Guest guest Posted July 24, 2010 Report Share Posted July 24, 2010 Well you started on TRT it is to late to try to stop to see if your low due to some things like high Iron and such. But you still need to look into more labs. Go to Dr. 's site www.allthingsmale.com and read TRT: A Recipe for Success and His HCG Update in them are labs you needed and why most of them you have. Here is what I see your Testosterone is very low with a low LH and FSH this tells me your Secondary meaning your brain is not telling your testis to make Testosterone. So if I were you I would get an MRI on your Pituitary to rule out a tumor it's rare to be cancer. And you started on a starting dose of Testim so you need to get back in after 2 weeks and get tested to see if your on enough gel. Most men need more I will add a copy of a file I made about this later. Your Estradiol for your SHBG is to high you need your Estradiol between 15 to 20 this is way you feel aggressive and can't sleep. I am betting you don't get night time and morning wood you might even have ED problems with a low libido. All of this is from high levels of Estradiol. To help keep this down add in some Zinc with Copper Zinc lowers Copper so you need to this it with Zinc. I take a Multi-Vit that has some Zinc and Copper in it so I add ZMA the NOW brand I take this at bedtime and I add in 2 mgs of Copper at noon. Every man needs Zinc for his testis to be healthy we don't get it from the corn fed meat we eat. Now this just helps you need some Arimidex to get your Estradiol levels down and to keep them down on TRT try .25 mgs or 1/4 of a pill every 2 days. I also see your Cortisol is low if you did this lab work fasting in the morning your low. Now you need to do a 4x's in a day Saliva test to see how your rhythm looks you should be high in the morning going down by bedtime. In this link is a saliva test and info about this problem. http://livingnetwork.co.za/hormones/adrenal-fatigue/ Also do a full test on your Thyroid read this link and add to this your Total T3 and T4 because if this is low your Free levels mean nothing. http://www.stopthethyroidmadness.com/recommended-labwork/ I will also add how to take Arimidex and not go to low. ==================================================== Starting on Androgel or Testim. Yes this happens a lot you start on a low starting dose 5 grams when your brain sees the testosterone in your blood even just a little it slows down even stops sending the LH and FSH message to your testis to make the Testosterone you were making. So lets say your labs for Total T were 350 you add this dose of gel your brain sees this and you lose the base level you had before the gel. Now lets say you need more then 5 grams most do so now all your left with is what the gel is doing so lets say it's doing 200 so you lost 150. The reason you feel good is your levels go up that 200 the gel is doing in the first 2 weeks so your levels go up to 550 in theory. The brain sees this and you fall back. Why can this happen it might be how your putting on the gel with Androgel you need to spread it over your upper arms and shoulders and down your back as far as you can reach this is half of your dose then do the other side. Just spread it over the area but don't rub it in. The other thing is it's not getting through your skin good so you need more. If you have a thyroid problem your skin will become thicker and gels and creams don't get through the skin and you need to switch to shots. I tell men when they go on Gels to retest in 2 weeks because you can end up feeling worse. Most men just need more gel. Dr.'s that tell men to go on 5 grams of gel and come back in 8 to 12 weeks for labs don't know much about the use of gels. Dr.'s that treat a lot of men for low T on gels see this happen and test them again in 2 weeks. When you go to do labs get up and shower that morning go do your labs and then put in the gel after your blood test so you don’t spike up your labs. If you can’t do labs in the morning shower put on the gel but don’t get any gel on the spot they take the blood from. Do your labs about 6 hrs later. Call your Dr. and tell him this and that your not feeling good you were but fell back. ==================================================== How