Men's Health Forum: This is a discussion on New labs, need some comments. within the Anabolic Steroids forums, part of the extensive steroid information at MESO-Rx; Seeing Dr. Mariano this coming week, have some new labs to post. Also need some comments (the more the better) ...
Seeing Dr. Mariano this coming week, have some new labs to post. Also need some comments (the more the better) about my symptoms and things you would ask Dr. M.
Testosterone, Serum 275 (241-827)
Free Testosterone 10.0 (7.2-24.0)
Progesterone 0.5 (0.3-1.2)
Pregnenolone, MS 10 (20-50)
DHEA-S 117 (70-310)
Estradiol 13 (0-53)
TSH 2.92
T4 Total 6.4 (4.5-12.0)
FT4 1.19 (0.61-1.76)
T3 Total 171 (85-205)
FT3 3.5 (2.3-4.2)
Vitamin D-25 hydrox-D 57.1ng/ml
PSA 1.3 (0.0-4.0)
Cortisol 11.3 (4.3-22.4)
Insulin Fasting 6.3 (0.0-29.1)
B-12 1794 (211-911)
Folate over 24 (deficient if under 3.4)
LDL 81
HDL 71
Triglycerides 76
Total Cholesterol 167
Symptoms.
1. Total lack of energy or ambition, barely working or doing household stuff beyond the bare minimum.
2. Total lack of sex drive, no erections. Morning wood? Not for ages.
3. Feel very lightheaded and spacey 100% of the time, even in my sleep.
4. Body soreness, if I go for a walk in an attempt to exercise the next day I feel like I have been mugged and beaten by a baseball bat.
5. Slow to wake up.
6. Fall asleep after dinner.
7. If I take DHEA or increase my Armour dose beyond 1.5 grains I feel even more lightheaded and headaches increase.
Testosterone, Serum 275 (241-827) - LOW.
Free Testosterone 10.0 (7.2-24.0) - Not bad given how low your TT is. Optimal is 20.
Progesterone 0.5 (0.3-1.2)
Pregnenolone, MS 10 (20-50) LOW. You need supplementation. I assume you are on oral preg, as everyone of Dr. M's patients is, from those who have posted their protocol. May need trandsermal.
DHEA-S 117 (70-310) LOW. Same as for preg.
Estradiol 13 (0-53) LOW. Will climb once you begin TRT, which I assume Dr. M will place you on. But low E2 can cause side effects as well.
TSH 2.92 HI. Your protocol is not managing your thyroid situation. Have you been to an endo?
T4 Total 6.4 (4.5-12.0)
FT4 1.19 (0.61-1.76) A little low. 1.5 is optimal. I'm surprised given youre on a high dose of Levo.
T3 Total 171 (85-205)
FT3 3.5 (2.3-4.2) This is pretty good. I am surprised your TSH is as high as it is. Have you had antibodies checked? RT3?
Vitamin D-25 hydrox-D 57.1ng/ml
PSA 1.3 (0.0-4.0)
Cortisol 11.3 (4.3-22.4) LOW. Looks like adrenal fatigue. Should be 19+ if taken before 9 a.m. Have you done salivary?
Insulin Fasting 6.3 (0.0-29.1)
B-12 1794 (211-911)
Folate over 24 (deficient if under 3.4)
LDL 81
HDL 71
Triglycerides 76
Total Cholesterol 167 On the low side according to Crisler and Dr. M, FWIW. They like 200+.
OWP, it looks like you need some work, brother.. If I were you, I would see a thyroid specialist about the thyroid. Just to get a second opinion.
Hang in there, and I wish you luck at your appointment.
Symptoms.
1. Total lack of energy or ambition, barely working or doing household stuff beyond the bare minimum. Adrenal fatigue and hypogonadism are the likely explanation.
2. Total lack of sex drive, no erections. Morning wood? Not for ages. Hypogonadism.
3. Feel very lightheaded and spacey 100% of the time, even in my sleep. Same.
4. Body soreness, if I go for a walk in an attempt to exercise the next day I feel like I have been mugged and beaten by a baseball bat. Same.
5. Slow to wake up. Same.
6. Fall asleep after dinner. Same.
7. If I take DHEA or increase my Armour dose beyond 1.5 grains I feel even more lightheaded and headaches increase. Adrenal fatigue. I know you are on Cortef, but apparently it's not getting it done. I dont know that you need any more Armour, given your free T3. T4 appears more problematic -- but not bad. A small dose of Levo may get the T4 up and TSH down. I dont understand how your TSH is that high on a decent dose of Armour. I really would encourage you to see an endo spealizing in thyroid issues. Also, I dont know how DHEA would cause headaches. If anything, it should help prevent them, as you are better support adrenally, with a precursor to cortisol.
