my test levels dropped

[checkmate7$]

Recent blood work at 9 10 am, revealed 527 total test, 51 free test, and 99 bioavailable test. Two years ago my results were 757, 65 and 120. My Dr says everything is fine,except my PSA ,which is 4.6

 

[Systemlord]

Recent blood work at 9 10 am, revealed 527 total test, 51 free test, and 99 bioavailable test.

This is gibberish without the normal ranges! Remember the majority of doctors are obsessed with lab ranges, in range, even at the bottom 25 percentile, which many experts argue are signs of hypogonadism, doctors simply don’t care.

Hypogonadism is an under diagnosed and under treated medical condition because doctors are unaware and untrained. The majority of these doctors are into other areas of medicine and male hormones are unfamiliar to them.

When you want your taxes done, you go to a taxman, when you want a proper hormone evaluation, you go to a specialty TRT doctor, not a mainstream MD doctor.

 

[granger]

didnt say if was on TRT?

also ya if had a test result of 760 and another over 500 thats perfectly normal. levels fluctuate alot esp if your under 35-40yo, better sleep, better food, summer, or timing can cause it to swing.. either way over 500 is pretty dang good!

but yes everything else as far as numbers is gibberish (and infact so is the TT as everylab can have different ranges but in the few ive seen over 500 is always a good #).

 

[checkmate7$]

Yes , but I worry cause my PSA went up from3.7 to 4.7 in a month. I suspect it was from the excessive ashwaganda I was taking,so tomorrow I test my PSA again.I have been off the ashwaganda for 6 days now

 

[checkmate7$]

Btw they also want to retest my testosterone,but I don't want to get up at 6 am , I order to be there at 8 am

 

[checkmate7$]

Btw today I asked my Endo if I should be worried about my low bioavailable test level She said no,that totally test is a more reliable measurement

 

[granger]

Btw today I asked my Endo if I should be worried about my low bioavailable test level She said no,that totally test is a more reliable measurement

she is correct. technically of course its important however its a guess and no real standard.. i am sure a few endo/uro will want to do the work and start developing it if already are not. I imagine its a tuff thing as to do so for it to be actualy reliable the study would be VERY expensive and at the end may never get adopted. and public health that would have capability in other countries prob doesnt want to waste the resources.

if had to guess there is prob other things beside albumin and SHBG that bind up test to one degree or another which arent included in the estimate. i imagine we will discover some that we dont even know about ATM.

i mean ideally would be a different way of testing vs infuring AND be able to test androgen receptors(or perhaps could be guessed via genetic)..

its just another thing. so can look and say ok ur total is below range and your free is bottom of range ur hypo... or your free is middle of teh range and ur total is near bottom your prob not and another test would help figure things out etc etc.

 

[Systemlord]

Btw today I asked my Endo if I should be worried about my low bioavailable test level She said no,that totally test is a more reliable measurement

Testosterone deficiency isn’t defined by total testosterone. If you have low bio available test or free testosterone and normal total testosterone and symptoms of low testosterone, most endocrinologist wouldn’t do anything for you, which is a travesty!

In my experience, endocrinologist are very rigid, they are obsessed with normal ranges. They are the majority of the time not fit for the diagnosis and treatment of low testosterone.

 

[granger]

I give them a break as only using best science available. its like off label RXing ESP if weak science behind it, i understand the logic. sorta like a dr giving u thyroid meds based only on how u feel because you also LOOK like have bad thyroid.. which of course very well be the case in majority of the time BUT science is science.

dr feel good is dr feel good because he RXs everything and not dr optimal health that is more conservative, folks now adays confuse this and get angry at DRs for not RXing whatever the patient wants and say they are bad DRs, which of course may be VERY far from the truth..

infact DRs who RX more drugs patients love! but than also have disdain for big pharma lol.. one of those funny paradoxes/logical fallacies general populations often have.