Advice for newbie w/ Lab Results?

bohica

New Member
Recently turned 43 and a friend who’s had excellent results from TRT gave me some hope that maybe there’s something I can do about my low energy and libido. I eat healthy and workout, but feeling nothing like I did 10 years ago. Got lab results (attached) back this week and I’m scheduling a consult w/ Defy… but would greatly appreciate ANY thoughts or unofficial advice any of you might be willing to share. Been browsing this forum for about a month and appreciate the insight on here as this is all new to me.
 

Attachments

One test isn't definitive, but these results say that low testosterone is probably not your problem. I would not start TRT with these numbers. The elevated gonadotropins (LH/FSH) are a little odd, and possibly hint at early testicular insufficiency. If you're determined to go in this direction then I would try a testosterone nasal gel for a few months. This would let you experience higher levels without as much disruption of your other hormones. Given that your hemoglobin and hematocrit are already at the high end, I think any use of exogenous testosterone is likely to cause you problems with additional elevation.

Have you been tested for sleep apnea? Other things to look at include thyroid hormones, zinc and vitamin D status.
 
Thanks for your response. I was tested for sleep apnea ~5 years ago and had no problems. I’m not determined to start TRT or take any predetermined course of action unless there’s good reason to believe it would lead to better health. If nothing else, I’m hesitant to start tweaking with the valves and would be ecstatic to find out that my low energy was the result of a zinc or vitamin D deficiency.

So many supplements and vitamin manufacturers out there it’s overwhelming to try to figure out what’s garbage and what’s worth taking. Anyone here have a supplement brand they swear by that isn’t paying them?

Also, got my blood test through DiscountedLabs (thank you, Nelson ) and figure I’ll keep doing that at least every 3-4 months. Any recommendation on which test on there is most comprehensive yet still cost effective? Just not sure if the one I got checked all the boxes for what’s worth testing or if I missed something. Again, thanks for helping out this newb- I’m sure you guys get these rookie questions all the time.
 

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TRT Hormone Predictor

Predict estradiol, DHT, and free testosterone levels based on total testosterone

⚠️ Medical Disclaimer

This tool provides predictions based on statistical models and should NOT replace professional medical advice. Always consult with your healthcare provider before making any changes to your TRT protocol.

ℹ️ Input Parameters

Normal range: 300-1000 ng/dL

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Enter your total testosterone value to see predictions

Results will appear here after calculation

Understanding Your Hormones

Estradiol (E2)

A form of estrogen produced from testosterone. Important for bone health, mood, and libido. Too high can cause side effects; too low can affect well-being.

DHT

Dihydrotestosterone is a potent androgen derived from testosterone. Affects hair growth, prostate health, and masculinization effects.

Free Testosterone

The biologically active form of testosterone not bound to proteins. Directly available for cellular uptake and biological effects.

Scientific Reference

Lakshman KM, Kaplan B, Travison TG, Basaria S, Knapp PE, Singh AB, LaValley MP, Mazer NA, Bhasin S. The effects of injected testosterone dose and age on the conversion of testosterone to estradiol and dihydrotestosterone in young and older men. J Clin Endocrinol Metab. 2010 Aug;95(8):3955-64.

DOI: 10.1210/jc.2010-0102 | PMID: 20534765 | PMCID: PMC2913038

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