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Testosterone Replacement, Low T, HCG, & Beyond
Blood Test Discussion
Detailed Labs of 42yr old healthy with some recent sexual symptoms
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<blockquote data-quote="Cataceous" data-source="post: 213981" data-attributes="member: 38109"><p>I view the healthy normal range for that Vermeulen free T calculator as about 10-20 ng/dL. Your value is 8.2 ng/dL So it is possible that this is contributing to your problems. But be aware that some guys function perfectly well at this level, so you shouldn't make assumptions until you have more information. Your ratio of total estradiol to total testosterone is 0.48%. This is nicely within the normal range. Your calculated free estradiol of 0.5 pg/mL doesn't correspond very well with the measured value of 0.68, primarily because of the different ranges. For the calculated value the range is about 0.3-1.3 pg/mL. For the measured value this lab wants it below 0.45. I don't think either method is inherently more trustworthy, so I would consider free estradiol to be uncertain at this point. Normally with high SHBG such as yours the level of estradiol is considered to be less of a problem.</p><p></p><p>I've argued that when we don't know our hormone levels from our prime years we might target average levels for healthy young men. These would be total testosterone of 600-700 ng/dL, SHBG of 30 nMol/L, Vermeulen free T of 15 ng/dL and estradiol of 25-30 pg/mL.</p><p></p><p>Because your natural numbers aren't that bad I'd encourage you to limit initial treatments to testosterone nasal gel or enclomiphene. These can raise your testosterone without causing too many other problems, unlike regular TRT.</p></blockquote><p></p>
[QUOTE="Cataceous, post: 213981, member: 38109"] I view the healthy normal range for that Vermeulen free T calculator as about 10-20 ng/dL. Your value is 8.2 ng/dL So it is possible that this is contributing to your problems. But be aware that some guys function perfectly well at this level, so you shouldn't make assumptions until you have more information. Your ratio of total estradiol to total testosterone is 0.48%. This is nicely within the normal range. Your calculated free estradiol of 0.5 pg/mL doesn't correspond very well with the measured value of 0.68, primarily because of the different ranges. For the calculated value the range is about 0.3-1.3 pg/mL. For the measured value this lab wants it below 0.45. I don't think either method is inherently more trustworthy, so I would consider free estradiol to be uncertain at this point. Normally with high SHBG such as yours the level of estradiol is considered to be less of a problem. I've argued that when we don't know our hormone levels from our prime years we might target average levels for healthy young men. These would be total testosterone of 600-700 ng/dL, SHBG of 30 nMol/L, Vermeulen free T of 15 ng/dL and estradiol of 25-30 pg/mL. Because your natural numbers aren't that bad I'd encourage you to limit initial treatments to testosterone nasal gel or enclomiphene. These can raise your testosterone without causing too many other problems, unlike regular TRT. [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Blood Test Discussion
Detailed Labs of 42yr old healthy with some recent sexual symptoms
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