New labs from Quest.

[pmgamer18]

Hi Dr. started me on Florinef today my labs are a mess or my switching labs is giving a different picture.
Here are the labs.
DHT 43 range 25 to 75 ng/dl this is good.

DHEA I am not sure this was the right test should be DHEA-S result was low 63 range 180 to 1250 ng/dl.

Total Testosterone is way down 530 range 250 to 1100 ng/ml last test was 636 we like to keep it over 800.

Free Testosterone is 108.3 range is 46 to 224 ng/ml

Testosterone BIOavailable 199.2 range is 110 to 575 ng/dl.

SHBG is 21 low range 23 to 38 nmol/L this is good.

Albumin. Serum 4.0 range is 3.6 to 5.1 g/dl

Insulin 24 high this is odd range is <17 uLU/mL.

T-4 Free 1.0 range 0.8 to 1.8 ng/dl up from .88 ng/dl but this range is .71 to 2.23 ng/dl different lab.

T-3 Free 351 range 230 to 420 last test was 3.17 pg/ml

Estradiol 7 low range 13 to 54 pg/mL. we changed the dose of Arimidex.

My Dr. upped my Depo Testosterone shots from 50mgs to 75mgs every 3 days. To bring my levels up.

He left my HCG at 350 IU's the 2 days each in between my Testosterone shots.

He told me to take the Florinef 100 mcgs. to start at .25mcgs or 1/4 of a pill and up the dose 1/4 of a pill every 10 days.

I am on Cortef 10 mgs. at 5am and 2 Isocort at 10am then 5 mgs. of Cortef at 2pm and 6 pm. When is the best time to take the Florinef. He said to cut the pill in half and take it 2 x's a day. Is it save to go up on the dose every 7 days.

Do I need to try doing more Armour I am at 3 grains the last time I upped it my Temps went up and I felt hyper. I upped it 15mgs and stayed at that for 2 weeks then dropped back to 3 grains. Or do I need to add in T4 25 mcgs to bring up T4.

[hardasnails1973]

Originally Posted by pmgamer18

Hi Dr. started me on Florinef today my labs are a mess or my switching labs is giving a different picture.
Here are the labs.
DHT 43 range 25 to 75 ng/dl this is good.

DHEA I am not sure this was the right test should be DHEA-S result was low 63 range 180 to 1250 ng/dl.

Total Testosterone is way down 530 range 250 to 1100 ng/ml last test was 636 we like to keep it over 800.

Free Testosterone is 108.3 range is 46 to 224 ng/ml

Testosterone BIOavailable 199.2 range is 110 to 575 ng/dl.

SHBG is 21 low range 23 to 38 nmol/L this is good.

Albumin. Serum 4.0 range is 3.6 to 5.1 g/dl

Insulin 24 high this is odd range is <17 uLU/mL.

T-4 Free 1.0 range 0.8 to 1.8 ng/dl up from .88 ng/dl but this range is .71 to 2.23 ng/dl different lab.

T-3 Free 351 range 230 to 420 last test was 3.17 pg/ml

Estradiol 7 low range 13 to 54 pg/mL. we changed the dose of Arimidex.

My Dr. upped my Depo Testosterone shots from 50mgs to 75mgs every 3 days. To bring my levels up.

He left my HCG at 350 IU's the 2 days each in between my Testosterone shots.

He told me to take the Florinef 100 mcgs. to start at .25mcgs or 1/4 of a pill and up the dose 1/4 of a pill every 10 days.

I am on Cortef 10 mgs. at 5am and 2 Isocort at 10am then 5 mgs. of Cortef at 2pm and 6 pm. When is the best time to take the Florinef. He said to cut the pill in half and take it 2 x's a day. Is it save to go up on the dose every 7 days.

Do I need to try doing more Armour I am at 3 grains the last time I upped it my Temps went up and I felt hyper. I upped it 15mgs and stayed at that for 2 weeks then dropped back to 3 grains. Or do I need to add in T4 25 mcgs to bring up T4.

