Blood work, can someone take a look at it please

[Jelisej]

Ok, continue taking seroquel for time being. Regarding nolvadex/tamoxifene- as far as I know it does not really lower E2 it only blocks its some of its receptors, tough it can act estrogenic in some other- and on top of that, I'm not quite sure if E2 test is accurate while using nolvadex or other SERMS, but if it works for you than I guess its ok to continue using it.

As with DHEA, optionally at some point along pregnenolone you may take some DHEA, but at later stage, as you need to do one step at the time, to see whats working and whats not working or make it worse- there is possibility that it can make you anxious, irritable etc...

[dova]

For now, let's wait for the results of the bloodwork.

But what about my feelings : I feel that nolva is working for me. Less oily skiny and less fatty hair. But my libido is rising over the top. Horny as hell. It seems that we have a good combination of meds so far. Maybe we have to lower the dose of hcg. I think that my nuts are responding very well to the hcg, probably the problem is the pituitary that is not working good. (Rahte cleft cyst?). But for now, i leave everything like it is and wait for the results of my bloodwork.

[Jelisej]

OK, keep this combination, and we'll see after the bloodworks- tough I'm not sure how much nolva can influence bloodworks- some say that E2 tests are incorrect while on SERMS.

[dova]

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So,

First results of my bloodwork are coming in. And it doesn't look that good i think.
RBC : 5260000 (4500000 - 6000000)
WBC : 6700 (4000 - 9000)
Lymfo : 23,3% - (24 - 40) inflamation in elbow?)
Iron : 51 - (59 - 158)
Ferritine : 17 - (30 - 400)
Sugar (glucose) : 97 (60 - 100)
Ureum (BUN): 53 + (10 - 50)
Total Cholesterol : 241 + (140 - 190)
HDL : 61 (>40)
No HDL : 180 + (<130)
LDL : 170 + (<115)
Free T4 : 17,1 (12 - 22)
TSH : 1,72 (0,27 - 4,20)
PSA : 0,82 (<2,50)
Prolactine : 11,05 (4,04 - 15,20)
E2 : 46,5 + (7,6 - 42,6)

My protocol for the moment : 37,5mg sustanon eod, 250iu hcg eod, 10mg nolvadex ed, 2x50mg pregnenolone ed.

What scares me most is my cholesterol. I never have had cholesterol in my life. Also, nothing is changed in my diet.
I see that my T4 is up from 13,3 to 17,1, but my TSH lowerd from 1,89 to 1,72
My E2 is way too high, maybe the dose nolva is too low?

Now my feelings : My head is feeling well with the pregnenolone. but now, libido is something strange. With adex i crash completely. I stopped the adex and the libido went up. I added nolva and my libido shot trough the roof for 2 weeks. Now i still take the nolva and the libido is going down. It's good, but not what it was the last 2 weeks. E2 is getting too high??

In a week i will have all the results.

[Jelisej]

Your libido is most likely down because of nolvadex/tamoxifen. E2 is obvioulsy high because you're not taking AI but also its questionable wheter results are correct because SERM usage.

Your ferritin (and iron) was low before, now because of high demand its maybe bit lower- one of reasons is your diet (which is caused by another reasons) if you remeber I did warn you about this and diet and if you cant make any improvements you will need to add supplements- the multivitamins from Lidl are not so bad, they have right amount of iron in it, and iodine and selenium as well which is good.

Your urea (ureum) is bit high- this could be because you were dehydrated? It could be bleeding from the gastrointestinal tract- which would explain low iron/ferritin as well.
Otherwise it could mean some problems with kidneys.

Your percentage of lymphocite is low- but in most labs reference ranges are lower, usually starts at 20 %, anyway- this could be a side effect of HRT, same as RBC and platelets usually go much higher (even your RBC went up from previous result)

Your cholesterol may be high because of high demand for adrenal hormones, and problem is that cholesterol-pregnenolone process is much slower than for example cortisol being used which causes bit elevated choleterol, also arimidex usage may caused bit of elevation. We need to see rest of results, to confirm this, in any case no need to panic (at least not now)- only try to avoid high GI carbohydrates as high cholesterol and insulin is not good combination.

You did not do progesterone test you need to do this so we can compare and get definitive clues and answers- especially to gauge preg and HCG dosage increase/decrease.
Also your free T3 is missing and fT3 is thyorid hormone responsible for most of the work. Very good news about fT4 and TSH- your body is responding well, so far which will make life easier.

