Bulldog's Followup Labs

T3 is pretty useful though due to the very short half life. It can give you a good idea of what to expect if you start in low and work up. The half life of T4 IIRC is measured in days, not hours.

 

Here are my latest thyroid labs after a couple of months of treatment to reduce my RT3.
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Collected: 10/28/2011 / 09:12 EDT

QUEST DIAGNOSTICS

AGE: 42
GENDER: M

TSH, 3RD GENERATION 2.14 0.40-4.50 mIU/L
T4, FREE 0.9 0.8-1.8 ng/dL
T3, FREE 5.5 H 2.3-4.2 pg/mL
T3, REVERSE 19 11-32 ng/dL
PROLACTIN 6.0 2.0-18.0 ng/mL

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RT3 has come down nicely, however I have very slowly become more and more tired. I'm actually more tired now than prior to thyroid treatment. Because of this the Doc thinks I may have an adrenal insufficiency issue, so we are going to do a 4x saliva cortisol test to see if it shows any issues. I'll report those results when I get them.

 

As to the x4 saliva cortisol test......should I do it on a day where I do not workout or work (i.e.: a weekend) or should I do it on a day when my mental and physical stress is at a peak? I'm still waiting for the test kit to arrive.

 

Well, doc wants to do the test, and I have already paid for it so I will be doing it.

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4x Cortisol saliva test results.
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Access Labs
11/28/2011
Cortisol, Morning 2.69 1.8-3.8 ng/ml
Cortisol, Noon 0.75 0.3-1.4 ng/ml
Cortisol, Evening 0.27 0.1-1.1 ng/ml
Cortisol, Night 0.1 L 0.1-0.8 ng/ml

 

Those look to be okay numbers. Why did you highlight the night levels?

You sound to me like a hard charger, have you thought about maybe you have over trained and need a break? I just came off an intense 12 week cycle, and I am shot. This week has been torture for me. No energy in the gym, feeling weak etc...

I am going to take a week off and re charge. Detox my liver a bit, and hit it hard after the first.

 

I highlighted the Night level because they flagged it as being low. Dr. John agreed that it should be more in the middle of the range.

Regarding your "hard charger" comment.....I have only worked out 6 days in the last month and not at all the month before because I have just felt off. I just had blood work drawn again yesterday to check my Test and Estro levels. If they are still down like last time I'm going to talk to the dock about increasing my dose because I felt way better when my TT, FT & BAT were closer to the top of range. I'm wondering if switching to 1CC syringes has made the difference in my levels. I have a feeling that I may have been injecting a little bit extra with the 3CC syringes and now that I'm using the much, much more accurate 1CC syringes I'm injecting a more accurate dose and it just isn't enough.

I think if I get back on a regular workout schedule I will probably feel better. But that's going to have to wait until after the new year because I leave next Tuesday on a Bahama's cruise.

 

Just to be clear, the hard charger was a compliment. Sorry your feeling so low, a cruise may just be a nice way to recharge.

My cortisol was fairly high at night the last time I checked it, I wasnt sleeping very well then either, likely stress related. I should probably check it agian to see what has changed as I am sleeping pretty well lately.

Enjoy your cruise.

 

Here are my latest labs. Labs were taken 3 days after my Test Cyp shot.
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COLLECTED: 12/21/2011 08:27