What is causing such a large drop in testosterone? once you are stable it should stay. Is it the SQ injections causing it to go lower?

[JustOne]

Thats weird, maybe you should try getting it tested again at your old labs?
I think diffrent labs might give you diffrent results.

[hardasnails1973]

Originally Posted by hardasnails1973

What is causing such a large drop in testosterone? once you are stable it should stay. Is it the SQ injections causing it to go lower?

Phil you know that low iodine levels causes adrenal/thyroid dysfunction at ptuitary levels in rats?

Examine your past dietary habits,
were you born in michigen (thats capitol of the goiter belt of the USA) could have this been a residual effect of years of lack of proper iodine levels?

and if you are iodine defiency your 16 alpha-hydroxyestrone to good ratio would be altered for several years causing not estrodial to build up but rather 16 alpha-hydroxyestrone which binds to the same receptors.

Next steps
urinary iodine loading test
urine estrogen metabolism test

I think you will probably find you answer in there
also reason why dim makes people get no woodies is because of build up in liver of estrogen metabolism and not enough methyl groups to detoxify it. If this happens on dim it will happen on iodine as well so take TMG 1000 mgs BID

[pmgamer18]

The levels are low becasue 3 labs ago I tested over the top of my labs range. We kept things the same and did the test again in 6 weeks my tests were to high. So we lowed my HCG from 350 IU's to 250 next test my levels are to low so we upped the HCG to 300 IU's and I am still to low.

I do not do my shot subQ I shoot into my thigh with a small 27g x 1/2" lg. needle. I was doing 65 mgs of T every 3 days we lowered the dose to 50mgs every 3 days and the HCG that I do the 2 days each in between my T shots down from 350 to 250. Now I am a mess trying to get back up.

I say this all the time don't lower your dose if you feel ok and I was on top of the world before we lowered my dose some 6 months ago.

Next test we are checking Iodine yet he feels it's not a problem. So we will see the salt we use at home has Iodine in it.

[hardasnails1973]

Originally Posted by pmgamer18

The levels are low becasue 3 labs ago I tested over the top of my labs range. We kept things the same and did the test again in 6 weeks my tests were to high. So we lowed my HCG from 350 IU's to 250 next test my levels are to low so we upped the HCG to 300 IU's and I am still to low.

I do not do my shot subQ I shoot into my thigh with a small 27g x 1/2" lg. needle. I was doing 65 mgs of T every 3 days we lowered the dose to 50mgs every 3 days and the HCG that I do the 2 days each in between my T shots down from 350 to 250. Now I am a mess trying to get back up. is half inch needle deep enough to be considered IM ?

I say this all the time don't lower your dose if you feel ok and I was on top of the world before we lowered my dose some 6 months ago.

Next test we are checking Iodine yet he feels it's not a problem. So we will see the salt we use at home has Iodine in it.

Would a half inch needle be considered sq or IM ? that is the question and lower your testosterone to 50 mgs obviously was enough to put you in the hole so to speak. So you are back at 64 mgs a day. Sounds like you are androgen resistanc which is a known medical problem, although rare. i rather be high then low on test.. and you are testing at the trough but technically with every 3 day at minustration there really is not that diffrence in peak or trough so its pretty much stable them which is nice it gives you a more steady reading. How long does it take for you to feel better on higher test dosage?

I;m doing 60 mgs every m,th another day is not going to make that big of a difference is it? over time it will level it self out or do you think the one day longer can cause levels to go way to low. Next test i get will me on monday and that will give me a trough at 4 th day to see how low I really am going..

Howe often you get labs done ?

If my tests come back not optimal then increasing the hcg may be in order provided e2 is in check or woudl you increase the the test? .
IF it aint broke don't fix it !!

