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Testosterone Replacement, Low T, HCG, & Beyond
Blood Test Discussion
My initial bloodwork
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<blockquote data-quote="Vettester Chris" data-source="post: 16473" data-attributes="member: 696"><p>As suspected, the LH followed suit with FSH, appears to be secondary; meaning the pituitary isn't producing a sufficient amount of GnRH to LH or FSH. It's usually common in younger patients to run an MRI when gonadotropin levels are suppressed, or other issues like hyperprolactinaemia are present. Again, just something to research. An MRI was probably the first event that took place on my end at age 41, just to cover the bases. </p><p></p><p>Your E2 lab is a standard assay used for females. The measurement accuracy and value range is vastly different with the "sensitive" platform. Again, not to sound like the dark cloud of the place, but IMO it's virtually impossible to "effectively" manage the E2 portion of your program with that standard lab. You could be 5, 10, even 15 points out of the desired range area with the sensitive assay, but that other lab might only deviate a few points either way, plus it just shows anything < 57pg/ml is good. </p><p></p><p>What I'm trying to say is if your labs are 22pg/ml, 42pg/ml or 2pg/ml on that platform, what does that mean to you and your physician? If it is those values on a sensitive assay, every properly trained HRT physician in the country will know exactly what that means, and they will have a good idea what steps are or are not needed to effectively manage your protocol.</p><p></p><p>Yeah, that Vitamin D3 lab needs addressed. My suggestion, look into some therapeutic levels of D3, or even talk with your doctor about a script of Drisdol, which is 50,000iu, 1x per week. You can do Drisdol for a month or two, then just move over to D3 oral, or I've actually preferred D3 injections, which can be stacked easily with a testosterone shot. The D3 result also just emphasizes that you need to really take a close look at the thyroid. Low test, low D3, in many cases go hand-n-hand with some sort of thyroid issue. </p><p></p><p>Keep us posted ... Thanks</p></blockquote><p></p>
[QUOTE="Vettester Chris, post: 16473, member: 696"] As suspected, the LH followed suit with FSH, appears to be secondary; meaning the pituitary isn't producing a sufficient amount of GnRH to LH or FSH. It's usually common in younger patients to run an MRI when gonadotropin levels are suppressed, or other issues like hyperprolactinaemia are present. Again, just something to research. An MRI was probably the first event that took place on my end at age 41, just to cover the bases. Your E2 lab is a standard assay used for females. The measurement accuracy and value range is vastly different with the "sensitive" platform. Again, not to sound like the dark cloud of the place, but IMO it's virtually impossible to "effectively" manage the E2 portion of your program with that standard lab. You could be 5, 10, even 15 points out of the desired range area with the sensitive assay, but that other lab might only deviate a few points either way, plus it just shows anything < 57pg/ml is good. What I'm trying to say is if your labs are 22pg/ml, 42pg/ml or 2pg/ml on that platform, what does that mean to you and your physician? If it is those values on a sensitive assay, every properly trained HRT physician in the country will know exactly what that means, and they will have a good idea what steps are or are not needed to effectively manage your protocol. Yeah, that Vitamin D3 lab needs addressed. My suggestion, look into some therapeutic levels of D3, or even talk with your doctor about a script of Drisdol, which is 50,000iu, 1x per week. You can do Drisdol for a month or two, then just move over to D3 oral, or I've actually preferred D3 injections, which can be stacked easily with a testosterone shot. The D3 result also just emphasizes that you need to really take a close look at the thyroid. Low test, low D3, in many cases go hand-n-hand with some sort of thyroid issue. Keep us posted ... Thanks [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Blood Test Discussion
My initial bloodwork
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