QUEST DIAGNOSTICS


AGE: 42
GENDER: M


COMPREHENSIVE METABOLIC PANEL W/EGFR
GLUCOSE 92 65-99 ng/dL (I'm glad to see that my on my last three labs my glucose has been back down)
UREA NITROGEN (BUN) 21 7-25 ng/dL
CREATININE 1.18 0.78-1.34 ng/dL
eGFR NON-AFR. AMERICAN 76 ≥60 mL/min/1.73m 2
eGFR AFRICAN AMERICAN 88 ≥60 mL/min/1.73m 2
BUNICREATININE RATIO NOT APPLICABLE 6-22 (calc)
BUN/CREATININE RATIO IS NOT REPORTED WHEN THE BUN
AND CREATININE VALUES ARE WITHIN NORMAL LIMITS.
SODIUM 140 135-146 nnol/L
POTASSIUM 3.8 3.5-5.3 nnol/L
CHLORIDE 102 98-110 nnol/L
CARBON DIOXIDE 28 21-33 nnol/L
CALCIUM 9.7 8.6-10.2 ng/dL
PROTEIN, TOTAL 6.8 6.2-8.3 g/dL
ALBUMIN 4.8 3.6-5.1 g/dL
GLOBULIN 2.0 L 2.1-3.7 g/dL (calc)
ALBUMIN/GLOBULIN RATIO 2.4 H 1.0-2.1 (calc)
BILIRUBIN, TOTAL 1.4 H 0.2-1.2 ng/dL
ALKALINE PHOSPHATASE 54 40-115 U/L
AST 29 10-40 U/L
ALT 58 9-60 U/L


ESTRADIOL, ULTRASENSITIVE
LC/MS/MS 21 pg/mL Reference Range: < OR = 29 (NO NOTE THAT THE RESULTS WERE CONFIRMED BY REPEAT ANALYSIS THIS TIME)


TESTOSTERONE, FREE,BIO AND TOTAL, LC/MS/MS
TESTOSTERONE, TOTAL 833 250-1100 ng/dL
TESTOSTERONE, FREE 171.2 46.0-224.0 pg/mL
TESTOSTERONE,BIOAVAILABLE 381.8 110.0-575.0 ng/dL
SHBG 21 10-50 nmol/L
ALBUMIN,SERUM 4.9 3.6-5.1 g/dL


Testosterone levels are still lower than they were prior to my Clomid trial. I'm on the same dosage as prior to trying the clomid.


CBC (INCLUDES DIFF/PLT)
WHITE BLOOD CELL COUNT 5.4 3.8-10.8 Thousand/uL
RED BLOOD CELL COUNT 5.19 4.20-5.80 Million/uL
HEMOGLOBIN 16.6 13.2-17.1 g/dL
HEMATOCRIT 48.6 38.5-50.0 %
MCV 93.7 80.0-100.0 fL
MCH 32.1 27.0-33.0 pg
MCHC 34.2 32.0-36.0 g/dL
RDW 14.4 11.0-15.0 %
PLATELET COUNT 169 140-400 Thousand/uL
MPV 8.0 7.5-11.5 fL
ABSOLUTE NEUTROPHILS 3542 1500-7800 cells/uL
ABSOLUTE LYMPHOCYTES 1339 850-3900 cells/uL
ABSOLUTE MONOCYTES 405 200-950 cells/uL
ABSOLUTE EOSINOPHILS 97 15-500 cells/uL
ABSOLUTE BASOPHILS 16 0-200 cells/uL
NEUTROPHILS 65.6 %
LYMPHOCYTES 24.8 %
MONOCYTES 7.5 %
EOSINOPHILS 1.8 %
BASOPHILS 0.3 %


DHEA SULFATE 265 45-345 mcg/dL




LIST OF RESULTS PRINTED IN THE OUT OF RANGE COLUMN:
GLOBULIN 2.0 L 2.1-3.7 g/dL (calc)
ALBUMIN/GLOBULIN RATIO 2.4 H 1.0-2.1 (calc)
BILIRUBIN, TOTAL 1.4 H 0.2-1.2 ng/dL


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Overall I feel better since addressing thyroid and now cortisol. But I still don't feel quite as good as before I tried the clomid treatment. I'm guessing my testosterone levels still need to come back up to where they were prior to the clomid trial.

 

Is that DHEA number age adjusted?

Do you have a Preg number? Taking any PREG (might bring up cortisol).

