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Testosterone Replacement, Low T, HCG, & Beyond
Blood Test Discussion
27 Yr Male on TRT, Zero Libido
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<blockquote data-quote="Admired" data-source="post: 115816" data-attributes="member: 18943"><p>27, 5'9" 155 lbs, great shape, run quite a lot.</p><p></p><p>Been on TRT since April of 2018 @ 100mg/week (1 injection). First few weeks and month went well with libido good and erections pretty solid. Then the last month or month and a half libido plummets and erections are non existent and even very challenging to achieve when I masturbate. Spoke to endo and got the following bloodwork.</p><p></p><p><span style="color: #565656"><span style="font-family: 'Verdana'">Lab:Estradiol (LC&Q)</span></span></p><table class='post-table class: normaltext, width: 100%' style='width: 100%'><tr><td ><p>[TD="width: 50%, align: left"]Estradiol[/TD]<br /> [TD="width: 10%, align: left"]25.1[/TD]<br /> [TD="width: 10%, align: left"][/TD]<br /> [TD="width: 30%, align: left"]7.6-42.6 - pg/mL[/TD]</p></td></tr><tr><td ><p>[TD="width: 50%, align: left"]ESTRADIOL[/TD]<br /> [TD="width: 10%, align: left"]25.1[/TD]<br /> [TD="width: 10%, align: left"][/TD]<br /> [TD="width: 30%, align: left"]7.6-42.6 - pg/mL[/TD]</p></td></tr></table> <span style="color: #565656"><span style="font-family: 'Verdana'">Lab:Testosterone, Free and Total (includes SHBG) (LC&Q)</span></span></p><table class='post-table class: normaltext, width: 100%' style='width: 100%'><tr><td ><p>[TD="width: 50%, align: left"]Testosterone, Total[/TD]<br /> [TD="width: 10%, align: left"]1083[/TD]<br /> [TD="width: 10%, align: left"]H[/TD]<br /> [TD="width: 30%, align: left"]- ng/dL[/TD]</p></td></tr><tr><td ><p>[TD="width: 50%, align: left"]Testosterone, Free[/TD]<br /> [TD="width: 10%, align: left"]227[/TD]<br /> [TD="width: 10%, align: left"][/TD]<br /> [TD="width: 30%, align: left"]- pg/mL[/TD]</p></td></tr><tr><td ><p>[TD="width: 50%, align: left"]Testosterone, % Free[/TD]<br /> [TD="width: 10%, align: left"]2.1[/TD]<br /> [TD="width: 10%, align: left"][/TD]<br /> [TD="width: 30%, align: left"]- %[/TD]</p></td></tr><tr><td ><p>[TD="width: 50%, align: left"]Sex Hormone Binding Globulin[/TD]<br /> [TD="width: 10%, align: left"]48.7[/TD]<br /> [TD="width: 10%, align: left"][/TD]<br /> [TD="width: 30%, align: left"]- nmol/L[/TD]</p></td></tr></table> <span style="color: #565656"><span style="font-family: 'Verdana'">Lab:CBC, Platelet; No Differential (LC&Q)</span></span></p><table class='post-table class: normaltext, width: 100%' style='width: 100%'><tr><td ><p>[TD="width: 50%, align: left"]WBC[/TD]<br /> [TD="width: 10%, align: left"]11.0[/TD]<br /> [TD="width: 10%, align: left"]H[/TD]<br /> [TD="width: 30%, align: left"]3.4-10.8 - x10E3/uL[/TD]</p></td></tr><tr><td ><p>[TD="width: 50%, align: left"]RBC[/TD]<br /> [TD="width: 10%, align: left"]5.19[/TD]<br /> [TD="width: 10%, align: left"][/TD]<br /> [TD="width: 