Got my labs emailed to me...input?

[JJC]

Alright, i got my contact at the clinic to email me the bloodwork.

WBC 3.7 L 3.9 - 11.1
K/ul


RBC 5.04 4.2 - 6.0
M/ul


HEMOGLOBIN 15.7 13.2 - 18.0
g/dl


HEMATOCRIT 46.8 38.5 - 54.0
%


MCV 93 80.0 - 100.0
fl


MCH 31.1 26.0 - 34.0
pg


MCHC 33.5 31.0 - 37.0
g/dl


RDW 13.9 11.0 - 15.5
%


PLATELET COUNT 166 140 - 400
k/ul


MPV 10.6 7.5 - 11.6
fl

COMPREHENSIVE METABOLIC PANEL

GLUCOSE 95 65 - 100
mg/dl


BUN 12 6 - 20
mg/dl


CREATININE, SERUM 1.1 0.5 - 1.2
mg/dl


SODIUM 142 133 - 145
mmol/L


POTASSIUM 4.4 3.3 - 5.1
mmol/L


CHLORIDE 103 96 - 108
mmol/L


CO2 29 22 - 32
mmol/L


CALCIUM 9.9 8.5 - 10.5
mg/dl


TOTAL PROTEIN 6.9 6.4 - 8.3
g/dl


ALBUMIN 4.9 H 3.2 - 4.8
g/dl


GLOBULIN 2.00 L 2.1 - 3.6
g/dl


BILIRUBIN, TOTAL 0.6 0.0 - 1.0
mg/dl


ALKALINE PHOSPHATASE 43 35 - 129
U/L


ALT 129 H <42
U/L


AST 51 H <39
U/L

A/G RATIO 2.45 H 0.8 - 2.0


BUN/CREAT RATIO 10.9 7.3 - 21.7


LIPID PANEL

TRIGLYCERIDES 131 <150
mg/dl


CHOLESTEROL, TOTAL 233 H <200
mg/dl


HDL CHOLESTEROL 56 >40
mg/dl


LDL CHOLESTEROL, calc. 150 H <100OPTIMAL
mg/dl


Borderline High

CHOL/HDL RATIO 4.12 <5.0




The higher the Ratio,the higher CHD risk.
THYROID PANEL

T3, TOTAL 97.3 80 - 200
ng/dl


T4, FREE 1.30 0.9 - 1.7
ng/dl


TSH 1.360 0.27 - 4.2
uIU/ml

TESTOSTERONE, FREE 5.06 2.4 - 12.2
ng/dl

LONGEVITY MALE

T3, FREE 3.5 1.8 - 4.6
pg/ml


FSH 7.9 1.5 - 12.4
mIU/ml



Men 1.5 - 12.4 mIU/ml


Women


Follicular Phase 3.5 - 12.5 ,,


Ovulation Phase 4.7 - 21.5 ,,


Luteal Phase 1.7 - 7.7 ,,


Postmenopause 25.8 - 134.8 ,,

LH 2.5 1.7 - 8.6
mIU/ml



Men 1.7 - 8.6 mIU/ml


Women


Follicular Phase 2.4 - 12.6 ,,


Ovulation Phase 14.0 - 95.6 ,,


Luteal Phase 1.0 - 11.4 ,,


Postmenopause 7.7 - 58.5 ,,

ESTRADIOL 5.8 L 7.6 - 42.6
pg/ml



Reference Range for Estradiol


Women


Follicular Phase 12.5 - 166 pg/ml


Ovulation Phase 85.8 - 498 pg/ml


Luteal Phase 43.8 - 211 pg/ml


Postmenopause <5.0 - 54.7 pg/ml


Pregnancy


1st trimester 215 - >4300 ,,


Men 7.6 - 42.6 ,,

TESTOSTERONE, TOTAL 218 L 280 - 800
ng/dl


SEX HORMONE BIND. GLOBULIN 15 7 - 50
nmol/L


PSA, TOTAL 0.48 0.0 - 4.0
ng/ml


IGF-1 311.0 H 115 - 307
ng/ml


Sorry for the long read, but i bolded the things that were out of "normal" range. seems free test is okay, but total test pretty low. estradiol low, but igf-1 high. cholesterol funky, and my alt/ast outta whack, probably from the acetametaphin/ibuprofen (hopefully). i did notice that my WBC was low, anyone know what might cause that? albumin little high, globulin little low. not sure what most of this might mean, but talking with this woman, she's not the doctor, she's like a salesperson or something. i think i found a doctor here locally that i may try instead, just wondered what you guys might think/know. thanks.