Also, in my opinion "feel factor" is very important, some of the "numbers" that are off are not directly connected to your test. levels and are caused by underlying issues than need to be addressed separately.

[dova]

Thanx,

I'm looking for aromsin in tablets. Doc won't prescribe it to me. He just prescribed adex, so i have to do with it. But he won't understand that i can't handle the adex. I contacted a source, but they did not respond back to me. I hope i will have some aromasin in a week or 2.

You mentioned the 'eggs and chicken'. But can you explain why?

T3 test is not possible if T4 and TSH are in range. Something to do with insurance.

So, i will post my full diet.
Meal 1: (shake)
30gr (1,05oz) oats
60gr (2,11oz) hydrolyzed whey
40gr (1,41oz) peanut butter
25gr (0,88oz) dark chocolate (86%)
200ml (6,76 fl oz) milk without lactose

Meal 2 :
1 slice whole grain bread
50gr (1,76oz) chicken, slices
100gr (3,53oz) low fat cheese (17%)
1 can V8

Meal 3 :
3 eggs
100gr (3,53oz) salmon
little bit low fat vinaigrette

Meal 4 :
250gr (8,82oz) soft curd cheese (creamy)
little bit of flax seed oil
30gr (1,05oz) hydrolyzed whey

Meal 5 :
50gr (1,76oz) whole weat pasta or brown rice
200gr (7,05oz) red meat or chicken or fish
little bit low fat vinaigrette

OR meal 5 is : 3 eggs and 100gr (3,53oz) cheese (40%)

Meal 6 : (shake)
30gr (1,05oz) oats
60gr (2,11oz) hydrolyzed whey
40gr (1,41oz) peanut butter
25gr (0,88oz) dark chocolate (86%)
200ml (6,76 fl oz) milk without lactose

What i drink during the day :
- 1L (33,81 fl oz) water with 15gr BCAA
- 1 or 2L (33,81 or 67,62 fl oz) water extra
- 1 coffee (no caffeine) with 250ml (8,45 fl oz) milk without lactose

The supplements that i take :
- Opti-men : 2 x day
- Vit C : 3gr/day (3 x 1gr)
- Omega 3 : 2 x day 2 capsules
- Gaba : 3 capsules before bed
- Melatonin : 3gr before bed
- Super enzymes : 15' before each meal
- Dairy digest complete : 1 before the soft curd cheese
- And since today i take VISTA-Ferrum. Wich contains : Iron 28mg (200%), Folate 400mcg (200%), Vit C 180mg (225%) and Vit B12 3mcg (300%) : 1 x day

And the other medications :
- Omeprazol : 1 x 40mg before bed
- seroquel : 50mg before bed

[Jelisej]

I'm not specialist in nutrition and it would be best if someone else comes in, as we have some guys that are top notch in that area.

As for supplements- optimen is a good, but it does not have iron- on other hand that another supplement has too much iron in itself which is not good- body needs iron to function properly but in small amounts- but other than that it is toxic for body and that is why body changes iron into ferritin for later usage- to avoid toxicity, and sometimes when person supplements with iron body senses lot of iron and starts dumping iron to avoid toxicity and person ends up with even less iron. So basically find another supplement with less iron in it, also it will take at least 2-3 months to see improvements.
Also personally I'm not fun of omega oil supplements as in reality all different "omegas" need to be in proportion, and I dont quite remeber the complete story behind but lot of specialist dont recommend using omega oils, you should get enough omega from meals (oysters, etc... even lamb meat has omega oils in it).

Also it seems to me that you have too much protein in diet (lot of folks here will disagree on this). Too many eggs as well (IMO). Also personally I would drop cheese and oats altogether- I think your digestion system cannot handle oats and therefore its likely that it is causing intestinal blockages, also (in theory) phytic acid from oats sometimes can bind minerals and cause depletion. And drop peanut butter. Honestly, IMO with your current diet- heart attack is imminent.

2gr of vitamin c is enough, unless you have serious deficiency or you can raise levels with less dose- vitamin c is an antioxidant but at higher levels it can be other way round- I think it can happen at 3 gr.

