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Testosterone Replacement, Low T, HCG, & Beyond
Blood Test Discussion
Help me Understand my Lab Results!
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<blockquote data-quote="TestTossAway" data-source="post: 84917" data-attributes="member: 16833"><p><span style="color: #00000A">Background</span><span style="color: #00000A">: I'm a 28 year old male, 6'2, 170lbs (about 9-11% body fat) with a very healthy lifestyle and diet. Non-Smoker, Less than 2 alcoholic drinks/week. Work Long days (8a-6p) and train Muay Thai 1.5 hours/day 3-4x/week.</span></p><p></p><p><span style="color: #00000A">My primary physician requested blood-work to check liver function due to long-term adderall prescription. Over the past 2-3 years I noticed a drop in my "killer instinct" and Libido; so, I take advantage of this blood-work to run labs on my testosterone (out of curiosity at this point). My issues/symptoms are all signs of Low-T:</span></p><p><span style="color: #00000A">- Decreased sexual desire</span></p><p><span style="color: #00000A">- Tired/foggy - regardless of sleep/food/caffeine intake</span></p><p><span style="color: #00000A">- Not "Depressed" but rarely excited about much anymore</span></p><p><span style="color: #00000A">- I've been "on-edge"/irritable - not sure that has anything to do with it</span></p><p></p><p><span style="color: #00000A">Sure enough, the 1st round of blood-work showed Low Free Testosterone (tested 9/27/17). BOOM! Red Flag.</span></p><p><span style="color: #00000A"></span></p><table class='post-table width: 593' style='width: 100%'><tr><td ><p><strong>Report</strong></p></td><td ><p><strong>Units</strong></p></td><td ><p><strong>Result</strong></p></td><td ><p><strong>Refrence Range (low)</strong></p></td><td ><p><strong>Refrence Range (high)</strong></p></td></tr><tr><td ><p>Testosterone, Total, LC/MS</p></td><td ><p>ng/dL</p></td><td ><p>638.0</p></td><td ><p>264.0</p></td><td ><p>916.0</p></td></tr><tr><td ><p>Free Testosterone (Direct)</p></td><td ><p>pg/ml</p></td><td ><p>7.8</p></td><td ><p>9.3</p></td><td ><p>26.5</p></td></tr></table> <span style="color: #00000A">Up to that point, I thought my symptoms were due to a high-stress point in my career. But I deemed those results to warrant further testing and I need help "translating" my most recent Lab results. (See Results from Test dating 10/6/17)</span></p><p><span style="color: #00000A"></span></p><p><span style="color: #00000A"></span><table class='post-table width: 593' style='width: 100%'><tr><td ><p><strong>Report</strong></p></td><td ><p><strong>Units</strong></p></td><td ><p><strong>Result</strong></p></td><td ><p><strong>Refrence Range (low)</strong></p></td><td ><p><strong>Refrence Range (high)</strong></p></td></tr><tr><td ><p>Testosterone, Total, LC/MS</p></td><td ><p>ng/dL</p></td><td ><p>763.6</p></td><td ><p>264.0</p></td><td ><p>916.0</p></td></tr><tr><td ><p>Free Testosterone (Direct)</p></td><td ><p>pg/ml</p></td><td ><p>11.2</p></td><td ><p>9.3</p></td><td ><p>26.5</p></td></tr><tr><td ><p>TSH</p></td><td ><p>uIU/mL</p></td><td ><p>2.510</p></td><td ><p>0.450</p></td><td ><p>4.500</p></td></tr><tr><td ><p>T4, Free (Direct)</p></td><td ><p>ng/dL</p></td><td ><p>1.48</p></td><td ><p>0.82</p></td><td ><p>1.77</p></td></tr><tr><td ><p>Cortisol -AM</p></td><td ><p>ug/dL</p></td><td ><p>13.4</p></td><td ><p>6.2</p></td><td ><p>19.4</p></td></tr><tr><td ><p>DHEA-Sulfate, LCMS</p></td><td ><p>ud/dL</p></td><td ><p>196.0</p></td><td ><p>38.0</p></td><td ><p>523.0</p></td></tr><tr><td ><p>Prolactin</p></td><td ><p>ng/mL</p></td><td ><p>10.8</p></td><td ><p>4.0</p></td><td ><p>15.2</p></td></tr><tr><td ><p>Estradiol</p></td><td ><p>pg/ml</p></td><td ><p>16.9</p></td><td ><p>7.6</p></td><td ><p>42.6</p></td></tr><tr><td ><p>Sex Horm. Binding Glob, Serum</p></td><td ><p>nmol/L</p></td><td ><p>65.2</p></td><td ><p>16.5</p></td><td ><p>55.9</p></td></tr><tr><td ><p>LH</p></td><td ><p>mlU/mL</p></td><td ><p>7.0</p></td><td ><p>1.7</p></td><td ><p>8.6</p></td></tr><tr><td ><p>FSH</p></td><td ><p>mlU/mL</p></td><td ><p>6.5</p></td><td ><p>1.5</p></td><td ><p>12.4</p></td></tr></table> <span style="color: #00000A">My primary recommends I follow up with an endocrinologist and I intend to do so. Prior to that meeting, I wanted to come here for feedback on my results. I will be able to have a higher-level conversation with the endocrinologist if this </span><span style="color: #00000A">community can help me better understand and question my readings.</span></p><p></p><p><span style="color: #00000A">My Questions are:</span></p><p><span style="color: #00000A">1. My Testosterone, Total and Free Testosterone was tested twice within 10-days is the variance in my results normal?</span></p><p><span style="color: #00000A">2. My SHBG is high. How significant is that? What can/does that mean?</span></p><p><span style="color: #00000A">3. While "WNL" My Prolactin and LH are still high, are these results something to be concerned with?</span></p><p><span style="color: #00000A">4. My Free Testosterone, while now "WNL" on my second test is still respectively low at 11.2 pg/ml. Would you agree?</span></p><p><span style="color: #00000A">5. Are there any other readings or results that I'm missing which I should be concerned with?</span></p><p></p><p><span style="color: #00000A">I appreciate you taking the time to read and respond -- it will be extremely helpful. Let me know if you need anymore information. Thanks Again!</span></p></blockquote><p></p>
[QUOTE="TestTossAway, post: 84917, member: 16833"] [COLOR=#00000A][FONT=Helvetica]Background[/FONT][/COLOR][COLOR=#00000A][FONT=Helvetica]: I'm a 28 year old male, 6'2, 170lbs (about 9-11% body fat) with a very healthy lifestyle and diet. Non-Smoker, Less than 2 alcoholic drinks/week. Work Long days (8a-6p) and train Muay Thai 1.5 hours/day 3-4x/week.[/FONT][/COLOR] [COLOR=#00000A][FONT=Helvetica]My primary physician requested blood-work to check liver function due to long-term adderall prescription. Over the past 2-3 years I noticed a drop in my "killer instinct" and Libido; so, I take advantage of this blood-work to run labs on my testosterone (out of curiosity at this point). My issues/symptoms are all signs of Low-T:[/FONT][/COLOR] [COLOR=#00000A][FONT=Helvetica]- Decreased sexual desire[/FONT][/COLOR] [COLOR=#00000A][FONT=Helvetica]- Tired/foggy - regardless of sleep/food/caffeine intake[/FONT][/COLOR] [COLOR=#00000A][FONT=Helvetica]- Not "Depressed" but rarely excited about much anymore[/FONT][/COLOR] [COLOR=#00000A][FONT=Helvetica]- I've been "on-edge"/irritable - not sure that has anything to do with it[/FONT][/COLOR] [COLOR=#00000A][FONT=Helvetica]Sure enough, the 1st round of blood-work showed Low Free Testosterone (tested 9/27/17). BOOM! Red