 

[JanSz]

HEMOGLOBIN 15.7 13.2 - 18.0 g/dl
HEMATOCRIT 46.8 38.5 - 54.0 %
GLUCOSE 95 65 - 100 mg/dl
CO2 29 22 - 32 mmol/L
ALBUMIN 4.9 H 3.2 - 4.8 g/dl
BUN/CREAT RATIO 10.9 7.3 - 21.7
T3, TOTAL 97.3 80 - 200 ng/dl -------------------------------------14%
T4, FREE 1.30 0.9 - 1.7 ng/dl --------------------------------------10%
T3, FREE 3.5 1.8 - 4.6 pg/ml ----------------------------------------61%
TSH 1.360 0.27 - 4.2 uIU/ml
TESTOSTERONE, FREE 5.06 2.4 - 12.2 ng/dl ---------------------------- useless
FSH 7.9 1.5 - 12.4 mIU/ml
LH 2.5 1.7 - 8.6 mIU/ml
ESTRADIOL 5.8 L 7.6 - 42.6 pg/ml
TESTOSTERONE, TOTAL 218 L 280 - 800 ng/dl -------------------------------
SEX HORMONE BIND. GLOBULIN 15 7 - 50 nmol/L
PSA, TOTAL 0.48 0.0 - 4.0 ng/ml
IGF-1 311.0 H 115 - 307 ng/ml
.

Your TotalT3 is real low, FreeT3 also low, for now get 1-2Grains of Armour.
Regular precautions when ramping up apply. Have a Cortef (5mg pills) at hand.
Next blood test in 2-3 months do Adrenals and thyroid testing.

TotalT real low. Using EOD schedule do:

Testosterone 200mg/mL
T-shot =28mg=14units
HCG-250iu
no Arimidex or any thing that act as AI
if you already know that you may be low on DHEAs, take 50mg/day DHEA (morning/evening)

Both shots on one day, next day no shots, continue until you get results of next blood test and have a time to evaluate results.
2-3 months latter do blood test at Quest Diagnostics, draw blood on a day of the shots before shots and before Armour pills.
Fast 9 hours before blood draw, but drink clear water if desired, 2 hrs before draw drink 16oz clear water.

Do these tests:

7 Iodine Panel - (2503)
8 Selenium
9 Copper, serum
10 Zinc
11 Magnesium
12 Phosphate, serum
13 C-Reactive Protein (CRP), Highly Sensitive, CSF - (17401X)
14 Fibrinogen
15 Homocysteine, cardio
16 Lipoprotein (A) Lp(A)
17 Iron and Iron Binding Capacity (7573X) - (356N)
18 Iron, Total (571X) - (24984P)
19 Ferritin (457X) - (22764P)
20 Transferrin (891X) - (30346P)
21 Folate, RBC & Hematocrit - (1768N)
22 Hemoglobin A1c (496X) - (45484P)
23 Hemoglobin, Plasma (514X) - (7211P)
24 VITAMIN SCREEN
25 VITAMIN B PANEL 2 - (9067)
26 Vitamin D, 25-Hydroxy, LC/MS/MS - (17306X)
27 T3, Total (859X)
28 T4, Total (Thyroxine)
29 T3, Free
30 T4,Free
31 T3, Reverse (967X)
32 Ultrasensitive TSH
33 Thyroid Peroxidase and Thyroglobulin Antibodies (7260X)
39 Aldosterone
40 Cortisol Binding Globulin (Transcortin) (37371X)
41 Cortisol AM/PM
42 DHEA sulfate
43 Prolactin - (746X)
46 Progesterone, LC/MS/MS - (17183X)
47 Pregnenolone, LC/MS/MS (31493X)
48 Estradiol, Ultrasensitive, LC/MS/MS (30289X)
49 Estrone, LC/MS/MS (23244X)
50 Testosterone, Free, Bio/Total (LC/MS/MS) Code: 14966X
51 Dihydrotestosterone (204X)

