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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Basics & Questions
48 years old with 'low normal' levels. TRT?
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<blockquote data-quote="evolution69" data-source="post: 77403" data-attributes="member: 16069"><p><span style="color: #000000"><span style="font-family: 'Arial'">Hello All,</span></span></p><p><span style="color: #000000"><span style="font-family: 'Arial'">I am 48 years old and have been having a noticeable loss of motivation, concentration, and mental sharpness over the past year. Libido had been trending down for a few years also, but is still ok. </span></span></p><p></p><p><span style="color: #000000"><span style="font-family: 'Arial'">I wanted avoid SSRIs but was considering something like Wellbutrin, Modafinil or even Adderall. My T levels are within ‘normal’ range so my regular GP would not even discuss the possibility of TRT, but he also wouldn’t do any tests beyond total T. So, I went to an anti-aging doc and got more comprehensive tests. Here are my numbers below from last week, I am in Canada so I guess the more sensitive Estrogen test is not available. My red and white blood counts are all within normal ranges. My lipids are also within normal range.</span></span></p><p></p><p><span style="color: #000000"><span style="font-family: 'Arial'">I have not been back to see the anti-aging doc for my follow up yet, but I am trying to decide whether to go for TRT if it is an option. I know TT in the 420 range is decent and many would not consider trt at this level, but this brain fog and lack of concentration is really getting me down. My work performance has been declining over the past year as well.</span></span></p><p></p><p><span style="color: #000000"><span style="font-family: 'Arial'">Do you think TRT is worth a shot for someone like me? I know some posters with similar numbers have been advised to try other routes like daily Cialis, but libido isn’t my main concern (although an increase would be nice). I am not overweight and I still exercise semi-regularly but it has been hard to keep it consistent the past while.</span></span></p><p></p><p><span style="color: #000000"><span style="font-family: 'Arial'">Reproductive and Gonadal</span></span></p><p><span style="color: #000000"><span style="font-family: 'Arial'">Testosterone </span></span><span style="color: #000000"><span style="font-family: 'Arial'">14.7 </span></span><span style="color: #000000"><span style="font-family: 'Arial'">8.4-28.8 </span></span><span style="color: #000000"><span style="font-family: 'Arial'">nmol/L </span></span><span style="color: #000000"><span style="font-family: 'Arial'">(424 ng/dl)</span></span></p><p><span style="color: #000000"><span style="font-family: 'Arial'">Testosterone Free Calculated </span></span><span style="color: #000000"><span style="font-family: 'Arial'">279 </span></span><span style="color: #000000"><span style="font-family: 'Arial'">115-577</span></span><span style="color: #000000"><span style="font-family: 'Arial'">pmol/L</span></span></p><p><span style="color: #000000"><span style="font-family: 'Arial'">Testosterone Bioavailable Calculated </span></span><span style="color: #000000"><span style="font-family: 'Arial'">6.5 </span></span><span style="color: #000000"><span style="font-family: 'Arial'">2.7-13.5</span></span><span style="color: #000000"><span style="font-family: 'Arial'">nmol/L</span></span></p><p><span style="color: #000000"><span style="font-family: 'Arial'">Method of Vermeulen</span></span></p><p><span style="color: #000000"><span style="font-family: 'Arial'">The Vermeulen calculation for Bioavailable and Free testosterone has been updated effective January 4, 2016. Results are expected to be 25% lower on average. Reference ranges have been updated accordingly.