Men's Health Forum: This is a discussion on The Labs I Run within the Anabolic Steroids forums, part of the extensive steroid information at MESO-Rx; I see a lot of people saying to get your E2 checked? I don't think I see it listed below, ...
I see a lot of people saying to get your E2 checked? I don't think I see it listed below, did I miss it?
Quote:
Originally Posted by SWALE
Total Testosterone
Bioavailable Testosterone (sometimes called “Free and Loosely Bound”)
Free Testosterone (if Bio T is not available)
SHBG DHT
Estradiol (specify by the “Extraction Method” or “Ultra-Sensitive”)
Total Estrogens
LH
FSH
Prolactin
Cortisol
Thyroid Panel (TSH, FT3, FT4)
CBC
Comprehensive Metabolic Panel
Lipid Panel
Homocysteine
PSA (if over 40)
IGF-1 (if HGH therapy is desired)
Fasting Insulin
At the one month point, I follow-up with these assays:
Total Testosterone
Bioavailable Testosterone
Free T and SHBG (if Bio T is not available)
Estradiol (specify by the “Extraction Method” or “Sensitive”) DHT (if patient is using a transdermal delivery system)
SHBG
FSH (3rd gen "sensitive" assay)
CBC
Lipid Panel
Comprehensive Metabolic Panel
(if ALT/AST from above are elevated, then get a GGT)
thanks for this list, i brought it with me to me check up today. my dr didnt know what most of these test were. The lab technician taking my blood had to call the labs just to find out what was needed.
my arm is killing with all the blood they took!!!
Quote:
Originally Posted by SWALE
Total Testosterone
Bioavailable Testosterone (sometimes called “Free and Loosely Bound”)
Free Testosterone (if Bio T is not available)
SHBG DHT
Estradiol (specify by the “Extraction Method” or “Ultra-Sensitive”)
Total Estrogens
LH
FSH
Prolactin
Cortisol
Thyroid Panel (TSH, FT3, FT4)
CBC
Comprehensive Metabolic Panel
Lipid Panel
Homocysteine
PSA (if over 40)
IGF-1 (if HGH therapy is desired)
Fasting Insulin
At the one month point, I follow-up with these assays:
Total Testosterone
Bioavailable Testosterone
Free T and SHBG (if Bio T is not available)
Estradiol (specify by the “Extraction Method” or “Sensitive”) DHT (if patient is using a transdermal delivery system)
SHBG
FSH (3rd gen "sensitive" assay)
CBC
Lipid Panel
Comprehensive Metabolic Panel
(if ALT/AST from above are elevated, then get a GGT)
Would reduced glutathione, plasma sufate, and s.o.d. also be reasonable to check for liver issues?
What if AST/ALT/and GGT were fine but sulfate, glutathione were high? And also if total estrogen is high, fibrinogen is high and ldlis high with hdl low couldn't they also point to hepato issues?
That's my labs. I do have two liver "cysts". Could they cause such?
Much thanks
Quote:
Originally Posted by SWALE
Good question. Th estandard Comprehensive Metabolic Panel includes AST and ALT. An important addition is GGT as a marker for hepatotoxicity.
SWALE,
I'm an ND. I just started a thread regarding what I'm about to ask. Where do you order your prescription AAS for your patients from? Do you get them locally or online? Which brands are the best that you've found? Feel free to PM me.
Dr. G, SWALE no longer frequents this board. You can reach his web-site by going to www.allthingsmale.com He has his contact information and some good information about HRT protocols there.
Location: Monterey, California, USA. See Profile for contact info.
Posts: 817
Rep Power: 5
Bare Bones Testing
Quote:
Originally Posted by SWALE
Here is an absolute bare bones list:
Total testosterone
Estradiol ("sensitive" assay for males)
CBC
Comprehensive metabolic Panel
Lipid Profile
It is still better than what is being accepted by some docs out there.
You must understand, though, that it is not testing for the actual cause of yoour hypogonadism, nor does it attempt to screen for a more serious cause such as a pituitary tumor.
I must finish by saying the trick is in the interpreatation of the labs. That is why doctors go to medical school.
Here's one bare bones list to help make decisions regarding hormone replacement:
Blood tests:
1. Free and Total Testosterone Panel (often gives SHBG and bioavailable testosterone - all for a similar price to total testosterone alone)
2. Estradiol (ultrasensitive)
3. Free T4, TSH (Free T3 would be preferable but can be very expensive)
4. Fasting Comprehensive metabolic panel (usually very inexpensive)
5. Progesterone
6. Hemoglobin A1c
Saliva test:
7. Cortisol x 4 times a day
8. DHEA-s x 2 times a day
Note that from many labs that do Saliva tests, such as salivatest.com, it is possible to do estradiol, progesterone, testosterone also for an inexpensive price, though I haven't found them as reliable as a blood test when it comes to making decisions.
By "bare bones", as opposed to the full panel, many things are not checked as SWALE noted. It does give an idea of reproductive, adrenal, thyroid, and pancreatic hormone function.
__________________ Any statement I make on this site is for educational purposes only and will change as medical knowledge progresses. It does not constitute medical advice, does not substitute for proper medical evaluation from physician, does not create a doctor/patient relationship or liability. If you would like medical advice, please ask your doctor. Thank you.
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