DRJMW - A bit more

[xonic2xonic2]

Sorry but no other way to reach you!

Thanks so much for all your help on blood test info. I still had a few more questions if you would be kind enough to spare more time. Thanks!!!

a) How can T3/T4 be off is TSH is fine?

b) Any point in any of these tests (why/why not) , IGF-1, SGBH, progesterone?

c) What will FSH and LH levels actually tell you?

d) From your quoted list below, after getting precycle baselines what would be the MINIMAL tests to get done during and post cycle and after discarding liver + cholesterol tests?




Fasting

HORMONE

1. Cortisol, Total
2. Estradiol, Extraction
3. Prolactin
4. LH
5. FSH
6. T3, Free
7. T4, Free
8. TSH
9. Testosterone, Total, Free and Weakly Bound
10. Hemoglobin A1C
11. Fasting Insulin


CARDIOVASCULAR

12. CBC
13. Comprehensive Metabolic Panel
14. Lipid Panel

OTHER

15. GGT Important Liver Value not included in Comp Metabolic Panel

 

[DrJMW]

Sorry but no other way to reach you!

Thanks so much for all your help on blood test info. I still had a few more questions if you would be kind enough to spare more time. Thanks!!!

a) How can T3/T4 be off is TSH is fine?

TSH IS A HORMONE ORIGINATING IN THE PITUITARY. T3 AND T4 ARE A FUNCTION OF THE THYROID ITSELF. SUPPOSE THE PITUITARY IS FUNCTIONING PROPERLY AND RELEASES TSH, BUT THE THYOID DOESN'T RESPOND, IT WILL KEEP PUTTING OUT TSH. IN SOME CASES, TSH WILL BE "HIGH" OR EVEN HIGH/NORMAL. IF TSH IS LOW AND T3 AND T4 IS LOW, WE SUSPECT A PITUITARY PROBLEM AND ADDITIONAL TESTING IS NEEDED. FOR THE STEROID ATHLETE, KNOWING T3 LEVELS IS MOST IMPORTANT.

b) Any point in any of these tests (why/why not) , IGF-1, SGBH, progesterone?

I USED TO TEST IGF-1. IT IS EXPENSIVE, AND ALMOST EVERYONE COMES BACK EITHER LOW OR LOW-NORMAL. THIS IS BECAUSE WE ARE ALL AGING AND GH LEVELS ARE THE FIRST TO PLUMMET. SHBG IS INCLUDED IN THE TOTAL TESTOS, FREE AND WEAKLY BOUND TESTING I ORDER. PROGESTERONE IS TOO FAR UP THE LADDER; PROLACTIN IS MORE IMPORTANT.

c) What will FSH and LH levels actually tell you?

IF YOU HAVE PITUITARY PROBLEMS AND/OR TESTICULAR PROBLEMS. IF LH/FSH ARE LOW, YOU MAY HAVE A PITUITARY TUMOR OR YOU MAY JUST BE SHUT DOWN. HIGH LEVELS AND NORMAL OR LOW TESTOS LEVELS INDICATE FAILING TESTES. IT IS THE COMBINATION OF LH/FSH/TESTOS THAT TELL THE WHOLE STORY.

d) From your quoted list below, after getting precycle baselines what would be the MINIMAL tests to get done during and post cycle and after discarding liver + cholesterol tests?

DURING CYCLE--EVERYTHING EXCEPT TESTOS LEVELS, LH, AND FSH. I WOULD ALSO TEST ANYTHING THAT TURNED UP NEGATIVE IN BASELINE TESTING. POST-RECOVERY--EVERYTHING. OBVIOUSLY, THE BASELINE TESTING SHOULD APPROXIMATE THE POST-CYCLE RECOVERY TESTING AND ABNORMALITIES SHOULD IMPROVE. DURING-THE-CYCLE TESTING--WE WANT TO SEE NORMAL BODY SYSTEM VALUES WHEN USING AAS.

 

[xonic2xonic2]

Thanks again! Sorry for making you repeat, you already said why not progesterone.

All the best!