</span></span></p><p><span style="color: #000000"><span style="font-family: 'Arial'"></span></span></p><p><span style="color: #000000"><span style="font-family: 'Arial'">Sex Hormone Binding Globulin </span></span><span style="color: #000000"><span style="font-family: 'Arial'">37.5 </span></span><span style="color: #000000"><span style="font-family: 'Arial'">10.0-70.0</span></span><span style="color: #000000"><span style="font-family: 'Arial'">nmol/L</span></span></p><p><span style="color: #000000"><span style="font-family: 'Arial'">Estradiol </span></span><span style="color: #000000"><span style="font-family: 'Arial'">93 </span></span><span style="color: #000000"><span style="font-family: 'Arial'"><157 </span></span><span style="color: #000000"><span style="font-family: 'Arial'">pmol/L </span></span></p><p><span style="color: #000000"><span style="font-family: 'Arial'">DHEA Sulphate </span></span><span style="color: #000000"><span style="font-family: 'Arial'">5.9 </span></span><span style="color: #000000"><span style="font-family: 'Arial'"><9.8 </span></span><span style="color: #000000"><span style="font-family: 'Arial'">umol/L </span></span></p><p><span style="color: #000000"><span style="font-family: 'Arial'">Thyroid Function</span></span></p><p><span style="color: #000000"><span style="font-family: 'Arial'">TSH </span></span><span style="color: #000000"><span style="font-family: 'Arial'">1.51 </span></span><span style="color: #000000"><span style="font-family: 'Arial'">0.32-5.04 </span></span><span style="color: #000000"><span style="font-family: 'Arial'">mU/L</span></span></p><p><span style="color: #000000"><span style="font-family: 'Arial'">T4 Free </span></span><span style="color: #000000"><span style="font-family: 'Arial'">14.2 </span></span><span style="color: #000000"><span style="font-family: 'Arial'">10.6-19.7 </span></span><span style="color: #000000"><span style="font-family: 'Arial'">pmol/L</span></span></p><p><span style="color: #000000"><span style="font-family: 'Arial'">T3 Free </span></span><span style="color: #000000"><span style="font-family: 'Arial'">4.13 </span></span><span style="color: #000000"><span style="font-family: 'Arial'">3.00-5.90 </span></span><span style="color: #000000"><span style="font-family: 'Arial'">pmol/L</span></span></p><p><span style="color: #000000"><span style="font-family: 'Arial'">Pituitary Function</span></span></p><p><span style="color: #000000"><span style="font-family: 'Arial'">Luteinizing Hormone (LH) </span></span><span style="color: #000000"><span style="font-family: 'Arial'">2.5 </span></span><span style="color: #000000"><span style="font-family: 'Arial'">1.1-8.8 </span></span><span style="color: #000000"><span style="font-family: 'Arial'">IU/L</span></span></p><p><span style="color: #000000"><span style="font-family: 'Arial'">Prolactin </span></span><span style="color: #000000"><span style="font-family: 'Arial'">6.2 </span></span><span style="color: #000000"><span style="font-family: 'Arial'">3.8-20.6 </span></span><span style="color: #000000"><span style="font-family: 'Arial'">ug/L</span></span></p><p><span style="color: #000000"><span style="font-family: 'Arial'">Insulin-Like Growth Factor-I </span></span><span style="color: #000000"><span style="font-family: 'Arial'">156 </span></span><span style="color: #000000"><span style="font-family: 'Arial'">61-197</span></span><span