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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: 66044" data-attributes="member: 2624"><p>It can be done. First of all, you have to relax. You are wound way too tightly around the SHBG and free testosterone values. They are not to be feared, they are to be managed. I have both issues, a total testosterone that, the last time it was absurdly high for a patient with bargain-basement endogenous testosterone levels. My doctor, a very savvy woman, was giggling when we were reviewing the numbers - they made no sense. As for my SHBG, it was reported at 16 - low by any standards. I knew, from being a member here, what the general advice for such situations was, but before I could offer my thoughts, she was describing her approach to such situations - and she was on the mark.</p><p></p><p>To start, twice weekly injections of slightly smaller amounts of testosterone than I would expect. HCG added later test in six weeks. When the time came round, the free testosterone was sky-high, SHBG slightly lower, total testosterone up, but clearly being burned too quickly. We tested for peak and trough designed an eod schedule, still had less than was wanted, and finally - for e2 control more than anything else (but also to manage SHBG) - started a daily protocol. </p><p></p><p>All that narrative to let you know there are solutions to what you face. I am thrilled with my results, haven't felt this good in years. I do test in the US, but that's to monitor estradiol. We do note the free testosterone levels that LabCorp sends, but manage to the total testosterone vale AND MOST IMPORTANTLY how I feel.</p><p></p><p>Obviously your doctor will have specific ideas but it comes down to protocol management and symptoms. Estradiol is a discussion for another day, but don't see this as an impossible obstacle. It isn't.</p></blockquote><p></p>
[QUOTE="CoastWatcher, post: 66044, member: 2624"] It can be done. First of all, you have to relax. You are wound way too tightly around the SHBG and free testosterone values. They are not to be feared, they are to be managed. I have both issues, a total testosterone that, the last time it was absurdly high for a patient with bargain-basement endogenous testosterone levels. My doctor, a very savvy woman, was giggling when we were reviewing the numbers - they made no sense. As for my SHBG, it was reported at 16 - low by any standards. I knew, from being a member here, what the general advice for such situations was, but before I could offer my thoughts, she was describing her approach to such situations - and she was on the mark. To start, twice weekly injections of slightly smaller amounts of testosterone than I would expect. HCG added later test in six weeks. When the time came round, the free testosterone was sky-high, SHBG slightly lower, total testosterone up, but clearly being burned too quickly. We tested for peak and trough designed an eod schedule, still had less than was wanted, and finally - for e2 control more than anything else (but also to manage SHBG) - started a daily protocol. All that narrative to let you know there are solutions to what you face. I am thrilled with my results, haven't felt this good in years. I do test in the US, but that's to monitor estradiol. We do note the free testosterone levels that LabCorp sends, but manage to the total testosterone vale AND MOST IMPORTANTLY how I feel. Obviously your doctor will have specific ideas but it comes down to protocol management and symptoms. Estradiol is a discussion for another day, but don't see this as an impossible obstacle. It isn't. [/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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