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View Full Version : Blood test rports- help guys



addy
02-17-2014, 03:44 PM
few tests tht r not in the pics are :-

TEST RESULT RANGE

T3- 100.23 60-181

T4 5.10 4.50-12.60

TSH 1.33 0.35-5.50

SHBG 21.6 13.0-71.0


HI GUYS,HOPE ALL OF U R WELL! SO I GOT THESE BLOOD TESTS DONE TEN DAYS BACK, SO JUST PUTTING UP THE REPORTS FOR THE SAME , SO NEED UR ADVICE ON WAT TO DO? WELL THE REASON I GOT THESE TESTS DONE WAS THT I HAD DEVELOPED GYNO AND ALSO STARTED EXPERIENCING ERECTION ISSUES SO SOMEONE RECOMMENDED THESE TESTS TO ME ,

WELL ABOUT MY CYLCLE INFO, I DID MY LAST CYCLE IN FEB 2011, I M 27 YRS
TEST E + WINSTROL+T3 FOR 8 WEEKS. AFTER THIS CYCLE I HAVENT TOUCHED ANYTHING ,WAS TRAINING REGULARLY NOT EVEN TAKING ANY PROTEIN SUPPLEMENT OR ANYTHING!
SO IF U GUYS CAN RECOMMEND ME SOMETHING TO GET IN BALANCE WITH MY LEVELS WOULD BE GREAT!
THANKS FOR TAKING OUT THE TIME TO READ !STAY HEALTHY ALL OF YOU !

Jelisej
02-17-2014, 04:57 PM
I think your blood tests were done day after heavy training? This is why few parameters are bit high for example BUN/Creat ratio.
Your main issue is very high E2, with that number good erection would be impossible, you probably have emotional issues (too much stimulation of brain via serotonin), in reality E2 should be around 25 +/- 10 units. but even when it gets to 30 most guys dont feel well. Yoour tot. restosterone is low but thats because of high E2. You need AI, preferably aromasin to start with. You may need to perform so called "clomid restart".

This thread will tell you bit more about it:
Clomid For Men With Low Testosterone by Jeffrey Dach MD (http://www.swolesource.com/forum/mens-health-ancillary-medication/779-clomid-men-low-testosterone-jeffrey-dach-md.html)

addy
03-01-2014, 02:01 PM
I think your blood tests were done day after heavy training? This is why few parameters are bit high for example BUN/Creat ratio.
Your main issue is very high E2, with that number good erection would be impossible, you probably have emotional issues (too much stimulation of brain via serotonin), in reality E2 should be around 25 +/- 10 units. but even when it gets to 30 most guys dont feel well. Yoour tot. restosterone is low but thats because of high E2. You need AI, preferably aromasin to start with. You may need to perform so called "clomid restart".

This thread will tell you bit more about it:
Clomid For Men With Low Testosterone by Jeffrey Dach MD (http://www.swolesource.com/forum/mens-health-ancillary-medication/779-clomid-men-low-testosterone-jeffrey-dach-md.html)

hey bro thanks for taking out time and help,appreciate it !
bro these tests were not done after a days heavy training ! actually i m dealing with a bad rotator cuff injury so havent been training since 8 months!
and u r right bro its been a longgg long time tht i have had a solid erection plus have bad mood swings ,emotional issues have been there too, and probably my gyno happened because of this too! now i m paying the price ! but i m not giving up,i want to get better now !
bro my vitD is just 4.4 though i have started taking 8500 iu of it everyday since 3 weeks as these tests r 3 weeks old !but someone was telling on another board tht before starting anything i should first bring my vitD levels normal and then start the other stuff! wat do u think? also i should think of lowering my e2 only or at the same time my test levels should also come up right??
thanks again bro

