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Any clue if you have primary or secondary hypogonadism? https://www.youtube.com/watch?v=fUitMlwMlkw Don't start anything until you get full blood work done: You may have to stop everything to get baseline numbers...

Chris - great info. Can you recommend any articles to read up on this? I found a little: http://www.mayomedicallaboratories.com/test-catalog/Clinical+and+Interpretive/9405 https://labtestsonline.org/understanding/analytes/t3/tab/faq https://labtestsonline.org/understanding/analytes/t4/tab/test...

Thyroid looks good. I'm not familiar with reading reverse T3, but yours seems relatively low, which is what you want per this video https://www.youtube.com/watch?v=ol16BZqVM48 Vitamin D is involved in absorbing Iron (ferritin), calcium, zinc, magnesium, phosporus. So getting Vitamin D higher...

Well assuming you had good reflexes = foot kicked out when patella was hit. Plus low body fat, and negative anti-TPO, I'm guessing you can wait to check again until next year. As for the water - not sure. I tend to drink a lot also, but I live in Denver (high desert) so its a must anyway...

I agree - insurance companies suck just as much as the current TRT & Thyroid guidelines. ;)

Do you have symptoms? Weight gain, lethargy, are you always cold? Have doctor check your patella & achilles reflex. Mine were non existent - and even with 50mcg rarely occur. Lacking these reflexes are signs of hypothyroidism. Vince - good conversation, I definitely do not know...

Also - maybe a quick re-check is warranted - only because your Free T4 was slightly low (not "subnormal"). But the same page linked above (999) mentions this in first paragraph: "A subnormal assessment of serum free T4 serves toestablish a diagnosis of hypothyroidism, whether primary,in which...

Mine was diagnosed in 2006 at age 37 with TSH of 3.8, so I agree - slightly elevated should be a concern. But it is not definitive when everything else looks good and TPO antibodies are not elevated. What would putting him on low dose synthroid accomplish? He already has good Free T3. My TPO...

Re-ride, do you realize PCPs are taught to follow the clinical guidelines - and taught to ignore the information patients bring in as a result of their google search. That makes sense right? I mean when endocronologists can't even agree on upper limit of TSH as 3.0, 4.2. 4.5, 5.0 or 10.0 - how...

Yes everyone is different, but numbers do matter. Sharing them help others understand the full picture of what could possibly be needed to improve their TRT protocal. Total T, Free T, SHBG, DHEA-S, Estradiol Sensitive, FSH, LH, HGB, HCT, Vitamin D, TSH, Free T3, Free T4, Reverse T3, etc...

Nelson posted a couple links related to DHEA in this thread: https://www.excelmale.com/forum/showthread.php?6448-Is-DHEA-supplementation-needed-if-on-T-Cyp&highlight=dhea I'm having mine checked for the 1st time next week (and I went off TRT to get baselines again.)

I'd assume D is normal, but wouldn't hurt to recheck. Note normal range is 30-100, but optimal is 50+. Do you eat red meat or other sources of iron? Also - do you carry much excess fat? Vitamin D is stored in our fat. If you have too much fat, less Vitamin D is in circulation as the excess...

Its not "so high" its slightly elevated but still normal. No different then FSH or LH being high normal at a moment in time. Hormones fluctuate through the day. This is one test. All it should indicate is to check Free T4 & Free T3, and Anti-TPO which was done, and those are good. He's...

Have you checked Vitamin D? Ferritin = iron. Vitamin D is needed for absorption of iron, calcium, phosporus, magnesium & zinc. https://en.wikipedia.org/wiki/Vitamin_D

Slow down. This is a snapshot of one moment in time. TSH 3.2 is high normal. Free T4 is low/mid normal. Free T3 is high normal = GOOD! No antibodies - so you do not have Hashimoto's thyroiditis, but there are other forms of thyroid disease. (note I'm not suggesting you have any thyroid...

No reason to spend extra money. If your PCP can't deal with you seeing a specialist, then they should not be your PCP. Only one way to determine that, let them know what you are doing, and tell them you will share the results along the way. Maybe your PCP will actually learn something through...

