I would feel good on High normal T. I do lift heavy and often but have never truly made good gains but am more concerned with longevity and feeling good.
I had also thought my SHBG would come down on TRT but it has risen, Not that it matters with my free T finally not low. I haven’t had any high E sides either so I would be perfectly fine with lowering my dose and seeing how I feel in another 6-8 weeks on that
Absolutely.
You had a hamburger and eggs before test. Am sure fasting your cholesterol will be under 200.
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Thank you, I should be having my next consult with defy very soon. I will post what they want to do
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So I had my consult with Ben this morning and he want’s to stay the course with my Test and HCG for another 3 months.
Doubling my daily Zinc
Doubling my Magnesium
and bumping up my thyroid medicine to 30 mcg instead of 15mcg
I am having them send me the script for my Test so I can try to source locally with the new regulations in MA
I live in MA too - what are the new regulations you speak of regarding?
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You can only have 5ml of Test shipped to you at once, So depending on your protocol you would need to have it shipped to you once a month which I am seeing could be problematic and expensive.
Ah, I see. I have mine through a urologist and pick my test to at the pharmacy.
I am going to try and get my script to work at the local pharmacy, It comes from Texas now
Since its a scheduled drug I was under the impression you couldn’t have ANY shipped. Is this the new regulation in MA?
Yes it’s new as of November of last year, I started with defy on 11/31 and they shipped me 2-5ml bottles and when I went to renew my script she said they can only do 1 now.
I just thought it was crazy who would think to make that law.
If there is a regulation to make harder MA can do it.
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Exactly, MA is truly a horrible state if you want to be free. Unless you are a Heroin addict then they have funded safe houses
Checking in!!
I am still on the same Protocol, Still feeling pretty decently. Have a very high stress situation in my life so I think that is a huge contributor. Have been thinking about dropping the HCG. I dont feel that it makes me feel any better or worse but I am not sure because I started it with my Test.
My question is should I just drop it for a month or so and see how I feel with out it ? I do not have any E2 problems with it but curious if its a positive or negative contributor to my life.
My Protocol
80mg of Test E3.5D
500 HCG E3.5D
Thanks!
If you are not concerned with fertility I would def drop it. You can drop it either way… Just start it when you want to have baby
It you can drop the HCG to 250 2x a week. And then you can get off it completely if you want.
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I am not concerned with Fertility at all, just feeling as dialed in as possible. I will try 250 on my Wednesday dose and then Sunday and stop it all together and assess how I am feeling, Thank you
So I had my new blood work done and had a consult with Defy yesterday. The woman I spoke with was very knowledgeable and easy to talk to. Here is my new regimen I will be upping my Testosterone to 180mg a week from 160
Plan:
INCREASE T Cyp (WESTWARD BRAND ONLY) 200 mg/ml – 0.45 ml IM/SQ BIW For Rx Purposes Only
Pt will inject 0.43 ml IM/SQ Twice per week
Continue HCG 500 IU SQ Twice per week
NO AI needed at this time, pt has never taken his AI - no c/o high/ low E2 symptoms
Continue DHEA 25 mg one by mouth every night
Continue Vitamin D3 5000 IU daily
Continue Fish Oil 3.69 grams daily
DECREASE Cytomel 15 mcg by mouth every AM - Pt reports that he has not felt any different on his currently prescribed Thyroid treatment (Prev. 30 mcg po q AM)
BEGIN Armour NDT 1 grain (60 mg) by mouth every AM: take 30 mins before meal - this will be taken concurrently with Cytomel
Continue ZINC PICOLINATE 100 mg One PO QD. (from 50 mg) To Decrease SHBG and E2, and Raise Free T.
Continue MAGNESIUM GLYCINATE 800 mg One PO QD. (from 400 mg) To Decrease SHBG and Raise Free T.