Flag. [/FONT][/COLOR] [TABLE="width: 593"] [TR] [TD][B]Report[/B][/TD] [TD][B]Units[/B][/TD] [TD][B]Result[/B][/TD] [TD][B]Refrence Range (low)[/B][/TD] [TD][B]Refrence Range (high)[/B][/TD] [/TR] [TR] [TD]Testosterone, Total, LC/MS[/TD] [TD]ng/dL[/TD] [TD]638.0[/TD] [TD]264.0[/TD] [TD]916.0[/TD] [/TR] [TR] [TD]Free Testosterone (Direct)[/TD] [TD]pg/ml[/TD] [TD]7.8[/TD] [TD]9.3[/TD] [TD]26.5[/TD] [/TR] [/TABLE] [COLOR=#00000A][FONT=Helvetica]Up to that point, I thought my symptoms were due to a high-stress point in my career. But I deemed those results to warrant further testing and I need help "translating" my most recent Lab results. (See Results from Test dating 10/6/17) [/FONT][/COLOR][TABLE="width: 593"] [TR] [TD][B]Report[/B][/TD] [TD][B]Units[/B][/TD] [TD][B]Result[/B][/TD] [TD][B]Refrence Range (low)[/B][/TD] [TD][B]Refrence Range (high)[/B][/TD] [/TR] [TR] [TD]Testosterone, Total, LC/MS[/TD] [TD]ng/dL[/TD] [TD]763.6[/TD] [TD]264.0[/TD] [TD]916.0[/TD] [/TR] [TR] [TD]Free Testosterone (Direct)[/TD] [TD]pg/ml[/TD] [TD]11.2[/TD] [TD]9.3[/TD] [TD]26.5[/TD] [/TR] [TR] [TD]TSH[/TD] [TD]uIU/mL[/TD] [TD]2.510[/TD] [TD]0.450[/TD] [TD]4.500[/TD] [/TR] [TR] [TD]T4, Free (Direct)[/TD] [TD]ng/dL[/TD] [TD]1.48[/TD] [TD]0.82[/TD] [TD]1.77[/TD] [/TR] [TR] [TD]Cortisol -AM[/TD] [TD]ug/dL[/TD] [TD]13.4[/TD] [TD]6.2[/TD] [TD]19.4[/TD] [/TR] [TR] [TD]DHEA-Sulfate, LCMS[/TD] [TD]ud/dL[/TD] [TD]196.0[/TD] [TD]38.0[/TD] [TD]523.0[/TD] [/TR] [TR] [TD]Prolactin[/TD] [TD]ng/mL[/TD] [TD]10.8[/TD] [TD]4.0[/TD] [TD]15.2[/TD] [/TR] [TR] [TD]Estradiol[/TD] [TD]pg/ml[/TD] [TD]16.9[/TD] [TD]7.6[/TD] [TD]42.6[/TD] [/TR] [TR] [TD]Sex Horm. Binding Glob, Serum[/TD] [TD]nmol/L[/TD] [TD]65.2[/TD] [TD]16.5[/TD] [TD]55.9[/TD] [/TR] [TR] [TD]LH[/TD] [TD]mlU/mL[/TD] [TD]7.0[/TD] [TD]1.7[/TD] [TD]8.6[/TD] [/TR] [TR] [TD]FSH[/TD] [TD]mlU/mL[/TD] [TD]6.5[/TD] [TD]1.5[/TD] [TD]12.4[/TD] [/TR] [/TABLE] [COLOR=#00000A][FONT=Helvetica]My primary recommends I follow up with an endocrinologist and I intend to do so. Prior to that meeting, I wanted to come here for feedback on my results. I will be able to have a higher-level conversation with the endocrinologist if this [/FONT][/COLOR][COLOR=#00000A][FONT=Helvetica]community can help me better understand and question my readings.[/FONT][/COLOR] [COLOR=#00000A][FONT=Helvetica]My Questions are:[/FONT][/COLOR] [COLOR=#00000A][FONT=Helvetica]1. My Testosterone, Total and Free Testosterone was tested twice within 10-days is the variance in my results normal?[/FONT][/COLOR] [COLOR=#00000A][FONT=Helvetica]2. My SHBG is high. How significant is that? What can/does that mean?[/FONT][/COLOR] [COLOR=#00000A][FONT=Helvetica]3. While "WNL" My Prolactin and LH are still high, are these results something to be concerned with?[/FONT][/COLOR] [COLOR=#00000A][FONT=Helvetica]4. My Free Testosterone, while now "WNL" on my second test is still respectively low at 11.2 pg/ml. Would you agree?[/FONT][/COLOR] [COLOR=#00000A][FONT=Helvetica]5. Are there any other readings or results that I'm missing which I should be concerned with?[/FONT][/COLOR] [COLOR=#00000A][FONT=Helvetica]I appreciate you taking the time to read and respond -- it will be extremely helpful. Let me know if you need anymore information. Thanks Again![/FONT][/COLOR] [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Blood Test Discussion
Help me Understand my Lab Results!
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