Need advice

jronly11

New Member
I originally posted this first in introductions but i did not get any responses after a week. Sorry for the double post. Looking for some direction

Hello
Im new to the site and this is my first post. First off, this forum is awesome and replete with valuable information. Thank you Nelson and all who have contributed.

I need help in deciding what course of action I should take. Im 32, 5'8, 176 pounds, and I have been suffering with what I believe to be low t symptoms for years now. Lack of energy, depression, low drive, anxiety and lack of motivation. Oddly enough my sex drive hasn't been all that bad. Mostly up and down really. Latest labs were drawn Dec 28 at 8:47 am. Unfortunately, my primary dr. did not test for estradiol or shgb.

TT 343 ng/dl. (250-1100)
FT 83.3 pg/ml. (35-155)
LH 7.4 mIU/ml. (1.7-8.6)
FSH 4.4 mIu. (1-8)
Free T4 1.2 ng/ml (0.71-1.85)
TSH 1.80 uIU/ml. (0.45-4.70)
Prolactic 15.94 ng/ml. (1.61-18.77)

My labs were done at the VA hospital in Miami. Ive done 4 testosterone labs in the last 2 years and all of them came back with total t ranging from 320 to 380 except for 1 lab that came back at 195 tt but that one was drawn at 6pm. After the latest lab, i asked my primary to schedule an appointment with the in house Endo. He responded before i can even see him and said that my levels were "normal" not "low normal".
 
With your FT numbers I am guessing you have lower SHBG, but without testing, it is juts a guess.

I doubt you will have any kind of d cent treatment via the VA.

Most folks pay out of pocket for TRT or if you have good insurance, sometimes you can get part or all of the treatment covered if you have a good doctor who will work with you.

Good luck.
 
We have many members who find that VA care for hypogonadism is sadly lacking in skill. Are you willing to seek private (and that probably means out of pocket) treatment?
 
Good choice.
I will make recommendation to always opt to speak with one of the Doctors vs the nurses.

For me I always seem to get more in-depth answers from the DR’s.
 

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TRT Hormone Predictor Widget

TRT Hormone Predictor

Predict estradiol, DHT, and free testosterone levels based on total testosterone

⚠️ Medical Disclaimer

This tool provides predictions based on statistical models and should NOT replace professional medical advice. Always consult with your healthcare provider before making any changes to your TRT protocol.

ℹ️ Input Parameters

Normal range: 300-1000 ng/dL

Predicted Hormone Levels

Enter your total testosterone value to see predictions

Results will appear here after calculation

Understanding Your Hormones

Estradiol (E2)

A form of estrogen produced from testosterone. Important for bone health, mood, and libido. Too high can cause side effects; too low can affect well-being.

DHT

Dihydrotestosterone is a potent androgen derived from testosterone. Affects hair growth, prostate health, and masculinization effects.

Free Testosterone

The biologically active form of testosterone not bound to proteins. Directly available for cellular uptake and biological effects.

Scientific Reference

Lakshman KM, Kaplan B, Travison TG, Basaria S, Knapp PE, Singh AB, LaValley MP, Mazer NA, Bhasin S. The effects of injected testosterone dose and age on the conversion of testosterone to estradiol and dihydrotestosterone in young and older men. J Clin Endocrinol Metab. 2010 Aug;95(8):3955-64.

DOI: 10.1210/jc.2010-0102 | PMID: 20534765 | PMCID: PMC2913038

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