Feedback on bloods…

[jl9987]

Bit shocked how high my test and estrogen is.

I’m taking 100mg test e and mast e on a Tues Thurs and sat

I did add in 10mg tren ace a day mon to Friday ten days ago

100mcg t4

6iu gh mon to Fri pre bed
1mg Tesamorelin am

This was taking midday, fasted but I did have morning supplements and electrolytes etc.

Reason I did bloods. Lethargy hit me super high and not surprised looking at these.

Not sure my mast is mast, cos those results are two days after my last 100mg test/mast jab.

Would appreciate feedback

 

[luki7788]

I don’t really know what kind of feedback you expect, but I’ll be straight.

The first and main thing you should be worried about is anemia. Your ferritin and iron levels are extremely low. That’s the key issue here.
Your free T3 is low, even though TSH looks fine and T4 is in the upper range. This is very typical with iron deficiency. When iron is low, the conversion from T4 to T3 is impaired, so T3 stays low. That’s why fixing your iron deficiency should be the priority.

Honestly, I don’t see what else is surprising in these labs.
Yes, estradiol is high, but the question is what test was used.
– If it was a standard test, Tren can falsely elevate the result.
– If it was a sensitive assay, then yes, estradiol is clearly too high.

Other than that, the rest looks pretty normal for someone on cycle.
But again: low iron, low ferritin, and as a result low T3 this is the main problem you need to fix first.

 

[bbxtreme]

How much D3 are you supplementing with? I think you could cut back on whatever you’re taking.

I’d also aim to get that eGFR back in range.

 

[jl9987]

Yeah, my egfr is usually really really good so this surprised me, winter in uk so been taking 3 of trained by jps k2 and d3 pre bed every day

 

[jl9987]

I don’t really know what kind of feedback you expect, but I’ll be straight.

The first and main thing you should be worried about is anemia. Your ferritin and iron levels are extremely low. That’s the key issue here.
Your free T3 is low, even though TSH looks fine and T4 is in the upper range. This is very typical with iron deficiency. When iron is low, the conversion from T4 to T3 is impaired, so T3 stays low. That’s why fixing your iron deficiency should be the priority.

Honestly, I don’t see what else is surprising in these labs.
Yes, estradiol is high, but the question is what test was used.
– If it was a standard test, Tren can falsely elevate the result.
– If it was a sensitive assay, then yes, estradiol is clearly too high.

Other than that, the rest looks pretty normal for someone on cycle.
But again: low iron, low ferritin, and as a result low T3 this is the main problem you need to fix first.

Appreciate it. Without sounding stupid, what steps would you take to address the iron and ferritin ? I only eat red meat like once a week

 

[jl9987]

How much D3 are you supplementing with? I think you could cut back on whatever you’re taking.

I’d also aim to get that eGFR back in range.

It’s about 11000iu d3 and 700mcg k2

My egfr was 100 middle october

 

[Stewie]

Bit shocked how high my test and estrogen is.

I’m taking 100mg test e and mast e on a Tues Thurs and sat

I did add in 10mg tren ace a day mon to Friday ten days ago

100mcg t4

6iu gh mon to Fri pre bed
1mg Tesamorelin am

This was taking midday, fasted but I did have morning supplements and electrolytes etc.

Reason I did bloods. Lethargy hit me super high and not surprised looking at these.

Not sure my mast is mast, cos those results are two days after my last 100mg test/mast jab.

Would appreciate feedback

What supplements are you taking? Particularly– anything with biotin in it?

 

[jl9987]

I don’t really know what kind of feedback you expect, but I’ll be straight.

The first and main thing you should be worried about is anemia. Your ferritin and iron levels are extremely low. That’s the key issue here.
Your free T3 is low, even though TSH looks fine and T4 is in the upper range. This is very typical with iron deficiency. When iron is low, the conversion from T4 to T3 is impaired, so T3 stays low. That’s why fixing your iron deficiency should be the priority.

Honestly, I don’t see what else is surprising in these labs.
Yes, estradiol is high, but the question is what test was used.
– If it was a standard test, Tren can falsely elevate the result.
– If it was a sensitive assay, then yes, estradiol is clearly too high.

Other than that, the rest looks pretty normal for someone on cycle.
But again: low iron, low ferritin, and as a result low T3 this is the main problem you need to fix first.

I was thinking my mast was fake, cos never seen test that high for me on just 300mg a week, thought my mast was test possibly

 

[Stewie]

Appreciate it. Without sounding stupid, what steps would you take to address the iron and ferritin ? I only eat red meat like once a week

You're not anemic – iron deficient, yeah.

 

[jl9987]

My vitamin has 300mcg Biotin in,

What supplements are you taking? Particularly– anything with biotin in it?

 

[jl9987]

not sure why AST/ALT high, I take tudca, milk thistle....don't do orals.

