Lab results from PrivateMDLabs

JJ5012

New Member
My soul purpose one getting on TRT 100mg test cyp every monday was to restore erections which i had problems with before TRT. I just got my labs back from PrivateMDLabs and need help on what to do next to solve my problem.

Got my lab work done 7 days after injection

WBC 5.3 3.4-10.8 x10E3/uL MB
RBC 5.32 4.14-5.80 x10E6/uL
Hemoglobin 17.7 12.6-17.7 g/dL MB
Hematocrit 53.4 HIGH 37.5-51.0 % MB
MCV 100 HIGH 79-97 fL MB
MCH 33.3 HIGH 26.6-33.0 pg MB
MCHC 33.1 31.5-35.7 g/dL MB
RDW 13.8 12.3-15.4 % MB
Platelets 227 155-379 x10E3/uL MB
Neutrophils 61 40-74 % MB
Lymphs 31 14-46 % MB
Monocytes 5 4-12 % MB
Eos 2 0-5 % MB
Basos 1 0-3 % MB
Neutrophils 3.3 1.4-7.0 x10E3/uL MB
(Absolute)
Lymphs(Absolute) 1.6 0.7-3.1 x10E3/uL MB
Monocytes(Absolute) 0.3 0.1-1.0 x10E3/uL MB
Eos (Absolute) 0.1 0.0-0.4 x10E3/uL


Baso (Absolute) 0.0 0.0-0.2 x10E3/uL MB
Immature Granulocytes 0 0-2 % MB
Immature Grans (Abs) 0.0 0.0-0.1 x10E3/uL MB
Comp. Metabolic Panel (14)
Glucose, Serum 76 65-99 mg/dL MB
BUN 19 6-20 mg/dL MB
Creatinine, Serum 1.22 0.76-1.27 mg/dL MB
eGFR If NonAfricn Am 78 >59 mL/min/1.73 MB
eGFR If Africn Am 90 >59 mL/min/1.73 MB
BUN/Creatinine Ratio 16 8-19 MB
Sodium, Serum 142 134-144 mmol/L MB
Potassium, Serum 4.7 3.5-5.2 mmol/L MB
Chloride, Serum 103 97-108 mmol/L MB
Carbon Dioxide, Total 26 19-28 mmol/L MB
Calcium, Serum 9.9 8.7-10.2 mg/dL MB
Protein, Total, Serum 7.1 6.0-8.5 g/dL MB
Albumin, Serum 4.6 3.5-5.5 g/dL MB
Globulin, Total 2.5 1.5-4.5 g/dL MB
A/G Ratio 1.8 1.1-2.5 MB
Bilirubin, Total 0.8 0.0-1.2 mg/dL MB
Alkaline Phosphatase, S 53 44-102 IU/L MB
AST (SGOT) 18 0-40 IU/L MB
1 of 3
ALT (SGPT) 13 0-44 IU/L

Urinalysis, Routine
Specific Gravity >=1.030 ABNORMAL 1.005-1.030 MB
pH 6.0 5.0-7.5 MB
Urine- Color Yellow Yellow MB
Appearance Clear Clear MB
WBC Esterase Negative Negative MB
Protein Trace Negative/Trace MB
Glucose Negative Negative MB
Ketones Trace ABNORMAL Negative MB
Occult Blood Negative Negative MB
Bilirubin Negative Negative MB
Urobilinogen,Semi-Qn 0.2 0.0-1.9 mg/dL MB
Nitrite, Urine Negative Negative MB
Microscopic Examination Comment MB

Lipid Panel
Cholesterol, Total 198 100-199 mg/dL MB
Triglycerides 71 0-149 mg/dL MB
HDL Cholesterol 51 >39 mg/dL MB
According to ATP-III Guidelines, HDL-C >59 mg/dL is considered a
negative risk factor for CHD.
VLDL Cholesterol Cal 14 5-40 mg/dL MB
LDL Cholesterol Calc 133 HIGH 0-99 mg/dL MB
Iron and TIBC
Iron Bind.Cap.(TIBC) 240 LOW 250-450 ug/dL MB
UIBC 114 LOW 150-375 ug/dL MB
Iron, Serum 126 40-155 ug/dL MB
Iron Saturation 53 15-55 % MB
Testosterone,Free and Total
Testosterone, Serum 791 348-1197 ng/dL MB
Free Testosterone(Direct) 23.7 8.7-25.1 pg/mL BN
Hemoglobin A1c
Hemoglobin A1c 5.1 4.8-5.6 % MB

