Labs back for TRT, need some opinions

[JMalone]

Got some bloods drawn since I came off my cycle and am now on TRT with 150mg Test C and 1 mg adex/wk with 250iu HCG twice weekly. Test came back at 1200 and estradiol at 16.

A few things that stick out to me that weren't on my previous bloods were BUN is higher this time than last. I did switch over to a bulking diet and eat a lot of protein and I lift heavy, but I'm not sure if a BUN of 34 is cause for alarm. RDW is a tad over range, but hemocrit is ok. TSH is also over the reference range coming in at 4.9.

What do you guys think about these results and what recommendations do you have for me? I'd like to add more test and throw deca in the mix for the winter, but not if I'm not in good shape.

 

[G2Ready]

Drink water

 

[Old]

You shouldn't need an AI on those dosages. With E2 that low, you will end up with osteoporosis.

 

[JMalone]

You shouldn't need an AI on those dosages. With E2 that low, you will end up with osteoporosis.

I'll drop the adex and see what my E2 comes back at. I'm just very gyno prone and start getting flair ups when I don't run an AI.

 

[Dr JIM]

Got some bloods drawn since I came off my cycle and am now on TRT with 150mg Test C and 1 mg adex/wk with 250iu HCG twice weekly. Test came back at 1200 and estradiol at 16.

A few things that stick out to me that weren't on my previous bloods were BUN is higher this time than last. I did switch over to a bulking diet and eat a lot of protein and I lift heavy, but I'm not sure if a BUN of 34 is cause for alarm. RDW is a tad over range, but hemocrit is ok. TSH is also over the reference range coming in at 4.9.

What do you guys think about these results and what recommendations do you have for me? I'd like to add more test and throw deca in the mix for the winter, but not if I'm not in good shape.

First mistake --- self prescribed "TRT"

Second mistake --- ordering shotgun labs

Third mistake --- requesting non-medical personnel "interpret" the results

FOURTH MISTAKE ---- your willingness to act on the basis of such advice

And the FINAL MISTAKE -- the apparent belief AIs rather than SERMS are a more reliable form of GCM prophylactic therapy.

 

[Burrr]

oh geez. here we go again.

we're all gonna die

 

[G2Ready]

I'll drop the adex and see what my E2 comes back at. I'm just very gyno prone and start getting flair ups when I don't run an AI.

Your worried about gyno flare ups with 150mg of testosterone.... but talking about adding deca.... oky dokie

 

[JMalone]

First mistake --- self prescribed "TRT"

Second mistake --- ordering shotgun labs

Third mistake --- requesting non-medical personnel "interpret" the results

FOURTH MISTAKE ---- your willingness to act on the basis of such advice

And the FINAL MISTAKE -- the apparent belief AIs rather than SERMS are a more reliable form of GCM prophylactic therapy.

Fair enough. I get where you're coming from, but am looking for advice.

1. I did get a script before I lost my insurance. My natural levels are low and I was tired of all the low T symptoms.
2. Which labs should I be ordering? I got Test, cholesterol, thyroid, RBC, E2, along with everything else included. What am I missing and what do I not need for future testing?
3. That makes perfect sense and I should be talking to a doctor. I will be back on insurance soon, so I can go that route in the near future. In the meantime, I'm here looking for advice from those of you who are more well versed than I.
4. I'm not planning on just doing anything that I'm told here. I can do more research if need be based on what others are seeing and have learned as applied to my results.
Final. I'm not even sure what GCM prophylactic therapy refers to. If that's related to regulating estrogen, than I guess I have more to learn. Rather than an AI, would Nolva be a better option? I have used it in the past when I've experienced gyno symptoms with success.

G2, prolactin has not been an issue for me in the past using nor-19s. Orals and test will cause flare ups if I don't keep an eye on E2. Long term, I'll likely just get the surgery so that I don't have to worry about it as much. E2 still needs to be kept in check, gyno is just one of the issues from elevated levels as I understand it.

 

[Dr JIM]

Fair enough. I get where you're coming from, but am looking for advice.