30%, align: left"]4.14-5.80 - x10E6/uL[/TD]</p></td></tr><tr><td ><p>[TD="width: 50%, align: left"]Hemoglobin[/TD]<br /> [TD="width: 10%, align: left"]15.4[/TD]<br /> [TD="width: 10%, align: left"][/TD]<br /> [TD="width: 30%, align: left"]13.0-17.7 - g/dL[/TD]</p></td></tr><tr><td ><p>[TD="width: 50%, align: left"]Hematocrit[/TD]<br /> [TD="width: 10%, align: left"]48.0[/TD]<br /> [TD="width: 10%, align: left"][/TD]<br /> [TD="width: 30%, align: left"]37.5-51.0 - %[/TD]</p></td></tr><tr><td ><p>[TD="width: 50%, align: left"]MCV[/TD]<br /> [TD="width: 10%, align: left"]93[/TD]<br /> [TD="width: 10%, align: left"][/TD]<br /> [TD="width: 30%, align: left"]79-97 - fL[/TD]</p></td></tr><tr><td ><p>[TD="width: 50%, align: left"]MCH[/TD]<br /> [TD="width: 10%, align: left"]29.7[/TD]<br /> [TD="width: 10%, align: left"][/TD]<br /> [TD="width: 30%, align: left"]26.6-33.0 - pg[/TD]</p></td></tr><tr><td ><p>[TD="width: 50%, align: left"]MCHC[/TD]<br /> [TD="width: 10%, align: left"]32.1[/TD]<br /> [TD="width: 10%, align: left"][/TD]<br /> [TD="width: 30%, align: left"]31.5-35.7 - g/dL[/TD]</p></td></tr><tr><td ><p>[TD="width: 50%, align: left"]Platelets[/TD]<br /> [TD="width: 10%, align: left"]296[/TD]<br /> [TD="width: 10%, align: left"][/TD]<br /> [TD="width: 30%, align: left"]150-379 - x10E3/uL[/TD]</p></td></tr><tr><td ><p>[TD="width: 50%, align: left"]NRBC[/TD]<br /> [TD="width: 10%, align: left"][/TD]<br /> [TD="width: 10%, align: left"][/TD]<br /> [TD="width: 30%, align: left"][/TD]</p></td></tr><tr><td ><p>[TD="width: 50%, align: left"]RDW[/TD]<br /> [TD="width: 10%, align: left"]13.1[/TD]<br /> [TD="width: 10%, align: left"][/TD]<br /> [TD="width: 30%, align: left"]</p></td><span style="color: #565656">12.3-15.4 - %</span><td ><p>[/TD]</p></td></tr></table> </p><p><span style="color: #565656"><span style="font-family: 'Verdana'">Lab:Thyroxine (T4) Free, Direct, S (LC&Q)</span></span><table class='post-table class: normaltext, width: 100%' style='width: 100%'><tr><td ><p>[TD="width: 50%, align: left"]T4,Free(Direct)[/TD]<br /> [TD="width: 10%, align: left"]1.39[/TD]<br /> [TD="width: 10%, align: left"][/TD]<br /> [TD="width: 30%, align: left"]0.82-1.77 - ng/dL[/TD]</p></td></tr></table><span style="color: #565656"><span style="font-family: 'Verdana'">Lab:TSH (LC&Q)</span></span><table class='post-table class: normaltext, width: 100%' style='width: 100%'><tr><td ><p>[TD="width: 50%, align: left"]TSH[/TD]<br /> [TD="width: 10%, align: left"]1.600[/TD]<br /> [TD="width: 10%, align: left"][/TD]<br /> [TD="width: 30%, align: left"]0.450-4.500 - uIU/mL[/TD]</p></td></tr></table><span style="color: #565656"><span style="font-family: 'Verdana'">Lab:Triiodothyronine,(T3) Free (LC&Q)</span></span><table class='post-table class: normaltext, width: 100%' style='width: 100%'><tr><td ><p>[TD="width: 50%, align: left"]Triiodothyronine,Free,Serum[/TD]<br /> [TD="width: 10%, align: left"]3.2[/TD]<br /> [TD="width: 10%, align: left"][/TD]<br /> [TD="width: 30%, align: left"]2.0-4.4 - pg/mL[/TD]</p></td></tr></table><table class='post-table class: normaltext, width: 100%' style='width: 100%'><tr><td ><p>[TD="width: 50%, align: left"]This is a big improvement in TT and FT. Previous bloodwork just prior to TRT was TT= 559, FT=89 and SHBG= 46.8 E2=29.9<br /> <br /> In reality I shouldn't have really been on TRT with these numbers but I was feeling lethargic most of the day and sub part erections.