style="color: #000000"><span style="font-family: 'Arial'">ug/L</span></span></p><p><span style="color: #000000"><span style="font-family: 'Arial'">Adrenal Function</span></span></p><p><span style="color: #000000"><span style="font-family: 'Arial'">AM Cortisol </span></span><span style="color: #000000"><span style="font-family: 'Arial'">261 </span></span><span style="color: #000000"><span style="font-family: 'Arial'">125-536 </span></span><span style="color: #000000"><span style="font-family: 'Arial'">nmol/L </span></span></p><p><span style="color: #000000"><span style="font-family: 'Arial'">If dexamethasone has been given <130 nmol/L.</span></span></p><p><span style="color: #000000"><span style="font-family: 'Arial'">Tumour Markers</span></span></p><p><span style="color: #000000"><span style="font-family: 'Arial'">Prostate Specific Ag </span></span><span style="color: #000000"><span style="font-family: 'Arial'">1.2 </span></span><span style="color: #000000"><span style="font-family: 'Arial'"><2.5 </span></span><span style="color: #000000"><span style="font-family: 'Arial'">ug/L </span></span></p><p><span style="color: #000000"><span style="font-family: 'Arial'"></span></span></p><p><span style="color: #000000"><span style="font-family: 'Arial'"></span></span><span style="color: #000000"><span style="font-family: 'Arial'">In Feb 2017 I tested with TT 473 ng/dl and in Feb 2016 I tested with TT 571 ng/dl. Not sure why the drop, but I felt a real downtick in get-up-and-go last fall. </span></span></p></blockquote><p></p>
[QUOTE="evolution69, post: 77403, member: 16069"] [COLOR=#000000][FONT=Arial]Hello All,[/FONT][/COLOR] [COLOR=#000000][FONT=Arial]I am 48 years old and have been having a noticeable loss of motivation, concentration, and mental sharpness over the past year. Libido had been trending down for a few years also, but is still ok. [/FONT][/COLOR] [COLOR=#000000][FONT=Arial]I wanted avoid SSRIs but was considering something like Wellbutrin, Modafinil or even Adderall. My T levels are within ‘normal’ range so my regular GP would not even discuss the possibility of TRT, but he also wouldn’t do any tests beyond total T. So, I went to an anti-aging doc and got more comprehensive tests. Here are my numbers below from last week, I am in Canada so I guess the more sensitive Estrogen test is not available. My red and white blood counts are all within normal ranges. My lipids are also within normal range.[/FONT][/COLOR] [COLOR=#000000][FONT=Arial]I have not been back to see the anti-aging doc for my follow up yet, but I am trying to decide whether to go for TRT if it is an option. I know TT in the 420 range is decent and many would not consider trt at this level, but this brain fog and lack of concentration is really getting me down. My work performance has been declining over the past year as well.[/FONT][/COLOR] [COLOR=#000000][FONT=Arial]Do you think TRT is worth a shot for someone like me? I know some posters with similar numbers have been advised to try other routes like daily Cialis, but libido isn’t my main concern (although an increase would be nice). I am not overweight and I still exercise semi-regularly but it has been hard to keep it consistent the past while.