Doc says lvls are good, reddit says no, need help please

[Jaylee]

Hi,

 

I'm really going nuts and I was hoping sombody here could help affirm if my blood hormone lvls are good or not.

I'm 26 mtf about 7-8 months hormones and i've had mediocre feminizationing i feel comparing to others.

 

My doc also has given me some wrong info like your voice will change with hrt and such so I feel she might be a bit inexperienced.

I've posted my 7 month bloodwork on reddit and multiple people said i had way to low estrogen but my doc insists it's okay.

 

I recently changed to patches from pills ******************** a week, changing every 3 or 4 days.

Also taking ************** half a pill once a day.

 

I'm just going crazy not knowing if i'm on the right track or not, I don't wanna waiste any more time if my lvls are bad.

I've mailed another doctor for a second opinion but it's taking forever for her to answer.

 

Can anyone here give me a second opinion please?

Here are my lvls; translated from dutch hope it's okay.

Thank you!

 

White blood cells: 9.2 x10*3/µL 4.0-10.0

 

Red blood cells: 4.4 x10*6/µL 4.5-5.9

 

Hemoglobine 13.8 g/dL 13.5-17.5

 

Hematokriet 41.1 % 41.0-53.0

 

MCV 94 fL80-100

 

MCH 32 pg26-34

 

MCHC 34 g/dL 31-35

 

RDW-CV 12.3 % 11.7-14.5

 

Bloodplates 253 x10*3/µL 150-450

 

MPV Mean Platelet volume 11.4 Fl 9.0-13.0

 

Immature granulocyten 0.4 % smaller than 1

 

Neutrofielen 61 % 40-74

 

Eosinofielen 1 % 1-5

 

Lymfocyten 30 % 20-50

 

Monocyten 8 % 4-12

 

Absolute neutrofilie 5600 /µL 1800-7700

 

Total eosinofilie 120 /µL 0-450

 

Absolute basofilie 28 /µL 0-100

 

Absolute Lymfocytose 2763 /µL 1000-3600

 

Absolute monocytose 700 /µL 0-800

 

CRP < 0.6 mg/L < 5.0

 

Reticulocyten relative 1.57 % 0.50-2.00

 

Reticulocyten 68.8 x10*3/µL 30.0-100.0

 

Natrium 139 mmol/L 136-145

 

Kalium 4.08 mmol/L 3.50-5.10

 

Chloride 102 mmol/L 98-107

 

Bicarbonaat 22 mmol/L 23-29

 

Anion gap 19 mmol/L 10-18

 

ASAT (GOT) 19 u/L < 37

 

ALAT (GPT) 22 u/L < 41

 

Gamma GT 16 u/L < 61

 

Lactaat dehydrogenase (LDH) 292 u/L < 480

 

Alkalische fosfatase 40 u/L 40-129

 

Ureum 41 mg/dL 19-44

 

Kreatine serum 0.88 mg/dl < 1.20

 

eGFR (CKD-EPI mL/min < 60

 

Glucose 100 mg/dl 74-106

 

Albumine determined 55.4 g/L 35.0-52.0

 

Triglyceriden 56 mg/dL < 150

 

Cholesterol 222 mg/dL < 190

 

HDL cholesterol 63 mg/dl < 40

 

LDL cholesterol determined 171 mg/dl < 116

 

LDL cholesterol calculated 148 mg/dl < 116

 

Non HDL cholesterol 159 mg/dl < 146

 

25 hydroxy vitamine D 31.2 ng/ml 14.0-60.0

 

T4 free (FT4 18.36 pmol/L 12.00-22.00

 

T4 free (FT4 1.42 ng/dl 0.93-1.71

 

TSH 2.54 mIU/L

 

PTH intact 23.6 ng/L 15.0-65.0

 

LH < 0.10 IU/L 1.7-8.6

 

FSH < 0.1 IU/L 1.5-12.4

 

Prolactine 14.5 µg/L 4.0-15.2

 

Oestradiol E2 73.1 ng/L 11.3-43.2

 

DHEAS µmol/L 8.99 µmol/L 4.34-12.2

 

DHEAS 331.25 µg/dL 160-449

 

Testosteron 0.353 nmol/L 8.64-29

 

Testosteron 0.10 ng/mL 2.49-8.36

 

Testosteron free 1.25 pg/ml 47-244

 

Sex hormone binding globuline 52 nmol/L 18-54

 

Edited May 12, 2020 by MaryEllen
Dosages removed per rules 13-14 of the site community rules

[KathyLauren]

It does sound like you need a second medical opinion.  Your E and T levels are outside what my doctor would consider as ideal transition levels (assuming I have done the unit conversions properly), but then different doctors have different standards that they work from.  However, combining that with the comment about your voice, which is just plain wrong, I would certainly recommend seeking out another doctor.

[VickySGV]

Unless your reddit buddies are physicians, you can kill yourself with their information.  Belgium has a good contingent in the membership of WPATH (World Professional Association for Transgender Health).  Do have your doctor tell you if the doctor has consulted with them, and if not suggest that they do. 

 

Estrogen blood levels are not nearly as important as the Estrogen that is no longer in the blood system but is actually working in the body cells.  You can have a high blood count and small transformation effects.  Per WPATH research, it takes 3 to 6 months for the effects of the hormones to kick in and 3 to 6 years for the work to mature.  You are also up against your own genetics as far as development goes.  Even a tiny bit of E can trigger your development up to and at the rate of the other females in YOUR FAMILY.  Look for your sisters and aunts development not your friend's.  You will be badly disappointed to compare yourself to non-relatives.  It takes non-trans women about 6 to eight years to finish their growth from puberty to full adulthood. If you really feel distressed, do go to another doctor.  Blood clots from too much E can really ruin a Transition, so low levels could be a blessing.

[Carolyn Marie]

Jaylee, you've received some excellent advice from my friends and colleagues.  I strongly suggest that you take that advice.  An experienced endocrinologist or a general practitioner knowledgeable about HRT is best equipped to guide you.

 

As to your blood test results, if your doctor hasn't provided a review and analysis, you should ask him.  Some of those results are important for kidney and liver function, which are critical for HRT patients, and your doctor owes you clear answers about it.  If you want to know what the standard ranges are for each test, those are easily obtainable via search engines.  But that is still no substitute for talking with you doctor.

 

 

I'll climb on my soapbox here and say this not only to you but to everyone here:  None of us on the staff is a doctor, and none of our members are doctors to my knowledge.  It would not be appropriate for anyone on these forums to provide medical advice or analysis of detailed blood test results.

 

Carolyn Marie

Edited May 12, 2020 by Carolyn Marie
Original statement was overly harsh