Blood work questions

[crazyeyes]

So like I said I pin Monday and thursdays so I skipped my Monday dose and had labs done Thursday (before Thursday's injection)


Big mistake here!

Yes you testing Thursday before your next injection which would have been the true trough but you skipped your injection on Monday and your labs had you hitting a descent trough TT 512 ng/dL and more importantly healthy trough FT mind you it was tested using a known to be inaccurate assay.
Even then what is critical here is your results are skewed since you skipped your injection on Monday so you basically waited a full week before getting labs done which means that your trough TT and more importantly FT will have been much higher if you never skipped your injection on Monday and stuck with a consistent protocol (dose of T/injection frequency) week in and week out!

Top it off that as I stated in my opening reply that you most likely tested at or near the true trough (84 hrs) post-injection seeing as your RBCs and hematocrit are elevated which for the majority would mean your trough/steady-state FT is too high.

Throw in your elevated estradiol to boot!




She's going off because I have a high E2 and my fsh and lh is low.

Your LH/FSH are and would be next to nil as your hpta is shutdown from the exogenous T, she should know this!

If your steady-state/trough FT is high which is most likely the case seeing as you have elevated estradiol let alone hematocrit and RBC

I apologize I did not skip (was thinking of something else sorry) I tried to explain to her why the LH/FSH would be low but again I was in the wrong my question is I got told to do a few things 1 being up my dose a little twice a week? And to take zink and Calcium D glucarate and then recheck labs in a few weeks. What worries me is the high E2 as I feel like complete crap, headaches, dizzy, no labido, no energy. I'm going to pick up some iron vitamins as we speak and jump on those. Do you think this would be a good start?? And then restest after 3 or so weeks and see if the numbers have changed?? Another thing I was told is I need to go on clomid?? Would that help at all??

 

[crazyeyes]

Then you have something else going on. Maybe the cause of your low testosterone is still at play.

I figured I do, as I know taking testosterone ain't a quick fix, takes a bit to get dialed in, I'm just not sure where to start. The doctors here know nothing, first doc just wanted to up my t and call it good, so went and seen another doc and got these results.

 

[madman]

I apologize I did not skip (was thinking of something else sorry) I tried to explain to her why the LH/FSH would be low but again I was in the wrong my question is I got told to do a few things 1 being up my dose a little twice a week? And to take zink and Calcium D glucarate and then recheck labs in a few weeks. What worries me is the high E2 as I feel like complete crap, headaches, dizzy, no labido, no energy. I'm going to pick up some iron vitamins as we speak and jump on those. Do you think this would be a good start?? And then restest after 3 or so weeks and see if the numbers have changed?? Another thing I was told is I need to go on clomid?? Would that help at all??

No apology needed.

You clearly stated that you skipped your Monday injection and now your saying you made a mistake!

Not something to get confused about here as again if you purposely skipped a dose this would have a huge impact on skewing your lab results!

Again your protocol (dose of T/injection frequency) needs to be kept consistent week in and week out otherwise you would never know where your trough TT and more importantly FT truly sit on said
protocol.

Either way get your bloodwork redone using an accurate assay to test your trough FT.

$46.50 to have your TT and more importantly FT tested using the most accurate assays (LC/MS-MS-ED).

Testosterone, Free (Equilibrium Dialysis) and Total, MS - Most Affordable and Accurate Test

Get an affordable and accurate testosterone test results with our Total Testosterone, M and Free (Equilibrium Dialysis) test. Visit DiscountedLabs.com for more information.

www.discountedlabs.com

Definitely do not want to start upping your dose without knowing where your trough FT truly sits let alone last thing you want to do if your RBCs and hematocrit are already high which for the majority would be due to running a high-end/high trough FT.

Your FT was tested using the known to be inaccurate direct immunoassay and even than it has you hitting a healthy trough FT.

Your peak TT and more importantly FT wil be higher!

Upping your dose is going to drive up your peak/trough let alone estradiol, RBCs,hemoglobin and hematocrit further.

Again even if the weekly dose was increased which is a bad move right now you would still need to wait until you achieve steady-state which would be 4-6 weeks TC/TE before getting follow-up labs done otherwise your results would be skewed!




100 mg T/week split twice-weekly (50 mg every 3.5 days)

 

[crazyeyes]

No apology needed.

You clearly stated that you skipped your Monday injection and now your saying you made a mistake!

Not something to get confused about here as again if you purposely skipped a dose this would have a huge impact on skewing your lab results!

Again your protocol (dose of T/injection frequency) needs to be kept consistent week in and week out otherwise you would never know where your trough TT and more importantly FT truly sit on said
protocol.

Either way get your bloodwork redone using an accurate assay to test your trough FT.

$46.50 to have your TT and more importantly FT tested using the most accurate assays (LC/MS-MS-ED).

Testosterone, Free (Equilibrium Dialysis) and Total, MS - Most Affordable and Accurate Test

Get an affordable and accurate testosterone test results with our Total Testosterone, M and Free (Equilibrium Dialysis) test. Visit DiscountedLabs.com for more information.

www.discountedlabs.com

Definitely do not want to start upping your dose without knowing where your trough FT truly sits let alone last thing you want to do if your RBCs and hematocrit are already high which for the majority would be due to running a high-end/high trough FT.

Your FT was tested using the known to be inaccurate direct immunoassay and even than it has you hitting a healthy trough FT.

Your peak TT and more importantly FT wil be higher!

Upping your dose is going to drive up your peak/trough let alone estradiol, RBCs,hemoglobin and hematocrit further.

Again even if the weekly dose was increased which is a bad move right now you would still need to wait until you achieve steady-state which would be 4-6 weeks TC/TE before getting follow-up labs done otherwise your results would be skewed!




100 mg T/week split twice-weekly (50 mg every 3.5 days)
View attachment 50286

I work 11 hours shifts and when I read that my brain wasn't all there...... I just went to get this feeling like crap over with it's starting to wear a person out . I will order that test and go from there I suppose

 

[Systemlord]

Another thing I was told is I need to go on clomid??

This is nonsense.

As for your CBC results, I still think you're overmedicated and that is somehow related to the low MCH and high end RDW. Both RBC, hematocrit, RDW are high and MCH are low.

I don't think that's a coincidence.

I believe you're pushing your body past it's normal operating range, you're redlining.

 

[crazyeyes]

This is nonsense.

As for your CBC results, I still think you're overmedicated and that is somehow related to the low MCH and high end RDW. Both RBC, hematocrit, RDW are high and MCH are low.

I don't think that's a coincidence.

I believe you're pushing your body past it's normal operating range, you're redlining.

Can you please explain how I'm overmedicated?? Like I'm taking to much testosterone cyp?? The doctor wanted me to up my does but I haven't I came strait here as I don't see that being the fix. I pin twice a week 50mgs at a time for a total of 100mgs a week.