Blood work help ???

[Vitamin S]

P,

Attached is my current blood work as of yesterday. Still low sex drive and low test levels after doing PCT. I was at test level of 9.7 two months ago, but having not been satisfied i ordered HCG generate and took that and i think it made things worse. I also take dostinex year round for a pituitary tumor i have to keep prolactin in check.

i will be seeing my doc tomorrow who said last time things like this take time. he said just keep taking dositnex to keep your prolactin in check and all else will slowly rise on its own and not to take anything. i took the hcgenerate and i think it made it worse.

would it be wise for me to jump on a test only cycle to boost my test levels and then do a pct? or can you recommend something else to boost my levels up, such as another round of pct?

i have also never done blood work while being a natty so i don't know what my upper limits are for my numbers, but i know test level of 6.3 is not it. i know it was high as 38 while on gear. 36846

thank you.

[Praetorian]

How long since PCT?

The bioavailable marker is the more important one...4.5 is on the low side but not by much. I would avoid crap like hcgenerate...there is nothing in it that will increase test levels except zinc and only if you are deficient. Jumping on a test only cycle will push your endo levels even lower and make full recovery more difficult...not wise. Keeping progesterone in check is necessary as it can cause a negative feedback loop and shut you down so th dostinex is necessary in your situation. Being that you dont knwo what your normal levels are it is difficult to say where you are now but I would have to assume you could still recover more and push natural levels higher.

You may want to try clomid 50mg and nolvadex 20mg daily for 3-4 weeks and then wait two weeks and get blood work done again.

P

[Vitamin S]

its been a few months since pct, but i didn't do pct right away. i started to taper off test and than kept running dbol as a bridge for 4 weeks almost coming down to a low dose of 10mg daily. before i started this taper my test levels were at 38 and then they dropped to 10 before i actually jumped on pct, but i didn't recover and than took hcgenerate and it may have suppressed me further.

1. would u say no to throwing in hcg at this point?
2. i already have very low estrogen wont the nolvadex bring that down even further?

3. do i take the clomid from weeks 1-3 and nolvadex from weeks 1-4? wait two weeks to get tested? ( i just don't want to have the clomid/nolvadex make things worse than it is?)

i will be seeing the doc tomorrow he will probably say to just wait it out, but i cant been to long to suppressed. i will keep you posted.
thanks again p.

[Praetorian]

its been a few months since pct, but i didn't do pct right away. i started to taper off test and than kept running dbol as a bridge for 4 weeks almost coming down to a low dose of 10mg daily. before i started this taper my test levels were at 38 and then they dropped to 10 before i actually jumped on pct, but i didn't recover and than took hcgenerate and it may have suppressed me further.

1. would u say no to throwing in hcg at this point?
2. i already have very low estrogen wont the nolvadex bring that down even further?

3. do i take the clomid from weeks 1-3 and nolvadex from weeks 1-4? wait two weeks to get tested? ( i just don't want to have the clomid/nolvadex make things worse than it is?)

i will be seeing the doc tomorrow he will probably say to just wait it out, but i cant been to long to suppressed. i will keep you posted.
thanks again p.



1. I dont think HCG at this point is necessary...I would use the minimum to try to boost levels and see how that goes first. If you dont see much results then I would run a regular cycle of PCT including HCG.
2. Nolvadex is SERM it does not reduce estrogen in the blood it is actually a weak estrogen itself and attaches to the estrogen receptor in essence preventing estrogen from doing so and not letting it exert it effects. Clomid is a SERM as well with similar properties.
3. Both clomid and Nolvadex should increase LH production which acts on the testes to produce more testosterone. Not sure how you think they will make things worse? They do not suppress HPTA they do the opposite.

Im still not sure how long you have been off...how long since your last intake of any type of aas?

P

[Vitamin S]

p thanks makes sense. i been off for 6 months now.

will the clomid/nolvadex effect my prolactin levels or is that independent. i know when estrogen goes up, so did my prolactin levels. i wish there were doctors that know about restoring hpta they only seem to know their stuff like how to keep my prolactin in check. i wonder if he can write a rx for clomid/nolvadex.

still not sure if clomid is for 3 weeks or 4 weeks, and someone mentioned to taper off clomid, is that needed?

[Praetorian]

Nolva and clomid should not affect prolactin...dostinex will keep it in check. Prolactin is usually only a problem when estrogen is high...by keeping it low prolactin doesnt seem to cause any issues in most. You can run both nolva and clomid for 4 weeks. Tapering off clomid is unnecessary.

P

[Vitamin S]

Saw the doc today and he said continue taking cabergoline for the prolactin and i should not have taken any herbal boosters to boost test levelsprolly made it worse. Said it will take time which i hate to hear.He said he dont know anything about clomid and nolvadex and will only prescribe it if my endo agrees. I most likely will start it on my own and see what happens in a month.

Can u explain what biovalable test means?
Thanks

[Praetorian]

Yes true it will take time but why wait while quality of life is diminished. I would suggest 50mg clomid and 20mg nolva once per day in the morning and have blood work 4 weeks later. At that point you can decide to run a complete PCT cycle if needed.

Testosterone is present in the blood as "free" testosterone (1-4%) or bound testosterone (~98%). The latter may be loosely bound to albumin (38%), the main protein in the fluid portion of the blood, or bound to a specific binding protein called Sex Hormone Binding Globulin (SHBG) (60%), also called Sex Steroid Binding Globulin (SSBG). The binding between testosterone and albumin is not very strong and is easily reversed, so the term bioavailable testosterone (BAT) refers to the sum of free testosterone plus albumin-bound testosterone. It is suggested that bioavailable testosterone represents the fraction of circulating testosterone that readily enters cells and better reflects the bioactivity of testosterone than does the simple measurement of serum total testosterone.


P

[Vitamin S]

yup will be doing so , thanks for the info P apprecaite it.