Jelisej
03-01-2014, 05:38 PM
Hmm, some of the parameters were off with similar pattern to what happens after the training, but if that is not case than I would keep an eye on both kidneys and liver, for any case. I mean for example ALT is bit elevated and that in most of cases does not mean anything, sometimes it mean that there may be issues with liver, same goes for BUN-creatinine ratio, it may mean problems but most likely its because dehydration or you lost lot of muscle mass in last few months.
Anyway- point is that its probably nothing but still, being cautios is not a bad thing.
On other hand what is clear is that you are basically suffering from hypogonadism- your tt is low, your E2 is high. Unfortunately we dont know much about adrenals- there may be issues as well.
As for vitamin D, yes it is low, and if you read about "clomid restart" than you realised that Vitamin D is crucial element of it, basically it goes without saying that wheter one is going on clomid restart, or boosting testosterone, or using AI- vitamin d will be part of it.
Now, with dosages- they are different from person to person, so it is same with both AI and vitamin d- you have to gauge by your own bloodworks and symptoms. So, altough 8500 IU I consider as relatively high dose, it still is not enough for you. You need to bring it up. Now why is your vit d that low, I cannot tell, but its quite common thing. Continue taking vitamin d, regardless of anything else. Increase dosage.
So my suggestion is to go for "clomid restart". which would be: 12.5 mg of clomid 3X a week, about same or bit less aromasine- both dosages can be adjusted or frequency, then I would have a fistfull of mixed nuts every day, vitamin d, and even optionally viagra or tadalafil...
Other stuff can be taken independently like digestive enzymes or other minerals etc... if there is need for it.

All this restart should last over 3 months, and hopefully it would restore your HPTA function to normal.

weekend
03-01-2014, 06:39 PM
jelisej gives solid advice yet again.

OP, what is your bodyfat?

i would consider, if you don't want to go straight into clomid, which isn't a bad plan, at least add aromasin and bump your vitamin d up to 15,000 iu for a month and then retest.

i would expect your test levels to hit at least 600 if you got e2 into the 25+- range. then you could add the clomid and probably get 1000+

addy
03-06-2014, 03:19 PM
Hmm, some of the parameters were off with similar pattern to what happens after the training, but if that is not case than I would keep an eye on both kidneys and liver, for any case. I mean for example ALT is bit elevated and that in most of cases does not mean anything, sometimes it mean that there may be issues with liver, same goes for BUN-creatinine ratio, it may mean problems but most likely its because dehydration or you lost lot of muscle mass in last few months.
Anyway- point is that its probably nothing but still, being cautios is not a bad thing.
On other hand what is clear is that you are basically suffering from hypogonadism- your tt is low, your E2 is high. Unfortunately we dont know much about adrenals- there may be issues as well.
As for vitamin D, yes it is low, and if you read about "clomid restart" than you realised that Vitamin D is crucial element of it, basically it goes without saying that wheter one is going on clomid restart, or boosting testosterone, or using AI- vitamin d will be part of it.
Now, with dosages- they are different from person to person, so it is same with both AI and vitamin d- you have to gauge by your own bloodworks and symptoms. So, altough 8500 IU I consider as relatively high dose, it still is not enough for you. You need to bring it up. Now why is your vit d that low, I cannot tell, but its quite common thing. Continue taking vitamin d, regardless of anything else. Increase dosage.
So my suggestion is to go for "clomid restart". which would be: 12.5 mg of clomid 3X a week, about same or bit less aromasine- both dosages can be adjusted or frequency, then I would have a fistfull of mixed nuts every day, vitamin d, and even optionally viagra or tadalafil...
Other stuff can be taken independently like digestive enzymes or other minerals etc... if there is need for it.

All this restart should last over 3 months, and hopefully it would restore your HPTA function to normal.

Bro r u sure i have hypogonadism cos i know my test levels r low but they r still in the lab range ,plus if u see my LH and FSH levels they r also in the range , so doesnt this mean tht my leydig cells and sertolli cells are still working may b not as efficiently as they should but they r still doing it ?

so wat should be the first step ?? To start with a AI ?? cos SERMS wouldnt help with lowering the E2! I also have Gyno and plan to start ralox for it! so keeping all my levels in mind where to start?? BECAUSE ITS BEEN 3 YEARS SINCE I HAVE USED ANY STEROID ?

so should i first start an AI to lower my E2 and then when it is in range wouldnt it be a good idea to wait for sometime and see how my test levels change ? then may b i can start any SERM treatment for a restart i mean to increase my test levels ? and then after all these levels r good then i should start my reversal attempt of gyno with RALOX?

addy
03-06-2014, 03:29 PM
jelisej gives solid advice yet again.