 

Latest labs, taken while I was feeling that "hot sensation" around my right kidney area. Later in the day I felt like I was coming down with the flu. That "hot sensation" problem is gone and I feel fine now in that regard. I'm assuming at this point that the high ALT was due to my illness at the time of the blood draw. Doc didn't say anything about these being out of range and I told him I was sick at the time of the draw, so I'm assuming it is nothing to worry about unless it is high again on my next lab draw.

We made some protocol adjustments prior to this draw to try and control E2 without an aromatase inhibitor and even at the low levels recorded on these labs I have itchy nipple issues. So unfortunately it didn't work.

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Collected: 03/28/2012 / 08:22 EDT


Quest Diagnostics


AGE: 42
Gender: M



Test Name In Range Out Of Range Reference Range Lab
COMPREHENSIVE METABOLIC BH
PANEL
GLUCOSE 91 65-99 mg/dL (Fasting reference interval)
UREA NITROGEN (BUN) 15 7-25 mg/dL
CREATININE 1.08 0.60-1.35 mg/dL
eGFR NON-AFR. AMERICAN 84 > OR = 60 mL/min/1.73m2
eGFR AFRICAN AMERICAN 98 > OR = 60 mL/min/1.73m2
BUN/CREATININE RATIO NOT APPLICABLE 6-22 (calc)
SODIUM 139 135-146 mmol/L
POTASSIUM 4.4 3.5-5.3 mmol/L
CHLORIDE 102 98-110 mmol/L
CARBON DIOXIDE 25 21-33 mmol/L
CALCIUM 9.7 8.6-10.3 mg/dL
PROTEIN, TOTAL 6.7 6.2-8.3 g/dL
ALBUMIN 4.7 3.6-5.1 g/dL
GLOBULIN 2.0 L 2.1-3.7 g/dL (calc)
ALBUMIN/GLOBULIN RATIO 2.4 H 1.0-2.1 (calc)
BILIRUBIN, TOTAL 1.3 H 0.2-1.2 mg/dL
ALKALINE PHOSPHATASE 54 40-115 U/L
AST 39 10-40 U/L
ALT 63 H 9-60 U/L

ESTRADIOL, ULTRASENSITIVE EZ
LC/MS/MS 23 < OR = 29 pg/mL
TESTOSTERONE, FREE,BIO EZ
AND TOTAL, LC/MS/MS
TESTOSTERONE, TOTAL,
LC/MS/MS 489 250-1100 ng/dL
Total Testosterone was measured by LCMSMS. The LCMSMS method
correlates well with our extraction/RIA method.
TESTOSTERONE, FREE 82.6 46.0-224.0 pg/mL
TESTOSTERONE,BIOAVAILABLE 180.7 110.0-575.0 ng/dL
SEX HORMONE BINDING GLOBULIN 24 10-50 nmol/L
ALBUMIN,SERUM 4.8 3.6-5.1 g/dL

CBC (INCLUDES DIFF/PLT) BH
WHITE BLOOD CELL COUNT 6.2 3.8-10.8 Thousand/uL
RED BLOOD CELL COUNT 5.16 4.20-5.80 Million/uL
HEMOGLOBIN 16.8 13.2-17.1 g/dL
HEMATOCRIT 47.5 38.5-50.0 %
MCV 92.0 80.0-100.0 fL
MCH 32.6 27.0-33.0 pg
MCHC 35.4 32.0-36.0 g/dL
RDW 14.0 11.0-15.0 %
PLATELET COUNT 155 140-400 Thousand/uL
MPV 8.9 7.5-11.5 fL
ABSOLUTE NEUTROPHILS 4483 1500-7800 cells/uL
ABSOLUTE LYMPHOCYTES 1141 850-3900 cells/uL
ABSOLUTE MONOCYTES 465 200-950 cells/uL
ABSOLUTE EOSINOPHILS 93 15-500 cells/uL
ABSOLUTE BASOPHILS 19 0-200 cells/uL
NEUTROPHILS 72.3 %
LYMPHOCYTES 18.4 %
MONOCYTES 7.5 %
EOSINOPHILS 1.5 %
BASOPHILS 0.3 %
DHEA SULFATE 288 45-345 mcg/dL BH