 

[bbxtreme]

It’s about 11000iu d3 and 700mcg k2

My egfr was 100 middle october

I’ll use my ChatGPT as I feed it enough that I agree with it here and summarizes it all for you:

Iron deficiency without anemia → affecting thyroid conversion

Extreme androgen + estrogen levels → lipid & endocrine effects

Low T3 from stress / iron depletion

Exercise-induced CK & AST/ALT elevation

HDL suppression (expected in this context)

If it were me I would cut your vitamin d intake down to 5000iu, supplement with iron bisglycinate, fix your hydration and improve your recovery or consider a de load period while you get your E2 levels managed.

 

[jl9987]

I’ll use my ChatGPT as I feed it enough that I agree with it here and summarizes it all for you:

Iron deficiency without anemia → affecting thyroid conversion

Extreme androgen + estrogen levels → lipid & endocrine effects

Low T3 from stress / iron depletion

Exercise-induced CK & AST/ALT elevation

HDL suppression (expected in this context)

If it were me I would cut your vitamin d intake down to 5000iu, supplement with iron bisglycinate, fix your hydration and improve your recovery or consider a de load period while you get your E2 levels managed.

Appreciate it. My E2 levels could be skewed as Luki said by the tren, or if my mast isnt mast right? Cos 120 seems high for 300 mg test.

No need to add extra t4/t3, its fix the iron first...my hydration should be good, use cement factory hydration twice a day, plus Redmond salt on meals.

I fly to USA tomorrow for a holiday so perfect time to deload whilst cranking in the iron bisglycinate eod + vitamin c.

Yeah I trained SAT and did sauna sunday with bloods monday.

Glad there's some explanation as I've felt like a zombie past 3 weeks, body super heavy, extreme fatigue, low libido/mood.

My mast could be real then? Cos I'm pretty dry given how high me estrogen is!

 

[Crazy_jay]

Appreciate it. Without sounding stupid, what steps would you take to address the iron and ferritin ? I only eat red meat like once a week

Cook with cast iron

 

[dieselbuilder]

I was thinking my mast was fake, cos never seen test that high for me on just 300mg a week, thought my mast was test possibly

Where did you get your masteron from?

 

[luki7788]

not sure why AST/ALT high, I take tudca, milk thistle....don't do orals.

Your ALT is not high at all.
ALT at 48 with a lab range up to 40 is basically nothing. That’s not even a real elevation. Your liver enzymes are not even 2× over the norm, which is actually a bit unusual for someone who trains hard. Maybe you train too light, LOL.

Jokes aside, it’s hard to say much without knowing your full diet, lifestyle, supplementation, and training. Without that, any advice here is honestly not very professional. If you really want proper help, you should consider a real consultation with a good specialist or coach who understands blood work, supplementation, and how to look at the whole picture.
From what I can see in your labs and what you wrote, I definitely would not stop T4. Your T4 level is good, and 100 mcg clearly puts you in a solid range. The real issue here is iron. That’s what needs to be fixed first. We also need to understand why your iron is low in the first place, which again comes back to diet, supplements, and lifestyle.

As a simple starting point, I’d suggest iron supplementation. Ideally iron bisglycinate or another well-absorbed form. If you don’t have access to a better form, then around 25 mg of elemental iron daily. If you’re not using a highly bioavailable form, add lactoferrin, around 100–200 mg, to improve iron absorption.

Always take iron on an empty stomach.

Until iron improves and T4 to T3 conversion normalizes, I would also consider adding a very small dose of T3, something like 5 mcg. That will not shut down your thyroid, but it can help bring your T3 into a better range while you fix the iron issue. Of course, all of this should be monitored with follow-up blood work.

 

[jl9987]

Where did you get your masteron from?

Pharma qo. I don’t think it’s fake cos I trust the source and pharmaqo have a great name

 

[M@NU]

not sure why AST/ALT high, I take tudca, milk thistle....don't do orals.

if you did not atleast take 4 days off from training before taking bloods then those values are pretty low to me.
If i take bloods the day after a heavy Pull session my ALT/AST is usually around 150-200

 

[luki7788]

if you did not atleast take 4 days off from training before taking bloods then those values are pretty low to me.
If i take bloods the day after a heavy Pull session my ALT/AST is usually around 150-200

Exactly. That’s exactly what you’re saying, and that’s why I see it all the time.
What surprises me today is that we have so much access to knowledge. You can even ask ChatGPT if you’re not sure.
And yet people still can’t properly interpret basic blood work.
They don’t understand the difference between pathology and adaptation.

Slightly elevated liver enzymes, creatinine, or muscle markers in bodybuilders are usually just an adaptation to training and lifestyle not a pathology.

 

[jl9987]

Yeah, I trained SAT...but intensity was low cos I've had chronic fatigue/lethargy for a few weeks.

appreciate everyones help.

Iron biglycinate + vitamin c taken today!