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i did a 24 hr cortisal , whats are good numbers to you guys , during the day , doc says normal but if its right above low they say normal , ill have full lab report tommorow , thanks
Testosterone, Serum 275 (241-827) - LOW.
Free Testosterone 10.0 (7.2-24.0) - Not bad given how low your TT is. Optimal is 20.
Progesterone 0.5 (0.3-1.2)
Pregnenolone, MS 10 (20-50) LOW. You need supplementation. I assume you are on oral preg, as everyone of Dr. M's patients is, from those who have posted their protocol. May need trandsermal.
DHEA-S 117 (70-310) LOW. Same as for preg.
Estradiol 13 (0-53) LOW. Will climb once you begin TRT, which I assume Dr. M will place you on. But low E2 can cause side effects as well.
TSH 2.92 HI. Your protocol is not managing your thyroid situation. Have you been to an endo?
T4 Total 6.4 (4.5-12.0)
FT4 1.19 (0.61-1.76) A little low. 1.5 is optimal. I'm surprised given youre on a high dose of Levo.
T3 Total 171 (85-205)
FT3 3.5 (2.3-4.2) This is pretty good. I am surprised your TSH is as high as it is. Have you had antibodies checked? RT3?
Vitamin D-25 hydrox-D 57.1ng/ml
PSA 1.3 (0.0-4.0)
Cortisol 11.3 (4.3-22.4) LOW. Looks like adrenal fatigue. Should be 19+ if taken before 9 a.m. Have you done salivary?
Insulin Fasting 6.3 (0.0-29.1)
B-12 1794 (211-911)
Folate over 24 (deficient if under 3.4)
LDL 81
HDL 71
Triglycerides 76
Total Cholesterol 167 On the low side according to Crisler and Dr. M, FWIW. They like 200+.
OWP, it looks like you need some work, brother.. If I were you, I would see a thyroid specialist about the thyroid. Just to get a second opinion.
Hang in there, and I wish you luck at your appointment.
J
Good comments J, thank you...My total cholesterol was 130 and Dr. M commented this was low, so I halved my Lovastatin to raise it up a little.
Yes, I did the saliva test. But since I thought it was for "neurotransmitters" I did not discontinue the HC I had been taking. So it's probably not accurate. So I may have to repay to repeat this test. I could have sworn Dr. M said the Sanesco test was for neurotransmitters, but when they emailed me to show they got my samples it listed coritsol too.....sigh.
I was taking the Levoxyl that Dr. M had prescribed, but since I felt like crap in the last month I tried a modest dose of Armour in a wild vain attempt to feel better. No real difference in the way I feel, but my body temperature did respond to this, finally came up to where it should be. If I try increasing the Levoxyl or Armour beyond what I am taking now the light headedness gets really bad. I just feel sick and cannot work at all. I am hopeful that if Dr. M can discover and get that feeling to go away we can increase the thyroid med.
The only endo I have been to was my old HMO endo. She was the most insulting bitch I have ever met. Whenever I asked ANY question it was met with "OH.....PLEAZEEEEEE", like anything I asked was the most retarded thing she had ever heard. I stopped going after seven visits of this...I couldn't take it anymore. I wouldn't go back if you held a gun to my head. On the last visit she finally recommended Prozac, I never went back.
I actually did order the RT3 test, but on the Lab Corp results sheet it says "RT3 is temporarily delayed pending receipt of testing materials from the manufacturer." I am going to call lef.org on Tuesday or Wednesday and see if they can email them to me in time for my appt. I too wonder if I have some sort of RT3 problem. I hope to share this lab soon.
The DHEA for sure makes me have headaches, it took some time to discover it was the DHEA causing it. It takes about 4-5 days for the headaches to come, and 4-5 days for them to go away once I stop taking it. Strange since I seem to need DHEA (lab is low).
Thyroid anti bodies (Grave's and Hashi's) were checked last time by Dr. M, reported normal.
I just don't know what the heck is making me feel so weak and spacey....could it be the low T or the low Pregnenolone, or should I wait to hear about the RT3?
Good comments J, thank you...My total cholesterol was 130 and Dr. M commented this was low, so I halved my Lovastatin to raise it up a little.
