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Testosterone Replacement, Low T, HCG, & Beyond
Blood Test Discussion
I would be really grateful for any help understanding my blood test results.
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<blockquote data-quote="strum" data-source="post: 102693" data-attributes="member: 18017"><p>I am a MD, focused on prostate cancer but well versed in the endocrinology of male hormones. A few points, in no particular order. </p><p></p><p>Your TSH of 3.5 does not indicate you are definitely clinically or even biochemically hypothyroid. First, we need to know the normal range which you said was not given to patients in the UK. Second, obtaining a free T3 and a free T4 could clarify your thyroid status. Knowing if you have symptomatology associated with thyroid dysfunction would also be of help. Please google "hypothyroidism" and see if you have any problems. At 3.5 it is not likely. </p><p></p><p>Your total testosterone is way up there. If your testicles were damaged this would not be the case and your LH levels, if you had primary hypogonadism due to testicular disease, would be in the 30s but a lot higher than 14. Again, knowing the normal range and knowing past lab values is very important. </p><p></p><p>Obtaining a free testosterone is often not done and it is important. Your acne could be related to your high testo levels-- just as boys going into puberty have acne due to a testosterone surge. </p><p></p><p>Obtaining an estradiol level (E2) would be important given the very high total testosterone. Note that I am assuming your are not on TRT (testosterone replacement therapy). At high levels of testosterone it is common to see aromatase convert T (testosterone) to E2. If so, it would be likely that you have gynecomastia. Any term you do not know please Google. BTW, if you had testicular failure (hypogonadism) then where is the total testosterone coming from?</p><p></p><p>Please clarify some of the issues above, especially that you are not on TRT. And tell us about the MRI. MRI of what specific site? Pituitary? There is much missing in your history. With your problems starting in adolescence I am perplexed that you were never seen by a pediatric endocrinologist. I have colleagues in the UK who are very prominent and who may be able to give further direction re physicians that can sort out your problem. I feel badly for the years you have spent dealing with these issues. </p><p></p><p>Stephen B. Strum, MD, FACP</p><p>Jacksonville, Oregon, USA</p></blockquote><p></p>
[QUOTE="strum, post: 102693, member: 18017"] I am a MD, focused on prostate cancer but well versed in the endocrinology of male hormones. A few points, in no particular order. Your TSH of 3.5 does not indicate you are definitely clinically or even biochemically hypothyroid. First, we need to know the normal range which you said was not given to patients in the UK. Second, obtaining a free T3 and a free T4 could clarify your thyroid status. Knowing if you have symptomatology associated with thyroid dysfunction would also be of help. Please google "hypothyroidism" and see if you have any problems. At 3.5 it is not likely. Your total testosterone is way up there. If your testicles were damaged this would not be the case and your LH levels, if you had primary hypogonadism due to testicular disease, would be in the 30s but a lot higher than 14. Again, knowing the normal range and knowing past lab values is very important. Obtaining a free testosterone is often not done and it is important. Your acne could be related to your high testo levels-- just as boys going into puberty have acne due to a testosterone surge. Obtaining an estradiol level (E2) would be important given the very high total testosterone. Note that I am assuming your are not on TRT (testosterone replacement therapy). At high levels of testosterone it is common to see aromatase convert T (testosterone) to E2. If so, it would be likely that you have gynecomastia. Any term you do not know please Google. BTW, if you had testicular failure (hypogonadism) then where is the total testosterone coming from? Please clarify some of the issues above, especially that you are not on TRT. And tell us about the MRI. MRI of what specific site? Pituitary? There is much missing in your history. With your problems starting in adolescence I am perplexed that you were never seen by a pediatric endocrinologist. I have colleagues in the UK who are very prominent and who may be able to give further direction re physicians that can sort out your problem. I feel badly for the years you have spent dealing with these issues. Stephen B. Strum, MD, FACP Jacksonville, Oregon, USA [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Blood Test Discussion
I would be really grateful for any help understanding my blood test results.
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