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So the million dollar question is whether or not I am considered to have Low T. My free T is within range but low.

Thanks Vince.

In March I had my FT3 tested and it was 3 with a range of 2.1 to 4

Thanks for the response. I am not going on TRT for no reason. I have felt terrible for 18 months with typical Low T symptoms. My worst symptom is fatigue, anxiety and no morning wood, etc... At this point, I will try anything.

All - I am currently working on getting set up as a new client with Defy. They have all required tests but I have to donate blood to bring HCT down to 48 to 50 % prior to them seeing me as a patient. I am interested in getting opinions on the blood levels posted. My local Endocrinologist who...

I also think that many doctors are not fully informed on TRT and to often concerned with lawsuits if they treat when it was not a medical necessity. They basically work for the insurance companies who do not want to pay. My doc stated during both of my appointments that the insurance company...

"Therefore, clinicians should measure total testosterone concentrations on two separate mornings when the patient is fasting." I agree with this statement, however I had 2 testosterone labs done which where both below the low range and I was still denied treatment. Like I said, I am moving...

Thanks for the post Madman. Very good read and pretty informational. It further confirms that there are no hard and fast rules and the Drs need to use judgement in prescribing testosterone. its not a one size fits all..

I agree. I find it interesting that they require 2 lab tests indicating Low Total T but refused my treatment based on 1 Bioavailable T test that show I have a whopping 59. Why even waist the time and money on a total T test if she was not going to use the results as a basis of a diagnosis...

So I thought I would give everyone an update. I have sent my current labs to Defy and they are going to provide me with additional tests required. I had my appointment with the Endocrinologist and was informed that even though my Testosterone was clearly low (218) on multiple occasions that...

Thanks for the information.

So does anyone have logical reason why my Total T is 218 (low) but my Bioavailable is 59 (low normal). I would think that my Bioavailable would be low as well.

Real nice. Just looking for help and stating exactly what was told me from 2 different staff members from Defy within the past week. I thought this was a public forum to obtain help and advice. Just sharing information...

So I just spoke with the folks at Defy and sent them all of my labs. The gentlemen on the phone was very nice and did state the NY might be difficult as far as labs go but I will give it a try.

I have hesitated as I believed that Defy could not order labs in New York State. Based on a previous comment, this might not be true. I am going to see if LabCorp will run labs ordered from Defy.

I just don’t understand how having a total testosterone of 218 does not indicate hypogonadism. What am I missing.

I will call Labcorp tomorrow to see if they will draw blood based on Defy Lab orders. I am not sure who I spoke with at Defy but they said I would have to go to a neighboring state.

Yes. I discussed with them today and I would have to go to a neighboring state for lab work.

Thanks. I am not sure why New York does not allow individuals to order tests through Defy. If I am willing to pay, what is the issue. I am very puzzled as how the dr can say I do not have hypogonadism with multiple total testosterone tests of 218 and 228. Just because my Bioavailable T is...

I live in New York and from what I understand, Defy can not order lab work in NY. I do not have a problem spending the money. Yes, my testosterone is 218 and Bioavailable Testosterone was 59 which is low normal. I have asked my endo for an SHBG test but she has not ordered. I did however...

Thanks for the response. I am looking for advice to what a proper protocol would be. Seeing that my total Testosterone is only 218 but my Bioavailable is 59 (Range 40-250), should I be on TRT at all. I have not had SHBG tested but am assuming that by increasing Testosterone through TRT will...

All - Attached find the labs that I have had done over the past few months. I have had two Testosterone readings under 230 but the Doc says I do not have Hypogonadism because my Bioavailable Testosterone is normal. I do not meet with her until next week but wanted to get your opinion. I am...

I have had thyroid checked and results are fine. My Doctor just called and said that even though my Total Testosterone is 218 that I do not have hypogonadism as my free testosterone is fine.

Per my doctors instructions, I got off TRT for 7 weeks and had my testosterone tested again. My testosterone came in at 218 and my LH and FSH are normal. I believe this confirms my Urologists diagnosis of Primary Hypogonadism. Been a rough 7 weeks but I suppose it in now confirmed. Now I...

No, my SHBG was never tested. I will have tested in a few more weeks once I have been off TRT for a few months. I will be started over.

Thanks for the response Nelson. To this point, my insurance company has been paying for Testosterone injections without an issue. Seeing that I had only been on it for a month, maybe the insurance company would take time to realize it. My first Testosterone Test was 227 and my second was 401...

Why did you switch DRs I had been feeling terrible for 16 months with fatigue, brain fog etc. I had seen multiple doctors but never had Testosterone tested. My neurologist tested T and it was 228 so my primary care physician referred me to an endocrinologist which took 3 months to get an...

Thanks for the response . i was taking 100 mg of cypionate per week.

My previous Dr did check my total testosterone which was 228. However he did not check FSH or LH to see if I had primary or secondary hypogonadism.

Hi All - Doctor asked that I go off testosterone injection for 2 months to obtain baseline tests that my previous Doctor did not order. I was only on T injections for 1 month. Question is whether or not I have to be off for 2 months to obtain accurate baseline tests or can I get accurate...

Yes, Dr Crisler stated in his recent book that he prefers transdermals as a first line of treatment. I am a bit concerned about transferring to my wife and daughter. Self injections did not bother me much but it would likely get old quick as I was only injecting for a month.