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Testosterone Replacement, Low T, HCG, & Beyond
When Testosterone Is Not Enough
Does depression from low testosterone feel different from "regular" depression?
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<blockquote data-quote="madman" data-source="post: 226283" data-attributes="member: 13851"><p>Your labs were done at Dynacare.</p><p></p><p>As you can clearly see your Total Testosterone of 8.3 nmol/L (239 ng/dL) is absurdly low.</p><p></p><p>More importantly, your FT is going to be in the gutter.</p><p></p><p>You would easily qualify for trt.</p><p></p><p>Forget about within range but on the lower end as your testosterone level is horrible.</p><p></p><p>Regarding the Canadian Testosterone Deficiency guidelines when a patient is presenting symptoms along with blood work that shows TT levels fall within what is called the grey zone TT 8-12 nmol/L then most doctors in the know would offer the patient a 6-month trial of trt.</p><p></p><p>Unfortunately, most GPs/endos/uros will turn around and tell the patient his TT levels are ok if they are borderline low/low-normal of the reference range when in fact the patient is truly suffering low-t symptoms not only due to having sub-par TT levels but more importantly low/low-normal FT levels.</p><p></p><p>Many doctors unfortunately only test for TT which is ridiculous as although TT is important to know FT is what truly matters as it is the unbound active fraction of testosterone responsible for the positive effects.</p><p></p><p>Many men suffering from low-t symptoms who have borderline low/low-normal TT/FT levels are denied treatment simply because their levels fall in the reference range.</p><p></p><p>To make matters worse there are many men with descent TT levels but still have low/sub-par FT levels due to having high SHBG and unfortunately, in most cases, doctors do not test for SHBG let alone FT!</p><p></p><p>You just need to find a doctor who specializes in trt.</p><p></p><p>Easier said than done as it can be difficult finding a doctor in Canada but they are out there although far and few.</p><p></p><p>You would need a referral from your family doctor in order to seek out a 2nd opinion from a trt specialist.</p><p></p><p>Luckily you were referred to a specialist although it is hard to say if they are truly experienced when it comes to treating men for low T.</p><p></p><p>My pre-trt TT level of 11.3 nmol/L (325 ng/dL) was higher than yours which still had my FT low.</p><p></p><p>I still had a difficult time getting a referral from my GP.</p><p></p><p>Luckily I ended up being treated by a prominent urologist.</p><p></p><p>He is recognized as one of the leading figures in Canada in his field of work and was most likely one of the first to pioneer the use of subcutaneous testosterone injections for trt.</p><p></p><p></p><p></p><p>[URL unfurl="true"]https://www.excelmale.com/forum/threads/canadian-urology-guideline-on-testosterone-replacement.22972/[/URL]</p><p></p><p>[URL unfurl="true"]https://www.excelmale.com/forum/threads/low-testosterone-in-men-recommendations-on-the-diagnosis-treatment-and-monitoring.23933/[/URL]</p></blockquote><p></p>
[QUOTE="madman, post: 226283, member: 13851"] Your labs were done at Dynacare. As you can clearly see your Total Testosterone of 8.3 nmol/L (239 ng/dL) is absurdly low. More importantly, your FT is going to be in the gutter. You would easily qualify for trt. Forget about within range but on the lower end as your testosterone level is horrible. Regarding the Canadian Testosterone Deficiency guidelines when a patient is presenting symptoms along with blood work that shows TT levels fall within what is called the grey zone TT 8-12 nmol/L then most doctors in the know would offer the patient a 6-month trial of trt. Unfortunately, most GPs/endos/uros will turn around and tell the patient his TT levels are ok if they are borderline low/low-normal of the reference range when in fact the patient is truly suffering low-t symptoms not only due to having sub-par TT levels but more importantly low/low-normal FT levels. Many doctors unfortunately only test for TT which is ridiculous as although TT is important to know FT is what truly matters as it is the unbound active fraction of testosterone responsible for the positive effects. Many men suffering from low-t symptoms who have borderline low/low-normal TT/FT levels are denied treatment simply because their levels fall in the reference range. To make matters worse there are many men with descent TT levels but still have low/sub-par FT levels due to having high SHBG and unfortunately, in most cases, doctors do not test for SHBG let alone FT! You just need to find a doctor who specializes in trt. Easier said than done as it can be difficult finding a doctor in Canada but they are out there although far and few. You would need a referral from your family doctor in order to seek out a 2nd opinion from a trt specialist. Luckily you were referred to a specialist although it is hard to say if they are truly experienced when it comes to treating men for low T. My pre-trt TT level of 11.3 nmol/L (325 ng/dL) was higher than yours which still had my FT low. I still had a difficult time getting a referral from my GP. Luckily I ended up being treated by a prominent urologist. He is recognized as one of the leading figures in Canada in his field of work and was most likely one of the first to pioneer the use of subcutaneous testosterone injections for trt. [URL unfurl="true"]https://www.excelmale.com/forum/threads/canadian-urology-guideline-on-testosterone-replacement.22972/[/URL] [URL unfurl="true"]https://www.excelmale.com/forum/threads/low-testosterone-in-men-recommendations-on-the-diagnosis-treatment-and-monitoring.23933/[/URL] [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
When Testosterone Is Not Enough
Does depression from low testosterone feel different from "regular" depression?
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