OP, what is your bodyfat?

i would consider, if you don't want to go straight into clomid, which isn't a bad plan, at least add aromasin and bump your vitamin d up to 15,000 iu for a month and then retest.

i would expect your test levels to hit at least 600 if you got e2 into the 25+- range. then you could add the clomid and probably get 1000+

ahhh sounds so good abt the test levels 600 n then 1000+ would love to have those levels, m tired of feeling shitty Bro!
anyways well i m not sure abt my fat% cos i havent been training for 8 months cos of a rotator cuff injury, but back then it was around 17!

as i said to jelisej also ,dont u think it would b a good idea to to just target the high E2 and then wait for some days to see the test reactions! beacause it could be this extra E2 which is converting my test to estrogen

addy
03-06-2014, 03:41 PM
what do u guys think happening in my body at the moment ?
is high E2 the reason for my low test? is my HPTA working normal but this E2 is converting the test produced to estrogen ?

SO AI's block the further conversion of E2 from test ? or does it lower the existing E2 also? or as it stops the conversion of test to E2 it automaticaly means high test and because of high test the existing E2 goes down? also AI's block the conversion in the whole body RIght? and SERM's block the E2 at some sites like breast glands ?

also as i was saying to start with an AI first to lower the E2 ! once my E2 comes in range i think we can also get to know if my HPTA is working properly or not right? cos once E2 is in range test conversion would not happen and then v can know how much test am i producing right?
dont know brothers getting all confused ? sorry for troubling u with u so many questions ? just trying to understand stuff here
THANKS for ur help bro's , have a powerful day

Jelisej
03-06-2014, 07:24 PM
Read this thread with all links and messages:
Clomid For Men With Low Testosterone by Jeffrey Dach MD (http://www.swolesource.com/forum/mens-health-ancillary-medication/779-clomid-men-low-testosterone-jeffrey-dach-md.html)


Need advice, didn't fully recover from PCT! please help - Page 2 (http://www.swolesource.com/forum/traditional-anabolics/723-need-advice-didnt-fully-recover-pct-please-help-2.html)
Read my post which is #20 explains exact protocol.


Even here you may get some info: Clomid Nolva PCT (http://www.swolesource.com/forum/mens-health-ancillary-medication/1955-clomid-nolva-pct.html)



But, really would be great thing to see an endo as well. He would most likely go ahead with restart protocol.

addy
03-08-2014, 04:02 PM
Read this thread with all links and messages:
Clomid For Men With Low Testosterone by Jeffrey Dach MD (http://www.swolesource.com/forum/mens-health-ancillary-medication/779-clomid-men-low-testosterone-jeffrey-dach-md.html)


Need advice, didn't fully recover from PCT! please help - Page 2 (http://www.swolesource.com/forum/traditional-anabolics/723-need-advice-didnt-fully-recover-pct-please-help-2.html)
Read my post which is #20 explains exact protocol.


Even here you may get some info: Clomid Nolva PCT (http://www.swolesource.com/forum/mens-health-ancillary-medication/1955-clomid-nolva-pct.html)



But, really would be great thing to see an endo as well. He would most likely go ahead with restart protocol.


i m reading the article and have some questions bro:-

1-we know the guy had low test levels when he visited the doctor, but was his E2 also high? or did the E2 go up when he used clomid?

2- I am completely confused with this paragraph:-"Estrogen Receptors in the Hypothalamus Control the Whole Thing
in this paragraph it is written tht in males the estrogen receptors(did u mean testosterone receptors) controls the LH and FSH production and by clomid v can block this estrogen receptor in the hypothalamus right?? BUT if estrogen receptors are producing LH and FSH then y block it ???and first it says clomid will block the receptor that controls the production of LH n FSH and then it says it will stimulate the hypothalamus which in turn stimulates pituitary which stimulates LH n FSH production i m so confused with this ??

OR by, estrogen receptor controlling LH n FSH we mean tht HIGH LEVELS OF ESTROGEN controls or slows down the production of LH n FSH ?? and so when we take clomid we block the estrogen receptor which will lower the estrogen?

