TRT Lab Results ?

howling8 · Sep 19, 2023

I'm a 69 yr old man on daily injections who just switched to scrotal cream. I had labs done last week and here are my results that I have a few questions about

testosterone, free + total, serum. >1500
testosterone, free + total, serum 33.7
PSA, total, serum or plasma 2.8
LH , <0.3
FSH <0.3

My VA Labs were a concern to my hematologist and cardiologist. They think my testosterone is dangerously high and poses a threat of blood clots. The high results are just over the maximum range. Should I ask my TRT doc to reduce my daily dose? Should I be concerned about the low LH an FSH levels?

WBC------------------	7.3	K/uL	4.0-11.0	Details
RBC------------------	5.99 High	M/uL	4.20-5.70	Details
HEMOGLOBIN-----------	17.8 High	g/dL	13.0-17.0	Details
HEMATOCRIT----------O	53.2 High	%	40.0-51.0	Details
MCV-----------------O	88.8	fL	82-99	Details
MCH-----------------O	29.7	pg	27-34	Details
MCHC----------------O	33.5	g/dL	31-37	Details
RDW-----------------O	13.1	%	0.0-14.9	Details
PLATELET COUNT-------	88 Low	K/uL	130-400	Details
MPV-----------------O	12.0	fL	8-12	Details

Systemlord · Sep 19, 2023

howling8 said:
They think my testosterone is dangerously high and poses a threat of blood clots.

Your testosterone levels aren’t “dangerously high”, neither is your hematocrit and hemoglobin.

howling8 said:
Should I be concerned about the low LH an FSH levels?

Exogenous testosterone suppresses both for as long as you’re on TRT.

Systemlord · Sep 19, 2023

howling8 said:
Should I ask my TRT doc to reduce my daily dose?

Yes, because it’s doubtful, you need levels this high, to relieve the symptoms of low testosterone. You should aim for the minimum affective dosage to relieve all your symptoms.

howling8 · Sep 19, 2023

Systemlord said:
Your testosterone levels aren’t “dangerously high”, neither is your hematocrit and hemoglobin.

Exogenous testosterone suppresses both for as long as you’re on TRT.

Thanks.

42HRT · Sep 19, 2023

why is your platlets so low? I'd be more concerned on that

sammmy · Sep 19, 2023

What are your lymphocyte and neutrophil counts?

howling8 · Sep 19, 2023

They are concerned about the low platelets and have been for two years. I've had bone marrow tests, CT scans etc..and they have restricted anything that thins my blood.

lymphocyte and neutrophil counts are

Test Name	Result	Units	Reference Range	Test Details
LYMPH %-AUTO--------O	10.3	%		Details
LYMPH #-AUTO--------O	0.8 Low	K/uL	1.0-4.0	Details
MONO %-AUTO---------O	6.7	%		Details
MONO #-AUTO---------O	0.5	K/uL	0.2-1.0	Details
EOSIN #-AUTO--------O	0.2	K/uL	0-0.4	Details
EOSIN %-AUTO--------O	2.3	%		Details
BASO #-AUTO---------O	0.1	K/uL	0-0.2	Details
BASO %-AUTO---------O	1.1	%		Details
NEUT %-AUTO---------O	79.5	%		Details
NEUT #-AUTO---------O	5.8	K/uL	1.5-8.0	Details

sammmy · Sep 20, 2023

Neutrophils seem elevated and lymphocites are low and their ratio is severely shifted towards neutrophils - such a shift is typically a sign of bacterial infection. Has this been going on for 2 years too or is a recent finding?

Do you have any signs of recent or recurring infections: headaches, sore throats, stuffy nose, intestinal problems after meals, sudden chills (feeling cold when it is not cold around you), feeling fatigued, widespread muscle/body aches, easily getting sick from cool wind/weather i.e. something that resembles getting a cold or the flu?

sammmy · Sep 20, 2023

What Does High Neutrophils Low Lymphocytes Mean?

A blood test that shows low lymphocytes and high neutrophils is referred to as an elevated neutrophil-to-lymphocyte ratio (NLR). This indicates inflammation. This measurement is useful when diagnosing many types of conditions.

www.verywellhealth.com