Thyroxine (T4) Free, Direct, S
T4,Free(Direct) 1.31 0.82-1.77 ng/dL MB
DHEA-Sulfate
DHEA-Sulfate 331.8 160.0-449.0 ug/dL MB

TSH
TSH 3.200 0.450-4.500 uIU/mL MB
Luteinizing Hormone(LH), S
LH <0.2 LOW 1.7-8.6 mIU/mL MB
FSH, Serum
FSH <0.2 LOW 1.5-12.4 mIU/mL MB

Prostate-Specific Ag, Serum
Prostate Specific Ag, Serum 0.8 0.0-4.0 ng/mL MB

IGF-1
Insulin-Like Growth Factor I 201 71-241 ng/mL BN
C-Reactive Protein, Cardiac
C-Reactive Protein, Cardiac 0.52 0.00-3.00 mg/L MB

Estradiol, Sensitive
Estradiol, Sensitive 14 3-70 pg/mL BN

GGT
GGT 13 0-65 IU/L MB
Magnesium, Serum
Magnesium, Serum 2.0 1.6-2.6 mg/dL MB
Insulin
Insulin 4.5 2.6-24.9 uIU/mL MB
Ferritin, Serum
Ferritin, Serum 125 30-400 ng/mL MB
Sex Horm Binding Glob, Serum
Sex Horm Binding Glob, Serum 40.4 16.5-55.9 nmol/L MB
 
My soul purpose one getting on TRT 100mg test cyp every monday was to restore erections which i had problems with before TRT. I just got my labs back from PrivateMDLabs and need help on what to do next to solve my problem.

Got my lab work done 7 days after injection

WBC 5.3 3.4-10.8 x10E3/uL MB
RBC 5.32 4.14-5.80 x10E6/uL
Hemoglobin 17.7 12.6-17.7 g/dL MB
Hematocrit 53.4 HIGH 37.5-51.0 % MB
MCV 100 HIGH 79-97 fL MB
MCH 33.3 HIGH 26.6-33.0 pg MB
MCHC 33.1 31.5-35.7 g/dL MB
RDW 13.8 12.3-15.4 % MB
Platelets 227 155-379 x10E3/uL MB
Neutrophils 61 40-74 % MB
Lymphs 31 14-46 % MB
Monocytes 5 4-12 % MB
Eos 2 0-5 % MB
Basos 1 0-3 % MB
Neutrophils 3.3 1.4-7.0 x10E3/uL MB
(Absolute)
Lymphs(Absolute) 1.6 0.7-3.1 x10E3/uL MB
Monocytes(Absolute) 0.3 0.1-1.0 x10E3/uL MB
Eos (Absolute) 0.1 0.0-0.4 x10E3/uL


Baso (Absolute) 0.0 0.0-0.2 x10E3/uL MB
Immature Granulocytes 0 0-2 % MB
Immature Grans (Abs) 0.0 0.0-0.1 x10E3/uL MB
Comp. Metabolic Panel (14)
Glucose, Serum 76 65-99 mg/dL MB
BUN 19 6-20 mg/dL MB
Creatinine, Serum 1.22 0.76-1.27 mg/dL MB
eGFR If NonAfricn Am 78 >59 mL/min/1.73 MB
eGFR If Africn Am 90 >59 mL/min/1.73 MB
BUN/Creatinine Ratio 16 8-19 MB
Sodium, Serum 142 134-144 mmol/L MB
Potassium, Serum 4.7 3.5-5.2 mmol/L MB
Chloride, Serum 103 97-108 mmol/L MB
Carbon Dioxide, Total 26 19-28 mmol/L MB
Calcium, Serum 9.9 8.7-10.2 mg/dL MB
Protein, Total, Serum 7.1 6.0-8.5 g/dL MB
Albumin, Serum 4.6 3.5-5.5 g/dL MB
Globulin, Total 2.5 1.5-4.5 g/dL MB
A/G Ratio 1.8 1.1-2.5 MB
Bilirubin, Total 0.8 0.0-1.2 mg/dL MB
Alkaline Phosphatase, S 53 44-102 IU/L MB
AST (SGOT) 18 0-40 IU/L MB
1 of 3
ALT (SGPT) 13 0-44 IU/L

Urinalysis, Routine
Specific Gravity >=1.030 ABNORMAL 1.005-1.030 MB
pH 6.0 5.0-7.5 MB
Urine- Color Yellow Yellow MB
Appearance Clear Clear MB
WBC Esterase Negative Negative MB
Protein Trace Negative/Trace MB
Glucose Negative Negative MB
Ketones Trace ABNORMAL Negative MB
Occult Blood Negative Negative MB
Bilirubin Negative Negative MB
Urobilinogen,Semi-Qn 0.2 0.0-1.9 mg/dL MB
Nitrite, Urine Negative Negative MB
Microscopic Examination Comment MB

