29yo - need help breaking down results

[supman1989]

29yo with lots of low T symptoms (low mood, ED, no morning wood, anxiety, no libido) but doc states these results are ok. It's my third test and all around the same. What does low FSH mean?

Prolactin: 312 mU/L (range: 86-324)
FSH: 1.9 U/L (range: 1.5-12.4)
LH: 7.0 U/L (range: 1.7-8.6)
Testosterone: 450 ng/dl (300-1000)
SHBG: 43 nmol/L (range: 16-55)
Albumin: 48 g/L (35-50)
TSH: 2.32 mU/L (range: 0.27-4.20)
Oestradiol: 55.00 pmol/L (range: 70-192 pmol/L)

I calculated my free test via SHBG/Albumin/TT and it came back as 1.6% (range is 1.5-3).

Any help/guidance is appreciated.

 

[Systemlord]

FSH stimulates sperm production. Your SHBG is part of the problem, it is binding a lot of your androgens and pituitary is increasing LH to attempt to compensate and increase testosterone, it's not enough. TRT is needed to decrease SHBG and increase free testosterone.

Most doctors are not educated in sex hormones, so your doctor doesn't know how to interpret your labs, best to go private and locate a doctor that specializes in TRT.

There is no specialist in managed healthcare that specializes in TRT, so most are operating with little to no knowledge and only fixate on total testosterone which is in range, but matters not because the free testosterone percentage is low which can be verified by directly testing free testosterone.


There is no chance of fixing this problem naturally.

 

[madman]

29yo with lots of low T symptoms (low mood, ED, no morning wood, anxiety, no libido) but doc states these results are ok. It's my third test and all around the same. What does low FSH mean?

Prolactin: 312 mU/L (range: 86-324)
FSH: 1.9 U/L (range: 1.5-12.4)
LH: 7.0 U/L (range: 1.7-8.6)
Testosterone: 450 ng/dl (300-1000)
SHBG: 43 nmol/L (range: 16-55)
Albumin: 48 g/L (35-50)
TSH: 2.32 mU/L (range: 0.27-4.20)
Oestradiol: 55.00 pmol/L (range: 70-192 pmol/L)

I calculated my free test via SHBG/Albumin/TT and it came back as 1.6% (range is 1.5-3).

Any help/guidance is appreciated.

TT 450 ng/dL, SHBG 43 nmol/L and albumin 4.8 g/dL would give you a FT level of 12.44 ng/dL reference range (16-31 ng/dL)


Try the public free testosterone calculator at tru-t.org

As you can see your FT levels are low due to your sub-par TT/highish SHBG levels.

Need to look into thyroid deeper.

Definitely look into finding a new doctor as yours is clueless.....low-T symptoms/low FT!

 

[supman1989]

TT 450 ng/dL, SHBG 43 nmol/L and albumin 4.8 g/dL would give you a FT level of 12.44 ng/dL reference range (16-31 ng/dL)


Try the public free testosterone calculator at tru-t.org





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As you can see your FT levels are low due to your sub-par TT/highish SHBG levels.

Need to look into thyroid deeper.

Definitely look into finding a new doctor as yours is clueless.....low-T symptoms/low FT!

Thanks man. When i check ref ranges for free t i get 5-12 ng/dl?

For thyroid they look ok—
T4 free: 15.29 (range: 12-22 pmol/L)
TSH: 2.32 (range: 0.27-4.20 mU/L)

 

[Vince]

Thanks man. When i check ref ranges for free t i get 5-12 ng/dl?

For thyroid they look ok—
T4 free: 15.29 (range: 12-22 pmol/L)
TSH: 2.32 (range: 0.27-4.20 mU/L)

You need to get a full thyroid panel at least once. TSH, free T4, free T3, reverse T3 in both antibodies.

Thyroid Tests and What They Mean

 

[madman]

Thanks man. When i check ref ranges for free t i get 5-12 ng/dl?

For thyroid they look ok—
T4 free: 15.29 (range: 12-22 pmol/L)
TSH: 2.32 (range: 0.27-4.20 mU/L)

METHODS AND SYSTEMS FOR THE DIAGNOSIS AND TREATMENT OF ANDROGEN DISORDERS



[00228] The current Endocrine Society guidelines suggest the use of total testosterone levels to guide therapy, which as discussed above, do not provide an accurate assessment of the androgen status. The free testosterone concentrations, determined the new method described herein, can provide accurate assessment of the adequacy of testosterone therapy in hypogonadal men. Based on the new data on the distribution of free testosterone levels in healthy men , the target range of free testosterone has been determined to be 164 to 314 pg/ml (mean +/- 1 SD). if the on-treatment free testosterone concentrations determined using the methods described herein are outside this range, the dose of testosterone should be adjusted using the methods described herein to achieve testosterone levels in the target therapeutic range to maximize benefits and reduce the risks.


reference range of 164-314 pg/ml converts to 16-31 ng/dL