My new Labs and need help....

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Chris Birkner

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guys I have been having issues with my sex drive so I went to my Dr. and had my blood work done, here are the results. Can some break them down .
 

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Defy Medical TRT clinic doctor
You estrogen levels are very elevated and should be in the 20's.

How much do you weight and how much body fat do you carry?

Total Testosterone is low but Free looks okay; but you need Total to be in the optimal range for Free to have any real value.

Tell us more about yourself...everything like lifestyle, meds, work outs, med history...

Low sex drive is a hallmark sign of low Testosterone and clearly you are low but there are many things that can be attributed to low sex drive beyond low Testosterone serum levels.

Did you get SHBG, LH/FSH tested? If so, post them here.
 
Gene, thanks for your reply on my thread. I am in very good shape, 3 x' a a week in the gym doing weights and 2 miles of running. I think my body fat was at 22% but I will have to confirm this with my last check up at the dr. Office. I currently use android gel 1.62 , daily 4 pumps in the am, and I use 500 of HCG every 3 to.4 days. I have to check my other paperwork from a prior lab to see if the Dr checked the SHBG. And LH and FSH levels. I do believe that my estrogen levels are to high and myTestosterone levels are too.low. but as a gel user how can I increase my levels to be in the higher range. Can I use more the 4 pumps a day?...
 
That looks to be just a standard estrogen assay, geared more towards females. To really have an accurate interpretation, we need a "sensitive" or "ultra-sensitive" panel, which are the standards for male E2 lab requisitions.

We need the information that Gene has mentioned, plus a complete thyroid panel if possible.
 
More Labs.....

I just got a copy of my newest Labs from my DR. Can you guys look at them and see whats up... Gene I think this is what you are looking for. Thanks Chris
 

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Looking at your blood work I don't think you're absorbing test very well, your lh and fsh are still high, usually they crash to nothing on trt. just a thought.
 
I'll chime in on the thyroid ... Chris, what you have provided is extremely limited. The only lab that has any value is the Free T4, and that result has me wondering where the rest of it is at? Both Free T4 and Free T3 should be in the 50% - 80% range of their respective lab values, yours is at 25% on your Free T4, which is essentially the storage hormone. The T3 uptake test is worthless at best. It has nothing to do with your actual T3, and measures carrier proteins to estimate unbound T4 in relation to your Total T4. Take your Total T4 value and multiply it against the T3 uptake (TT4xT3U = FT4 ... or real close to it). Try it and you will see what I mean. It's kind of redundant when you look at it closely.

Physicians still use this concept, simply because it's on the same old check list that's been on their requisition list forever. I have all the respect for EVERY doctor out there that had the gumption, intelligence & discipline to complete medical school. However, I sincerely ask any physician or thyroid specialist out there, how on earth can anyone realistically make any assessment or diagnosis based on those labs? We can tell your T4 storage hormone is low, but that could lead to a litany of other variables. Your T3 could actually be high, or to the right of T4, but pooling and not getting to the cells. Or it could be low just like the FT4, and maybe it's just basic hypothyroidism. Could be some autoimmune disorder?? There's a lot of possibilities, it's all speculation though ...

You need to get TSH, FT3, Reverse T3, TPO & TgAb antibodies to complete the thyroid panel. You should also look at all the iron/ferritin, cortisol, magnesium & D3 labs to ensure that T3 has the tools to be active at the cellular level. Again, no disrespect to the physicians out there that still use this method of testing, but I make the plea that those that still do should keep an open mind to exploring the updated methods that are used by A4M and other physicians that focus in this area. In the case of the OP, let's just say he has Hashis, how would anyone ever know it by these labs?
 
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Guys you were all right. !
I just went to a new DR. and he is a true Hormone Physician and from my latest Labs he does think that I am not absorbing Testosterone , and he is ordering more tests. But from our discussion he suggests that I inject Testosterone instead of Gels. But he want to see all the New lab work and see me in about a week. So we shall see.
 
If you get more labs I would be interested to see if you are hypothyroid. A previous forum I used to go on all the time had someone that always said that guys who are hypothyroid typically do not absorb topical test well. would be neat to see if it bears out.

Not wishing hypothyroid on you by any means!
 
Well i just received my newest blood work from my new Dr. He said that i am not absorbing testosterone thru my skin and thats why my
Levels are so low. He wrote me a script for 200 ml testosterone to inject 25ml 2 times a week. I am on my 2nd injection and it is really painful. My first injection was in my thigh and my second was in my Glut . Any way i don't see much of an improvement in my libedo since injecting. Can you guys tell me how long does it take to see some improvement. Also im injecting with a 21g needle , is this too large..?
 
.25 ml twice a week is what you mean, right?

21 gauge is huge. You may want to use thinner gauges like 23 or 25

leginjection.jpginjectionsite.jpg
 
Guys can anyone tell me what is the difference in strength with 4 pumps of androgel 1.62 daily and .25ml injection of testosterone cypionate 200 mg/ml using . It 2 times a week. Im trying to see if the dose is the same or not. Also my Dr ordered me 23g needles , i asked him for 25 and he said they were too small.
 
Beyond Testosterone Book by Nelson Vergel
You really can't make a direct comparison. 4 pumps of 1.62 androgel puts 81mg of test. on your skin everyday. How much of this absorbs into the bloodstream varies from person to person (it put me in the top of the range). Some guys barely absorb any of it.
A 0.25mL injection of 200mg/ml test. cyp. puts 50mg directly into a place where almost 100% of it will get into the bloodstream.
 
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