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<blockquote data-quote="CoastWatcher" data-source="post: 81614" data-attributes="member: 2624"><p>You received an inadequate workup. You are on a TRT protocol with questions unanswered. You're unlikely to achieve success with your protocol and your underlying health problems, actual and/or potential, have not been addressed. </p><p></p><p>At at a minimum you need to run the following labs prior to the start of TRT.</p><p></p><p>Total and free testosterone, LH and FSH (to determine if you are a patient with primary or secondary hypogonadism - is the problem in your testicles or your pituitary?), SHBG (an essential test to help set up your protocol - how much and how often you inject is determined by your SHBG value, it's a must-have), PSA (a baseline is mandatory as prostate issues have to be carefully monitored, both the discreet score and the rate of rise, and without a baseline you don't know where you started), DHT, and DHEA, CBC, CMP, estradiol/sensitive assay, and a full thyroid panel.</p><p></p><p>In respect to thyroid, your TSH is in range but hardly normal. Anything above 2.5 requires further investigation. You should have ft3, ft4, rt3, and thyroid antibodies checked. Failure to correct thyroid problems undermines TRT efforts time after time.</p><p></p><p>You need better care than you have received so far. You deserve it.</p></blockquote><p></p>
[QUOTE="CoastWatcher, post: 81614, member: 2624"] You received an inadequate workup. You are on a TRT protocol with questions unanswered. You're unlikely to achieve success with your protocol and your underlying health problems, actual and/or potential, have not been addressed. At at a minimum you need to run the following labs prior to the start of TRT. Total and free testosterone, LH and FSH (to determine if you are a patient with primary or secondary hypogonadism - is the problem in your testicles or your pituitary?), SHBG (an essential test to help set up your protocol - how much and how often you inject is determined by your SHBG value, it's a must-have), PSA (a baseline is mandatory as prostate issues have to be carefully monitored, both the discreet score and the rate of rise, and without a baseline you don't know where you started), DHT, and DHEA, CBC, CMP, estradiol/sensitive assay, and a full thyroid panel. In respect to thyroid, your TSH is in range but hardly normal. Anything above 2.5 requires further investigation. You should have ft3, ft4, rt3, and thyroid antibodies checked. Failure to correct thyroid problems undermines TRT efforts time after time. You need better care than you have received so far. You deserve it. [/QUOTE]
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