LIST OF RESULTS PRINTED IN THE OUT OF RANGE COLUMN:
GLOBULIN 2.0 L 2.1-3.7 g/dL (calc) BH
ALBUMIN/GLOBULIN RATIO 2.4 H 1.0-2.1 (calc) BH
BILIRUBIN, TOTAL 1.3 H 0.2-1.2 mg/dL BH
ALT 63 H 9-60 U/L BH

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We have adjusted my protocol again and will retest again in a month.

 

I'm not sure I'm completely following your post, Jan. Are the items listed in the Summary portion of the image what you suggest I take? If so, why HIGH EPA fish oil? I thought we decided long ago that we wanted DHA to be higher than EPA (approximately 2:1).

How does your spreadsheet determine what one should take for supplements?

 

Here are my latest labs.

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Collected: 05/08/2012 / 08:28 EDT

Quest Diagnostics

AGE: 42
Gender: M


Test Name In Range Out Of Range Reference Range Lab
TSH 2.29 0.40-4.50 mIU/L BH
T4, FREE 0.7 L 0.8-1.8 ng/dL BH
T3, FREE 5.3 H 2.3-4.2 pg/mL BH
T3, REVERSE, LC/MS/MS 5 L 9-28 ng/dL AMD

ESTRADIOL, ULTRASENSITIVE EZ
LC/MS/MS 40 H < OR = 29 pg/mL

TESTOSTERONE, FREE,BIO EZ
AND TOTAL, LC/MS/MS
TESTOSTERONE, TOTAL,
LC/MS/MS 505 250-1100 ng/dL
TESTOSTERONE, FREE 105.7 46.0-224.0 pg/mL
TESTOSTERONE,BIOAVAILABLE 226.6 110.0-575.0 ng/dL
SEX HORMONE BINDING
GLOBULIN 18 10-50 nmol/L
ALBUMIN,SERUM 4.7 3.6-5.1 g/dL
FERRITIN 129 20-380 ng/mL BH
DHEA SULFATE 268 45-345 mcg/dL BH

LIST OF RESULTS PRINTED IN THE OUT OF RANGE COLUMN:
T4, FREE 0.7 L 0.8-1.8 ng/dL BH
T3, FREE 5.3 H 2.3-4.2 pg/mL BH
T3, REVERSE, LC/MS/MS 5 L 9-28 ng/dL AMD
ESTRADIOL, ULTRASENSITIVE EZ
LC/MS/MS 40 H < OR = 29 pg/mL

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My itchy nipples are gone so I believe the E2 test is invalid. But who knows for sure. I'm still bothered by the slight gyno that I have acquired. Still thinking about asking to trial some tamoxifen to see if it will do anything. But I won't ask for that until we get this new protocol dialed in.

Doc says my thyroid levels look strange and will test for antibodies on my next set of labs. Thinks I might have Hashimoto's. With my Free T3 being so high and my Free T4 being so low shouldn't my TSH be down near 0.00? Seems strange that my TSH would be so high but my thyroid isn't producing anything. Even with Hashimoto's it should be much lower, shouldn't it?

We made some more adjustments to my protocol to get my testosterone levels up. I'll post my next labs when I receive them.

 

Goal for BAT is upper 1/4 of range, which is more than twice my current level.

Yes, I'm taking thyroid supplementation.....I can't say exactly what due to Man Laws, but you can probably figure it out by my thyroid lab results. ;o)

I do take Iodine - one 12.5 mg Iodoral tablet per day. No selenium other than the

200 mcg that is included in my Twinlab daily multi-vitamin.​

 

I have tried different things due to E2 issues. Weekly injections, clomid therapy, EOD injections. They all require adjustment. Now thyroid is a mess.

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