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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Basics & Questions
Need to understand the relationship between SHBG, Albumin, Free Test and Total test better
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<blockquote data-quote="CoastWatcher" data-source="post: 65954" data-attributes="member: 2624"><p>My doctor feels that the ranges for total testosterone are *likely* downwardly adjusted. She showed me ranges from other first world countries - ours are among the lowest. Canadian doctors and patients also have to deal with guidelines published by the Canadian medical establishment that look at testosterone therapy with more than a bit of suspicion.</p><p></p><p>Life Labs, when it was still CML, adopted a new manner of measuring free testosterone, one that sent all results soaring. Nobody, no doctors who knew what they were doing, were happy. Many now send patients to hospital outpatient labs. I test in the US where my free value is high - but not insanely high - and my SHBG is low - but not shockingly so. My levels don't change when I cross the border. Managing to a free testosterone value, as you suggest, is impossible in Canada (and most other places). That's not just my opinion, but my doctor and my urologist (who does not manage my TRT protocol) are both outspoken critics of these test values. </p><p></p><p>All of of which supports my position that you don't need to fret so about all this. You can make this work with a savvy doctor and patience. Forgive me, but I can't recall if yiu have confidence in your physician. Do you feel your needs are being met. </p><p></p><p>Oh, let me know if you want me to message a copy of a study done at Queen's University questioning the entire free testosterone issue. All the best.</p></blockquote><p></p>
[QUOTE="CoastWatcher, post: 65954, member: 2624"] My doctor feels that the ranges for total testosterone are *likely* downwardly adjusted. She showed me ranges from other first world countries - ours are among the lowest. Canadian doctors and patients also have to deal with guidelines published by the Canadian medical establishment that look at testosterone therapy with more than a bit of suspicion. Life Labs, when it was still CML, adopted a new manner of measuring free testosterone, one that sent all results soaring. Nobody, no doctors who knew what they were doing, were happy. Many now send patients to hospital outpatient labs. I test in the US where my free value is high - but not insanely high - and my SHBG is low - but not shockingly so. My levels don't change when I cross the border. Managing to a free testosterone value, as you suggest, is impossible in Canada (and most other places). That's not just my opinion, but my doctor and my urologist (who does not manage my TRT protocol) are both outspoken critics of these test values. All of of which supports my position that you don't need to fret so about all this. You can make this work with a savvy doctor and patience. Forgive me, but I can't recall if yiu have confidence in your physician. Do you feel your needs are being met. Oh, let me know if you want me to message a copy of a study done at Queen's University questioning the entire free testosterone issue. All the best. [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Basics & Questions
Need to understand the relationship between SHBG, Albumin, Free Test and Total test better
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