Blood test - opinion

[babolat88]

Hello.

Age: 35 years
Diet/food, training (enduracne), supplements, sleep - everything is OK.
Low % of bodyfat (stored only in the lower abdomen)

I haven’t used anything in a few years

SIGNS: Mood swings, less energy, periods of depression (leads to overeating), low libido, sometimes poor erections, etc…

BLOOD RESULTS (hormone):

TSH: 0.35 - 4.94 (1.65 mIU/L)
PSA: < 4.0 (0.083 μg/L)
ESTRADIOL: 11 - 44 (11 ng/L)
TESTOSTERONE: 2.21 - 8.71 (2.58 μg/L)
FSH: 0.92 - 11.95 (2.85 IU/L)
LH: 0.57 - 12.07 (1.47 IU/L)
PROLACTINE: 3.46 - 19.40 (9.37 μg/L)
CORTISOL: 101.2 - 535.7 (400 nmol/L)

BLOOD RESULTS (some other parameters):

LEUKOCYTES: 4.00 - 10.00 (7.1)
RBC: 4.50 - 5.50 (4.41)
HAEMOGLOBIN: 130 - 170 (140)
HEMATOCRIT: 0.400 - 0.500 (0.413)
MCV 83.0 - 101.0 (93.7 fl)
MCH 27.0 - 32.0 (31.7 pg)
MCHC 315 - 345 (339 g/L)
MPV 7-11 (9 fl)
THROMBOCYTES 150 - 410 (304)

TRIGLYCERIDES: up to 1.69 (0.92)
HDL: above 1.00 (1.02)
LDL: 1.00 - 3.90 (2.50)
CHOLESTEROL: up to 5.2 (3.9)
IRON 11.6 - 31.3 (12)
FERITIN 22 - 275 (62)

Your opinion ? TRT ?

P.s. I'm not worried about fertility (I'm already a father

[BigRo]

I,m not a doc, but it would help you.

[babolat88]

Thanks for the reply.

Yes, my goal is to improve the quality of life (more motivation, more energy, better regeneration after endurance trainings, more libido, less stressful/depressive periods that lead to overeating, etc.)

But of course I'm talking about "medical" doses (75 - 150 mg / week)

Maybe I could try 100 - 125 mg of testosterone a week (to start) and test for a couple of weeks, and then get bloodwork done. And based on them decided what and how (feeling, regeneration, libido, energy, blood test values). Maybe not a bad idea

[babolat88]

Hello again

Blood tests after 5 weeks --> Test E. - average 140-150 mg / week - divided into 2 doses (every 4 days - 80-85 mg) - tested 4 days after last dose / just before new.....

ESTRADIOL: 11 - 44 (before: 11 ng/L) - today: 18 ng/L
TESTOSTERONE: 2.21 - 8.71 (before: 2.58 μg/L) - today: 8.22 μg/L / 822 ng/dL
PROLACTINE: 3.46 - 19.40 (before: 9.37 μg/L) - today: 13.33 μg/L

BLOOD RESULTS (some other parameters):

LEUKOCYTES: 4.00 - 10.00 (before: 7.1) - today: 5.8
RBC: 4.50 - 5.50 (before: 4.41) - today: 4.55
HAEMOGLOBIN: 130 - 170 (before: 140) - today: 148
HEMATOCRIT: 0.400 - 0.500 (before: 0.413) - today: 0.445
MCV 83.0 - 101.0 (before: 93.7) - today: 97.8
MCH 27.0 - 32.0 (before: 32) - today: 32.5
MCHC 315 - 345 (before: 339) - today: 333
RDW 11.6 - 14.0 (before: 13.7) - today: 15
TRIGLYCERIDES: up to 1.69 (before: 0.92) - today: 0.5
HDL: above 1.00 (before: 1.02) - today: 1.5
LDL: 1.00 - 3.90 (before: 2.50) - today: 2.9
CHOLESTEROL: up to 5.2 (before: 3.9) - today: 4.6
IRON 11.6 - 31.3 (before: 12) - today: 6.7
FERITIN 22 - 275 (before: 62) - today: 28