Yes, I did the saliva test. But since I thought it was for "neurotransmitters" I did not discontinue the HC I had been taking. So it's probably not accurate. So I may have to repay to repeat this test. I could have sworn Dr. M said the Sanesco test was for neurotransmitters, but when they emailed me to show they got my samples it listed coritsol too.....sigh.
I was taking the Levoxyl that Dr. M had prescribed, but since I felt like crap in the last month I tried a modest dose of Armour in a wild vain attempt to feel better. No real difference in the way I feel, but my body temperature did respond to this, finally came up to where it should be. If I try increasing the Levoxyl or Armour beyond what I am taking now the light headedness gets really bad. I just feel sick and cannot work at all. I am hopeful that if Dr. M can discover and get that feeling to go away we can increase the thyroid med.
The only endo I have been to was my old HMO endo. She was the most insulting bitch I have ever met. Whenever I asked ANY question it was met with "OH.....PLEAZEEEEEE", like anything I asked was the most retarded thing she had ever heard. I stopped going after seven visits of this...I couldn't take it anymore. I wouldn't go back if you held a gun to my head. On the last visit she finally recommended Prozac, I never went back.
I actually did order the RT3 test, but on the Lab Corp results sheet it says "RT3 is temporarily delayed pending receipt of testing materials from the manufacturer." I am going to call lef.org on Tuesday or Wednesday and see if they can email them to me in time for my appt. I too wonder if I have some sort of RT3 problem. I hope to share this lab soon.
The DHEA for sure makes me have headaches, it took some time to discover it was the DHEA causing it. It takes about 4-5 days for the headaches to come, and 4-5 days for them to go away once I stop taking it. Strange since I seem to need DHEA (lab is low).
Thyroid anti bodies (Grave's and Hashi's) were checked last time by Dr. M, reported normal.
I just don't know what the heck is making me feel so weak and spacey....could it be the low T or the low Pregnenolone, or should I wait to hear about the RT3?
OWP, I dont think it's the low T or the preg. I think you have some serious adrenal issues, and I think the Armour may be making it worse. I think you have T3 pooling in your blood, but it's not getting metabolized for lack of cortisol. I think you are going to need to really crank up the Cortef, or go on Medrol. Personally, I wouldn't do that without the involvement of a specialist. Your life depends on your adrenals, so it's serious stuff. Your last endo was an incompetent, but they all aren't. They often do seem suspect for the gray areas. But as I see it, your situation isn't gray. It's pretty clear. You just need to make sure that you see an endo that treats based on labs and symptoms; that will ferret out a lot of the incompetents.
OWP, I dont think it's the low T or the preg. I think you have some serious adrenal issues, and I think the Armour may be making it worse. I think you have T3 pooling in your blood, but it's not getting metabolized for lack of cortisol. I think you are going to need to really crank up the Cortef, or go on Medrol. Personally, I wouldn't do that without the involvement of a specialist. Your life depends on your adrenals, so it's serious stuff. Your last endo was an incompetent, but they all aren't. They often do seem suspect for the gray areas. But as I see it, your situation isn't gray. It's pretty clear. You just need to make sure that you see an endo that treats based on labs and symptoms; that will ferret out a lot of the incompetents.
Hang in there bro.
You may have something there jinxie regarding the adrenals. I may increase the HC just a tad and see if that makes any difference.
I have never heard anyone post anything good about any endo though, not sure how to find a good one. I am sure they all say they treat symptoms too...but their eyeballs never seem to stray far from the lab result paperwork! OWP.
Be careful with more Cortef, as it could cause you to go hyperthyroid once that pooling T3 starts getting metabolized. You have a pretty solid free T3 level.
One way to increase chances of finding a good endo is by using the doctor finder on the Armour site. Doctors that prescribe Armour are more likely to be cutting edge, IMO.
By the way, do you have sodium and potassium values? And how about aldosterone?
Be careful with more Cortef, as it could cause you to go hyperthyroid once that pooling T3 starts getting metabolized. You have a pretty solid free T3 level.
One way to increase chances of finding a good endo is by using the doctor finder on the Armour site. Doctors that prescribe Armour are more likely to be cutting edge, IMO.
By the way, do you have sodium and potassium values? And how about aldosterone?
Actually I just made some calls to a friend for help finding a local endo for a second opinion. Makes more sense the more I think about it. It may help me to get to the bottom of my situation more quickly. I may also need the ACTH test to see whats going on with my adrenals.
The following labs are not as fresh as the ones above, they are 9-10 months old...but I felt just as lousy then!
New labs, need some comments. 
Linear Mode
