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Oh. Thyroid hormones bind to nuclear receptors, much like testosterone does, and take about 6 weeks to show effects. Chances are that what you experienced was a placebo, and now that has worn off, you don't feel as good. This happens with TRT as well. The descriptions almost always have the...

I'm not so sure you read my post.

That assumes he's secondary and his testes are able to respond. This simulation test is rather contradictory, he presents secondary but when his pituitary is stimulated his testes do not respond. It's always a good idea to try to avoid TRT due to age but to do so with evidence suggesting it'd...

Did they test testosterone with that? If not it just shows that your hypothalamus and pituitary respond but not your testes ability to produce testosterone.

How do you feel?

Lowish LH? Yours is 15. Normal range testosterone? Yours is literally the end of the range! Pretty clear primary hypogonadism, at least according to that second test, the first one is completely different.

I think it's a manufacturer design. There are very few containers that are shipped filled to max capacity. Testosterone is no different.

hCG does not cause weight loss. There is zero clinical evidence of it doing so. The FDA ruled on the matter. https://www.fda.gov/ForConsumers/ConsumerUpdates/ucm281333.htm

The vial was sealed, right? Vials do not come 100% filled, and it being 75% filled is not indicative of it containing less than 10mL. Have you considered that the manufacturer simply uses a vial larger than 10mL but only fills to 10mL? What you're asserting is theft of a CIII substance, a...

Yeah... I hate when I have trouble bringing my armed robbery and abduction kit with me travelling.

Wow, that is amazing! I almost wish there was a way for this doctor to learn more about TRT so he can help guys in your area.

You're missing the point. You've already established that you're hypogonadal. How is it that your insurance company will requalify you as hypogonadal? The only way is to come off TRT to re test. That's it. Once you're on TRT you should not be testing as hypogonadal, or if you are, get a new...

Oh I see your concern now. Honestly, if that ACTUALLY happened, I would be livid. The whole idea that this is even a concern is ridiculous. Seriously, this is just a game of moving the goal posts. Labcorp essentially admitted that this has no clinical or medical justification, yet this will be...

I don't see how this matters to you since you're already on TRT. If you're on TRT, you will not test hypogonadal, so what's this have to do with your insurance? Unless your insurance requires you to come off then retest. In that case they're stupid because stopping TRT will make any one seem...

DHT rises after testosterone does. In fact, usually around 10% of total testosterone is a good way to predict it. So I guess your total testosterone was somewhere around 200ish.

Dr. Saya, you know exactly how my life has changed over the past year in many different ways, and I'd say TRT(and proper care of course) is probably the biggest catalyst. I don't even want to think of where I'd be had I not started TRT when I did. Thank you!

Absolutely ridiculous. I noticed that in one of the studies, they want a statistical average, not a healthy range. What is the purpose of that? If you make a test for memory but don't exclude people with alzheimer's, you cannot use that to assess healthy people. The range is meaningless if you...

I've had nearly the exact same symptoms and also had my unital m initial consult with Dr. Saya. I can tell you that if this is your problem, you will get better. All of those things I relate to perfectly, I'm 23 and felt like my life was severely lacking in pleasure in every way. I couldn't...

Hey man, it's so hard to tell with the way that estradiol test is, whether or not you'd be low E2 or mid range. The value says mid, but the range starts at 25... I hope you are getting a sensitive estradiol test for confirmation. Do you have any joint pain, excessive urination, excessive...

We both use one of the most advanced clinics for low testosterone and they do not advocate cycling testosterone, for good reasons. There's no experienced TRT doctor that advises that, and personally I think it'd be unethical because it'd cause harm to the patient.

Just spoke to a guy who had a level of 268ng/dl. He asked what he should do, I said "Don't worry, next month you'll be in range so you won't have a problem!!". It's sad, that suddenly and very arbitrarily this guy will be considered "in range" when now most doctors would consider this guy to...

Hey man, sorry to hear about your troubling diagnoses. Nerve damage is no fun for anyone. I truly do hope it is the DHEA causing your symptoms as opposed to a physical cause. Only time will tell! Oh btw, that whole idea posted there goes against nearly everything we know about TRT now. It's...

I know Defy offers it, and those prices sound about right, although I believe their initial consult is $250.

The thing is though, that if there are untreated thyroid issues and metabolic issues, they will most likely hinder TRT's benefits. Plus, without having a baseline, you'll never know if TRT had changed anything. I can tell you that starting TRT with an SHBG of 6 is going to complicate dialing...

You're worrying too much about T/E2 ratio. It is a simple suggestion, not a requirement. 22 is great. There isn't too much you can do to change this, really, other than a protocol change, but you're on 3 times a week. Unless you want to do EOD or daily then you're pretty much at an optimal...

What are you taking to treat your diabetes? Something changed, whether it's big or small, you need to figure out exactly what that was. It could be something small, like riding a bicycle for exercise. Essentially try to remember the last time things worked the way you wanted them to and try...

Are these recent labs trough? Do you have any labs from when you felt great? Erectile function often doesn't improve for many men from TRT alone and they often need a PDE-5 inhibitor to achieve proper functioning. Are you on any other medications?

Wow. If anything, this goes to show the importance of having a great doctor, the proper lab tests, and how being an informed patient can benefit you. Also highlights the major issues with the insurance based healthcare system, as they would have you waiting forever, not due to being booked up...

I'd definitely want to have free T3 and free T4 pulled prior to my consult if that were me, hypothyroidism can definitely contribute to low SHBG. Also, proper thyroid treatment can raise SHBG pretty significantly. Another possible contributor to your low SHBG would be metabolic syndrome...

So you've started thyroid meds 5 weeks ago, right? Did you have these same issues prior to the thyroid meds, or ONLY after starting the thyroid meds?

Yeah I'll be honest, I'm not sure what half of that even means. Best of luck to you.