[dova]

Thanks,

I cut the iron in 2 and see how the next bloodwork is.
I know, many proteins and fats. The oat-story is something that i will search for. I also lower the fats and proteins and implement more brown rice, sweet potatoes and brown bread.
The vit C is lowerd to 2gr

[dova]

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Finally,
Here's the rest of my bloodwork.
Cortisol : 11,2 (5 - 23)
Prolactine : 11,05 (4,04 - 15,20)
E2 : 46,5 (7,6 - 42,6)
Test : 1251 (200 - 700)
Free test : 39 (4 - 15)
DHT : 151 (25 - 99)
SHBG : 0,6 (0,5 - 1,5)
DHEA : 229 (120 - 380)
It seems that the protocol is working fine. It all works very synergistic. But i think i have to lower the dose of sustanon and hcg.

But what happend since i started trt :
I started trt for low libido, tiredness, anxiety, nervousness,... (Generalised anxiety disorder).

First : 125mg sustanon/week, it works a little. I can drop 3 meds for anxiety, but libido only raise a bit.

Second : 1 shot sustanon of 250mg : After a couple days, libido shot trough the roof. Bloodwork :
Free T4 : 18,5 (12 - 22)
TSH : 1,37 (0,27 - 4,20)
PSA : 0,64 (<2,50)
Cortisol : 8,5 (5 - 23)
E2 : 30,6 (7,6 - 42,6)
Test : 1572 (200 - 700)
Free test : 51,1 (4 - 15)
DHT : 197,5 (25 - 99)
SHBG : 0,6 (0,5 - 1,5)
DHEA : 161 (120 - 380)

Third : Lowerd the dose sustanon to 175mg/week. Libido was not what it should be. Bloodwork :
Free T4 : 13,3 (12 - 22)
TSH : 1,89 (0,27 - 4,20)
PSA : 0,76 (<2,50)
Cortisol : 10,3 (5 - 23)
Prolactine : 7,18 (4,04 - 15,20)
E2 : 36,4 (7,6 - 42,6)
Test : 813 (200 - 700)
Free test : 26,7 (4 - 15)
DHT : 109 (25 - 99)
SHBG : 0,4 (0,5 - 1,5)
DHEA : 145 (120 - 380)

Fourth : 37,5mg susta EOD + 250iu hcg EOD + pregnenolone 2 x 50mg/day + adex 0,25mg/day. The adex is something i can't handle and my libido crashes. I tried 0,125mg and i still fall trough it. So, i dropped the adex and added nolvadex 10mg/day. Finally my libido went up and trough the roof. But after a week or 2 libido goes down. Libido is still good, very good. If i can hold that libido, but lower my test levels, it would be perfect. And anxiety an nervousness is under control for the moment. Bloodwork :
Free T4 : 17,1 (12 - 22)
TSH : 1,72 (0,27 - 4,20)
PSA : 0,82 (<2,50)
Cortisol : 11,2 (5 - 23)
Prolactine : 11,05 (4,04 - 15,20)
E2 : 46,5 (7,6 - 42,6)
Test : 1251 (200 - 700)
Free test : 39 (4 - 15)
DHT : 151 (25 - 99)
SHBG : 0,6 (0,5 - 1,5)
DHEA : 229 (120 - 380)

What i have learned (i think). I can have high levels of LH, but low levels of test. If we add hcg my test levels go up. So it seems that my testicles work also. Maybe there is something wrong with the connection pituitary-testicles? (rathe-cleft cyst?).
What you think of this : 35mg susta EOD (~125mg/week) + 250iu hcg (mo + thu) + pregnenolone 2 x 50mg/day. And i think we need to find the sweet spot of E2 to get a good libido. Aromasin is ordered and i hope i have it next week.

[Jelisej]

I agree with what are you saying, and it makes sense to lower dose- personally I always reccomend mon-wed-fri protocol which comes to 3 X a week- so try 3X30 mg of test and 3X 250 of HCG. Your SHBG is on lower side- thats why you get so much aromatisation and lot of free test- basically people with lower SHBG needs less of tot testosterone levels and vice versa, it seems that for you 800 ng/dl of tot. test will be good enough. Target for E2 is around 25, your thyroid seems to be working fine which is good, only worry is your adrenals- your cortisol is always on lower end, tough it seems that pregnenolone is working so far, I was afraid that you may "crash" but altough levels are low youre still coping- Im thinking that maybe to increase pregnenolone to 2X 100, you may even add 50 mg of DHEA to see wheter that will make any difference (lot of people say that raising DHEA levels did not bring any real improvements).
Overall, it seems that things are improving- which is a good thing and it does take time to "fine tune" things.