<br /> <br /> The only thing that jumps out at me is the fact that the E2 number did not rise with the testosterone increase, other than that the numbers look great to me but I can't for the life of me determine why I feel so impotent despite positive results. E2 seems right in the range but it could be I am hyper sensitive to it?<br /> <br /> Any help would be greatly appreciated.[/TD]<br /> [TD="width: 10%, align: left"][/TD]<br /> [TD="width: 10%, align: left"][/TD]<br /> [TD="width: 30%, align: left"]2.0-4.4 - pg/mL<br /> <br /> <br /> <br /> <br /> [/TD]</p></td></tr></table> </p><p>Here are the testosterone ranges btw</p><table class='post-table class: table, width: 986' style='width: 100%'><tr><td ><p>[TD="class: nopadding, colspan: 2"]</p></td><td ><p>[/TD]</p></td></tr><tr></tr><tr><td ><p>[TD="class: sections no-bot-border med-text, colspan: 2"]Clinical Information:C[/TD]</p></td></tr></table></blockquote><p></p>
[QUOTE="Admired, post: 115816, member: 18943"] 27, 5'9" 155 lbs, great shape, run quite a lot. Been on TRT since April of 2018 @ 100mg/week (1 injection). First few weeks and month went well with libido good and erections pretty solid. Then the last month or month and a half libido plummets and erections are non existent and even very challenging to achieve when I masturbate. Spoke to endo and got the following bloodwork. [COLOR=#565656][FONT=verdana]Lab:Estradiol (LC&Q)[/FONT][/COLOR] [TABLE="class: normaltext, width: 100%"] [TR] [TD="width: 50%, align: left"]Estradiol[/TD] [TD="width: 10%, align: left"]25.1[/TD] [TD="width: 10%, align: left"][/TD] [TD="width: 30%, align: left"]7.6-42.6 - pg/mL[/TD] [/TR] [TR] [TD="width: 50%, align: left"]ESTRADIOL[/TD] [TD="width: 10%, align: left"]25.1[/TD] [TD="width: 10%, align: left"][/TD] [TD="width: 30%, align: left"]7.6-42.6 - pg/mL[/TD] [/TR] [/TABLE] [COLOR=#565656][FONT=verdana]Lab:Testosterone, Free and Total (includes SHBG) (LC&Q)[/FONT][/COLOR] [TABLE="class: normaltext, width: 100%"] [TR] [TD="width: 50%, align: left"]Testosterone, Total[/TD] [TD="width: 10%, align: left"]1083[/TD] [TD="width: 10%, align: left"]H[/TD] [TD="width: 30%, align: left"]- ng/dL[/TD] [/TR] [TR] [TD="width: 50%, align: left"]Testosterone, Free[/TD] [TD="width: 10%, align: left"]227[/TD] [TD="width: 10%, align: left"][/TD] [TD="width: 30%, align: left"]- pg/mL[/TD] [/TR] [TR] [TD="width: 50%, align: left"]Testosterone, % Free[/TD] [TD="width: 10%, align: left"]2.1[/TD] [TD="width: 10%, align: left"][/TD] [TD="width: 30%, align: left"]- %[/TD] [/TR] [TR] [TD="width: 50%, align: left"]Sex Hormone Binding Globulin[/TD] [TD="width: 10%, align: left"]48.7[/TD] [TD="width: 10%, align: left"][/TD] [TD="width: 30%, align: left"]- nmol/L[/TD] [/TR] [/TABLE] [COLOR=#565656][FONT=verdana]Lab:CBC, Platelet; No Differential (LC&Q)[/FONT][/COLOR] [TABLE="class: normaltext, width: 100%"] [TR] [TD="width: 50%, align: left"]WBC[/TD] [TD="width: 10%, align: left"]11.0[/TD] [TD="width: 10%, align: left"]H[/TD] [TD="width: 30%, align: left"]3.4-10.8 - x10E3/uL[/TD] [/TR] [TR] [TD="width: 50%, align: left"]RBC[/TD] [TD="width: 10%, align: left"]5.19[/TD] [TD="width: 10%, align: left"][/TD] [TD="width: 30%, align: left"]4.14-5.80 - x10E6/uL[/TD] [/TR] [TR] [TD="width: 50%, align: left"]Hemoglobin[/TD] [TD="width: 10%, align: left"]15.4[/TD] [TD="width: 10%, align: left"][/TD] [TD="width: 30%, align: left"]13.0-17.7 - g/dL[/TD] [/TR] [TR] [TD="width: 50%, align: left"]Hematocrit[/TD] [TD="width: 10%, align: left"]48.0[/TD] [TD="width: 10%, align: left"][/TD] [TD="width: 30%, align: left"]37.5-51.0 - %[/TD] [/TR] [TR] [TD="width: 50%, align: left"]MCV[/TD] [TD="width: 10%, align: left"]93[/TD] [TD="width: 10%, align: left"][/TD] [TD="width: 30%, align: left"]79-97 - fL[/TD] [/TR] [TR] [TD="width: 50%, align: left"]MCH[/TD] [TD="width: 10%, align: left"]29.7[/TD] [TD="width: 10%, align: left"][/TD] [TD="width: 30%, align: left"]26.6-33.0 - pg[/TD] [/TR] [TR] [TD="width: 50%, align: left"]MCHC[/TD] [TD="width: 10%, align: left"]32.1[/TD] [TD="width: 10%, align: left"][/TD] [TD="width: 30%, align: left"]31.5-35.7 - g/dL[/TD] [/TR] [TR] [TD="width: 50%, align: left"]Platelets[/TD] [TD="width: 10%, align: left"]296[/TD] [TD="width: 10%, align: left"][/TD] [TD="width: 30%, align: left"]150-379 - x10E3/uL[/TD] [/TR] [TR] [TD="width: 50%, align: left"]NRBC[/TD] [TD="width: 10%, align: left"][/TD] [TD="width: 10%, align: left"][/TD] [TD="width: 30%, align: left"][/TD] [/TR] [TR] [TD="width: 50%, align: left"]RDW[/TD] [TD="width: 10%, align: left"]13.1[/TD] [TD="width: 10%, align: left"][/TD] [TD="width: 30%, align: left"][COLOR=#565656]12.3-15.4 - %[/COLOR][/TD] [/TR] [/TABLE] [COLOR=#565656][FONT=verdana]Lab:Thyroxine (T4) Free, Direct, S (LC&Q)[/FONT][/COLOR][TABLE="class: normaltext, width: 100%"] [TR] [TD="width: 50%, align: left"]T4,Free(Direct)[/TD] [TD="width: 10%, align: left"]1.39[/TD] [TD="width: 10%, align: left"][/TD] [TD="width: 30%, align: left"]0.82-1.77 - ng/dL[/TD] [/TR] [/TABLE] [COLOR=#565656][FONT=verdana]Lab:TSH (LC&Q)[/FONT][/COLOR][TABLE="class: normaltext, width: 100%"] [TR] [TD="width: 50%, align: left"]TSH[/TD] [TD="width: 10%, align: left"]1.600[/TD] [TD="width: 10%, align: left"][/TD] [TD="width: 30%, align: left"]0.450-4.500 - uIU/mL[/TD] [/TR] [/TABLE] [COLOR=#565656][FONT=verdana]Lab:Triiodothyronine,(T3) Free (LC&Q)[/FONT][/COLOR][TABLE="class: normaltext, width: 100%"] [TR] [TD="width: 50%, align: left"]Triiodothyronine,Free,Serum[/TD] [TD="width: 10%, align: left"]3.2[/TD] [TD="width: 10%, align: left"][/TD] [TD="width: 