1. I did get a script before I lost my insurance. My natural levels are low and I was tired of all the low T symptoms.
2. Which labs should I be ordering? I got Test, cholesterol, thyroid, RBC, E2, along with everything else included. What am I missing and what do I not need for future testing?
3. That makes perfect sense and I should be talking to a doctor. I will be back on insurance soon, so I can go that route in the near future. In the meantime, I'm here looking for advice from those of you who are more well versed than I.
4. I'm not planning on just doing anything that I'm told here. I can do more research if need be based on what others are seeing and have learned as applied to my results.
Final. I'm not even sure what GCM prophylactic therapy refers to. If that's related to regulating estrogen, than I guess I have more to learn. Rather than an AI, would Nolva be a better option? I have used it in the past when I've experienced gyno symptoms with success.

G2, prolactin has not been an issue for me in the past using nor-19s. Orals and test will cause flare ups if I don't keep an eye on E2. Long term, I'll likely just get the surgery so that I don't have to worry about it as much. E2 still needs to be kept in check, gyno is just one of the issues from elevated levels as I understand it.

1) specifically define "low"

2) you're missing the point bc if you legitimately warrant "TRT"
then locate a qualified PHYSICIAN who will write the RX, order AND interpret all the necessary labs.

I mean what's the hurry --- bc contrary to what some maybe led to believe based upon contemporary TRT blog propaganda, there's no medical emergency associated with "low T"

3) almost all of the evidence based literature involves the use of SERMS for Gynecomastia (GCM) with AIs being used as adjunctive therapy or perhaps as a secondary option, for folk whom have difficulty tolerating the side effects of SERMS.

4) Finally if you want to CYCLE that's for you to decide yet be clear about it, and avoid
referring to anything involving
the use of AAS as PEDs as "TRT".

Jim

 

[Burrr]

Jmalone. what was the dose of test and adex that your DR had you on? that would be a good starting point.
Was their a complaint about gyno somewhere in your post? I didnt see it. Most of us on TRT take adex to keep estrogen in a desired range, and by default we prevent gyno. No SERMs required

While do it yourself TRT is not as safe as doing through a TRT specialist we can minimize the risk by doing research, and bloods as you have done.

 

[JMalone]

Jmalone. what was the dose of test and adex that your DR had you on? that would be a good starting point.
Was their a complaint about gyno somewhere in your post? I didnt see it. Most of us on TRT take adex to keep estrogen in a desired range, and by default we prevent gyno. No SERMs required

While do it yourself TRT is not as safe as doing through a TRT specialist we can minimize the risk by doing research, and bloods as you have done.

Thanks Burr. I understand what I'm doing isn't textbook and a doctor's supervision is superior. As of right now, I made the decision to roll with it until I get health insurance set up, so I want to minimize risks as best as possible.

Doc originally prescribed 150mg, which according to these labs, puts me at 1200. He didn't prescribe adex initially and said he'd wait to see what E2 looked like. When I wasn't taking it, my gyno flaired up, so I hit it with some Nolva and started taking 1mg/wk of adex. E2 came back pretty low, so I'm either lowering the dose to .5mg or nothing.

As far as the gyno goes, I have pubertal gyno that gets worse without an AI while on AAS. I stay lean enough that it doesn't look terrible, but it's something I'm conscious about and want to at least manage. When I'm back on the health insurance, I plan on getting the glands removed.

 

[HIGHRISK]

Thanks Burr. I understand what I'm doing isn't textbook and a doctor's supervision is superior. As of right now, I made the decision to roll with it until I get health insurance set up, so I want to minimize risks as best as possible.

Doc originally prescribed 150mg, which according to these labs, puts me at 1200. He didn't prescribe adex initially and said he'd wait to see what E2 looked like. When I wasn't taking it, my gyno flaired up, so I hit it with some Nolva and started taking 1mg/wk of adex. E2 came back pretty low, so I'm either lowering the dose to .5mg or nothing.

As far as the gyno goes, I have pubertal gyno that gets worse without an AI while on AAS. I stay lean enough that it doesn't look terrible, but it's something I'm conscious about and want to at least manage. When I'm back on the health insurance, I plan on getting the glands removed.

Damn 1,200 on 150mg per week. Shit mine was 713 I believe on 200 per week pharma.

 

[JMalone]

Damn 1,200 on 150mg per week. Shit mine was 713 I believe on 200 per week pharma.

Definitely a good result. When I took 600mg, it came back at 4500, so I'm a pretty good responder I guess.