Comments appreciated on the below:
PSA was 0.359, this is within an appropriate range
FSH/LH were 2.5 and 3.3 respectively which are normal and demonstrate appropriate pituitary function
Prolactin was 5.8 which is normal
Estradiol was 21 and is appropriate for your testosterone level (normal Testosterone:Estrogen ratio)
Cholesterol (total was 242 and LDL was 171 which is high). I would review these with primary care doc and get his recommendations. I know you have been working on diet and exercise but the LDL specifically is high.
Total testosterone was 320 (ref range is 348-1197) and Free testosterone (bioavailable) was 143. The bioavailable testosterone was well within the normal range which means that the unbound portion of testosterone (portion available to "do the work") is normal. Various medical organizations differ in the "cutoff" for when to initiate therapy. One that I tend to use utilizes a range of (231-346) for when to do additional testing prior to initiation of testosterone replacement. For me that generally means assessing the pituitary further with an MRI which we discussed as a possibility and having our endocrinology colleagues assess other hormone systems (e.g. Thyroid, Cortisol, etc.) prior to initiating therapy (given the long-term commitment and side effects of testosterone replacement that we discuss previously). Given the normal free T and normal LH that would be the route I'd recommend at this point, obviously let me know any questions you have.
PSA was 0.359, this is within an appropriate range
FSH/LH were 2.5 and 3.3 respectively which are normal and demonstrate appropriate pituitary function
Prolactin was 5.8 which is normal
Estradiol was 21 and is appropriate for your testosterone level (normal Testosterone:Estrogen ratio)
Cholesterol (total was 242 and LDL was 171 which is high). I would review these with primary care doc and get his recommendations. I know you have been working on diet and exercise but the LDL specifically is high.
Total testosterone was 320 (ref range is 348-1197) and Free testosterone (bioavailable) was 143. The bioavailable testosterone was well within the normal range which means that the unbound portion of testosterone (portion available to "do the work") is normal. Various medical organizations differ in the "cutoff" for when to initiate therapy. One that I tend to use utilizes a range of (231-346) for when to do additional testing prior to initiation of testosterone replacement. For me that generally means assessing the pituitary further with an MRI which we discussed as a possibility and having our endocrinology colleagues assess other hormone systems (e.g. Thyroid, Cortisol, etc.) prior to initiating therapy (given the long-term commitment and side effects of testosterone replacement that we discuss previously). Given the normal free T and normal LH that would be the route I'd recommend at this point, obviously let me know any questions you have.
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