[/FONT][/COLOR] [COLOR=#000000][FONT=Arial]Reproductive and Gonadal[/FONT][/COLOR] [COLOR=#000000][FONT=Arial]Testosterone [/FONT][/COLOR][COLOR=#000000][FONT=Arial]14.7 [/FONT][/COLOR][COLOR=#000000][FONT=Arial]8.4-28.8 [/FONT][/COLOR][COLOR=#000000][FONT=Arial]nmol/L [/FONT][/COLOR][COLOR=#000000][FONT=Arial](424 ng/dl)[/FONT][/COLOR] [COLOR=#000000][FONT=Arial]Testosterone Free Calculated [/FONT][/COLOR][COLOR=#000000][FONT=Arial]279 [/FONT][/COLOR][COLOR=#000000][FONT=Arial]115-577[/FONT][/COLOR][COLOR=#000000][FONT=Arial]pmol/L[/FONT][/COLOR] [COLOR=#000000][FONT=Arial]Testosterone Bioavailable Calculated [/FONT][/COLOR][COLOR=#000000][FONT=Arial]6.5 [/FONT][/COLOR][COLOR=#000000][FONT=Arial]2.7-13.5[/FONT][/COLOR][COLOR=#000000][FONT=Arial]nmol/L[/FONT][/COLOR] [COLOR=#000000][FONT=Arial]Method of Vermeulen[/FONT][/COLOR] [COLOR=#000000][FONT=Arial]The Vermeulen calculation for Bioavailable and Free testosterone has been updated effective January 4, 2016. Results are expected to be 25% lower on average. Reference ranges have been updated accordingly.[/FONT][/COLOR] [COLOR=#000000][FONT=Arial] Sex Hormone Binding Globulin [/FONT][/COLOR][COLOR=#000000][FONT=Arial]37.5 [/FONT][/COLOR][COLOR=#000000][FONT=Arial]10.0-70.0[/FONT][/COLOR][COLOR=#000000][FONT=Arial]nmol/L[/FONT][/COLOR] [COLOR=#000000][FONT=Arial]Estradiol [/FONT][/COLOR][COLOR=#000000][FONT=Arial]93 [/FONT][/COLOR][COLOR=#000000][FONT=Arial]<157 [/FONT][/COLOR][COLOR=#000000][FONT=Arial]pmol/L [/FONT][/COLOR] [COLOR=#000000][FONT=Arial]DHEA Sulphate [/FONT][/COLOR][COLOR=#000000][FONT=Arial]5.9 [/FONT][/COLOR][COLOR=#000000][FONT=Arial]<9.8 [/FONT][/COLOR][COLOR=#000000][FONT=Arial]umol/L [/FONT][/COLOR] [COLOR=#000000][FONT=Arial]Thyroid Function[/FONT][/COLOR] [COLOR=#000000][FONT=Arial]TSH [/FONT][/COLOR][COLOR=#000000][FONT=Arial]1.51 [/FONT][/COLOR][COLOR=#000000][FONT=Arial]0.32-5.04 [/FONT][/COLOR][COLOR=#000000][FONT=Arial]mU/L[/FONT][/COLOR] [COLOR=#000000][FONT=Arial]T4 Free [/FONT][/COLOR][COLOR=#000000][FONT=Arial]14.2 [/FONT][/COLOR][COLOR=#000000][FONT=Arial]10.6-19.7 [/FONT][/COLOR][COLOR=#000000][FONT=Arial]pmol/L[/FONT][/COLOR] [COLOR=#000000][FONT=Arial]T3 Free [/FONT][/COLOR][COLOR=#000000][FONT=Arial]4.13 [/FONT][/COLOR][COLOR=#000000][FONT=Arial]3.00-5.90 [/FONT][/COLOR][COLOR=#000000][FONT=Arial]pmol/L[/FONT][/COLOR] [COLOR=#000000][FONT=Arial]Pituitary Function[/FONT][/COLOR] [COLOR=#000000][FONT=Arial]Luteinizing Hormone (LH) [/FONT][/COLOR][COLOR=#000000][FONT=Arial]2.5 [/FONT][/COLOR][COLOR=#000000][FONT=Arial]1.1-8.8 [/FONT][/COLOR][COLOR=#000000][FONT=Arial]IU/L[/FONT][/COLOR] [COLOR=#000000][FONT=Arial]Prolactin [/FONT][/COLOR][COLOR=#000000][FONT=Arial]6.2 [/FONT][/COLOR][COLOR=#000000][FONT=Arial]3.8-20.6 [/FONT][/COLOR][COLOR=#000000][FONT=Arial]ug/L[/FONT][/COLOR] [COLOR=#000000][FONT=Arial]Insulin-Like Growth Factor-I [/FONT][/COLOR][COLOR=#000000][FONT=Arial]156 [/FONT][/COLOR][COLOR=#000000][FONT=Arial]61-197[/FONT][/COLOR][COLOR=#000000][FONT=Arial]ug/L[/FONT][/COLOR] [COLOR=#000000][FONT=Arial]Adrenal Function[/FONT][/COLOR] [COLOR=#000000][FONT=Arial]AM Cortisol [/FONT][/COLOR][COLOR=#000000][FONT=Arial]261 [/FONT][/COLOR][COLOR=#000000][FONT=Arial]125-536 [/FONT][/COLOR][COLOR=#000000][FONT=Arial]nmol/L [/FONT][/COLOR] [COLOR=#000000][FONT=Arial]If dexamethasone has been given <130 nmol/L.[/FONT][/COLOR] [COLOR=#000000][FONT=Arial]Tumour Markers[/FONT][/COLOR] [COLOR=#000000][FONT=Arial]Prostate Specific Ag [/FONT][/COLOR][COLOR=#000000][FONT=Arial]1.2 [/FONT][/COLOR][COLOR=#000000][FONT=Arial]<2.5 [/FONT][/COLOR][COLOR=#000000][FONT=Arial]ug/L [/FONT][/COLOR] [COLOR=#000000][FONT=Arial] [/FONT][/COLOR][COLOR=#000000][FONT=Arial]In Feb 2017 I tested with TT 473 ng/dl and in Feb 2016 I tested with TT 571 ng/dl. Not sure why the drop, but I felt a real downtick in get-up-and-go last fall. [/FONT][/COLOR] [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Basics & Questions
48 years old with 'low normal' levels. TRT?
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