My new blood results

[jasonshadow]

Here are my new blood results:

what do you guys think:

Prolactin-17.7 (2.5-17.0)
Cortisol-21.4 (4.0-22.0)
Estradiol-<20 (<57)
FSH-2.1 (0.7-11.1)
LH-3.5 (0.8-7.6)
TSH-3.65 (.45-4.50)
Total Testosterone-373 (189-1111)
% of Free Testosterone-2.29 (1.1-2.8)
Test, Free-85.5 (40.0-150.

 

[greatgro]

Well I'm not a doctor...BUt although your total test is pretty low, your free Test is pretty decent. What's interesting is your cortisol is very high normal - almost out of range. I've found that DHEA really reduces stress levels. This is probably due to its anti-cortisol effects. Do you have bloodwork for DHEA? I'm currently on 50mg a day and I really feel it helps with well-being and stress reduction.

 

[jasonshadow]

Here are my previous blood results:
FSH 2.0 (0.7-11.1)
LH 2.3 (0.8-7.6)
Prolactin 10.6 (2.5-17.0)
cortisol 14.0 (4.0-22.0)
IGF 263 (114-492)
TSH w/reflux to T4 2.79 (0.45-4.50)
Total Testosterone 485 (260-1000)
Free Testosterone 2.38 (1.0-2.7)
Tesosterone, Free 115.2 (50-210)

Tesosterone dropped, cortisol increased, Prolactin increased.

My new results were taken on an empty stomach at 8am. I then returned at 4pm and took more blood.

The pm results are very interesting as well. The cortisol was 2.0 (4.0-22.0)

After getting the results. My doc. ordered an MRI and referred me to an endo for more detailed blood and urine test.

 

[cpeil2]

You might want to get a thyroid panel done. Both of your TSH values were within the normal range, and a mainstream endo would say they were fine. Many Docs who are on the cutting edge of HRT would find even your first TSH a little high, meaning that you could be subclinically hypothyroid. There's a lot of overlap between symptoms of low T and subclinical hypothyroidism.

 

[Weatherlite]

The high prolactin with a low LH are probably why they ordered an MRI for you.

 

[SWALE]

PRL is not high. Eating or having sex can elevate it to 30.

You went to different labs for your tests. That is not recommended.

 

[Weatherlite]

30!!??? Yikes! Ok, I stand corrected.

 

[SWALE]

Few doctors do this, but you shoul dnot eat or have sex for a couple of hours befoe having a PRL assay.

 

[jasonshadow]

My latest lab results. Any comments

My previous lab test:

3 months ago:
FSH 2.0 (0.7-11.1)
LH 2.3 (0.8-7.6)
Prolactin 10.6 (2.5-17.0)
cortisol 14.0 (4.0-22.0)
IGF 263 (114-492)
TSH w/reflux to T4 2.79 (0.45-4.50)
Total Testosterone 485 (260-1000)
Free Testosterone 2.38 (1.0-2.7)
Tesosterone, Free 115.2 (50-210)

1 Month ago
Prolactin-17.7 (2.5-17.0)
Cortisol-21.4 (4.0-22.0)
Estradiol-<20 (<57)
FSH-2.1 (0.7-11.1)
LH-3.5 (0.8-7.6)
TSH-3.65 (.45-4.50)
Total Testosterone-373 (189-1111)
% of Free Testosterone-2.29 (1.1-2.8)
Test, Free-85.5 (40.0-150.

1 week ago:
TSH w/reflex to free T4-3.83 (.45-4.50)
Total Tesosterone=540 (189-1111)
% Free Testosterone-1.99 (1.1-2.8)
Tesosterone, Free-107.2 (40.-150.0)
DHT-31 (25-75)
SHBG-17 (7-50)
T3 Free Non-Dialysis-3.4 (1.8-5.4)
Cortisol AM-8.9 (4.0-22.0)
IGF-319 (114-492)
DHEA-289 (125-619)
Estradiol <20 (<57)
FSH-2.6 (0.7-11.1)
LH-3.8 (0.8-7.6)

Prolactin was not recorded. My Endo said that my Nasonex (nasal spray) would cause a my testosterone levels to drop. She said that a cortisteroid being sprayed so close to the pitutary gland would alter my levels.

any thoughts on my numbers and the Endo's words.

thanks,
J

 

[buck]

Estradiol and E2 are the same thing so you do have that one.

 

[Weatherlite]

Never heard of the spray doing that. SWALE, ever heard of this? I only ask because at one point a doc put me on some and I said "WHOA!! I just started TRT...is this thing gonna mess with it?" and I was told it had no effect whatsoever on that.

 

[MrDurden]

A little clinical history would help. Age, history, type of TRT, and importantly how you felt before and now.

 

[cpeil2]

My Endo said that my Nasonex (nasal spray) would cause a my testosterone levels to drop.
J

I did a quick and dirty medline search. Got a fair amount of hits discussing the effect of intranasal steroids on the pituitary-hypothalamic-adrenal axis. The consensus appears to be that suppressive effects are minimal to none. Nothing at all about the HPTA. I hope Swale weighs in on this - its a provocative question.