Alright I’ve posted before with weird issues I’ve had with my liver and TRT . I’m not going to explain my past history with my liver but you can read my previous thread that has all that . Anyways about 4-5 months ago AST and ALT were all with in normal range . Bilirubin was at 1.6 and has never been lower since I’ve had my liver issues . They say I now have Gilbert’s syndrome and not to worry about my bilirubin unless it shoots way up . I also had a ultra sound and they said my liver looked completely normal and I could even start drinking alcohol again which I still have not done . ( been two years ) . So now here is the issue I’m having . My doctor has me on TRT with test cyponiate at 100mgs a week . That’s puts me around 1000-1050 for total testosterone. For two or three months that’s what it was and then I noticed my estridol sensitive was 45. I had some symptoms of high / low estrogen so I started 0.25 mg twice a week of Anastrozole . I started to feel better and went in to do my regular blood work and my total T came back at 575 . I was hoping it was an error so I went in the follow day and then it came back at 1400 . Then one more time 2 days after that and same thing 1400 . My ALT was 51 and my bilirubin went up to 2.2 . My estrogen also was at 9 which yes I know is to low and I since decided to stop the AI because it’s going to be imposing to dial in my estrogen with my testosterone fluctuations. Also I’m wondering if this issue has something to do with the AI . My last blood work :
Free test : 692
Total test :1400
TSH: 0.526
SHBG: 36.2
AST:29
ALT:48
Bilirubin: 2.2
WBC:5.4
RBC:5.46
Hemoglobin:16.3
Hemocrit:45.8
MCV:84
MCH:29.9
MCHC:35.6
RDW:12.6
Platelets:234
MPV:9.7
Still waiting on the updated estrogen test and they were going to test my thyroid and they were going to see if I have any type of insulin resistance.
They are stumped on what’s going on as am I and I’ve had this exact problem happen before and before I wasn’t taking any AI I was just on test prop with total t around 1000. I eventually had to stop taking it because ALT and AST and bilirubin all went up way to high . I’m really trying to figure out what could be going on before I have to stop TRT again . This will be my 3rd attempt.
I eat extremely clean and I do not take anything that could harm my liver including Tylenol.
Free test : 692
Total test :1400
TSH: 0.526
SHBG: 36.2
AST:29
ALT:48
Bilirubin: 2.2
WBC:5.4
RBC:5.46
Hemoglobin:16.3
Hemocrit:45.8
MCV:84
MCH:29.9
MCHC:35.6
RDW:12.6
Platelets:234
MPV:9.7
Still waiting on the updated estrogen test and they were going to test my thyroid and they were going to see if I have any type of insulin resistance.
They are stumped on what’s going on as am I and I’ve had this exact problem happen before and before I wasn’t taking any AI I was just on test prop with total t around 1000. I eventually had to stop taking it because ALT and AST and bilirubin all went up way to high . I’m really trying to figure out what could be going on before I have to stop TRT again . This will be my 3rd attempt.
I eat extremely clean and I do not take anything that could harm my liver including Tylenol.