I think it looks pretty ideal. They missed the E2 looks like, that was supposed to be measured as well. No E2 symptoms though. Anyone have thoughts? Anything look slightly off? All good?
View attachment 52937
For what labs you had, everything looks good. At some point you may wish to add HCG to keep you libido and testicle size.I think it looks pretty ideal. They missed the E2 looks like, that was supposed to be measured as well. No E2 symptoms though. Anyone have thoughts? Anything look slightly off? All good?
View attachment 52937
Sounds like you are doing well with minimal side effects.I feel good. Maybe a little less energy that 2 or 3 months ago. But overall really good. Definitely feel stronger. @50 yrs old...being able to bench 225 a couple times feels pretty good. lol. My bodyfat hasn't moved....still @15%. But according to the bodyfat scaled I'm up 4-5lbs of muscle since I started back in March.
View attachment 52939These were my FT and Bio available T from July...I dont know why they would not have tested for FT? Not sure if there are any calculations for figuring out FT? Yeah, a little disappointed they did not have those makres in the blood work. The draw was taken at trough. I pin Tue AM/Fri PM. Draw was taken Fri PM right before 2nd pin of the week.
Hemoglobin/Hematocrit included here.
View attachment 52940
View attachment 52939These were my FT and Bio available T from July...I dont know why they would not have tested for FT? Not sure if there are any calculations for figuring out FT? Yeah, a little disappointed they did not have those makres in the blood work. The draw was taken at trough. I pin Tue AM/Fri PM. Draw was taken Fri PM right before 2nd pin of the week.
Hemoglobin/Hematocrit included here.
View attachment 52940
They tested everything the last go round. SHBG was at a 31 when previously tested. This is from the previous test back in July when they actually tested all markers. TT was at 531 and I was pinning 100 Test C once a week. Thank you so much for the info, greatly appreciated it!Every time you have blood work done you need to test the most critical blood marker FT.
Unfortunately lots of doctors are out to lunch when it comes to testing free testosterone let alone using an accurate assay.
Looking over the reference ranges your FT/BAT were tested through Quest Diagnostics.
BAT was calculated using the Sodergard equation.
The most critical blood marker FT was calculated using a modified Vermeulen (cFTV) equation.
Your trough BAT 131.3 ng/dL is at the lower-end of the reference range 110.0-575.0 ng/dL and more importantly your trough FT 62.5 pg/mL is at the lower-end of the reference range 46.0-224.0 ng/dL.
Although your trough FT is far from stellar keep in mind your peak TT and more importantly FT will be higher.
If you were hitting a higher-end trough TT and this is where your trough FT sits then you would have high SHBG which would explain the sub-par trough FT.
You easily have room to bring up your trough FT if need be but your hematocrit is already hovering at 47.8% so you would most likely end up pushing it over the top-end of the reference range 50% which is not necessarily a bad thing but some men do not feel comfortable running slightly high let alone high hematocrit.
Comes down to the individual and more importantly if you had any underlying issues which may make you more prone to sides.
Bottom line if you feel great overall let alone not experiencing any sides then stick with it.
Even then I would still retest your trough FT to see where it truly sits as your robust trough TT 800 ng/dL means nothing without knowing where the most important fraction sits.
Yes you can easily calculate your free testosterone using the linear law-of-mass action Vermeulen (cFTV) as the calculator is available online for free.
It will give a good approximation but testing using the most accurate assay ED is where it's at!
You need to plug in your TT, SHBG and Albumin in order to calculate your FT.
Have you ever had your SHBG tested?
If you do not have Albumin than you can use the default 4.3 g/dL.
Seeing as you reside in the US you would be better off testing your FT using the most accurate assay the gold standard Equilibrium Dialysis in order to know where it truly sits.
You can pay out of pocket using Nelson's discounted labs which tests through Quest using the most accurate assays for TT (LC/MS-MS) and FT (Equilibrium Dialysis).
This would be the panel you want.
$49.00
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Testosterone, Free (Equilibrium Dialysis) and Total, MS | Discounted Labs
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A form of estrogen produced from testosterone. Important for bone health, mood, and libido. Too high can cause side effects; too low can affect well-being.
Dihydrotestosterone is a potent androgen derived from testosterone. Affects hair growth, prostate health, and masculinization effects.
The biologically active form of testosterone not bound to proteins. Directly available for cellular uptake and biological effects.
Lakshman KM, Kaplan B, Travison TG, Basaria S, Knapp PE, Singh AB, LaValley MP, Mazer NA, Bhasin S. The effects of injected testosterone dose and age on the conversion of testosterone to estradiol and dihydrotestosterone in young and older men. J Clin Endocrinol Metab. 2010 Aug;95(8):3955-64.
DOI: 10.1210/jc.2010-0102 | PMID: 20534765 | PMCID: PMC2913038