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Testosterone Replacement, Low T, HCG, & Beyond
Blood Test Discussion
Low T, High TSH, Feel Terrible
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<blockquote data-quote="CoastWatcher" data-source="post: 70961" data-attributes="member: 2624"><p>Welcome to Excelmale. You have, particularly for someone not yet 30 years old, remarkably low free and total testosterone. TRT is typically a life-long commitment, but before you race into it there are a number of things that need further consideration. First of all, you have a very high TSH, thyroid problems need to be addressed prior to commencing TRT because in many cases correcting an abnormal thyroid can do wonders. But that means you need more testing - t3, t4, rt3, as well as TPo and TgAB antibodies. The TSH isn't enough to know where the problem lies, but there is certainly a problem.</p><p></p><p>In fact, you need a number of additional tests. You should have prolactin, CBC, DHEA, DHT, and the four-tube cortisol labs run. Your doctor ordered the incorrect estradiol test, the range is a dead give-away, you want the sensitive, LC, MS/MS, test run; it is the only reliable test for estradiol in men. What is your sleep like - is there any chance you have sleep apnea?</p><p></p><p>Does your doctor have experience in managing patients with male hormone issues? You're presenting with hypogonadism, some sort of hypothyroidism, and it's open as to what else. You deserve good care.</p></blockquote><p></p>
[QUOTE="CoastWatcher, post: 70961, member: 2624"] Welcome to Excelmale. You have, particularly for someone not yet 30 years old, remarkably low free and total testosterone. TRT is typically a life-long commitment, but before you race into it there are a number of things that need further consideration. First of all, you have a very high TSH, thyroid problems need to be addressed prior to commencing TRT because in many cases correcting an abnormal thyroid can do wonders. But that means you need more testing - t3, t4, rt3, as well as TPo and TgAB antibodies. The TSH isn't enough to know where the problem lies, but there is certainly a problem. In fact, you need a number of additional tests. You should have prolactin, CBC, DHEA, DHT, and the four-tube cortisol labs run. Your doctor ordered the incorrect estradiol test, the range is a dead give-away, you want the sensitive, LC, MS/MS, test run; it is the only reliable test for estradiol in men. What is your sleep like - is there any chance you have sleep apnea? Does your doctor have experience in managing patients with male hormone issues? You're presenting with hypogonadism, some sort of hypothyroidism, and it's open as to what else. You deserve good care. [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Blood Test Discussion
Low T, High TSH, Feel Terrible
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