TRT Blood Work Adjustment Recommendations

[Aude_Aliquid_Dignu]

The Good: I finally broke 1,000 total test and feel good! (Dr increase dose 175 → 252), BP under control with Telmisartan, and SHBG is finally trending up (back into double digits)

The Bad: Estro, Prolactin, and Lipids need significant work

Goal: Highest Level of Test w/o the use of AI

Changes: HcG 1000 wk, 10mg Ostarine for 12wks (Lipids?), Test dose 175 —> 252, and @NeuroRN 's supplement stack

Pre TRT
Marker	Range	10/29/2020	3/7/2022	6/7/2022
Alanine Aminotransferase (ALT)	7 to 56 units/L	n/a	29	-
Albumin	3.4 to 5.4 g/dL	4.9	5	-
Aspartate Aminotransferase (AST)	10 to 40 units/L	30	38	-
Estradiol	40 - 60 pg/mL (My Goal)	23.3	63.6	104
Free Testosterone	30−60ng/dl (My Goal)	7.03	15.1
Free Androgen Index	25-98	-	-	372.86
Hematocrit	(42%-54% Range)	47.8	49.39	52.63
Luteinizing Hormone (LH)	(Between 3.5 to 5)	4.08	-
Prolactin	< 30 ng/mL	16.2	-	53.5
Prostate-Specific Antigen (PSA)	0 to 2.5	1.31	-
Sex Hormone-Binding Globulin (SHBG)	15 - 25 nmol/L (My Goal)	23	7.7	11.1
Total Testosterone (2,400ng/dL max)	850 - 950 ng/dL (My Goal)	316.27	486	1154
Cortisol	0.198 - 2.371	-	-	0.75
HDL	(Good>40)	-	-	27
LDL	(Good<100)	-	-	207
Total	(Bad>200)	-	-	278
Triglycerides	(Bad>150)	-	-	192
Total Cholesterol/HDL Ratio	(Good< 3.5 Bad > 5)	-	-	9.9
Triglyceride/HDL Ratio	(Good < 2 Bad > 6)	-	-	-
Testosternone	175mg Pharm wk	252mg Pharm
Nandrolone	-	105mg UG Deca wk
Methenolone	-	-
Oxandrolone	-	-	-
Stanozolol	-	-
Mesterolone	-	-	-
Peptide	-	-	-
Clomid	-	175mg	-
Arimidex	-	-	-
Telmisartan	-	-	60mg Telmisartan daily
hCG	-	-	1,000 iu HCG wk
SARM - Ostrine	-	10mg
MIC + B - Complex - AM	1ml wk (injection)
CBD Oil - AM	50mg
Glutathione - AM	300mg wk (injections)
Resveratrol - AM	400mg
Zinc - AM	15mg (for Telmisartan)
(Smoothie) - AM	Probotic, Super Food, Fiber, Collagen, Creatine
Magnesium - LATE AM	1,000mg
Vitamin C - LATE AM	1,000mg
ALA - NOON	600mg (Helps make glutathione in vivo)
Curcumin - NOON	475mg
Omega 3 EPA/DHA - NOON	850mg/540mg
Vitamin D - NOON	2,000iu
CoQ10 - PM	100mg
B-6 - PM	200 mg
DIM - PM	200mg
NAC - PM	1,000mg
Taurine - PM	500mg
Weight (at date)	190	204 lbs	207 lbs
Body Fat (Bod Pod)	-	15%
Avg Blood Pressure	-	127.5/70.5	129/71
Calcium Score (every 5 years)	-	-	Score = 0

 

[NeuroRN]

I would agree prolactin and lipids need help.

If you’re not having and side effects estrogen isn’t bad. Remember, endocrine society says 100-200 in androgen optimized males is normal.

 

[Aude_Aliquid_Dignu]

Estro is positively correlated to Prolactin right? (one moves in tandem w/ the other)
Maybe add 800iu vitamin E to help reduce just prolactin tho?

I don’t know what to do about the lipids I eat clean, workout hard AF, and don’t smoke.
Maybe get on a cholesterol medication in my early 40’s?

 

[Poppy]

I’m the poster child for oatmeal. It’s kept my cholesterol down forever even in my younger crappy eating days. The only thing it couldn’t beat was tbol. 50mg ~6x a week overpowered the oatmeal and my lipds went to crap. Dropped it and the came back nicely.

 

[Poppy]

I quit omeal for a few years in my 40’s just cuz and my lipids stayed borderline to bad.

 

[NeuroRN]

Vitamin E, and p-5-p I believe also helps.

Oats are a good start at cholesterol. They work wonders for some people.

 

[Aude_Aliquid_Dignu]

Adjustment Idea Summary:

Primo 16 wks @ 1:1 Test (because summer)
Reduce Test 252mg —> 210mg (1,000ng/dL target range)
Estro - DIM 200mg —> 400mg (split am/pm)
Lipids - 1 cup of cold oats ED
Prolactin - replace B6 —> 400mg P-5-P
Prolactin - Vitamin E 800iu daily

junior Dr. @NeuroRN and junior Dr. @Poppy do you concur?

 

[Poppy]

I love cold omeal!

 

[NeuroRN]

I think this looks like a great plan. Sure beats pumping xtane and caber into your system!

 

[Aude_Aliquid_Dignu]

Frequent testing, adjusting protocols, and adding supplements with health benefits seems like a far and away better strategy then adding extra medicines with serious potential side effects, and (my personal favorite) DIY blood letting.

fingers crossed.

 

[TBU]

Red yeast rice and CoQ10. Every day. I take 2 a day. Will drop cholesterol by 20% natural. No statin sides.

 

[Aude_Aliquid_Dignu]

Roger that.

 

[Poppy]

Fyi…@tbu mentioned coq10 a year or so ago…I’ve been on it since.

Sorry I neglected to say that earlier.

 

[TBU]

NBD. Older members of society have poor memory retention. .

 

[herrubermensch]

I had one period in my life when my cholesterol was in the 180s. Red yeast rice and COQ10 dropped it below 120 in less than a month. Curiously, I’ve never had an issue since. Perhaps I just eat better now.