[pmgamer18]

I hear ya I have been shooting every 3 days into my thigh using a 27g x 1/2" lg. needle for over a 2 yrs now my levels are checke every 6 weeks. I now remember that about the time I went on cortef my levels went up.

[hardasnails1973]

Originally Posted by pmgamer18

I hear ya I have been shooting every 3 days into my thigh using a 27g x 1/2" lg. needle for over a 2 yrs now my levels are checke every 6 weeks. I now remember that about the time I went on cortef my levels went up.

Your still on cortef and using isocort due to possible it hits other parts of the adrenals other then cortisol. would you need to possible up the cortef to 30 mgs since you might be come resistant like people do on testosterone?

[JanSz]

Originally Posted by pmgamer18

Hi Dr. started me on Florinef today my labs are a mess or my switching labs is giving a different picture.
Here are the labs.
DHT 43 range 25 to 75 ng/dl this is good.

DHEA I am not sure this was the right test should be DHEA-S result was low 63 range 180 to 1250 ng/dl.

Total Testosterone is way down 530 range 250 to 1100 ng/ml last test was 636 we like to keep it over 800.

Free Testosterone is 108.3 range is 46 to 224 ng/ml

Testosterone BIOavailable 199.2 range is 110 to 575 ng/dl.

SHBG is 21 low range 23 to 38 nmol/L this is good.

Albumin. Serum 4.0 range is 3.6 to 5.1 g/dl

Insulin 24 high this is odd range is <17 uLU/mL.

T-4 Free 1.0 range 0.8 to 1.8 ng/dl up from .88 ng/dl but this range is .71 to 2.23 ng/dl different lab.

T-3 Free 351 range 230 to 420 last test was 3.17 pg/ml

Estradiol 7 low range 13 to 54 pg/mL. we changed the dose of Arimidex.

My Dr. upped my Depo Testosterone shots from 50mgs to 75mgs every 3 days. To bring my levels up.

He left my HCG at 350 IU's the 2 days each in between my Testosterone shots.

He told me to take the Florinef 100 mcgs. to start at .25mcgs or 1/4 of a pill and up the dose 1/4 of a pill every 10 days.

I am on Cortef 10 mgs. at 5am and 2 Isocort at 10am then 5 mgs. of Cortef at 2pm and 6 pm. When is the best time to take the Florinef. He said to cut the pill in half and take it 2 x's a day. Is it save to go up on the dose every 7 days.

Do I need to try doing more Armour I am at 3 grains the last time I upped it my Temps went up and I felt hyper. I upped it 15mgs and stayed at that for 2 weeks then dropped back to 3 grains. Or do I need to add in T4 25 mcgs to bring up T4.

Well, you are increasing your testosterone, that is the way to go.
The other observation, your testis are not producing as much T as you would like to, so you are primary or mostly primary.
------------------
I have a similar situation, do not sure of all the reasons.
February I switched to Tcream. I uses 1gram/day of 100mg/1mg cream.
That is the same amount of T as in 10grams of Androgel.
On Androgel I had TT-932 on Tcream TT=456
I increased to 2grams/day of Tcream now.
Same with my testis, I use hcg, if they were working I would have much higher T,
that tells my that my good looking testis are for decoration only.
-------------------
My doc just came back from Orlando FL
When I get the rest of my blood test I will see him,
hopefully hi is much smarter now, he attended Dr Shippen's workshop.

[Vforcer2]

Originally Posted by pmgamer18

I hear ya I have been shooting every 3 days into my thigh using a 27g x 1/2" lg. needle for over a 2 yrs now my levels are checke every 6 weeks. I now remember that about the time I went on cortef my levels went up.

This half inch needle straight into the thigh never made sense to me. Is it IM or Subq? I think half the time it is straight into the blood stream and metabolized immediately. This could be why the levels were low.

I started doing it in the thigh and after thinking about the ambiguity of that method switched to abdominal fat where I know for a fact it is a Subq shot.