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Testosterone Replacement, Low T, HCG, & Beyond
Blood Test Discussion
Lots of bw results, what else to check before TRT?
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<blockquote data-quote="Vettester Chris" data-source="post: 5767" data-attributes="member: 696"><p>Ace, glad you joined and took the time to post your labs. There's lots to digest, so I'll tackle a couple of them with you, and hopefully others with have some comments as well.</p><p></p><p>Just to clarify, if I'm looking at this correctly, these are all baseline labs before any exogenous testosterone, correct? If so, I don't get your physician's comments about your LH/FSH being high in comparison to the total serum(?). On the contrary, testosterone is produced when LH is secreted by the pituitary. The relation of LH and testosterone is contingent on a negative feedback loop mechanism. What you have described is 'Secondary'. I also don't quite get the xray over the MRI, but OK. If you have a tumor/adenoma, I would believe an MRI would be the route to go for confirmation. </p><p></p><p>Your cortisol is noted high, but it looks to be blood serum. If possible, I would highly suggest you to get a 4x Saliva panel. This has become the gold standard for accuracy, and I will be able to look at it a little deeper with you if you can put it together. ZRT and Canary Club have them for approx. $125. I'm sure it still be elevated, but a true circadian profile with the 4x kit will tell us the exact pattern throughout a 24 hour period.</p><p></p><p>Lastly, your thyroid ... On the labs where you were able to get your FT4 and FT3 ... Your FT4 was at 42% of the range value, and your FT3 was at 25.6%. Couple of things ... If everything is functioning normally and T3 is getting into the cells properly, you would probably want to see both values in the 50% to 80% range of the lab value. I see both antibodies labs were taken and that area appears to be OK. Hypothyroidism and Hypogonadism can feed off of each other, so it's not uncommon to see the correlation. You would probably benefit from a NDT medication regiment as well to get T4 and T3 up, which in turn should reduce your TSH. However, prior to this, you need to ensure your adrenal function is stable, and (IMO) I would like to see your iron and magnesium up a bit. A Reverse T3 lab would also be beneficial at this time to compare with a current FT3 assay ...</p></blockquote><p></p>
[QUOTE="Vettester Chris, post: 5767, member: 696"] Ace, glad you joined and took the time to post your labs. There's lots to digest, so I'll tackle a couple of them with you, and hopefully others with have some comments as well. Just to clarify, if I'm looking at this correctly, these are all baseline labs before any exogenous testosterone, correct? If so, I don't get your physician's comments about your LH/FSH being high in comparison to the total serum(?). On the contrary, testosterone is produced when LH is secreted by the pituitary. The relation of LH and testosterone is contingent on a negative feedback loop mechanism. What you have described is 'Secondary'. I also don't quite get the xray over the MRI, but OK. If you have a tumor/adenoma, I would believe an MRI would be the route to go for confirmation. Your cortisol is noted high, but it looks to be blood serum. If possible, I would highly suggest you to get a 4x Saliva panel. This has become the gold standard for accuracy, and I will be able to look at it a little deeper with you if you can put it together. ZRT and Canary Club have them for approx. $125. I'm sure it still be elevated, but a true circadian profile with the 4x kit will tell us the exact pattern throughout a 24 hour period. Lastly, your thyroid ... On the labs where you were able to get your FT4 and FT3 ... Your FT4 was at 42% of the range value, and your FT3 was at 25.6%. Couple of things ... If everything is functioning normally and T3 is getting into the cells properly, you would probably want to see both values in the 50% to 80% range of the lab value. I see both antibodies labs were taken and that area appears to be OK. Hypothyroidism and Hypogonadism can feed off of each other, so it's not uncommon to see the correlation. You would probably benefit from a NDT medication regiment as well to get T4 and T3 up, which in turn should reduce your TSH. However, prior to this, you need to ensure your adrenal function is stable, and (IMO) I would like to see your iron and magnesium up a bit. A Reverse T3 lab would also be beneficial at this time to compare with a current FT3 assay ... [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Blood Test Discussion
Lots of bw results, what else to check before TRT?
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