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Testosterone Replacement, Low T, HCG, & Beyond
Blood Test Discussion
31yo. Pre-TRT bloods. Low free test, low LH, high prolactin, albumin, SHBG
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<blockquote data-quote="akenbake24" data-source="post: 209525" data-attributes="member: 43106"><p>Hello everyone. I have been experiencing low libido, high refractory period, brain fog, low motivation, and just generally not as energetic as I used to in my early-mid 20s. I booked an initial consult with a TRT clinic that ordered a bunch of labwork. Before I have the consult, I'm wondering what the community thinks about my numbers.</p><p></p><p>I have high albumin. I don't eat a super high protein diet and I drink a lot of water so I shouldn't be dehydrated, so I don't know what could be causing this.</p><p></p><p>I had my testosterone tested 3 years back and it was 400 ng/dL, so I am very happy to see it is now at 460. Although, I know this is still considered low end of normal for my age. My free testosterone is LOW. Could my high end SHBG and Albumin levels be causing this? My Estradiol level is the low end of normal, but perhaps this is simply because my Free Test level is too low?</p><p></p><p>Also, my LH levels seems pretty low. My Prolactin level is HIGH and I didn't ejaculate 24-48 hrs before the test, so I'm wondering what could cause this as well.</p><p></p><p>I added my Thyroid bloodwork as well since it is often asked for in other posts I see.</p><p></p><p>I would rather not start TRT, but am willing to if it is the appropriate answer to my problems and labwork. Please let me know what you think. Thanks!</p><p></p><p></p><p>31 year old male</p><p>5' 9"</p><p>165 lbs</p><p></p><p></p><p>Albumin - <strong>HIGH</strong></p><p>5.2 (4.0 - 5.0) g/dL</p><p></p><p>A/G Ratio</p><p>2.1 (1.2 - 2.2)</p><p></p><p></p><p></p><p>Testosterone</p><p>460 (264-916) ng/dL</p><p></p><p>Free Testosterone (Direct) - <strong>LOW</strong></p><p>7.8 (8.7 - 25.1) pg/mL</p><p></p><p>Estradiol, Sensitive</p><p>11.8 (8.0 - 35) pg/mL</p><p></p><p>Luteinizing Hormone (LH)</p><p>1.9 (1.7 - 8.6) mIU/mL</p><p></p><p>DHT</p><p>45 (30 - 85) ng/dL</p><p></p><p>DHT, Percent Free</p><p>1.10 (0.54 - 2.58)</p><p></p><p>DHT, Free</p><p>4.95 (2.30 - 11.60) pg/mL</p><p></p><p>Prolactin - <strong>HIGH</strong></p><p>18.4 (4.0 - 15.2) ng/mL</p><p></p><p>SHBG, Serum</p><p>40.6 (16.5 - 55.9) nmol/L</p><p></p><p>DHEA-Sulfate</p><p>403 (138.8-475.2) ug/dL</p><p></p><p></p><p></p><p></p><p>TSH</p><p>2.81 (0.45 - 4.50) uIU/mL</p><p></p><p>T4 Free, Direct</p><p>1.44 (0.82 - 1.77) ng/dL</p><p></p><p>T3 Free</p><p>3.6 (2.0 - 4.4) pg/mL</p><p></p><p>Reverse T3, Serum</p><p>19.7 (9.2 - 24.1) ng/dL</p><p></p><p>Thyroid Peroxidase (TPO) Ab</p><p><8 (0 - 34) IU/mL</p><p></p><p>Thyroglobulin Antibody</p><p><1.0 (0.0 - 0.9) IU/mL</p></blockquote><p></p>
[QUOTE="akenbake24, post: 209525, member: 43106"] Hello everyone. I have been experiencing low libido, high refractory period, brain fog, low motivation, and just generally not as energetic as I used to in my early-mid 20s. I booked an initial consult with a TRT clinic that ordered a bunch of labwork. Before I have the consult, I'm wondering what the community thinks about my numbers. I have high albumin. I don't eat a super high protein diet and I drink a lot of water so I shouldn't be dehydrated, so I don't know what could be causing this. I had my testosterone tested 3 years back and it was 400 ng/dL, so I am very happy to see it is now at 460. Although, I know this is still considered low end of normal for my age. My free testosterone is LOW. Could my high end SHBG and Albumin levels be causing this? My Estradiol level is the low end of normal, but perhaps this is simply because my Free Test level is too low? Also, my LH levels seems pretty low. My Prolactin level is HIGH and I didn't ejaculate 24-48 hrs before the test, so I'm wondering what could cause this as well. I added my Thyroid bloodwork as well since it is often asked for in other posts I see. I would rather not start TRT, but am willing to if it is the appropriate answer to my problems and labwork. Please let me know what you think. Thanks! 31 year old male 5' 9" 165 lbs Albumin - [B]HIGH[/B] 5.2 (4.0 - 5.0) g/dL A/G Ratio 2.1 (1.2 - 2.2) Testosterone 460 (264-916) ng/dL Free Testosterone (Direct) - [B]LOW[/B] 7.8 (8.7 - 25.1) pg/mL Estradiol, Sensitive 11.8 (8.0 - 35) pg/mL Luteinizing Hormone (LH) 1.9 (1.7 - 8.6) mIU/mL DHT 45 (30 - 85) ng/dL DHT, Percent Free 1.10 (0.54 - 2.58) DHT, Free 4.95 (2.30 - 11.60) pg/mL Prolactin - [B]HIGH[/B] 18.4 (4.0 - 15.2) ng/mL SHBG, Serum 40.6 (16.5 - 55.9) nmol/L DHEA-Sulfate 403 (138.8-475.2) ug/dL TSH 2.81 (0.45 - 4.50) uIU/mL T4 Free, Direct 1.44 (0.82 - 1.77) ng/dL T3 Free 3.6 (2.0 - 4.4) pg/mL Reverse T3, Serum 19.7 (9.2 - 24.1) ng/dL Thyroid Peroxidase (TPO) Ab <8 (0 - 34) IU/mL Thyroglobulin Antibody <1.0 (0.0 - 0.9) IU/mL [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Blood Test Discussion
31yo. Pre-TRT bloods. Low free test, low LH, high prolactin, albumin, SHBG
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