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Testosterone Replacement, Low T, HCG, & Beyond
Blood Test Discussion
Blood work
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<blockquote data-quote="madman" data-source="post: 131470" data-attributes="member: 13851"><p><strong>SHBG</strong></p><p></p><p>24/03/18 - 32 nmol/L (pre-trt)</p><p></p><p>07/08/18 - 37 nmol/L (pre-trt)</p><p></p><p>13/12/18 - 23 nmol/L ( 3 months into trt)</p><p></p><p></p><p></p><p>The reference range for SHBG is 10-70 nmol/L so the mid-range (mean) would be 40 nmol/L.....pre-trt your SHBG was 32-37 nmol/L so just under mid-range and definitely not HIGH as you stated.</p><p></p><p>Now 3 months into your trt protocol 150 mg/week testosterone (75 mg every 3.5 days) your SHBG has dropped to 23 nmol/L so it is lower now....hence your higher FT level.</p><p></p><p>Your e2 was the standard assay which is not the correct e2 test used for men and tends to overestimate.....the estradiol sensitive assay (LC-MS/MS) is the one you want.</p><p></p><p>Mind you Nelson has stated that if your CRP (c reactive protein) is normal..... hence no inflammation issues than the standard assay should be fairly accurate.</p><p></p><p>Seeing as you are not feeling well overall bloat, lethargy and on your lab results under <strong><span style="color: rgb(184, 49, 47)">Clinical notes: gynaecomastia, erectile dysfunction is requesting</span></strong> than most likely your e2 is too high for you causing issues.</p><p></p><p>You may need to look into lowering your dose slightly.</p><p></p><p>Regarding your ldl.....how is your diet and as far as e2 (estradiol) healthy levels will improve ones hdl.</p><p></p><p>Higher doses of testosterone can have a negative effect on lipids.....lowering HDL.</p><p></p><p>Your albumin has not changed dramatically.</p></blockquote><p></p>
[QUOTE="madman, post: 131470, member: 13851"] [B]SHBG[/B] 24/03/18 - 32 nmol/L (pre-trt) 07/08/18 - 37 nmol/L (pre-trt) 13/12/18 - 23 nmol/L ( 3 months into trt) The reference range for SHBG is 10-70 nmol/L so the mid-range (mean) would be 40 nmol/L.....pre-trt your SHBG was 32-37 nmol/L so just under mid-range and definitely not HIGH as you stated. Now 3 months into your trt protocol 150 mg/week testosterone (75 mg every 3.5 days) your SHBG has dropped to 23 nmol/L so it is lower now....hence your higher FT level. Your e2 was the standard assay which is not the correct e2 test used for men and tends to overestimate.....the estradiol sensitive assay (LC-MS/MS) is the one you want. Mind you Nelson has stated that if your CRP (c reactive protein) is normal..... hence no inflammation issues than the standard assay should be fairly accurate. Seeing as you are not feeling well overall bloat, lethargy and on your lab results under [B][COLOR=rgb(184, 49, 47)]Clinical notes: gynaecomastia, erectile dysfunction is requesting[/COLOR][/B] than most likely your e2 is too high for you causing issues. You may need to look into lowering your dose slightly. Regarding your ldl.....how is your diet and as far as e2 (estradiol) healthy levels will improve ones hdl. Higher doses of testosterone can have a negative effect on lipids.....lowering HDL. Your albumin has not changed dramatically. [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Blood Test Discussion
Blood work
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