Jackie's latest labs

[Jackie Treehorn]

These are my latest labs from March 31st. The good news is my total test and free test are up there...the bad news is my sensitive E2 shot way up there too. TE ratio is 16.6, but I think I might be experiencing some high E2 symptoms...hard nipples from time to time, sex drive down a little bit from my first month on TRT. Still feeling tired in the afternoon around 5pm...the old man wants to take a nap. I don't know if this is E2 related, thyroid related, or just my jacked up circadian rhythm from being an international pilot crossing lots of time zones.

I'm pretty happy with my H&H levels, and my RBC just barely exceeded the high range limit.
My DHEA-S and DHT went through the roof (for me)! Was not expecting that. My IGF-1 also increased by about 50 points...wasn't expecting that either. Total cholesterol, triglycerides, LDLs also dropped. HDL stayed above 50.

I am concerned by the limited thyroid tests I had done. My TSH level doesn't make me happy. I think I'm having a full thyroid panel done next week.

Pre-TRT levels (same labcorp ranges) were:

Total Test 526.7
Free Test 12.9
DHEA-S 109.1
DHT 34
SHBG 29.6
RBC 5.24
Hemoglobin 15.1
Hematocrit 43.5%
Vitamin D 29.9
TSH 2.7
Free T3 3.5
Free T4 1.12
IGF-1 143
PSA 1.1
Sensitive E2 19.4
Total Cholesterol 220
Triglycerides 109
LDL 140

At any rate, my current protocol is:
Test Cyp 70mg every 3.5 days
HCG 300IUs EOD
Sermorelin 1000mcg QD
DHEA/Pregnenalone 30mg/50mg compounded capsule 1 per day
Lipo-C 1mL EOD
Tri-Amino 1mL EOD
Cialis 5mg QD

I have a follow up appointment scheduled with Dr. Crisler in about 2 weeks (sorry Dr. Saya, you were booked up until May!). I am open to any comments/suggestions, etc. I would definitely pin the Test EOD, if I could avoid an AI.

Current labs:

 

[Vince]

Your E2 does look high. You may want to supplement with fish oil ( or aspirin ) to lower your platelets and because of other heart benefits. Do you use creatine, your creatinine is somewhat high. Nice increase in your IGF-1.

 

[ERO]

Looking good! Since you are doing 140 mg per week of test, you could switch to 20 mg daily - if you are willing to do daily injections - and that may lower your E2. Otherwise just a very tiny dose of AI should do it. Something like 0.15 mg twice a week.

 

[Jackie Treehorn]

Your E2 does look high. You may want to supplement with fish oil ( or aspirin ) to lower your platelets and because of other heart benefits. Do you use creatine, your creatinine is somewhat high. Nice increase in your IGF-1.

I take 2 of those "horse pill" fish oil capsules per day. I don't use creatine, but I have been lifting weights a lot lately...don't know if that can affect that number.

I was pretty shocked at the IGF-1 too. I guess the Sermorelin is having an effect.

 

[Jackie Treehorn]

Looking good! Since you are doing 140 mg per week of test, you could switch to 20 mg daily - if you are willing to do daily injections - and that may lower your E2. Otherwise just a very tiny dose of AI should do it. Something like 0.15 mg twice a week.

I was thinking the same thing. I'm not crazy about going to daily Test injections, but you're right...that would be optimal. I may end up going back to daily HCG as well. I'll discuss that, and the AI with Dr. Crisler the week after next.

I'm not excited about the possibility of having to take anastrozole, but I'd like to see how I feel with my E2 down in the 30's somewhere.

 

[CoastWatcher]

I was thinking the same thing. I'm not crazy about going to daily Test injections, but you're right...that would be optimal. I may end up going back to daily HCG as well. I'll discuss that, and the AI with Dr. Crisler the week after next.

I'm not excited about the possibility of having to take anastrozole, but I'd like to see how I feel with my E2 down in the 30's somewhere.

You're likely to feel a heck of a lot better - whether you reach that goal via manipulating your protocol or by introducing an AI. I fully understand your hope to avoid anastrozole. It's what sent me to daily injections. They aren't for everyone, but once I made the commitment it wasn't long before they became a programmed part of the morning routine. Plenty of fellows have success with an AI, and I'm sure Dr. Crisler will help you sort it out.