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Testosterone Replacement, Low T, HCG, & Beyond
Blood Test Discussion
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<blockquote data-quote="madman" data-source="post: 202844" data-attributes="member: 13851"><p>Unhealthy (low/low-normal) FT levels will definitely have a negative impact on libido, erectile function including (NPT/spontaneous erections).</p><p></p><p>Although TT is important to know FT is what truly matters as it is the active unbound fraction of testosterone responsible for the positive effects.</p><p></p><p>When was blood work done?</p><p></p><p>Testing should be done in a fasted state between 7-10 am as we want to test at peak.</p><p></p><p>During the 24hr circadian rhythm of a healthy young male testosterone levels will start to increase around 3-4 am reaching a peak between 6-8 am and by 11-12 pm will start to decline late afternoon/early evening reaching a trough between 6-8 pm.</p><p></p><p>Fluctuations from peak--->trough would be around 20-25%</p><p></p><p>Natural T levels follow a diurnal 24 hr circadian rhythm and will start to rise gradually around 3 am reaching peak levels around 8 am</p><p></p><p>Natural endogenous testosterone secretion is pulsatile and diurnal.</p><p></p><p>As you can see you have a robust TT 631 ng/dL but more importantly seeing as your SHBG is 34 nmol/L (far from high) then you would have a healthy FT level.</p><p></p><p>Unfortunately, you did not have your FT tested using an accurate assay.</p><p></p><p>The only way to know where your FT level truly sits is to have it tested using the most accurate assays such as the gold standard Equilibrium Dialysis or Ultrafiltration (next best).</p><p></p><p>When it comes to libido let alone ED much more is involved than just having healthy hormones.</p><p></p><p>Ones underlying vascular health is critical.</p><p></p><p>Dysfunction (thyroid/adrenals) can mimic symptoms of low-t.</p><p></p><p>Your AM cortisol is under the mean.</p><p></p><p>Cortisol should be highest in the AM and will gradually decrease throughout the day.</p></blockquote><p></p>
[QUOTE="madman, post: 202844, member: 13851"] Unhealthy (low/low-normal) FT levels will definitely have a negative impact on libido, erectile function including (NPT/spontaneous erections). Although TT is important to know FT is what truly matters as it is the active unbound fraction of testosterone responsible for the positive effects. When was blood work done? Testing should be done in a fasted state between 7-10 am as we want to test at peak. During the 24hr circadian rhythm of a healthy young male testosterone levels will start to increase around 3-4 am reaching a peak between 6-8 am and by 11-12 pm will start to decline late afternoon/early evening reaching a trough between 6-8 pm. Fluctuations from peak--->trough would be around 20-25% Natural T levels follow a diurnal 24 hr circadian rhythm and will start to rise gradually around 3 am reaching peak levels around 8 am Natural endogenous testosterone secretion is pulsatile and diurnal. As you can see you have a robust TT 631 ng/dL but more importantly seeing as your SHBG is 34 nmol/L (far from high) then you would have a healthy FT level. Unfortunately, you did not have your FT tested using an accurate assay. The only way to know where your FT level truly sits is to have it tested using the most accurate assays such as the gold standard Equilibrium Dialysis or Ultrafiltration (next best). When it comes to libido let alone ED much more is involved than just having healthy hormones. Ones underlying vascular health is critical. Dysfunction (thyroid/adrenals) can mimic symptoms of low-t. Your AM cortisol is under the mean. Cortisol should be highest in the AM and will gradually decrease throughout the day. [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Blood Test Discussion
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