30%, align: left"]2.0-4.4 - pg/mL[/TD] [/TR] [/TABLE] [TABLE="class: normaltext, width: 100%"] [TR] [TD="width: 50%, align: left"]This is a big improvement in TT and FT. Previous bloodwork just prior to TRT was TT= 559, FT=89 and SHBG= 46.8 E2=29.9 In reality I shouldn't have really been on TRT with these numbers but I was feeling lethargic most of the day and sub part erections. The only thing that jumps out at me is the fact that the E2 number did not rise with the testosterone increase, other than that the numbers look great to me but I can't for the life of me determine why I feel so impotent despite positive results. E2 seems right in the range but it could be I am hyper sensitive to it? Any help would be greatly appreciated.[/TD] [TD="width: 10%, align: left"][/TD] [TD="width: 10%, align: left"][/TD] [TD="width: 30%, align: left"]2.0-4.4 - pg/mL [/TD] [/TR] [/TABLE] Here are the testosterone ranges btw [TABLE="class: table, width: 986"] [TR] [TD="class: nopadding, colspan: 2"][TABLE="class: table main-table, width: 986"] [TR] [TD="class: no-bod, colspan: 4"]Reference Range:[/TD] [/TR] [TR] [TD="class: no-bod, colspan: 4"][B]- [/B]Adult Males[/TD] [/TR] [TR] [TD="class: no-bod, colspan: 4"][B]- [/B]>18 years 264 - 916[/TD] [/TR] [TR] [TD="class: no-bod, colspan: 4"][B]- [/B]This LabCorp LC/MS-MS method is currently certified by the[/TD] [/TR] [TR] [TD="class: no-bod, colspan: 4"][B]- [/B]CDC Hormone Standardization Program (HoST). Adult male[/TD] [/TR] [TR] [TD="class: no-bod, colspan: 4"][B]- [/B]reference interval is based on a population of healthy[/TD] [/TR] [TR] [TD="class: no-bod, colspan: 4"][B]- [/B]nonobese males (BMI <30) between 19 and 39 years old.[/TD] [/TR] [TR] [TD="class: no-bod, colspan: 4"][B]- [/B]Travison, et.al. JCEM 2017,102;1161-1173 PMID: 28324103.[/TD] [/TR] [TR] [TD]F[/TD] [TD]% Free Testosterone[/TD] [TD]2.1 (%)[/TD] [TD]ES[/TD] [/TR] [TR] [TD="class: no-bod, colspan: 4"][B]- [/B]Reference Range:[/TD] [/TR] [TR] [TD="class: no-bod, colspan: 4"][B]- [/B]Adult Males: 1.5 - 3.2[/TD] [/TR] [TR] [TD]F[/TD] [TD]Free Testosterone, S[/TD] [TD]227 (pg/mL)[/TD] [TD]ES[/TD] [/TR] [TR] [TD="class: no-bod, colspan: 4"][B]- [/B]Reference Range:[/TD] [/TR] [TR] [TD="class: no-bod, colspan: 4"][B]- [/B]Adult Males: 52 - 280[/TD] [/TR] [TR] [TD]F[/TD] [TD]Sex Hormone Binding Globulin[/TD] [TD]48.7 (nmol/L)[/TD] [TD]ES[/TD] [/TR] [TR] [TD="class: no-bod, colspan: 4"][B]- [/B]Reference Range:[/TD] [/TR] [TR] [TD="class: no-bod, colspan: 4"][B]- [/B]Pubertal: 16.0 - 100.0[/TD] [/TR] [TR] [TD="class: no-bod, colspan: 4"][B]- [/B]20 - 49y: 16.5 - 55.9[/TD] [/TR] [TR] [TD="class: no-bod, colspan: 4"][B]- [/B]>49y: 19.3 - 76.4[/TD] [/TR] [/TABLE] [/TD] [/TR] [TR] [/TR] [TR] [TD="class: sections no-bot-border med-text, colspan: 2"]Clinical Information:C[/TD] [/TR] [/TABLE] [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Blood Test Discussion
27 Yr Male on TRT, Zero Libido
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