Pt is authorized to order any PDE5 medications, discussed the Rx Portal
BEGIN Stinging Nettle Root 400-500 mg a Day for High SHBG
INCREASE Boron 6 mg a Day for High SHBG - Pt started taking 3 mg a Day - after doing online research
Discussed with pt the correlation between low carb and IF diets with elevated SHBG levels - eat more bread if possible - since pt’s SHBG has risen after starting therapy to (91.2)
Discussed with pt to start Blood Donation so that his HCT stays in range - he wants to try Naringin supplementa
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Here is my Bloodwork
Status Signed
B0088272013
Req. Number
DAMARIS
Status Change Date 04/08/2019
Diagnostic Test / Results Results Out of Range Flag Units Range Site Stat
CBC With Differential/Platelet [Final]
Notes Fasting - Yes
WBC x10E3/u 3.4-10.8
L
7.7 01 F
RBC x10E6/u 4.14-5.80
L
5.32 01 F
Hemoglobin 16.7 g/dL 13.0-17.7 01 F
Hematocrit 49.1 % 37.5-51.0 01 F
MCV 92 fL 79-97 01 F
MCH 31.4 pg 26.6-33.0 01 F
MCHC 34.0 g/dL 31.5-35.7 01 F
RDW 12.8 % 12.3-15.4 01 F
Platelets x10E3/u 150-379
L
227 01 F
Neutrophils 46 % Not Estab. 01 F
Lymphs 44 % Not Estab. 01 F
Monocytes 9 % Not Estab. 01 F
Eos 1 % Not Estab. 01 F
Basos 0 % Not Estab. 01 F
Immature Cells NP 01 X
Neutrophils (Absolute) x10E3/u 1.4-7.0
L
3.5 01 F
Lymphs (Absolute) x10E3/u 0.7-3.1
L
3.4 H 01 F
Monocytes(Absolute) x10E3/u 0.1-0.9
L
0.7 01 F
Eos (Absolute) x10E3/u 0.0-0.4
L
0.1 01 F
Baso (Absolute) x10E3/u 0.0-0.2
L
0.0 01 F
Immature Granulocytes 0 % Not Estab. 01 F
Immature Grans (Abs) x10E3/u 0.0-0.1
L
0.0 01 F
NRBC NP 01 X
Hematology Comments: NP 01 X
Comp. Metabolic Panel (14) [Final]
Glucose 89 mg/dL 65-99 01 F
BUN 20 mg/dL 6-20 01 F
Creatinine 1.12 mg/dL 0.76-1.27 01 F
eGFR If NonAfricn Am mL/min/1 >59
.73
83 01 F
eGFR If Africn Am mL/min/1 >59
.73
96 01 F
BUN/Creatinine Ratio 18 9-20 01 F
Sodium 143 mmol/L 134-144 01 F
Potassium 4.7 mmol/L 3.5-5.2 01 F
Chloride 101 mmol/L 96-106 01 F
Carbon Dioxide, Total 26 mmol/L 20-29 01 F
Calcium 9.6 mg/dL 8.7-10.2 01 F
Protein, Total 7.3 g/dL 6.0-8.5 01 F
Albumin 4.9 g/dL 3.5-5.5 01 F
Globulin, Total 2.4 g/dL 1.5-4.5 01 F
A/G Ratio 2.0 1.2-2.2 01 F
Bilirubin, Total 0.5 mg/dL 0.0-1.2 01 F
Flag Legend: Flag Legend: L (Below Low Normal) H (Above High Normal) LL (Alert Low) HH (Alert High) < (Panic Low) > (Panic High) A (Abnormal) AA (Critical Abnormal)
Lab/HL7 Version: 2.3 AdvancedMD - EHR 12.7 Date: 4/9/2019 6:05:55AM Page: 1
Collect Date & Time Date of Service
4/3/2019 9:19 am 4/3/2019 12:00 am FINAL
Status Signed
B0088272013
Req. Number
DAMARIS
Status Change Date 04/08/2019
Diagnostic Test / Results Results Out of Range Flag Units Range Site Stat
Comp. Metabolic Panel (14) [Final]
Alkaline Phosphatase 52 IU/L 39-117 01 F
AST (SGOT) 22 IU/L 0-40 01 F
ALT (SGPT) 19 IU/L 0-44 01 F
Lipid Panel w/ Chol/HDL Ratio [Final]
Cholesterol, Total 183 mg/dL 100-199 01 F
Triglycerides 52 mg/dL 0-149 01 F
HDL Cholesterol 60 mg/dL >39 01 F
VLDL Cholesterol Cal 10 mg/dL 5-40 01 F
LDL Cholesterol Calc 113 H mg/dL 0-99 01 F
Comment: NP 01 X
T. Chol/HDL Ratio 3.1 ratio 0.0-5.0 01 F
T. Chol/HDL Ratio
Men Women
1/2 Avg.Risk 3.4 3.3
Avg.Risk 5.0 4.4
2X Avg.Risk 9.6 7.1
3X Avg.Risk 23.4 11.0
Notes
Testosterone,Free and Total [Final]
Testosterone, Serum >1500 H ng/dL 264-916 01 F
Adult male reference interval is based on a population of
healthy nonobese males (BMI <30) between 19 and 39 years old.
Travison, et.al. JCEM 2017,102;1161-1173. PMID: 28324103.
Notes
Free Testosterone(Direct) 31.5 H pg/mL 8.7-25.1 01 F
Thyroxine (T4) Free, Direct, S [Final]
T4,Free(Direct) 1.00 ng/dL 0.82-1.77 01 F
DHEA-Sulfate [Final]
DHEA-Sulfate 298.9 ug/dL 102.6-416.3 01 F
TSH [Final]
TSH 1.210 uIU/mL 0.450-4.500 01 F
Prostate-Specific Ag, Serum [Final]
Prostate Specific Ag, Serum 0.6 ng/mL 0.0-4.0 01 F
Roche ECLIA methodology.
.
According to the American Urological Association, Serum PSA should
decrease and remain at undetectable levels after radical
prostatectomy. The AUA defines biochemical recurrence as an initial
PSA value 0.2 ng/mL or greater followed by a subsequent confirmatory
PSA value 0.2 ng/mL or greater.
Values obtained with different assay methods or kits cannot be used
interchangeably. Results cannot be interpreted as absolute evidence
of the presence or absence of malignant disease.
Notes
Reverse T3, Serum [Final]
Reverse T3, Serum 13.1 ng/dL 9.2-24.1 02 F