Please Help Understanding Bloodwork - Mystified and Urgent!
I got recent pre-cycle bloodwork back, before starting a sus250 cycle. I am not on cycle at this time. I have done multiple cycles in the past. 34 years old male, under 17% bodyfat, low water retention (so I didn't think I had such high E2 levels), and still have enough energy for lifting 5 days per week off cycle.
Testosterone - 52 (very low as lowest number in range is 348)
Estradiol - 44.9 (high)
FSH - 0.8 (very low as lowest number in range is 1.5)
Questions are:
1- Should I start HCG therapy to increase FSH?
2- Should I use Clomid instead to increase FSH and reduce estrogen (although it may increase estrogen by stimulating LH and FSH?
3- Should I use Aromasin over HCG or Clomid to reduce estradiol?
4- Would it be appropriate to start my Sust250 at this time, with my testosterone being extremely low? (and continue with monthly bloods)
Currently have clomid, nolvadex, hcg on hand. Waiting on Aromasin for a week or so.
Feedback is greatly appreciated. If anyone thinks TRT is appropriate, or if I have crashed my HPTA, then let me know. Confused as to what approach to take.
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Keep us posted on your progress with your situation. Many men in their mid-30s can learn from you.
Sooooo....no post-cycle bloodwork? If the doc asked you the same questions Catalyst and i did, how would you respond? We are here to help too...
All good answers and advice below given by members....
I guess if the doctor asked me, I would say I did use pro-hormones heavily prior to them being banned like 4-AD products in the 90's. If that line of questioning continued.....
Then I would ask the doctor IF my answer were yes, would that effect my eligibility for insurance coverage?
As far as the doctor diagnostic, blood work dictates how they treat you mostly I feel. Last doctor I went to (General Practice) feeling like crap did basic blood panel, that's it. Slightly, elevated ALT by 1 unit. Everything else perfect, with triglycerides at 109.
I did the hormone panel myself and will take to Endocrinologist, to provide reason for more testing and management of treatment. Now I have a plan, and can begin executing it.
I would go see a doc and definitely do not cycle. If you cycle no you will be more fucked up on t levels .
52 ng/dl?
How long off cycle?
Yes, 52ng/dl. Horrible!
Off cycle since late 2013.
You need to be on TRT ASAP.
I'll keep you posted
You need to see a doctor. I prefer urologists to endocrinologists. I'm surprised you're so skinny and not overweight.
I see you bought some PCT products, from your picture posts. I don't think you'd recover above 200 ng/dl. It is best to see the doctor now, at your worst.
FR sent. Advice taken. I will research some urologists in my area. I was really looking forward to getting back in. I gain quick, but lose gains quick. I am surprised I can still bench over my body weight by 50lbs at 6 reps, with such low test and high estro. Just I'm just naturally agro! LOL
I agree that I should see a doctor when my numbers are most jacked up, in order to take advantage of full treatment. -Good suggestion!
Do you have any experience with a urologist putting you (or anyone) on HRT? Is that what you think the doctor would suggest?
Sorry for all the questions PEZ, but I'm kinda wigging with those results. I really appreciate your well-worded feedback.
Yes, I have many friends that see urologists for TRT. Friends that currently see endocrinologists started with a urologist. You need to be on TRT. If you start a PCT, your numbers are going to be off. If a doctor sees your blood work and it isn't making sense, they are going to be hesitant to treat you.
Urologists treat many patients for low testosterone. They frequently see men come in with erectile dysfunction. They test for low testosterone and administer treatment. Urologists also monitor your prostate. Prostate issues are a concern with TRT, and it only makes sense that the administering doctor be a prostate specialist.
In my experience, endocrinologists primarily treat patients with diabetes and thyroid issues. If seeing an endocrinologist, it is important to ask how many patients they treat with low testosterone and how many years they have been doing so.
Dude...thank you sooooo much. I appreciate your advice. Actually giving me a direction to look into, versus "just go see a doctor". F-ing LVL3 - know your stuff.
Happy to help and good luck.
Stats
Age: --
Height: 6'
Weight: 165
BF: 16-18%
Fella are these stats up to date? Have you previously cycled? If so, what and when?
Current stats are irrelevant, other than my blood results as a statistic. I am in my mid-30's. Yes I have cycled, getting up to 196lb in 2013. Past cycles dbol/deca, sust/primo, eq/test-e with primo taper off.
Due to severe stomach issues caused by stress of losing multiple family members at once, I lost a lot of weight and could not maintain working out needing to take literally 18 craps a day. Very tough time.
I guess my question is how to reduce my estrogen, while boosting my FSH?
From my research, "One particular study selected 12 healthy young male test subjects, and were administered random Aromasin doses of 25mg and 50mg for a 10 day period, and not only was Estrogen suppressed by a significant amount (38%), but Testosterone levels in the test subjects were observed to increase by an incredible 60%[1]. Boosting the endogenous Testosterone production in men by an impressive 60% is not the only major benefit that Aromasin possesses."
https://www.steroidal.com/anti-estrogens-pct/aromasin/aromasin-dosage/
My question is where to go from here, not re-analyze my past. I have been off-cycle for 3 years. Would aromasin work to correct my estro, while boosting my natural test production and FSH?
The article above seems to state that exactly. I guess I'm looking for someone with more medical background that AAS usage background which can answer my question based on my blood tests.
Are these all the compounds? And, what doses of each compound and length of time used?
The answer to this question involves your AAS history, any current meds, and any family history of underlying pathologies that would relate to the etiology of your current condition.
No they're not. You may have gained a lot of weight etc. They're very relevant, as is what you've run that may be involved / responsible.
I asked you some simple basic questions as you've not provided enough of a picture for anyone to answer. Isn't exactly encouraging to try and help you like this is it?
X2....
Yes, AI use can increase LH and FSH, which in turn raises your testosterone. From what I have seen, you have to tank your E2 pretty good to see good results. That would also have you feeling like shit. Discontinuing the use of the AI would have you back at square one. Several years ago, I found a forum with some people doing letrozole only cycles to increase their test short term. Later on, I will see if I can Google some up.