We went off my blood tests from a month ago (non-Defy.) I will have another test in 3 months. So the baseline is, currently doing 50mg 2x a week for 100 mg total.
a) Defy suggested that I move to 120 mg a week (60mg 2x) to try and get my free higher and lower my SBHG. I'm a little apprehensive about this - in what it will do to my estradiol and total T (although he explained the free is the more critical # and not so much the total.) Discussed estradiol management and I brought up the ratio paradigm discussed by Nelson. Defy explained that they go by symptoms more than just the numbers.
b) Is there such a thing as "free estrogen" or "free estradiol"? Or a misunderstanding on my part.
c) Suggested that my b12 number (507 pg/mL) could be better. I do eat primarily vegetarian with fish about 3 or 4 days a week. While I take a b12 supplement, not sure how much good it is doing me. Discussed b12 injections or Lipo-C. I hate injections. Doing 2 a week for my cypionate is awkward enough.
d) Discussed HCG. Discussed saw palmetto (due to elevated DHT) as alternatives.
e) Red blood cells counts under control. PSA under control. Ferritin/iron on the low side but I had a case where I had a major brain fart and donated twice in 3 months and gave a lot of blood for a blood test in that same period, causing my ferritin dropped to 8. This was about 9 months ago. My ferritin is at 19 now but I had just donated in April. Just need to stay away from donating blood unless necessary for hematocrit management, but I have a rare blood type and I am constantly badgered to donate.
All in all - a good first consultation and I'm encouraged. Just concerned with moving to 120 mg a week but again, I've been on 100 mg for a year now.
Total | 957 ng/dL |
DHT | 117 ng/dL |
Estradiol Sensitive | 38.2 pg/mL |
SBHG | 55.6 nmol/L |
Free | 16.6 pg/ML |
a) Defy suggested that I move to 120 mg a week (60mg 2x) to try and get my free higher and lower my SBHG. I'm a little apprehensive about this - in what it will do to my estradiol and total T (although he explained the free is the more critical # and not so much the total.) Discussed estradiol management and I brought up the ratio paradigm discussed by Nelson. Defy explained that they go by symptoms more than just the numbers.
b) Is there such a thing as "free estrogen" or "free estradiol"? Or a misunderstanding on my part.
c) Suggested that my b12 number (507 pg/mL) could be better. I do eat primarily vegetarian with fish about 3 or 4 days a week. While I take a b12 supplement, not sure how much good it is doing me. Discussed b12 injections or Lipo-C. I hate injections. Doing 2 a week for my cypionate is awkward enough.
d) Discussed HCG. Discussed saw palmetto (due to elevated DHT) as alternatives.
e) Red blood cells counts under control. PSA under control. Ferritin/iron on the low side but I had a case where I had a major brain fart and donated twice in 3 months and gave a lot of blood for a blood test in that same period, causing my ferritin dropped to 8. This was about 9 months ago. My ferritin is at 19 now but I had just donated in April. Just need to stay away from donating blood unless necessary for hematocrit management, but I have a rare blood type and I am constantly badgered to donate.
All in all - a good first consultation and I'm encouraged. Just concerned with moving to 120 mg a week but again, I've been on 100 mg for a year now.