Lipid Panel
Cholesterol, Total 198 100-199 mg/dL MB
Triglycerides 71 0-149 mg/dL MB
HDL Cholesterol 51 >39 mg/dL MB
According to ATP-III Guidelines, HDL-C >59 mg/dL is considered a
negative risk factor for CHD.
VLDL Cholesterol Cal 14 5-40 mg/dL MB
LDL Cholesterol Calc 133 HIGH 0-99 mg/dL MB
Iron and TIBC
Iron Bind.Cap.(TIBC) 240 LOW 250-450 ug/dL MB
UIBC 114 LOW 150-375 ug/dL MB
Iron, Serum 126 40-155 ug/dL MB
Iron Saturation 53 15-55 % MB
Testosterone,Free and Total
Testosterone, Serum 791 348-1197 ng/dL MB
Free Testosterone(Direct) 23.7 8.7-25.1 pg/mL BN
Hemoglobin A1c
Hemoglobin A1c 5.1 4.8-5.6 % MB

Thyroxine (T4) Free, Direct, S
T4,Free(Direct) 1.31 0.82-1.77 ng/dL MB
DHEA-Sulfate
DHEA-Sulfate 331.8 160.0-449.0 ug/dL MB

TSH
TSH 3.200 0.450-4.500 uIU/mL MB
Luteinizing Hormone(LH), S
LH <0.2 LOW 1.7-8.6 mIU/mL MB
FSH, Serum
FSH <0.2 LOW 1.5-12.4 mIU/mL MB

Prostate-Specific Ag, Serum
Prostate Specific Ag, Serum 0.8 0.0-4.0 ng/mL MB

IGF-1
Insulin-Like Growth Factor I 201 71-241 ng/mL BN
C-Reactive Protein, Cardiac
C-Reactive Protein, Cardiac 0.52 0.00-3.00 mg/L MB

Estradiol, Sensitive
Estradiol, Sensitive 14 3-70 pg/mL BN

GGT
GGT 13 0-65 IU/L MB
Magnesium, Serum
Magnesium, Serum 2.0 1.6-2.6 mg/dL MB
Insulin
Insulin 4.5 2.6-24.9 uIU/mL MB
Ferritin, Serum
Ferritin, Serum 125 30-400 ng/mL MB
Sex Horm Binding Glob, Serum
Sex Horm Binding Glob, Serum 40.4 16.5-55.9 nmol/L MB



testosterone numbers were? did I miss something??
 
My soul purpose one getting on TRT 100mg test cyp every monday was to restore erections which i had problems with before TRT. I just got my labs back from PrivateMDLabs and need help on what to do next to solve my problem.

Did it work??
 
Energy and motivation...outlook..etc.... Yes
Erections... still lost

This is just my opinion and I don't what the literature says because to be honest I never had this problem but I see WAY TOO many guys coming here with ED looking to TRT to solve their problems.

I've said it before and I'll say it again. I don't think I've EVER read of ANYONE who reported here or elsewhere that TRT relieved their ED when we are talking about total erectile dysfunction (total or nearly total limp dick). It my experience and I think the experience of many others that TRT can take a guy who pre-TRT could achieve a 70% erection to 100% but for a guy who was completely unable to get an erection pre-TRT or could just get a chubby it does nothing.

My guess is low T affects erectile function a little but it's probably never the cause of complete limp dick.
 
So with that being said whats next...Endocrinologist or Urologist.

I say urologist since your problem doesn't seem hormonal. ED has many causes - psychological, pre-existing medical conditions, meds, general health, etc. You need a complete hx and a full ED workup done by a knowledgable physician IMO.
 
Spitzer M, Basaria S, Travison TG, et al. Effect of Testosterone Replacement on Response to Sildenafil Citrate in Men With Erectile Dysfunction - A Parallel, Randomized Trial. Annals of Internal Medicine 2012;157(10):681-91. Annals of Internal Medicine | Effect of Testosterone Replacement on Response to Sildenafil Citrate in Men With Erectile Dysfunction: A Parallel, Randomized Trial

Background: Erectile dysfunction and low testosterone levels frequently occur together.

Objective: To determine whether addition of testosterone to sildenafil therapy improves erectile response in men with erectile dysfunction and low testosterone levels.

Design: Randomized, double-blind, parallel, placebo-controlled trial. (ClinicalTrials.gov registration number: NCT00512707)

Setting: Outpatient academic research center.