3:- we know when we take exogenous test, the excess test also causes the HPTA to stop releasing GNRH- wat we call shut shut down when v do a cycle ! does high estrogen also signals Hypothalamus to stop producing GNRH?? does this mean both high test and high E2 shuts us down??

addy
03-08-2014, 04:05 PM
and in my case dont u think i should first bring down my E2 in range?? wouldnt tht mean more test as there will be less coversion to estrogen cos of AI ? so tht would mean some more test levels and then accordingly after blood test i can try clomid to raise my test levels more ?? what do u think ?

Jelisej
03-08-2014, 06:50 PM
i m reading the article and have some questions bro:-

Q:1-we know the guy had low test levels when he visited the doctor, but was his E2 also high? or did the E2 go up when he used clomid?

A:Was his E2 high? Probably. Well, "body" point of view was that it was high- tough "body" gets message through receptors, so if receptors are messed up "body" gets wrong info, so sometimes guys may not have really high estrogen levels tough usually in this kind of scenario guys do have high estrogen levels.
Sometimes in later stages even estrogen levels drop along with test. levels so person has both low test. and estrogen.
Obviously there are other conditions where estrogen levels are low, but these are different scenarios.
In you particular case scenario is most likely to be similar to those guys, tough some other problem can become transparent- for example you may have some other condition or even your adrenals may be underperforming which would result in lot of aromatisation.

Q:2- I am completely confused with this paragraph:-"Estrogen Receptors in the Hypothalamus Control the Whole Thing
in this paragraph it is written tht in males the estrogen receptors(did u mean testosterone receptors) controls the LH and FSH production and by clomid v can block this estrogen receptor in the hypothalamus right?? BUT if estrogen receptors are producing LH and FSH then y block it ???and first it says clomid will block the receptor that controls the production of LH n FSH and then it says it will stimulate the hypothalamus which in turn stimulates pituitary which stimulates LH n FSH production i m so confused with this ??
OR by, estrogen receptor controlling LH n FSH we mean tht HIGH LEVELS OF ESTROGEN controls or slows down the production of LH n FSH ?? and so when we take clomid we block the estrogen receptor which will lower the estrogen?

A:"Estrogen Receptors in the Hypothalamus Control the Whole Thing"- this is so clearly and well said, that I dont understand what is confusing you.
When you block estrogen receptors (in brain), body thinks that there is no estrogen so it raises LH. Other good thing is that receptors become more sensitive, and thus more effective.
Obviously, as testosterone levels raise estrogen will as well (via aromatise) but thats why we use some AI among other stuff.
Remember- estrogen in men is made from testosterone via aromatise, so in order to raise estrogen body has to raise testosterone (via LH). Body itself is more interested in estrogen than in testosterone.

Q:3:- we know when we take exogenous test, the excess test also causes the HPTA to stop releasing GNRH- wat we call shut shut down when v do a cycle ! does high estrogen also signals Hypothalamus to stop producing GNRH?? does this mean both high test and high E2 shuts us down??


A: E2 is main trigger for hypotalamus, tough other hormones play role as well but not as much and it depends from person to person- for example even if person use only DHT it is going to slow down testosterone production or even stop it completely, but generally at much slower rate (depending on may factors)
DHEA has ability to convert to E2 as well, for some folks more than for others, and it can sometime activate some estrogen receptors... Anyway there are lot of mechanism we dont know much about.

As for lowering E2, I would say same thing as for vit D- it goes along with, clomid restart, you may start AI first but not neccessary. Now dosage of AI is tricky bit, different people need different doses. In any case, clomid should be used for sake of sensitation of receptors.

addy
03-11-2014, 03:57 PM
i m reading the article and have some questions bro:-

Q:1-we know the guy had low test levels when he visited the doctor, but was his E2 also high? or did the E2 go up when he used clomid?

A:Was his E2 high? Probably. Well, "body" point of view was that it was high- tough "body" gets message through receptors, so if receptors are messed up "body" gets wrong info, so sometimes guys may not have really high estrogen levels tough usually in this kind of scenario guys do have high estrogen levels.
Sometimes in later stages even estrogen levels drop along with test. levels so person has both low test. and estrogen.
Obviously there are other conditions where estrogen levels are low, but these are different scenarios.
In you particular case scenario is most likely to be similar to those guys, tough some other problem can become transparent- for example you may have some other condition or even your adrenals may be underperforming which would result in lot of aromatisation.

