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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Basics & Questions
28 year old with low-normal range testastorone. TRT worth it?
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<blockquote data-quote="Vettester Chris" data-source="post: 15619" data-attributes="member: 696"><p>Nothing alarming on the thyroid .. Your FT4 is at 66% of reference range (decent reverses), FT3 at 50%. Ideally, good to see both of these at 50% to 80% of the reference range, and fairly close together in % percentages. The only variable that would be good to see is Reverse T3, although I don't suspect it's out of ratio with FT3 (usually you will see FT3 elevated above FT4 when that's the case .. Not always, but usually ..). Look into some selenium and kelp (iodine), little extra D3 in your plan, and I anticipate that you might see a little improvement with T4 to T3 conversion, maybe both would meet a little closer at that point; possibly around the 60% of reference range, +/-. </p><p></p><p>Cortisol, no, the AM should be at the top end of the reference range in the AM. The only problem with this test is it leaves the guessing for wondering what the circadian profile looks like with your adrenals throughout the day. In the future look at the 4x saliva kit w/DHEA-s combination. Again, I don't suspect anything majorly off on this end either, or it would probably be prompting some other results with your thyroid. All this is just speculation, so if there's any doubt, run further labs.</p><p></p><p>LH is definitely on the low side. Here's where I don't agree with your doctor ... Once on exogenous treatment, LH is going to totally tank! Your HPTA will be fully suppressed, as your increased serum levels will signal the pituitary to take a vacation. My take is ... If he's going to put you on TRT, then he needs to commit and put you on for the long-haul .. OR, if he senses there's hope to improve gonadotropin production (LH from the pituitary) to stimulate more endogenous test production, then do it now with some form of SERM/HCG protocol to see if you can increase LH .. Maybe something on the lines of Clomid & HCG combo. One or the other, that's my personal take on it, but others may see it differently.</p></blockquote><p></p>
[QUOTE="Vettester Chris, post: 15619, member: 696"] Nothing alarming on the thyroid .. Your FT4 is at 66% of reference range (decent reverses), FT3 at 50%. Ideally, good to see both of these at 50% to 80% of the reference range, and fairly close together in % percentages. The only variable that would be good to see is Reverse T3, although I don't suspect it's out of ratio with FT3 (usually you will see FT3 elevated above FT4 when that's the case .. Not always, but usually ..). Look into some selenium and kelp (iodine), little extra D3 in your plan, and I anticipate that you might see a little improvement with T4 to T3 conversion, maybe both would meet a little closer at that point; possibly around the 60% of reference range, +/-. Cortisol, no, the AM should be at the top end of the reference range in the AM. The only problem with this test is it leaves the guessing for wondering what the circadian profile looks like with your adrenals throughout the day. In the future look at the 4x saliva kit w/DHEA-s combination. Again, I don't suspect anything majorly off on this end either, or it would probably be prompting some other results with your thyroid. All this is just speculation, so if there's any doubt, run further labs. LH is definitely on the low side. Here's where I don't agree with your doctor ... Once on exogenous treatment, LH is going to totally tank! Your HPTA will be fully suppressed, as your increased serum levels will signal the pituitary to take a vacation. My take is ... If he's going to put you on TRT, then he needs to commit and put you on for the long-haul .. OR, if he senses there's hope to improve gonadotropin production (LH from the pituitary) to stimulate more endogenous test production, then do it now with some form of SERM/HCG protocol to see if you can increase LH .. Maybe something on the lines of Clomid & HCG combo. One or the other, that's my personal take on it, but others may see it differently. [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Basics & Questions
28 year old with low-normal range testastorone. TRT worth it?
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