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** New Labs/Thyroid Panel ** New TRT -- Initial Consult with "Doctor" SMH!!!
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<blockquote data-quote="Systemlord" data-source="post: 138533" data-attributes="member: 15832"><p>Hello and welcome,</p><p></p><p>Studies are associating testosterone below 440 with cardiovascular disease, men with high normal testosterone have the least cardiovascular risk and lowest incidence of stroke of those in the middle ranges and lower. Cardiovascular risk only increases as you go lower in testosterone.</p><p></p><p>If you are considering TRT you might want to consider more testing as you are missing some important tests. It's always a good idea to get a baseline sensitive estradiol (LC/MS/MS method) test as this value will guide your TRT protocol in one direct or the another.</p><p></p><p>If estrogen is already in a good range (20-35) while testosterone is well below midrange, I wouldn't recommend a protocol that focuses on one large weekly injection, otherwise it will make you estrogen dominant and you won't feel well.</p><p></p><p>Another important biomarker is SHBG which binds sex hormones testosterone and estrogen, the latter is more weakly bound. SHBG also will guide your TRT protocol, lower SHBG and you may want to focus on frequent injections two or more per week.</p><p></p><p>TSH looks good, T4 is best midrange, fT3 is missing and the most important. fT3 increases body temperatures and increases metabolism. T4 is converted to fT4 and fT3 is the end result is unknown, fT3 is the most potent thyroid hormone and we don't know where it sits.</p><p></p><p>Men can lose glucose control when testosterone is low, especially men approaching middle age. TRT can improve morning insulin levels within days, but effects on glycemic control become evident only after 3–12 months.</p><p></p><p>Red blood cells carries oxygen throughout the body, RBC and hematocrit are all on the lower end, TRT will increase both. Platelet counts is very high, I'll let someone more experienced comment on high platelet and RDW counts. You may need to donate platelets while on TRT from time to time.</p><p></p><p>If you've had blows to the head, PTSD and or traumatic brain injury as a result of your service, any one of these can affect hormone production.</p><p></p><p>The hard part will be finding a knowledgeable doctor skilled at TRT under insurance and more so if under the care of the VA, if you are with the VA and considering to have your TRT managed there, please look elsewhere!</p><p></p><p>I thank you for your service!</p></blockquote><p></p>
[QUOTE="Systemlord, post: 138533, member: 15832"] Hello and welcome, Studies are associating testosterone below 440 with cardiovascular disease, men with high normal testosterone have the least cardiovascular risk and lowest incidence of stroke of those in the middle ranges and lower. Cardiovascular risk only increases as you go lower in testosterone. If you are considering TRT you might want to consider more testing as you are missing some important tests. It's always a good idea to get a baseline sensitive estradiol (LC/MS/MS method) test as this value will guide your TRT protocol in one direct or the another. If estrogen is already in a good range (20-35) while testosterone is well below midrange, I wouldn't recommend a protocol that focuses on one large weekly injection, otherwise it will make you estrogen dominant and you won't feel well. Another important biomarker is SHBG which binds sex hormones testosterone and estrogen, the latter is more weakly bound. SHBG also will guide your TRT protocol, lower SHBG and you may want to focus on frequent injections two or more per week. TSH looks good, T4 is best midrange, fT3 is missing and the most important. fT3 increases body temperatures and increases metabolism. T4 is converted to fT4 and fT3 is the end result is unknown, fT3 is the most potent thyroid hormone and we don't know where it sits. Men can lose glucose control when testosterone is low, especially men approaching middle age. TRT can improve morning insulin levels within days, but effects on glycemic control become evident only after 3–12 months. Red blood cells carries oxygen throughout the body, RBC and hematocrit are all on the lower end, TRT will increase both. Platelet counts is very high, I'll let someone more experienced comment on high platelet and RDW counts. You may need to donate platelets while on TRT from time to time. If you've had blows to the head, PTSD and or traumatic brain injury as a result of your service, any one of these can affect hormone production. The hard part will be finding a knowledgeable doctor skilled at TRT under insurance and more so if under the care of the VA, if you are with the VA and considering to have your TRT managed there, please look elsewhere! I thank you for your service! [/QUOTE]
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** New Labs/Thyroid Panel ** New TRT -- Initial Consult with "Doctor" SMH!!!
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