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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Basics & Questions
Low Energy / Low Libido / Poor Sleep / High Cortisol / Low (Free) T (?)
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<blockquote data-quote="Gman86" data-source="post: 113931" data-attributes="member: 15043"><p>We'll have to agree to disagree, because most guy's Ive seen post here started because their testosterone was low in the range, not necessarily below range. I was definitely one of them. Also, I would say the majority of guys with low T have either low E2 or mid range E2 pre TRT. We have to factor in that this guy has high E2 along with low free T. I would assume anyone with low free T and high E2 would feel absolutely horrible. I think it's safe to assume any guy in that scenario is going to feel a lot worse than a guy with low T and low/ normal E2. </p><p></p><p>Reverse T3 and antibodies are absolutely necessary when testing thyroid. If you don't test those, might as well not test thyroid at all. It's not a complete waste, but you're just not getting the whole picture if you don't test them.</p><p></p><p>Sorry if it feels like I'm arguing with you Vince, don't mean to be disrespectful or anything. I agree with what you say 99% of the time. I just feel like we shouldn't be like every general practitioner in America and tell this guy he is fine just because he isn't below the "normal" ranges. His free T is 18 points away from the bottom range. How much lower would his free T need to be before he should be considered a candidate for TRT? But you are probably right, he should get his sleep problems figured out along with optimizing vitamin D first. If that fixes things, great, but if not, I think it's clear he is a candidate for TRT. At the very least AI monotherapy to see if getting his E2 down will raise T levels.</p></blockquote><p></p>
[QUOTE="Gman86, post: 113931, member: 15043"] We'll have to agree to disagree, because most guy's Ive seen post here started because their testosterone was low in the range, not necessarily below range. I was definitely one of them. Also, I would say the majority of guys with low T have either low E2 or mid range E2 pre TRT. We have to factor in that this guy has high E2 along with low free T. I would assume anyone with low free T and high E2 would feel absolutely horrible. I think it's safe to assume any guy in that scenario is going to feel a lot worse than a guy with low T and low/ normal E2. Reverse T3 and antibodies are absolutely necessary when testing thyroid. If you don't test those, might as well not test thyroid at all. It's not a complete waste, but you're just not getting the whole picture if you don't test them. Sorry if it feels like I'm arguing with you Vince, don't mean to be disrespectful or anything. I agree with what you say 99% of the time. I just feel like we shouldn't be like every general practitioner in America and tell this guy he is fine just because he isn't below the "normal" ranges. His free T is 18 points away from the bottom range. How much lower would his free T need to be before he should be considered a candidate for TRT? But you are probably right, he should get his sleep problems figured out along with optimizing vitamin D first. If that fixes things, great, but if not, I think it's clear he is a candidate for TRT. At the very least AI monotherapy to see if getting his E2 down will raise T levels. [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Basics & Questions
Low Energy / Low Libido / Poor Sleep / High Cortisol / Low (Free) T (?)
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