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<blockquote data-quote="Rand McClain DO" data-source="post: 91974" data-attributes="member: 90"><p>Good question! Depends upon what "good on the T levels" means. If a patient has T free levels that are on the high end of normal, but still has symptoms of low-T then I would typically suggest reassaying T levels. Sometimes we catch a snapshot of T levels that are not representative. I have seen, eg, free T assays that are high, but suspicious as temporary because total T, DHT, E2, and even H/H are low. I retest and find that the free T "spike" was indeed out of line with the other assays and the second assay shows free t as low (commensurate with the other values). I would also consider other reasons for the patient's signs and symptoms, of course. Thyroid assays, sleep quantity and quality, night v day jobs, prolactin assays, neurotransmitter assays, exercise quantity and quality, and other items (it's a long list) are a few considerations that come into play with T levels as well. In essence, we see a hoof print and look for the horses first and then the zebras and then the unicorns until we figure it out!</p></blockquote><p></p>
[QUOTE="Rand McClain DO, post: 91974, member: 90"] Good question! Depends upon what "good on the T levels" means. If a patient has T free levels that are on the high end of normal, but still has symptoms of low-T then I would typically suggest reassaying T levels. Sometimes we catch a snapshot of T levels that are not representative. I have seen, eg, free T assays that are high, but suspicious as temporary because total T, DHT, E2, and even H/H are low. I retest and find that the free T "spike" was indeed out of line with the other assays and the second assay shows free t as low (commensurate with the other values). I would also consider other reasons for the patient's signs and symptoms, of course. Thyroid assays, sleep quantity and quality, night v day jobs, prolactin assays, neurotransmitter assays, exercise quantity and quality, and other items (it's a long list) are a few considerations that come into play with T levels as well. In essence, we see a hoof print and look for the horses first and then the zebras and then the unicorns until we figure it out! [/QUOTE]
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