================================================================================

My own Goals
DHEAs(500-640)mcg/dL------------------major player, 95% time overlooked
Progesterone(0.9-1.2)ng/mL
Pregnenolone(> 100ng/dL)
Estradiol, Ultrasensitive(25-29)pg/mL
Estrone, LC/MS/MS (23244X)
do not use Anastrozole if possible or minimize its use
BATest(342, 460-575)ng/dL------------stay around 342 if you need AI to control E2
DHT(60-90)ng/dL
FreeT3~400pg/dL
Body temperature (97.8 - 98.2F) (36.56 - 36.78C); (36.6-37C)(97.9-98.6F)
==================================================================================
You may want to look at my post #44, specially look for ICD-9 codes.
Copy all of them,
copy numbers only and separately numbers + explanation
that may hel ypour doc to write some of them for you, then you should have payment covered by insurance.

Copy list of tests as I posted.
Ask doc to xerox them on his office stationary, add ICD-9 codes and sign.
That will become your script.
Do not allow to rewrite those on a blue script paper or any forms.
That will screw you for sure, no way to not make mistakes.

Good luck.

Post results after you get them.
PM me if you see that I have overlooked your post.
.

 

[JJC]

thanks for the reply...did you happen to read my other post?

working with a clinic outside of Florida. the saleslady said the doc was prescribing 250mg/wk test, with hcg 2 days before and the day before, as well as arimidex. the thing that worries me is she also "prescribed" deca and said bloodwork was only needed once a year. in the end, she said the doc would likely prescribe anything i wanted, including gh, even though she said those levels were fine. i dunno, thought about contacting DrC at ATM and working with him remotely, if that's an option. Dr. Scally is here in Houston, along with another clinic i found, thinking of going a different route, since my bloodwork didnt seem as thorough as it should be.

 

[hardasnails1973]

You go from the fry pan in to the fire.
Why not look at other factors that could be the cause and stop looking a symptoms.
You never even looked at adrenals and more throughly thyroid testing.
Dr's have are totally clueless when it comes to dealing with hormones and the endocrine system.

250 mg week with 1 pill adex 3 times a week with hcg 250 ius 2 times a week is the biggest cookie cutter method there is and ends up causing people more issues.

 

[JJC]

You go from the fry pan in to the fire.
Why not look at other factors that could be the cause and stop looking a symptoms.
You never even looked at adrenals and more throughly thyroid testing.
Dr's have are totally clueless when it comes to dealing with hormones and the endocrine system.

250 mg week with 1 pill adex 3 times a week with hcg 250 ius 2 times a week is the biggest cookie cutter method there is and ends up causing people more issues.

i never looked because a doctor was supposed to do that, that's what i friggin paid for. and if they arent the best place, that's why i'm here, to find someone or someplace that would be better. i've been using for many years, but this is my first experience with TRT, i just want to do it right. IMO, i think i could make some lifestyle changes for the next few months, cut back on the prednisone and cut out the vicodin (both of which are proven to lower test levels), get back in the gym and on my diet, piddle around with some natty boosters, and retest 3 or 4 months down the road. she said my thyroid looked fine, and didnt even mention anything about adrenals. so, instead, why not elaborate on your post, point me in the right direction, tell me who or where would be a safer bet for me to find out what's going on? that would be much more appreciated.

 

[hardasnails1973]

If you are in the northeast you can come visit our clinic and we be glad to help rule out those factors.

 

[JJC]

well, no, i'm in Texas. do you work remotely with patients? i realize ATM does...would you recommend them? you can PM if you prefer...i really do just want to do this the right way, and I appreciate any help...thanks again