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<blockquote data-quote="Raindog" data-source="post: 108192" data-attributes="member: 18433"><p>Hi All-</p><p></p><p>I got a secondary hypogonadism diagnosis in January. But, based on what I've learned and have felt, pretty sure I have run low for a very long time. 15 years? Prolly in range but either low or maybe sensitive to E, both? Mostly emotional symptoms, so it is really hard to say. Not sure yet and actually I don't think matters anyway. In January, complained about delayed orgasm so doc tested. Test results:</p><p></p><p>% Free T MALE: 1.2 Range 1.6-2.9%</p><p>Free T MALE: 35 Range: 47-244 pg/mL</p><p>T: 292 Range: 241-827 ng/dL</p><p>SHBG: 66.3 Range: 15.0-87.0 nmol/L</p><p>PSA: 1.29 Range: 0.00-4.00 ng/mL</p><p>LH: 2.5 Range: 1.5-9.3 IU/L</p><p>Prolactin: 8.1 Range: 2.1-17.7 ng/mL</p><p>Estradiol 17-B: 25 Range 0-40 pg/mL (Believe it is the Siemens Centaur method)</p><p>TSH: .844 Range: 0.400-4.00 mU/I </p><p></p><p>He started me on a single gel pack a day. Progressed to two packs a day then to injections. Early using the packs I felt REALLY good during moments, it was fleeting and I was flushing real bad still had delayed O. Test were coming back still low. So moved to injections a couple months ago. 200mg/1ml vials, started injecting 100mg every two weeks, then to 50mg a week. Had flushing, retained water, hormones felt up and down, brain fog, etc. So I went to 25 mg twice a week up to Sunday. Water started to shed, I still flushed a little. But I still felt on a roller coaster up down and completely lost the feelings of confidence, zest, focus. Was here for about 3, maybe 4 weeks. Blood test Monday this week, taken in my deepest valley: </p><p></p><p>Estradiol 17-B: 30 Range 0-40 pg/mL (Believe it is the Siemens Centaur method)</p><p>% Free T MALE: 1.5 Range 1.6-2.9%</p><p>Free T MALE: 86 Range: 47-244 pg/mL</p><p>T: 575 Range: 241-827 ng/dL</p><p>SHBG: 56.4 Range: 15.0-87.0 nmol/L</p><p></p><p>So, I see this before my doc appt and think okay I am low on Free T, cause of the % Free T test. Figured doc was gonna just boost me. I went in today. He wasn't going to. He was going to let it ride as is. Said he was shooting for 600, but thought that might be close enough. But, I explained to him how I felt and he agreed to bump me up 20% on my dosage and to give me something to control my E. I have read a little and knew more about Arimidex, but he prescribed Tamoxifen. I haven't run into that on my google research yet. I just read a little. Sounds like Arimidex is more standard and a preferred way to go. But I think I also read that Tamoxifen is good for guys who have higher SHBG, which I think I do. </p><p></p><p>Any guidance would be really great!</p><p></p><p>Dave</p></blockquote><p></p>
[QUOTE="Raindog, post: 108192, member: 18433"] Hi All- I got a secondary hypogonadism diagnosis in January. But, based on what I've learned and have felt, pretty sure I have run low for a very long time. 15 years? Prolly in range but either low or maybe sensitive to E, both? Mostly emotional symptoms, so it is really hard to say. Not sure yet and actually I don't think matters anyway. In January, complained about delayed orgasm so doc tested. Test results: % Free T MALE: 1.2 Range 1.6-2.9% Free T MALE: 35 Range: 47-244 pg/mL T: 292 Range: 241-827 ng/dL SHBG: 66.3 Range: 15.0-87.0 nmol/L PSA: 1.29 Range: 0.00-4.00 ng/mL LH: 2.5 Range: 1.5-9.3 IU/L Prolactin: 8.1 Range: 2.1-17.7 ng/mL Estradiol 17-B: 25 Range 0-40 pg/mL (Believe it is the Siemens Centaur method) TSH: .844 Range: 0.400-4.00 mU/I He started me on a single gel pack a day. Progressed to two packs a day then to injections. Early using the packs I felt REALLY good during moments, it was fleeting and I was flushing real bad still had delayed O. Test were coming back still low. So moved to injections a couple months ago. 200mg/1ml vials, started injecting 100mg every two weeks, then to 50mg a week. Had flushing, retained water, hormones felt up and down, brain fog, etc. So I went to 25 mg twice a week up to Sunday. Water started to shed, I still flushed a little. But I still felt on a roller coaster up down and completely lost the feelings of confidence, zest, focus. Was here for about 3, maybe 4 weeks. Blood test Monday this week, taken in my deepest valley: Estradiol 17-B: 30 Range 0-40 pg/mL (Believe it is the Siemens Centaur method) % Free T MALE: 1.5 Range 1.6-2.9% Free T MALE: 86 Range: 47-244 pg/mL T: 575 Range: 241-827 ng/dL SHBG: 56.4 Range: 15.0-87.0 nmol/L So, I see this before my doc appt and think okay I am low on Free T, cause of the % Free T test. Figured doc was gonna just boost me. I went in today. He wasn't going to. He was going to let it ride as is. Said he was shooting for 600, but thought that might be close enough. But, I explained to him how I felt and he agreed to bump me up 20% on my dosage and to give me something to control my E. I have read a little and knew more about Arimidex, but he prescribed Tamoxifen. I haven't run into that on my google research yet. I just read a little. Sounds like Arimidex is more standard and a preferred way to go. But I think I also read that Tamoxifen is good for guys who have higher SHBG, which I think I do. Any guidance would be really great! Dave [/QUOTE]
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