AGE SPECIFIC CALCULATED FREE TESTOSTERONE RANGES IN ADULT MEN

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No, a cFTV (calculated free testosterone by Vermeulen) of 17.2 ng/dL is above average for healthy young men. Average for them is around 15 ng/dL. Or at least it was some decades back.

As I said above:

If you use the Vermeulen calculation then you can compare yourself to a range for healthy young men of about 70-230 pg/mL (7-23 ng/dL).
@Cataceous, are those ranges for what is considered normal in general 2 standard deviations on each side of the mean? Meaning 23ng/dL would be approximately the 98th percentile?
 
Defy Medical TRT clinic doctor
Wow! You’re good. I should be sending you my copayment! Currently inject once per week, 130-140 mg. This was at the trough.

You are hitting a cFTV 17.2 ng/dL at the true trough (7 days post-injection).

Keep in mind as of now cFTV tends to overestimate slightly when compared against a state of the art/standardized ED assay.

Even then you would most likely still be hitting a trough FT 15 ng/dL (7 days post-injection).

Now think about how much higher your peak TT/FT (8-12 hrs post-injection) during the first 2-3 days every week would be!




The testing method used for FT was state-of-the-art direct ED method (ED LC-MS/MS)!

What percentile of healthy young men would even be hitting a peak not trough FT 17.1 ng/dL!




We present 95% mFT age-stratified reference ranges

Age category (years)

Median mFT (ng/dl)

95% mFT reference range (ng/dl)

25-29 (n=148)

10.3

5.6 - 17.1

30-39 (n=252)

9.7

4.9 - 18.1

40-49 (n=207)

8.0

4.3 - 13.5

50-59 (n=146)

7.0

3.8 - 12.6

60-69 (n=114)

5.9

3.3 - 11.9




*The gold-standard for the determination of FT levels is considered to be directly measured free testosterone (mFT) using equilibrium dialysis followed by mass spectrometry (ED LC-MS/MS). However, no widely accepted reference ranges are available for this clinical parameter. We established mFT reference ranges for healthy men aged 18 to 69 years


*Serum samples were analyzed from healthy men participating in the SIBLOS/SIBEX and EMAS studies, both population-based cohort studies



* mFT levels were measured in 867 men using ED LC-MS/MS as previously reported (1).


Reference:
1. Fiers T, Wu F, Moghetti P, Vanderschueren D, Lapauw B, Kaufman JM. Reassessing Free-Testosterone Calculation by Liquid Chromatography–Tandem Mass Spectrometry Direct Equilibrium Dialysis. J Clin Endocrinol Metab. 2018;103(6). doi:10.1210/jc.2017-02360





In the current study, we used a state-of-the-art direct ED method to reassess FT in sets of representative serum samples. This method takes advantage of the ability of a highly sensitive and accurate measurement of T by liquid chromatography–tandem mass spectrometry (LC-MS/MS) to reliably measure the low FT concentration directly in the dialysate after ED. This more straightforward method avoids potential sources of inaccuracy in indirect ED, such as those resulting from tracer impurities or from measures to limit their impact (e.g., sample dilution). We then used the measured FT results to re-evaluate some characteristics of two more established and a more recently proposed calculations for estimation of FT.
 
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