Participants: Men aged 40 to 70 years with scores of 25 or less for the erectile function domain (EFD) of the International Index of Erectile Function, total testosterone levels less than 11.45 nmol/L (<330 ng/dL), or free testosterone levels less than 173.35 pmol/L (<50 pg/mL).

Intervention: Sildenafil dose was optimized, and 140 participants were then randomly assigned to 14 weeks of daily transdermal gel that contained 10-g testosterone for 70 participants and placebo for the remaining 70 participants. All participants were included in the primary analysis, although 10 in the testosterone group and 12 in the placebo group did not complete the study.

Results: At baseline, the 2 groups had similar EFD scores. Administration of sildenafil alone was associated with a substantial increase in EFD score (mean, 7.7 [95% CI, 6.5 to 8.8]), but change in EFD score after randomization did not differ between the groups (difference, 2.2 [CI, ?0.8 to 5.1]; P = 0.150). The findings were similar for other domains of sexual function in younger men, more obese men, and men with lower baseline testosterone levels or an inadequate response to sildenafil alone. Frequency of adverse events was similar for testosterone and placebo groups.

Limitation: Whether testosterone could improve erectile function without sildenafil was not studied.

Conclusion: Sildenafil plus testosterone was not superior to sildenafil plus placebo in improving erectile function in men with erectile dysfunction and low testosterone levels.
 
My soul purpose one getting on TRT 100mg test cyp every monday was to restore erections which i had problems with before TRT. I just got my labs back from PrivateMDLabs and need help on what to do next to solve my problem.

Got my lab work done 7 days after injection

WBC 5.3 3.4-10.8 x10E3/uL MB
RBC 5.32 4.14-5.80 x10E6/uL
Hemoglobin 17.7 12.6-17.7 g/dL MB
Hematocrit 53.4 HIGH 37.5-51.0 % MB
MCV 100 HIGH 79-97 fL MB
MCH 33.3 HIGH 26.6-33.0 pg MB
MCHC 33.1 31.5-35.7 g/dL MB
RDW 13.8 12.3-15.4 % MB
Platelets 227 155-379 x10E3/uL MB
Neutrophils 61 40-74 % MB
Lymphs 31 14-46 % MB
Monocytes 5 4-12 % MB
Eos 2 0-5 % MB
Basos 1 0-3 % MB
Neutrophils 3.3 1.4-7.0 x10E3/uL MB
(Absolute)
Lymphs(Absolute) 1.6 0.7-3.1 x10E3/uL MB
Monocytes(Absolute) 0.3 0.1-1.0 x10E3/uL MB
Eos (Absolute) 0.1 0.0-0.4 x10E3/uL


Baso (Absolute) 0.0 0.0-0.2 x10E3/uL MB
Immature Granulocytes 0 0-2 % MB
Immature Grans (Abs) 0.0 0.0-0.1 x10E3/uL MB
Comp. Metabolic Panel (14)
Glucose, Serum 76 65-99 mg/dL MB
BUN 19 6-20 mg/dL MB
Creatinine, Serum 1.22 0.76-1.27 mg/dL MB
eGFR If NonAfricn Am 78 >59 mL/min/1.73 MB
eGFR If Africn Am 90 >59 mL/min/1.73 MB
BUN/Creatinine Ratio 16 8-19 MB
Sodium, Serum 142 134-144 mmol/L MB
Potassium, Serum 4.7 3.5-5.2 mmol/L MB
Chloride, Serum 103 97-108 mmol/L MB
Carbon Dioxide, Total 26 19-28 mmol/L MB
Calcium, Serum 9.9 8.7-10.2 mg/dL MB
Protein, Total, Serum 7.1 6.0-8.5 g/dL MB
Albumin, Serum 4.6 3.5-5.5 g/dL MB
Globulin, Total 2.5 1.5-4.5 g/dL MB
A/G Ratio 1.8 1.1-2.5 MB
Bilirubin, Total 0.8 0.0-1.2 mg/dL MB
Alkaline Phosphatase, S 53 44-102 IU/L MB
AST (SGOT) 18 0-40 IU/L MB
1 of 3
ALT (SGPT) 13 0-44 IU/L

Urinalysis, Routine
Specific Gravity >=1.030 ABNORMAL 1.005-1.030 MB
pH 6.0 5.0-7.5 MB
Urine- Color Yellow Yellow MB
Appearance Clear Clear MB
WBC Esterase Negative Negative MB
Protein Trace Negative/Trace MB
Glucose Negative Negative MB
Ketones Trace ABNORMAL Negative MB
Occult Blood Negative Negative MB
Bilirubin Negative Negative MB
Urobilinogen,Semi-Qn 0.2 0.0-1.9 mg/dL MB
Nitrite, Urine Negative Negative MB
Microscopic Examination Comment MB