I think the criticism should be directed toward the current TRT clinical guidelines, more than this guy or his current doctor. I've watched a lot of his videos before discovering ExcelMale. Let's realize, Bignoknow's father is a pediatrician, and also makes very informative YouTube videos...

Helboi - I started TRT 12/9/15, on 80mg/week at time of 2nd blood draw. On 11/25/15 Pre-TRT HGB 16.4 (14.0 - 18.0) HCT 47.2% (41 - 54%) On 2/22/16 HGB 17.7 (14.0 - 18.8) HCT 50.8% (41 -54%) So it went up a little. I'm actually off TRT right now (last injection 3/17) just to get full...

Thanks for mentioning the high altitude. I live in Denver and only started TRT 3 months ago, so I will watch for that and share that info with my doctor. I now its common for patients to have lower room air O2 saturation levels at altitude. Normal SaO2 = 94-99%, but its very common, to see...

I can assure you Nuvigil / provigil are amazing drugs that will feel nearly the same as adderall, but with less of the effect of feeling of crashing as they wear off. Again, do not take them on the same day. As they act differently - but both direclty imact dopamine. Taking together would...

AverageMale - Have you tried Nuvigil / Provigil. Have you done any sleep studies, or seen sleep specialists? Adderall essentially forces more dopamine out of your reserves into the neural synapses of your frontal lobe, thus causing you to be more alert. The problem is, taking it every day...

Have you considered cutting dose in half and doing E3.5D injections? Such as Sunday morning, Wednesday evening? https://www.excelmale.com/forum/showthread.php?6086-Some-insight-on-T-cyp-injection-frequency-and-SC-vs-IM%29 Read full thread - some good insight. Also Read ERO's & Dr. Justin...

Thanks ERO! So much to learn. This site is amazing.

Can someone post a link explaining the 14-20:1 ratios. I can't wait to explain to my doctor that E2 37.7 (8.0 - 35.0) is actually low in relation to Total T. Medical school never prepared him (2nd year resident) for these conversations. LOL

I think both are just hypothesis currently. Check out - https://en.wikipedia.org/wiki/Vitamin_K#Health_effects I typed in Vitamin K and BPH and this is all that comes up on PubMed: https://www.ncbi.nlm.nih.gov/pubmed/?term=vitamin+K+bph

Note TSH of 2.42 is not terrible. But since 1.0 is optimal - keep an eye on it. If you notice it increasing, you should probably have anti-TPO antibody checked. Like many diseases, they are progressive and become worse over time. Catching it early and using low dose synthroid/levothyroxine...

Recent studies showing link between Low Vitamin D and auto-immune diseases: 2011 study http://www.ncbi.nlm.nih.gov/pubmed/21751884 CONCLUSION: Vitamin D insufficiency is associated with HT. Further studies are needed to determine whether vitamin D insufficiency is a casual factor in the...

TSH = thyroid stimulating hormone. https://en.wikipedia.org/wiki/Thyroid-stimulating_hormone The anterior pituitary releases TSH to signal your thyroid to produce T4 (and some T3). The T represents the amino acid Tyrosine. The numbers 4 and 3 represent the number of iodine atoms attached to...

Free T3 - 5.9 (3.5-6.5) pmol/L Free T4 - 13.1 (9.0-23.0) pmol/L TSH - 2.42 (0.20-4.00) mU/L Your TSH is creeping up a little, but other thyroid numbers are good. Keep an eye on it. Being from up north I'd also recommend checking Vitamin D. There is a big link between Vit D and thyroid as...

Jon - I also have left varicocele since age 18 (now 47). Before going on TRT in December my T was 342 in morning, and 204 in afternoon. FSH 16.8 (1.5 - 12.4), and LH 8.2 (1.7 - 8.6). So basically my pituitary was yelling at my testicles to work, but the right testicle could not handle the...

Vince - just curious - what does Defy charge you and how often for just the consult and writing scrips for meds and bloodwork?