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Testosterone Replacement, Low T, HCG, & Beyond
Blood Test Discussion
New Guy Here. TRT has been prescribed--but does my bloodwork warrant it?
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<blockquote data-quote="Vettester Chris" data-source="post: 11019" data-attributes="member: 696"><p>Gizmo, welcome to EM. Glad you joined! You provided a lot of information, which is appreciated! It might take a few segments to address everything, and hopefully others will chime in as well ...</p><p></p><p>Although the cortisol burden (aka "Load") is still in range, it's obviously on the low end of the reference range. Going off the DiagnosTech - Cortisol/DHEA correlation mid-day average system, your square definitely falls into the bracket of "Adrenal Fatigue". I know you had mentioned SSRI's, and at one point when you were younger you were on HC therapy. Not that I'm trying to get too personal, but have you been doing any anabolic cycles lately? </p><p></p><p>The circadian rhythm of your cortisol (AM towards the top, the other 3 at the bottom) and low DHEA can be indicative of anabolic usage (PH's, Nor19's, C17's, etc ..). Not that AAS usage is "always" the cause, but the symptoms fit it, plus the fact your HPTA is also suppressed, which appears to be the culprit for your low testosterone value (secondary hypo). If not, it could be a myriad of possibilities, and either way it would probably be good to have a physician take an MRI to ensure you don't have any complications with the pituitary like an adenoma. </p><p></p><p>Again, total test serum is low, which appears to be just following suit with the low gonadotropin values that are suppressed with the pituitary, better know as the HPTA. Your direct free testosterone is low, but the amount is relevant to the amount of your total serum. Your free test % is right at 2.5%, which IMO is about spot-on for what you want (decent SHBG & Albumin values). </p><p></p><p>So there's nothing you need to do there except get your total serum to an adequate level that you and your doctor find to be best for you, and you 'should' anticipate your free test to be in the "approx" area of 2.5% or close thereof. For the meantime, get with a physician that can properly diagnose your condition, and then you can start the foundation for a game plan to getting everything on track again like you desire ...</p><p></p><p>I want to delve into your thyroid numbers, but I'm cooked on this end! I'm dealing with my own Monday fatigue at this point <img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite1" alt=":)" title="Smile :)" loading="lazy" data-shortname=":)" /> For now, let me know if you have any thoughts on what's been posted? Maybe you have gone through some of this with your doctor? If so, are you getting some feedback on what steps to take?</p></blockquote><p></p>
[QUOTE="Vettester Chris, post: 11019, member: 696"] Gizmo, welcome to EM. Glad you joined! You provided a lot of information, which is appreciated! It might take a few segments to address everything, and hopefully others will chime in as well ... Although the cortisol burden (aka "Load") is still in range, it's obviously on the low end of the reference range. Going off the DiagnosTech - Cortisol/DHEA correlation mid-day average system, your square definitely falls into the bracket of "Adrenal Fatigue". I know you had mentioned SSRI's, and at one point when you were younger you were on HC therapy. Not that I'm trying to get too personal, but have you been doing any anabolic cycles lately? The circadian rhythm of your cortisol (AM towards the top, the other 3 at the bottom) and low DHEA can be indicative of anabolic usage (PH's, Nor19's, C17's, etc ..). Not that AAS usage is "always" the cause, but the symptoms fit it, plus the fact your HPTA is also suppressed, which appears to be the culprit for your low testosterone value (secondary hypo). If not, it could be a myriad of possibilities, and either way it would probably be good to have a physician take an MRI to ensure you don't have any complications with the pituitary like an adenoma. Again, total test serum is low, which appears to be just following suit with the low gonadotropin values that are suppressed with the pituitary, better know as the HPTA. Your direct free testosterone is low, but the amount is relevant to the amount of your total serum. Your free test % is right at 2.5%, which IMO is about spot-on for what you want (decent SHBG & Albumin values). So there's nothing you need to do there except get your total serum to an adequate level that you and your doctor find to be best for you, and you 'should' anticipate your free test to be in the "approx" area of 2.5% or close thereof. For the meantime, get with a physician that can properly diagnose your condition, and then you can start the foundation for a game plan to getting everything on track again like you desire ... I want to delve into your thyroid numbers, but I'm cooked on this end! I'm dealing with my own Monday fatigue at this point :) For now, let me know if you have any thoughts on what's been posted? Maybe you have gone through some of this with your doctor? If so, are you getting some feedback on what steps to take? [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Blood Test Discussion
New Guy Here. TRT has been prescribed--but does my bloodwork warrant it?
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