To Take Arimdex and not go down on your Estradiol to Low. What I found is if you go to low taking arimidex, it's the length of time your to low, if your too low say for 8 weeks it can take your body a longer time to make more Estradiol. Bottom line is to know how not to go to low. Keep a log on your dose and how you feel men going to low can't get it up taking Viagra. I went to low when I first tried Arimidex and did not know about going to low or how one feels to low, so I was low a good 8 weeks. I did not know I was low until my next labs. The best gage I have found to control your Estradiol levels is to gage your night time and morning wood. At good levels or what I call the sweet spot you get your night time and morning wood back so strong it will wake you up and you can hang a coat on it. Most men do good taking .25 mgs or 1/4 of a 1mg. pill, I use a pill cutter to cut the small pill in half then I stand it on the cut end and use a single edge razor to cut this in half. A good way to take arimidex is by how high your levels are. I tested over 90 pg/ml so we tried doing .5 mgs every other day after 8 weeks my next set of labs showed it did not move below 90, test said >90. So we did .5 mgs. every day in about 2 weeks I got some strong night time and morning wood back after not having them for many yrs. I kept doing this dose and in 8 weeks my next set of labs said <20 back in the day labs were like this they did not have to good labs we have today they could not read lower the 20. My Dr. told me this looks to low to stop taking the Arimidex. The one thing I noticed was my wood stopped and stopping the Arimidex my wood came back in about 7 weeks my next test at 8 weeks was 24 pg/ml. So we went back on the Arimidex but the Dr. told me to take .5 mgs every 3 days I was on this dose not a week and lost wood. This is when I figured out going to low you lose wood. And the longer your too low the longer it takes to get levels back up. I stopped the arimidex right away and got my wood back in 4 days. I then after playing with the dose for a time found the best dose is .25mgs every 2 to 3 days. So lets say your labs are less the 50 pg/ml if your take .5 mgs you can go down so dam fast your miss the sweet spot of your wood and go to low. It's best with lower levels 50 and under to do less Arimidex .25mgs every 2 days if later your lose wood when it comes back go to every 3 days. I have found estradiol is the hardest hormone to control, it goes up or down from month to month some times I need .25mgs every 2 days other times I need ..25mgs everyday most of the time I do well on every 3 days. So between wood and labs I do great and so do most of the men I have told this to. I keep a log on how much I am taking and how I feel. Doing this and reading back in my log I was able to tell when I was going to high or to low my Dr. lets me dose my arimidex by how I feel. Over the yrs. I have posted this story until I am blue in the face. Co-Moderator Phil > From: surfingmedicman22 <no_reply > > Subject: A week into Testim...Need some advice plz. > > Date: Friday, July 23, 2010, 6:44 PM > Hi, > I found out I have Low T about 6 mos. ago and have been > researching the area as much as I can. I just started 5grams > of Testim daily last week. I wanted some advice before its > too late to do more testing. Should I see an endo Dr to see > if there is a chance to get my own body to produce more T or > should I just accept the fact that I will need TRT for life. > Also, should I be taking anything else other than Testim > based on my labs. So far after a week I do feel like I have > a little more energy but also feel a little more aggitated > and aggressivewhich may just > because I have a lot on my mind. Here are my labs: (Before > Starting on Testim) > > Test Total: 212 (Ref Range: 250-1100) > DHEA: 390 (Ref Range: 61-1636) > Test Free: 58 (Ref Range: 46.0-224.0) > Test Bio: 131.9 (Ref Range: 110.0-575.0) > Test SHBG 17 (Ref Range: 8-48) > Test Albumin: 5.0 (Ref Range: 3.6-5.1) > Dihydrotest: 23 (Ref Range: 25-75) > Estradiol: 26 (Ref Range: 11.6-41.2) > Cortisol: 13.8 (Ref Range: 4.3-22.4) > FSH: 2.3 (Ref Range: 1.4-18.1) > LH: 3.5 (Ref Range: 1.5-9.3) > TSH: 1.65 (Ref Range:0.35-5.50) > Total PSA: 0.4 > Free PSA 0.1 > % Free PSA 25 > > Based on these labs am I a good candidate for TRT and if so > should I be taking anything else besides the Testim. > Infertility at this point is a non-issue since I don't want > anymore kids. > > Thank you for your input! > > > > > ------------------------------------ > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 24, 2010 Report Share Posted July 24, 2010 Thanks for the info Phil. I actually had a Brain MRI done two years ago with contrast for some dizziness that was related to anxiety. Everything came back clean at that time. I was told tumors of the brain take a long time to develop and that I would have other symptoms such as visual disturbances if I had one pressing on my Pituitary. I'm not sure about my iron levels. I do eat a lot of red meat though so I would be surprised if it was low. I will get it checked though. As far as Estrogen, I will discuss it with my Dr to see if I should lower it from 25. Also, my Dr said to see how I feel after two weeks and then discuss options with me. I'm not scheduled for another blood test for another couple of months but I'm sure if I'm not improving I can get one done sooner. It's hard to tell how good we are suppose to feel on TRT. Is it suppose to be a huge difference from before. I've been low for probably a long time so I can't remember what it is like to feel normal. So if I feel only a little improvement it is hard to tell whether it's working or not to its full potentail. I guess new labs would be the only way to tell?? > > > From: surfingmedicman22 <no_reply > > > Subject: A week into Testim...Need some advice plz. > > > > Date: Friday, July 23, 2010, 6:44 PM > > Hi, > > I found out I have Low T about 6 mos. ago and have been > > researching the area as much as I can. I just started 5grams > > of Testim daily last week. I wanted some advice before its > > too late to do more testing. Should I see an endo Dr to see > > if there is a chance to get my own body to produce more T or > > should I just accept the fact that I will need TRT for life. > > Also, should I be taking anything else other than Testim > > based on my labs. So far after a week I do feel like I have > > a little more energy but also feel a little more aggitated > > and aggressivewhich may just > > because I have a lot on my mind. Here are my labs: (Before > > Starting on Testim) > > > > Test Total: 212 (Ref Range: 250-1100) > > DHEA: 390 (Ref Range: 61-1636) > > Test Free: 58 (Ref Range: 46.0-224.0) > > Test Bio: 131.9 (Ref Range: 110.0-575.0) > > Test SHBG 17 (Ref Range: 8-48) > > Test Albumin: 5.0 (Ref Range: 3.6-5.1) > > Dihydrotest: 23 (Ref Range: 25-75) > > Estradiol: 26 (Ref Range: 11.6-41.2) > > Cortisol: 13.8 (Ref Range: 4.3-22.4) > > FSH: 2.3 (Ref Range: 1.4-18.1) > > LH: 3.5 (Ref Range: 1.5-9.3) > > TSH: 1.65 (Ref Range:0.35-5.50) > > Total PSA: 0.4 > > Free PSA 0.1 > > % Free PSA 25 > > > > Based on these labs am I a good candidate for TRT and if so > > should I be taking anything else besides the Testim. > > Infertility at this point is a non-issue since I don't want > > anymore kids. > > > > Thank you for your input! > > > > > > > > > > ------------------------------------ > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 25, 2010 Report Share Posted July 25, 2010 I was low like you for a long time and it dose take time to get better. You need to get your Total T levels up into the upper 1/3 of your labs range and to keep your Estradiol at the sweet spot. After you do this your body will start to undo any damage done from having low testosterone for so long and little by little you will feel better and better everyday keep a log on how your feeling day to day so you can read it back and you will see what I am talking about. And read this link it's all in here. http://www.griffinmedical.com/male_hormone_modulation_therapy.html Some men get better faster then others we all are not the same. Some don't feel better and doing more testing find out they have other things wrong like Thyroid and Adrenals being over worked. Others start to feel a little better and go off on a health craze working out in the gym going on a diet and end up having a set back. One needs to go slow and not over do it. Your going to have some