In my opinion, testosterone is in the excellent range (normal quite upper limit - 822 ng/dL. Estradiol also increased a little, which is good for a better feeling / libido.
Even if testosterone and estradiol were a little higher there would be nothing wrong (maybe I'll try 175 mg/week)

Triglycerides are much lower, which is great, good cholesterol also increased. The RBC jumped into the normal range, which is great, as well as hematocrit.

For my opinion is much better blood count, except the iron has dropped quite a bit and is below the normal range (despite the fact that I add iron in tablets).


Positive effects (after 5 weeks): higher libido and slightly better regeneration, other things about the same as before.

I will wait another 2-3 months, and then I will do the blood test again

The only thing that needs to be corrected is to increase iron and ferritin (currently I add 1 tab. / day (325 mg Ferrous Sulfate - Iron 65 mg)


What is your opinion?

[Gym Rat]

Markers looking good... I would hang there for a while before going up (if thats in your plans).
The bad markers seem (for many) to increase right along w/ the dose...

[babolat88]

Thanks for your opinion. I will follow your advice and stay at 150 mg per week for now.

Yes, understandable


The only thing I need to fix is the iron. It's pretty low

[babolat88]

p.s.
On monday I will do more blood tests (as far as iron is concerned).

I have a referral for: iron, ferritin, transferrin, folate (folic acid) and vitamin B-12.

We'll see what it shows

[dj181]

So 150 keeps you in range upper limit in fact

If you'd jump to 175 you'd be above too level

Total horseshit that guys can take 200 mgs and stay under top level

[babolat88]

You're right. I totally agree.

But it is also true that every body is different. Someone may be on the upper limit with 100mg, and someone at 200 mg. Above 200 mg, I also don't believe that you can stay within normal limits (unless you have a underdosed testosterone)

[babolat88]

Today I got blood results (iron and other test)



LEUKOCYTES: 4.00 - 10.00  - today: 5.9
Red Blood Cells (erythrocytes) 4.50 - 5.50 - today: 4.63
HAEMOGLOBIN: 130 - 170 - today: 148
HEMATOCRIT: 0.400 - 0.500 - today: 0.453
MCV 83.0 - 101.0 - today: 97.8
MCH 27.0 - 32.0 - today: 32.0
MCHC 315 - 345 - today: 327
THROMBOCYTE 150 - 410 - today: 254
MPV 7,8 - 11,0 - today: 9,4
RDW 11.6 - 14.0 - today: 15,2
IRON (10,7 - 28,6) - today: 7,7
FERRITIN (30 - 400) - today: 22
TRANSFERIN SATURATION (16,0 - 45,0) - today: 10,6
TRANSFERIN (25,2 - 45,4) - today: 36,4
VITAMIN B12 (145,0 - 569,0) - today: 353,0
FOLATE (folic acid) (8,8 - 60,8) - today: 41,9

Rbc, haemoglobin, transferin, folate, vitamin b12, everyrthing is ok, 

but IRON / FERRITIN and TRANSFERIN SATURATION is low...

I also got an iron supplement (ferrous sulfate / ferric sulfate) with gradual release - tardyferon 80 mg.

Your opinion on low iron / ferritin and transferin saturation ??

Thanks

[GymnJuice]

It might your body using up the iron to make more red blood cells.

[babolat88]

Thanks.

Then could the decreased iron/ferritin value be the result of testosterone supplementation (higher hematocrit and also hemoglobin -> EPO stimulation - higher iron consumption and subsequently reduced ferritin and hepcidin concentrations) 

+ testosterone supplem. causes lower ferritin levels because the stored iron is pulled out into the (too many) red blood cells 

[GymnJuice]

Yes, I think so.