Blood test - opinion

[es1989]

Hello.

Age: 35 years
Diet/food, training (enduracne), supplements, sleep - everything is OK.
Low % of bodyfat (stored only in the lower abdomen)

I haven't used anything in a few years

SIGNS: Mood swings, less energy, periods of depression (leads to overeating), low libido, sometimes poor erections, etc...

BLOOD RESULTS (hormone):

TSH: 0.35 - 4.94 (1.65 mIU/L)
PSA: < 4.0 (0.083 μg/L)
ESTRADIOL: 11 - 44 (11 ng/L)
TESTOSTERONE: 2.21 - 8.71 (2.58 μg/L)
FSH: 0.92 - 11.95 (2.85 IU/L)
LH: 0.57 - 12.07 (1.47 IU/L)
PROLACTINE: 3.46 - 19.40 (9.37 μg/L)
CORTISOL: 101.2 - 535.7 (400 nmol/L)

BLOOD RESULTS (some other parameters):

LEUKOCYTES: 4.00 - 10.00 (7.1)
RBC: 4.50 - 5.50 (4.41)
HAEMOGLOBIN: 130 - 170 (140)
HEMATOCRIT: 0.400 - 0.500 (0.413)
TRIGLYCERIDES: up to 1.69 (0.92)
HDL: above 1.00 (1.02)
LDL: 1.00 - 3.90 (2.50)
CHOLESTEROL: up to 5.2 (3.9)
IRON 11.6 - 31.3 (12)
FERITIN 22 - 275 (62)




Your opinion ? TRT ?

 

[lukiss96]

If you're sure everything is truly optimized when it comes to your diet, training, sleep and lifestyle and you're not currently concerned about possibly affecting your fertility, then the answer is TRT.

 

[es1989]

Thank you.
Yes, everything is optimized.
I'm not worried about fertility (I'm already a father)

 

[-Maui-]

Thank you.
Yes, everything is optimized.
I'm not worried about fertility (I'm already a father)

Do you eat meat?

 

[es1989]

Absolutely.
Around 500 grams+ (1 - 1.5 pounds) during the day (lean beef, chicken / turkey, lean venison, etc), then there is also fish (salmon, tuna, etc)....

 

[-Maui-]

Absolutely.
Around 500 grams+ (1 - 1.5 pounds) during the day (lean beef, chicken / turkey, lean venison, etc), then there is also fish (salmon, tuna, etc)....

To my mind, you have an iron deficiency.
Testosterone levels are also low.
You can add an iron supplement and maybe exemestane or clomifene.
Or start TRT )

 

[es1989]

Thank you.
Yes. I was thinking the same thing, but I added testosterone a little days ago. For start: 75 mg every 4 days, which is about avg. 135 mg per week.
Along with testosterone, estrogen and iron should also increase, which is why I expect better well-being, more motivation, higher libido, etc..

We will see - I will repeat the blood tests after 4-5 weeks from the start. I will post the blood results here...

But, if I don't feel much better (after a few months), I can still go off cycle (and do the PCT and still be at about the same (bad) point...

 

[Joseph_88]

I would consider the trt

 

[-Maui-]

But, if I don't feel much better (after a few months), I can still go off cycle (and do the PCT and still be at about the same (bad) point...

We'll figure something out! ;-)
Don't get upset ahead of time.

 

[es1989]

Hello

Blood tests after 5 weeks --> Test E. - average 150 mg / week - divided into 2 doses (every 4 days - 80 mg) - tested 4 days after last dose / just before new.....

ESTRADIOL: 11 - 44 **(before: 11 ng/L) - today: 18 ng/L**

TESTOSTERONE: 2.21 - 8.71 **(before: 2.58 μg/L) - today: 8.22 μg/L / 822 ng/dL**

PROLACTINE: 3.46 - 19.40 **(before: 9.37 μg/L) - today: 13.33 μg/L**
****
****

BLOOD RESULTS (some other parameters):

LEUKOCYTES: 4.00 - 10.00 **(before: 7.1) - today: 5.8**

RBC: 4.50 - 5.50 **(before: 4.41) - today: 4.55**

HAEMOGLOBIN: 130 - 170 **(before: 140) - today: 148**

HEMATOCRIT: 0.400 - 0.500 **(before: 0.413) - today: 0.445**
MCV 83.0 - 101.0 **(before: 93.7) - today: 97.8**
MCH 27.0 - 32.0 **(before: 32) - today: 32.5**
MCHC 315 - 345 **(before: 339) - today: 333**
RDW 11.6 - 14.0 **(before: 13.7) - today: 15**

TRIGLYCERIDES: up to 1.69 **(before: 0.92) - today: 0.5**

HDL: above 1.00 **(before: 1.02) - today: 1.5**

LDL: 1.00 - 3.90 **(before: 2.50) - today: 2.9**

CHOLESTEROL: up to 5.2 **(before: 3.9) - today: 4.6**

IRON 11.6 - 31.3 **(before: 12) - today: 6.7**

FERITIN 22 - 275 **(before: 62) - today: 28**
****

In my opinion, testosterone is in the excellent range (normal quite upper limit - 822 ng/dL. Estradiol also increased a little, which is good for a better feeling / libido.
Even if testosterone and estradiol were a little higher there would be nothing wrong (maybe I'll try 175 mg/week)

Triglycerides are much lower, which is great, good cholesterol also increased. The RBC jumped into the normal range, which is great, as well as hematocrit.

For my opinion is much better blood count, except the iron has dropped quite a bit and is below the normal range (despite the fact that I add iron in tablets).

Positive effects (after 5 weeks): higher libido and slightly better regeneration, other things about the same as before.

I will wait another 2-3 months, and then I will do the blood test again

The only thing that needs to be corrected is to increase iron and ferritin (currently I add 1 tab. / day (325 mg Ferrous Sulfate - Iron 65 mg)


What is your opinion on the whole picture ?

 

[es1989]

p.s.
On monday I will do more blood tests (as far as iron is concerned).

I have a referral for: iron, ferritin, transferrin, folate (folic acid) and vitamin B-12.

We'll see what it shows

 

[es1989]

Today I got blood results (iron and other test)

LEUKOCYTES: 4.00 - 10.00 - today: 5.9
Red Blood Cells (erythrocytes) 4.50 - 5.50 - today: 4.63
HAEMOGLOBIN: 130 - 170 - today: 148
HEMATOCRIT: 0.400 - 0.500 - today: 0.453
MCV 83.0 - 101.0 - today: 97.8
MCH 27.0 - 32.0 - today: 32.0
MCHC 315 - 345 - today: 327
THROMBOCYTE 150 - 410 - today: 254
MPV 7,8 - 11,0 - today: 9,4
RDW 11.6 - 14.0 - today: 15,2

IRON (10,7 - 28,6) - today: 7,7
FERRITIN (30 - 400) - today: 22
TRANSFERIN SATURATION (16,0 - 45,0) - today: 10,6
TRANSFERIN (25,2 - 45,4) - today: 36,4
VITAMIN B12 (145,0 - 569,0) - today: 353,0
FOLATE (folic acid) (8,8 - 60,8) - today: 41,9

Rbc, haemoglobin, transferin, folate, vitamin b12, everyrthing is ok.

but IRON / FERRITIN and TRANSFERIN SATURATION is low...

I also got an iron supplement (ferrous sulfate / ferric sulfate) with gradual release - tardyferon 80 mg.

Your opinion on low iron / ferritin and transferin saturation ??

Thanks