Lipid Panel
Cholesterol, Total 198 100-199 mg/dL MB
Triglycerides 71 0-149 mg/dL MB
HDL Cholesterol 51 >39 mg/dL MB
According to ATP-III Guidelines, HDL-C >59 mg/dL is considered a
negative risk factor for CHD.
VLDL Cholesterol Cal 14 5-40 mg/dL MB
LDL Cholesterol Calc 133 HIGH 0-99 mg/dL MB
Iron and TIBC
Iron Bind.Cap.(TIBC) 240 LOW 250-450 ug/dL MB
UIBC 114 LOW 150-375 ug/dL MB
Iron, Serum 126 40-155 ug/dL MB
Iron Saturation 53 15-55 % MB
Testosterone,Free and Total
Testosterone, Serum 791 348-1197 ng/dL MB
Free Testosterone(Direct) 23.7 8.7-25.1 pg/mL BN
Hemoglobin A1c
Hemoglobin A1c 5.1 4.8-5.6 % MB

Thyroxine (T4) Free, Direct, S
T4,Free(Direct) 1.31 0.82-1.77 ng/dL MB
DHEA-Sulfate
DHEA-Sulfate 331.8 160.0-449.0 ug/dL MB

TSH
TSH 3.200 0.450-4.500 uIU/mL MB
Luteinizing Hormone(LH), S
LH <0.2 LOW 1.7-8.6 mIU/mL MB
FSH, Serum
FSH <0.2 LOW 1.5-12.4 mIU/mL MB

Prostate-Specific Ag, Serum
Prostate Specific Ag, Serum 0.8 0.0-4.0 ng/mL MB

IGF-1
Insulin-Like Growth Factor I 201 71-241 ng/mL BN
C-Reactive Protein, Cardiac
C-Reactive Protein, Cardiac 0.52 0.00-3.00 mg/L MB

Estradiol, Sensitive
Estradiol, Sensitive 14 3-70 pg/mL BN

GGT
GGT 13 0-65 IU/L MB
Magnesium, Serum
Magnesium, Serum 2.0 1.6-2.6 mg/dL MB
Insulin
Insulin 4.5 2.6-24.9 uIU/mL MB
Ferritin, Serum
Ferritin, Serum 125 30-400 ng/mL MB
Sex Horm Binding Glob, Serum
Sex Horm Binding Glob, Serum 40.4 16.5-55.9 nmol/L MB

Lets start with the basics.

Your age, height and weight.

Your diet - what do you eat in an average day.

Exercise - what kinds and how much

Stress - how much are you under - work and home life

Medications - are you on any

Steroids/Prohormones - have you ever taken any
 
Lets start with the basics.

Your age, height and weight.

Your diet - what do you eat in an average day.

Exercise - what kinds and how much

Stress - how much are you under - work and home life

Medications - are you on any

Steroids/Prohormones - have you ever taken any

32 yrs old/ 6/0 / 180

2 to 3 meals a day... i am a returning student

workouts..power movements legs Mon.. bench Wed... upperback friday

Most of the time I am not stressed... but 2 weeks ago i was stressed for a good 3 to 4 day.. A Falling out from a past relationship

Other than my Prescribed test cyp...no other medications

Back in 2008 and 2009 i did use prohormone... (The first finaflex) i believe this was one of the main contributors to failing erections..after that never touched it again.
 
This is just my opinion and I don't what the literature says because to be honest I never had this problem but I see WAY TOO many guys coming here with ED looking to TRT to solve their problems.

I've said it before and I'll say it again. I don't think I've EVER read of ANYONE who reported here or elsewhere that TRT relieved their ED when we are talking about total erectile dysfunction (total or nearly total limp dick). It my experience and I think the experience of many others that TRT can take a guy who pre-TRT could achieve a 70% erection to 100% but for a guy who was completely unable to get an erection pre-TRT or could just get a chubby it does nothing.

My guess is low T affects erectile function a little but it's probably never the cause of complete limp dick.
I am that guy. I started having back pain/ache in 01/2012 and in 05/2012 I had complete ED. We were trying to have our second child so we were quite active. Worked one day and stopped the next. Doctor only found my TT to be low. I saw two specialist that found the blood flow and ability were there. Others would need a penile doppler study to confirm. If that is fine, then the problem is not physical.

Once my TT was above 230 (my highest low point naturally) everything was restored to normal.
 
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