bad days even weeks you need to be in tune with your body and when this happens take is easy. Your Pituitary can be bad not working right with out a tumor mine is bad from a head injury and more and more everyday Dr.'s are finding this the case with Football and Boxers the take some hard hits to the head and end up with low hormones even are men coming home for the war are finding they have this problem from road side bombs. In my case as time went on it got worse as one ages it takes it's toll on a damaged Pituitary so it's good to find out if your Secondary so Dr. can keep an eye on this it took me 23 yrs to figure out I am Secondary. You can read my story at this link it might give you a view of your self if you don't find out why your low. http://forums.realthyroidhelp.com/viewtopic.php?f=5 & t=9239 Going 23yrs with low Growth Hormone levels it did my heart in I needed heart bypass surgery and it went bad I was in a coma 17 weeks. It's been 20 months now but I am still not recovered from this. Co-Moderator Phil > From: surfingmedicman22 <no_reply > > Subject: Re: A week into Testim...Need some advice plz. > > Date: Saturday, July 24, 2010, 5:56 PM > Thanks for the info Phil. I actually > had a Brain MRI done two years ago with contrast for some > dizziness that was related to anxiety. Everything came back > clean at that time. I was told tumors of the brain take a > long time to develop and that I would have other symptoms > such as visual disturbances if I had one pressing on my > Pituitary. I'm not sure about my iron levels. I do eat a lot > of red meat though so I would be surprised if it was low. I > will get it checked though. As far as Estrogen, I will > discuss it with my Dr to see if I should lower it from 25. > Also, my Dr said to see how I feel after two weeks and then > discuss options with me. I'm not scheduled for another blood > test for another couple of months but I'm sure if I'm not > improving I can get one done sooner. It's hard to tell how > good we are suppose to feel on TRT. Is it suppose to be a > huge difference from before. I've been low for probably a > long time so I can't remember what it is like to feel > normal. So if I feel only a little improvement it is hard to > tell whether it's working or not to its full potentail. I > guess new labs would be the only way to tell?? > > > > > > > From: surfingmedicman22 <no_reply > > > > Subject: A week into Testim...Need > some advice plz. > > > > > > Date: Friday, July 23, 2010, 6:44 PM > > > Hi, > > > I found out I have Low T about 6 mos. ago and > have been > > > researching the area as much as I can. I just > started 5grams > > > of Testim daily last week. I wanted some advice > before its > > > too late to do more testing. Should I see an endo > Dr to see > > > if there is a chance to get my own body to > produce more T or > > > should I just accept the fact that I will need > TRT for life. > > > Also, should I be taking anything else other than > Testim > > > based on my labs. So far after a week I do feel > like I have > > > a little more energy but also feel a little more > aggitated > > > and aggressivewhich may just > > > because I have a lot on my mind. Here are my > labs: (Before > > > Starting on Testim) > > > > > > Test Total: 212 (Ref Range: 250-1100) > > > DHEA: 390 (Ref Range: 61-1636) > > > Test Free: 58 (Ref Range: 46.0-224.0) > > > Test Bio: 131.9 (Ref Range: 110.0-575.0) > > > Test SHBG 17 (Ref Range: 8-48) > > > Test Albumin: 5.0 (Ref Range: 3.6-5.1) > > > Dihydrotest: 23 (Ref Range: 25-75) > > > Estradiol: 26 (Ref Range: 11.6-41.2) > > > Cortisol: 13.8 (Ref Range: 4.3-22.4) > > > FSH: 2.3 (Ref Range: 1.4-18.1) > > > LH: 3.5 (Ref Range: 1.5-9.3) > > > TSH: 1.65 (Ref Range:0.35-5.50) > > > Total PSA: 0.4 > > > Free PSA 0.1 > > > % Free PSA 25 > > > > > > Based on these labs am I a good candidate for TRT > and if so > > > should I be taking anything else besides the > Testim. > > > Infertility at this point is a non-issue since I > don't want > > > anymore kids. > > > > > > Thank you for your input! > > > > > > > > > > > > > > > ------------------------------------ > > > > > > Quote Link to comment Share on other sites More sharing options...
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