1300ng/dl Total Testosterone (natural) but low libido and ED?

[rawhide]

I was concerned about low libido and poor erections so I ordered a serum testosterone test. To I and the doctor's astonishment, my total testosterone was 1300ng/dl. He basically accused me of juicing, which I never have. I'm still experiencing ED. A few years ago I could repeat solid performance with my GF 2-3x routinely.
What labs should I focus on to try to drill this down?
I've been taking P5P and Mucana for prolactin but I can barely keep it up even with a HB10.

 

[DixieWrecked]

Wow that's amazing. Do you have more labs like estrogen, Prolactin, c reactive protein, cortisol, thyroid? Do you suffer from depression or anxiety?

 

[rawhide]

No. I guess a full hormone panel (TRT Male) is what I want here. I've experienced mild depression but mostly dealt with by exercise and sunlight. I wonder how unusual 1300ng total t is, the doc actually recommended I bring it up with my primary. I'm pushing 50. I wonder if it can be a symptom of a underlying condition (cancer, etc). My symptoms make be suspect elevated prolactin.

I will add, I take A LOT of supplements, probably more then anyone I've met, and do a lot of biohacking.

 

[Nelson Vergel]

I would get something like this and use 20 % off coupon: DISCOUNTEDLABS20 (good until Aug 23)

ED Test Panel: Detecting Erectile Dysfunction

Do you suffer from erectile dysfunction (ED)? This lab test panel includes hormones that can affect erectile function and libido. Some physicians forget to test for hormones beyond testosterone in men with ED.

www.discountedlabs.com

 

[DorianGray]

It would be good to know your age also. I recommend Nelson's advice on the blood test also. It should be very revealing to see your free T, estradiol and DHT levels.

 

[Vince]

No. I guess a full hormone panel (TRT Male) is what I want here. I've experienced mild depression but mostly dealt with by exercise and sunlight. I wonder how unusual 1300ng total t is, the doc actually recommended I bring it up with my primary. I'm pushing 50. I wonder if it can be a symptom of a underlying condition (cancer, etc). My symptoms make be suspect elevated prolactin.

I will add, I take A LOT of supplements, probably more then anyone I've met, and do a lot of biohacking.

I wonder how you would feel if you stopped all supplements?

 

[DorianGray]

"...I will add, I take A LOT of supplements, probably more then anyone I've met, ..."

Get three trays 12"x16" put all the bottles of supplements standing up in there. That's what I take daily, from 1 to 3 times. If you top that, I bow down to you. If you don't, I bow down to you because your probably not as crazy as I am.

 

[MarkM]

Get three trays 12"x16" put all the bottles of supplements standing up in there. That's what I take daily, from 1 to 3 times. If you top that, I bow down to you. If you don't, I bow down to you because your probably not as crazy as I am.

Wow! Curious, have you ever counted the number of pills you are swallowing a day. Must be an enormous amount. I am sure you break them up throughout the day.

 

[rawhide]

I wonder how you would feel if you stopped all supplements?

I actually feel great most all of the time. More energy, high cardio endurance, work out daily, eating very clean, athletic body composition, sleep like a baby. I suppose even my libido isn't bad, it's more psychological that I don't go there because of the ED.

I'm ordering the ED lab (thanks Nelson!) with my next paycheck. Also I'm going to ask for a referral to a specialist.

 

[Dicky]

I was concerned about low libido and poor erections so I ordered a serum testosterone test. To I and the doctor's astonishment, my total testosterone was 1300ng/dl. He basically accused me of juicing, which I never have. I'm still experiencing ED. A few years ago I could repeat solid performance with my GF 2-3x routinely.
What labs should I focus on to try to drill this down?
I've been taking P5P and Mucana for prolactin but I can barely keep it up even with a HB10.

Damn bro. 1300. BTW, please do post your labs when you get them. I think we'd all like to get a look at this. 1300 at any age is amazing, let alone 50.

 

[rawhide]

 

[rawhide]

I wonder if the elevated total T can cause ED via elevating estrogen and prolactin even when it's not exogenous.

 

[Vvs1]

Are you on a DHT inhibitor like finasteride?

If not, I’ve seen a case where a guys hormones where too high and the doctor had to stimulate the enzyme through supplements that excretes hormones out, and patient saw improvement

 

[rawhide]

I actually was taking low dose fin last year (.5mg/day usually topical but oral about 2x a week), although I wasn't disciplined about it and stopped long before this test. I don't think I would want to lower my testosterone if I could correct my ED while maintaining it. To be honest, at my age, it's a hard toss as I benefit so much from the high T.

I wonder evolutionary why high T would lower reproductive performance and fertility. Having to much T must have caused a selection bias by females to allow this mechanism to evolve.

 

[DorianGray]

Wow! Curious, have you ever counted the number of pills you are swallowing a day. Must be an enormous amount. I am sure you break them up throughout the day.

I'm not sure I would want to spend the time to count them. Yes, I take 10-20 at a time, others throughout the day. It's at a peak now. It takes awhile to cycle them enough to see what the effects are. But, I'm cutting back significantly as they deplete.

 

[MarkM]

I'm not sure I would want to spend the time to count them. Yes, I take 10-20 at a time, others throughout the day. It's at a peak now. It takes awhile to cycle them enough to see what the effects are. But, I'm cutting back significantly as they deplete.

I get to where I feel like I am taking way too many. Seems like I am taking them all day long sometimes. Ya know, sometimes I think they are doing good and other times I think I feel better not taking any of them. Crazy!