Q:2- I am completely confused with this paragraph:-"Estrogen Receptors in the Hypothalamus Control the Whole Thing
in this paragraph it is written tht in males the estrogen receptors(did u mean testosterone receptors) controls the LH and FSH production and by clomid v can block this estrogen receptor in the hypothalamus right?? BUT if estrogen receptors are producing LH and FSH then y block it ???and first it says clomid will block the receptor that controls the production of LH n FSH and then it says it will stimulate the hypothalamus which in turn stimulates pituitary which stimulates LH n FSH production i m so confused with this ??
OR by, estrogen receptor controlling LH n FSH we mean tht HIGH LEVELS OF ESTROGEN controls or slows down the production of LH n FSH ?? and so when we take clomid we block the estrogen receptor which will lower the estrogen?

A:"Estrogen Receptors in the Hypothalamus Control the Whole Thing"- this is so clearly and well said, that I dont understand what is confusing you.
When you block estrogen receptors (in brain), body thinks that there is no estrogen so it raises LH. Other good thing is that receptors become more sensitive, and thus more effective.
Obviously, as testosterone levels raise estrogen will as well (via aromatise) but thats why we use some AI among other stuff.
Remember- estrogen in men is made from testosterone via aromatise, so in order to raise estrogen body has to raise testosterone (via LH). Body itself is more interested in estrogen than in testosterone.

Q:3:- we know when we take exogenous test, the excess test also causes the HPTA to stop releasing GNRH- wat we call shut shut down when v do a cycle ! does high estrogen also signals Hypothalamus to stop producing GNRH?? does this mean both high test and high E2 shuts us down??


A: E2 is main trigger for hypotalamus, tough other hormones play role as well but not as much and it depends from person to person- for example even if person use only DHT it is going to slow down testosterone production or even stop it completely, but generally at much slower rate (depending on may factors)
DHEA has ability to convert to E2 as well, for some folks more than for others, and it can sometime activate some estrogen receptors... Anyway there are lot of mechanism we dont know much about.

As for lowering E2, I would say same thing as for vit D- it goes along with, clomid restart, you may start AI first but not neccessary. Now dosage of AI is tricky bit, different people need different doses. In any case, clomid should be used for sake of sensitation of receptors.

thanks a lot my brother for a detailed answer all the time , understanding quite a bit now ! but bro as u r saying clomid would trick my brain to produce mpre LH/FSH by blocking to my estrogen receptors in brain only right? as they do it at selected areas!

Just read abt nolvadex, clomid and arimidex, just observed a few things :- pls correct me if m wrong

NOlvadex , Clomid:- serms, they just try to block the actions of the estrogen already present in the body in other words "The drug competitively binds to estrogen receptors in various target tissues. With the tamoxifen molecule bound to this receptor, estrogen is blocked from exerting any action"

Arimidex:- it blocks the aromatisation of test to estrogen ,IWO "It acts by blocking the enzyme aromatase, subsequently blocking the production of estrogen"

SO in my case as i have high E2 which probably gave me gyno there would be no point in taking a serm like nolva or clomid at the moment because as they say damage has been done and as these drugs they block the actions of estrogen and doesnt lower it so in that case an AI which stops the aromatisation at first place, should be thing for me !
also generally then doesn't this make an AI like arimidex a better choice to use at all times i mean on cycle and post cycle too cos while on cycle when the aromatisation starts we can simply take it and stop it there and then ?? and in pct also when there is estrogen in the body it helps lowering it too while raising ur test levels also?? so wouldnt AI wud b a good choice ?

Jelisej
03-12-2014, 05:54 PM
Yes, you need an AI obviously- but you need SERM as well, they block estrogen receptors "only" but that has it own merits. It will refresh your receptors, they will be somewhat more sensitive, plus it has an effect in some other areas, they will somewhat increase testicular sensitivity to LH as well.
If you just use AI it will lower your E2 and it will increase testosterone, but as soon as you stop taking it, situation will return to current situation. You want to do "clomid restart" so hopefully after you finished your HPTA will return to normal, where you dont need medication. Anyway in some of those articles its bit better explained, re-read them again.
Other possible issue will be adrenals, but will see what happens.