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Testosterone Replacement, Low T, HCG, & Beyond
Blood Test Discussion
Help with Blood Work: Low T/Low E
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<blockquote data-quote="Cataceous" data-source="post: 141639" data-attributes="member: 38109"><p>Normal LH and FSH are more suggestive of secondary hypogonadism; primary is actually pretty rare. You likely do have the option of trying any of Clomid/enclomiphene/hCG as monotherapy. These are not as likely to resolve symptoms as TRT, but Clomid/enclomiphene in particular have simpler protocols and keep your HPTA working more naturally.</p><p></p><p>The fact that you have undetectable estradiol with the ECLIA test means it's fairly safe for you to use this test method, as long as you don't expect it to be very accurate below 10-15 pg/mL or so. The problems with immunoassays generally arise from cross-reactivity with C-reactive protein, etc., leading to falsely high results. But this obviously didn't happen in your case. Otherwise, immunoassay tests are generally more reliable than the "sensitive" mass spectrometry-based tests. These latter are tricky to do, and LabCorp in particular has had some serious quality problems with theirs.</p></blockquote><p></p>
[QUOTE="Cataceous, post: 141639, member: 38109"] Normal LH and FSH are more suggestive of secondary hypogonadism; primary is actually pretty rare. You likely do have the option of trying any of Clomid/enclomiphene/hCG as monotherapy. These are not as likely to resolve symptoms as TRT, but Clomid/enclomiphene in particular have simpler protocols and keep your HPTA working more naturally. The fact that you have undetectable estradiol with the ECLIA test means it's fairly safe for you to use this test method, as long as you don't expect it to be very accurate below 10-15 pg/mL or so. The problems with immunoassays generally arise from cross-reactivity with C-reactive protein, etc., leading to falsely high results. But this obviously didn't happen in your case. Otherwise, immunoassay tests are generally more reliable than the "sensitive" mass spectrometry-based tests. These latter are tricky to do, and LabCorp in particular has had some serious quality problems with theirs. [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Blood Test Discussion
Help with Blood Work: Low T/Low E
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