posted Tue, 05/16/2017 - 15:58
1851
+ 7 Updated bloods
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These are my most recent labs taken by my endocrinologist on Friday May 12th.
previous labs done by pcp - https://www.eroids.com/pics/8-months-off-feedback-please
Seems like my numbers are getting worse with time off not better.
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Hitman187So i seen my endo today, and theres 3 things that are bothering him.
low t thats continually on the decline. He wrote me a script of androgel for this.
low cortisol - hes going to be admitting me into the hospital for testing. I forget the exact name of test but i believe he said they inject you with cortisol every few hours and monitor your bloodwork to determine issue. He was going to write me a script for cortisol but since i told him im able to work out he decided to hold off for now until testing because the sides can be bad.
high prolactin - i have to go for mri of my brain and pituitary, he believes there may be a growth blocking causing prolactin to build. I believe there to be a growth as well due to vision problems ive been having. worst case scenario here is i would need brain surgery to remove growth which would be my luck.
I asked him if all these problems were of my own doing and he said he believes no. If i just had low t he said it would probably be because of past aas use, but with the other problems no. His exact words were it comes down to shit luck, which is the story of my life.
How are you coming along buddy?
Hitman187So far about the same. I got my follow up with my endo june 13th so i should get something figured out then, hopefully.
At least it's not too far away. Good luck
Damn bro hope the doc gets you straight soon +2
Sorry if seems rude- are you taking an prescription drugs? I WAS on prescribed opiate painkillers and I know that affected prolactin amongst other things...
Hitman187I dont take it as being rude bro. i asked everyone for their feedback to help me figure this out and sometimes additional info needs to be asked to get to the route of the problem.
I been prescribed buprenorphine since i came home from the hospital after surgery, i believe thats considered a partial opiod. Im also prescribed klonopin but i only take that once in a while when im having trouble sleeping. I took 2mg 2 days before bloodwork, and the buprenorphine the day before. Nothing was taken day of labs.
Dude i take bup as well and its been a while but my test was in low 200's. I sent you a fr .
Hitman187Accepted
That could definitely be a thing. Go to pubmed and search for "opioid induced hypogonadism".
If you have a history of taking opiates -even on prescription- that could affect you for years, even after stopping
Hitman187Yea ill have to check into that. I was aware they could effect your levels a bit while on them, i didnt think it would put your t levels in the gutter like mine though. Also surprised they could still have an effect long after use so ill have to read up on it more. I did tell my dr all the medications i was on but he made nothing of it.
Same as cycling has the potential to mess up your HTPA FOR GOOD, so do opioids, eating disorders and a whole range of other conditions. Your hypothalamus really doesn´t "care" what the cause is, all different pathways converge on the same change on gene expression. Though there are lots of mainly genetic factors that determine how resilient your endocrine system is and some of us can get away with a hell of a lot more (think about Arnold and other old school bbers that never even PCTed but were still able to bounce back just fine).
But cycling on top of opioids really can push the limits I´d say, doesn´t matter how good one´s genetics are.
You could try to kickstart your HTPA starting with HcG for a few months (to try to change the low setpoint your hypothalamus has settled at), followed by triptorelin and clomid and see if you bounce back. But all this would just mean playing doctor on your self. The best you can do is to find an endo that really has experience with this kinda stuff. An endo that has never worked with bbers is prob not very knowledgeable (who can blame him though, since there are no studies and protocols out there)
That elevated prolactin is surprising. You have a doc working with you know so see what he says about. He should also be running test to see if it is primary or secondary hypogonadism. Just don't take anything now without him knowing about it otherwise it is going to be pretty tough for the doc to figure out what is going on.
Hitman187I know he took this bloodwork because he said he wanted to see if the problem was commiing from the pituitary or the testes. Right now my plan is just to ride this out and keep everything as is until my appointment. Im in over my head here and have no idea wth is going on, im not going to play doctor and try to fix something i know nothing about.
Ask him lots of questions. I'm sure you'll have enough to ask him about with everyones input here.
Ok man, here is my input and I am by NO means a Dr... But, high prolactin may be the biggest issue. It suppresses LH and FSH levels. Part of the reason after a hard Deca/Tren cycle pct can be difficult. For me I have had to run caber beyond my last pin to coincide with the half life of Deca just to keep prolactin down. As soon as I stopped the caber my nips knotted up and I knew what the prob was. High prolactin can also cause ED, low libido and depression. For me it is far worse of an issue than estrogen ever has been and took me forever to figure out what was causing issues because everyone when I was younger (gym Bros) always blamed estro for everything. I would ask the endo his recommendations for bringing that prolactin level back to normal and possibly get some caber on the way just in case.
Hitman187Thanks for the input bro, much appreciated. Yea when i first seen these results the high prolactin is the first thing that stood out to me, other than the crapy test score. Im kind of surprised its this high still after being off gear the amount of time i been. During cycle i even ran caber 2x a week and even 2 weeks into pct past gear. i didnt run it then because i had signs of prolactin issues, i just did it as a precaution to avoid the possibility. But now i certainly have symptoms of high prolactin all these months later (started getting symptoms in January). Hopefully if i can get the prolactin issues under control it will help begin fixing my test problems and other issues. I do have caber on hand but im not going to mess around and take the chance of making things worse trying to cure myself, i wanna wait to see what the doctor says first.
Absolutely bro, see what the endo recommends and proceed accordingly. Keep us posted, I'm curious now!
Hitman187Oh most definitely, ill update you guys once i know wth is going on.
How can one function with such a low cortisol? The lowT of course makes everything just worse.
Maybe ask your endo to test for DHEA, which is a precursor to most steroid hormones and also the steroid with by far the highest concentration in the blood.
Maybe look into DHEA supplementation as well.
Wish you the best brother.
Also you might want to get an MRI done for a pituitary prolactinoma. If it is expanded in size it could encroach on your both your gonadotropes (which would explain lowT) as well as your cotricotropes (which would explain your adrenal insufficiency). I am no doctor, just putting it out there so you might bring it up when you talk to your endo
RustyhookerGreat insight! ^^^^ others also posted that higher prolactin numbers will stop pct recovery as well.
Low H & H (recent BW) has to be indicative of the low test...he should be 15 & 45, or close in the ballpark... anemia could present as evidenced by trending bloodwork results....I don't know if this guy has a vitamin regimen, but could behoove him to initiate asap to see if values change on BW...
D-ASPARTIC ACID is one of the vitamins there are some others too...I'm at a loss for words though
Hitman187I used to take animal pak religiously but i got tired of swallowing so many pills everyday and slowly stopped taking it over the months. I do have a can left so ill start back up on those to see if it helps at all.
Keep up with doctors, bro, like Makwa said up top...
Vitamins like calcium magnesium zinc combo, acidophilus, vitamin e and c, b complex, a good multi vitamin, CO 10, saw palmetto, glucosamine/MSM, a liver supp, fish oil. I supplement with extra selenium and niacin. Use about 2 grams of arginine for PW and papaya after morning meal.
Hitman187Thanks bro will do. I appreciate your help ( and everyone else you pitched in) for taken tthe time out to do so. I already have an appointment set up so ill keep everyone updated on the situation.
Keep up with doctors, bro, like Makwa said up top...
Hitman187Thanks brother i appreciate the feedback and im definitely going to look into the things you mentioned. Im no expert when it comes to bloodwork but the thing that stood right out to me was the high prolactin, i cant understand why its high.