Drug350
Member
I'm 54 yrs young, in good shape, 6'0" / 195 pounds, eat healthy. I've felt run down for several years now, lack of drive, energy, ED issue's, poor sleep (waking up many times all night long) and poor focus, but I'm an engineer for BNSF Railway (USA) and am on call 24/7/365 days a year with 2 hour call. I work an average of 250 hours each month, with no set sleep or work schedule, so I figured it was my job causing most of my issue's. My primary care physician ran blood work as part of my annual physical. Here's my numbers and the normal range alongside:
Total Testosterone = 169 NGDL (200 - 800 NGDL = norm range)
Free Testosterone = 3.1 NGDL (3.1 - 12.8 NGDL = norm range)
Bioavailable Testosterone = 72.6 NGDL (71.7 - 300.0 = norm range)
SHBG = 34 NMOL (13 - 74 NMOL = norm range)
TSH Sensitive w/Reflex = 2.64 uiU ( .030 - 4.50 uiU = norm range)
Prolactin = 14.6 ng/ml (3.5 - 19.4 ng/ml = norm range)
LH = 3 mlU/ml (1.0 - 12 mlU/ml = norm range)
FSH = 4 mlU/ml (1.0 - 12 mlU/ml = norm range)
Estradiol = 21 pg/ml (11 - 44 pg/ml = norm range)
PSA = .05 ng/ml (0.0 - 4.0 ng/ml = norm range)
HCT (hematocrit) = 44% (38.8 - 50.0 % = norm range)
She said my testosterone levels were low and referred me to a Urologist and Sexual Health Doctor within the hospital system. The Urologist ran my bloods 3 more times, first thing in the morning, and each time they came back nearly identical to the first set of numbers above. There were additional blood tests for cholesterol, AIC, etc... I can post too if needed. Based on my numbers above, she recommended starting me on 100 MG's Testosterone Cypionate once a week with bloods drawn again in 8 - 10 weeks. Because all the blood tests came back with a total testosterone below normal range of 200 NGDL, insurance will cover my TRT for life. This is not a "TRT Clinic" or "Wellness Center" so the goal is to get me in the middle of the US Government recommended levels of 400 - 700 NGDL. She stated this several times so she won't allow me to go higher, like 700 + NGDL. I'm not very familiar with all of the above numbers, but most seem in range, except for total testosterone. Does anything stand out besides the low totals ??? With these numbers and the way I've been feeling, would you recommend going on TRT as she's suggested, and does 100 MG's weekly sound right ??? I probably would choose twice weekly injections vs once a week or EOW. Any opinions or advice would be greatly appreciated. Thank you in advance to anyone who takes their time to answer my questions. I greatly appreciate your advice and opinions.
Total Testosterone = 169 NGDL (200 - 800 NGDL = norm range)
Free Testosterone = 3.1 NGDL (3.1 - 12.8 NGDL = norm range)
Bioavailable Testosterone = 72.6 NGDL (71.7 - 300.0 = norm range)
SHBG = 34 NMOL (13 - 74 NMOL = norm range)
TSH Sensitive w/Reflex = 2.64 uiU ( .030 - 4.50 uiU = norm range)
Prolactin = 14.6 ng/ml (3.5 - 19.4 ng/ml = norm range)
LH = 3 mlU/ml (1.0 - 12 mlU/ml = norm range)
FSH = 4 mlU/ml (1.0 - 12 mlU/ml = norm range)
Estradiol = 21 pg/ml (11 - 44 pg/ml = norm range)
PSA = .05 ng/ml (0.0 - 4.0 ng/ml = norm range)
HCT (hematocrit) = 44% (38.8 - 50.0 % = norm range)
She said my testosterone levels were low and referred me to a Urologist and Sexual Health Doctor within the hospital system. The Urologist ran my bloods 3 more times, first thing in the morning, and each time they came back nearly identical to the first set of numbers above. There were additional blood tests for cholesterol, AIC, etc... I can post too if needed. Based on my numbers above, she recommended starting me on 100 MG's Testosterone Cypionate once a week with bloods drawn again in 8 - 10 weeks. Because all the blood tests came back with a total testosterone below normal range of 200 NGDL, insurance will cover my TRT for life. This is not a "TRT Clinic" or "Wellness Center" so the goal is to get me in the middle of the US Government recommended levels of 400 - 700 NGDL. She stated this several times so she won't allow me to go higher, like 700 + NGDL. I'm not very familiar with all of the above numbers, but most seem in range, except for total testosterone. Does anything stand out besides the low totals ??? With these numbers and the way I've been feeling, would you recommend going on TRT as she's suggested, and does 100 MG's weekly sound right ??? I probably would choose twice weekly injections vs once a week or EOW. Any opinions or advice would be greatly appreciated. Thank you in advance to anyone who takes their time to answer my questions. I greatly appreciate your advice and opinions.