Do I need treatment?

Ricko

New Member
Hi,

I am 33 years old, 175 cm tall and 75 kg weight, working out 4 to 5 days a week.

Relatively lean with a bit of fat in the lower abdomen and lower back areas.

Recently I feel that I have low energy with difficulty waking up in the morning and having to wake up 1 or 2 times every night to drink and pee, joints pain (knee and elbow).

I made some tests and below are the results:

TSH: 2.125 uIU/ml ref. 0.4 - 4.9

Free T3: 2.59 pg/ml ref. 1.7 - 3.7

Free T4: 0.9 ng/dl ref. 0.7 - 1.5

Total Testosterone: 4.58 ng/ml ref. 1.4 - 9.2

Testosterone (free): 44.5 pg/ml ref. 3.8 - 34.17

SHBG: 40 nmol/L ref. 18 - 114

Bio available %: 45.1% ref. 39 - 70

Bio Available Testosterone: 7.2 nmol/L ref. 4.8 - 15

Cortisol AM: 16.4 ug/dl ref. 3.7 - 19.4

Cortisol PM: 10.1 ug/dl ref. 2.9 - 17.3

Estradiol ( E2 ): 27 pg/ml ref. 11 - 44

Albumin: 4.7 g/dL ref. 3.5 - 5.3

I understand that my results are within the lab references, however looking at the normal numbers for my age, my numbers seem to be on the lower side.

Please advise if I need a TRT

Thanks.
 
Last edited:
I can see that I mainly need to lower my SHBG, which will increase my free test – anyone had success with boron in this regard? or perhaps any other suggestion?
 

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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.

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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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