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Testosterone Replacement, Low T, HCG, & Beyond
Blood Test Discussion
Blood work and Natesto
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<blockquote data-quote="BigBeard411" data-source="post: 224751" data-attributes="member: 43898"><p>My first visit to a doctor, where blood was taken in a fasted state at about 1pm, resulted in the following:</p><p></p><p>Prolactin at 20.1 ng/mL (Ref 4-15.2)</p><p></p><p>Estradiol at 24.7 pg/mL (Ref 7.6-42.6)</p><p></p><p>LH at 4.9 mIU/mL (Ref 1.7-8.6)</p><p></p><p>Testosterone at 291 ng/dL (Ref 264-916)</p><p></p><p>Free Test Direct at 15.7 pg/mL (Ref at 8.7-25.1)</p><p></p><p>Albumin 4.5 g/dL</p><p></p><p>This doctor prescribed me Natesto nasal testosterone gel, 3x per day. I had all the classical symptoms of low T and felt better immediately (within 20 minutes) after taking this. Worst symptoms were brain fog, fatigue poor motivation/focus, and running out of energy very easily. Libido was ok, not great but not very bad. </p><p></p><p>Brain fog/fatigue dissipated within 20 minutes of my dosing with Natesto. Motivation and energy skyrocketed - i finally felt normal after feeling like crap for 5+ years, and attributing that simply to "getting old". </p><p>I have been working out for 12 years consistently, and within the last 2-3 years have been gaining a lot of fat, strength stagnated, and a few months ago even my strength began to decrease. </p><p></p><p>I had in the past considered i may have low T due to the symptoms i have been experiencing, but I had put that thought aside as I am pretty well built from the years of training. </p><p></p><p>I went to another doctor to look into my above normal prolactin, and to get a 2nd opinion, as i am 35, working 5x per week - I was hoping TRT would be transient for me, and building a family is very important to me. Natesto was recommended as it preserves fertility, according to my doctor.</p><p></p><p>This other doctor had me stop taking my TRT for 2 weeks and retest my hormone levels. I was on Natesto for 2 weeks prior to this. I felt pretty crappy for 2 days after stopping, then went back to feeling ok, but not as good as when i was using Natesto.</p><p></p><p>From this 2nd doctor and different (in-house) lab, i received the following results, where my blood was taken at 8am:</p><p></p><p>Prolactin 14.2 (ref 2.5-17.4)</p><p></p><p>Total testosterone: 433 ng/dL (ref 249-836)</p><p></p><p>Free test: 10.52 ng/dL (ref 1.8 - 21)</p><p></p><p>LH 2.9 miu/mL (ref 1.2-10.6)</p><p></p><p>FSH 2.3 miu/mL (ref 1.4-18.2)</p><p></p><p>SHBG 26.52 nmol/L (ref 10-57)</p><p></p><p>Albumin 4 g/dL (ref 3.4-5.0)</p><p></p><p></p><p>So it seems like my prolactin normalized. My testosterone was much higher than the last time i got checked...is it possible this is because of the Natesto, even though i stopped for 2 weeks?</p><p></p><p>What would you guys do in my situation? Get off TRT? Stay on for 6-12 months? One of the issues i had was i gained about 40 pounds of fat over 5 years, even though i eat less and workout, though intensity has faded over the years due to lack of energy and fatigue prior to TRT (all of that is gone now). I was thinking of staying on Natesto to help with my energy levels, to lose some fat that i gained over the years (despite being consistent in working out), and then seeing how I feel once i stop TRT.</p><p></p><p>I have not spoken to this 2nd doctor yet, but I assume she would tell me not to continue taking TRT. Logically, if all my symptoms went away after starting, wouldn't the conclusion be I am suffering from Low-T symptoms, despite being in the normal range now? There is also no way i can know if this new test level would have dropped further if i had stopped Natesto for a few months as opposed to 2 weeks, though the half life of Natesto is quite short.</p></blockquote><p></p>
[QUOTE="BigBeard411, post: 224751, member: 43898"] My first visit to a doctor, where blood was taken in a fasted state at about 1pm, resulted in the following: Prolactin at 20.1 ng/mL (Ref 4-15.2) Estradiol at 24.7 pg/mL (Ref 7.6-42.6) LH at 4.9 mIU/mL (Ref 1.7-8.6) Testosterone at 291 ng/dL (Ref 264-916) Free Test Direct at 15.7 pg/mL (Ref at 8.7-25.1) Albumin 4.5 g/dL This doctor prescribed me Natesto nasal testosterone gel, 3x per day. I had all the classical symptoms of low T and felt better immediately (within 20 minutes) after taking this. Worst symptoms were brain fog, fatigue poor motivation/focus, and running out of energy very easily. Libido was ok, not great but not very bad. Brain fog/fatigue dissipated within 20 minutes of my dosing with Natesto. Motivation and energy skyrocketed - i finally felt normal after feeling like crap for 5+ years, and attributing that simply to "getting old". I have been working out for 12 years consistently, and within the last 2-3 years have been gaining a lot of fat, strength stagnated, and a few months ago even my strength began to decrease. I had in the past considered i may have low T due to the symptoms i have been experiencing, but I had put that thought aside as I am pretty well built from the years of training. I went to another doctor to look into my above normal prolactin, and to get a 2nd opinion, as i am 35, working 5x per week - I was hoping TRT would be transient for me, and building a family is very important to me. Natesto was recommended as it preserves fertility, according to my doctor. This other doctor had me stop taking my TRT for 2 weeks and retest my hormone levels. I was on Natesto for 2 weeks prior to this. I felt pretty crappy for 2 days after stopping, then went back to feeling ok, but not as good as when i was using Natesto. From this 2nd doctor and different (in-house) lab, i received the following results, where my blood was taken at 8am: Prolactin 14.2 (ref 2.5-17.4) Total testosterone: 433 ng/dL (ref 249-836) Free test: 10.52 ng/dL (ref 1.8 - 21) LH 2.9 miu/mL (ref 1.2-10.6) FSH 2.3 miu/mL (ref 1.4-18.2) SHBG 26.52 nmol/L (ref 10-57) Albumin 4 g/dL (ref 3.4-5.0) So it seems like my prolactin normalized. My testosterone was much higher than the last time i got checked...is it possible this is because of the Natesto, even though i stopped for 2 weeks? What would you guys do in my situation? Get off TRT? Stay on for 6-12 months? One of the issues i had was i gained about 40 pounds of fat over 5 years, even though i eat less and workout, though intensity has faded over the years due to lack of energy and fatigue prior to TRT (all of that is gone now). I was thinking of staying on Natesto to help with my energy levels, to lose some fat that i gained over the years (despite being consistent in working out), and then seeing how I feel once i stop TRT. I have not spoken to this 2nd doctor yet, but I assume she would tell me not to continue taking TRT. Logically, if all my symptoms went away after starting, wouldn't the conclusion be I am suffering from Low-T symptoms, despite being in the normal range now? There is also no way i can know if this new test level would have dropped further if i had stopped Natesto for a few months as opposed to 2 weeks, though the half life of Natesto is quite short. [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Blood Test Discussion
Blood work and Natesto
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