ExcelMale
Menu
Home
What's new
Latest activity
Forums
New posts
Search forums
What's new
New posts
Latest activity
Videos
Lab Tests
Doctor Finder
Buy Books
About Us
Men’s Health Coaching
Log in
Register
What's new
Search
Search
Search titles only
By:
New posts
Search forums
Menu
Log in
Register
Navigation
Install the app
Install
More options
Contact us
Close Menu
Forums
Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Basics & Questions
New Member Question Re "Standard Range=86.98 - 780.10 ng/dL"?
JavaScript is disabled. For a better experience, please enable JavaScript in your browser before proceeding.
You are using an out of date browser. It may not display this or other websites correctly.
You should upgrade or use an
alternative browser
.
Reply to thread
Message
<blockquote data-quote="madman" data-source="post: 195067" data-attributes="member: 13851"><p><span style="font-size: 15px"><span style="font-family: 'Arial'"><strong>I asked my primary care doctor about a testosterone test, and it came back at <u>137 ng/dL, with a SHBG of 17.8 nmol/L</u>. Using the Free and Bioavailable T calculator (<a href="http://www.issam.ch/freetesto.htm" target="_blank">Free & Bioavailable Testosterone calculator</a>) results in <u>free T of 3.49 ng/dL</u> = 2.55 %, and bioavailable T of 81.8 ng/dL = 59.7 %.</strong></span></span></p><p></p><p><span style="font-size: 15px"><span style="font-family: 'Arial'"><strong>The test results list Standard Ranges of 21.63 - 113.13 nmol/L for SHBG and <u>86.98 - 780.10 ng/dL</u> for testosterone.</strong></span></span></p><p><span style="font-size: 15px"><span style="font-family: 'Arial'"></span></span></p><p><span style="font-size: 15px"><span style="font-family: 'Arial'"></span></span></p><p><span style="font-size: 15px"><span style="font-family: 'Arial'">What lab did your doctor send you to for bloodwork as the reference range (bottom end) for TT is horribly low <u><strong>86.98 </strong>- 780.10 ng/dL</u>?</span></span></p><p></p><p>Unreal to say the least!</p><p></p><p>Most men can experience hypogonadal symptoms with TT in the 300-400 ng/dL range let alone if one has high SHBG they could experience low-t symptoms even having a much higher-end TT.</p><p></p><p>Although TT is important to know FT is what truly matters as it is the active unbound fraction of testosterone responsible for the positive effects.</p><p></p><p>When testing TT one needs to know where their FT level truly sits let alone SHBG level.</p><p></p><p>Regardless of your lowish SHBG 17.8 nmol/L seeing as your TT is horribly low 137 ng/dL your FT will be absurdly low.</p><p></p><p>Your doctor is an idiot for beating around the bush on this one!</p><p></p><p></p><p><span style="font-size: 15px"><span style="font-family: 'Arial'"><strong><u>My doctor says he does not prescribe TRT unless someone is outside the "normal range" (i.e. the "Standard Range" listed with the test results). In other words, my T level would need to be below 86.98 ng/dL</u>. <u>I mentioned my symptoms of lethargy and no sex drive, and my doctor offered to refer me to an endocronolgist</u>. My general impression is that he goes strictly by the numbers for everything, perhaps for fear of having his license suspended or revoked.</strong></span></span></p><p></p><p>A stickler for numbers yet it is clear as day that your TT/FT levels are horribly low.</p><p></p><p>Treating symptoms is what truly matters and reference ranges are used as guidelines as there is also such a thing as too high T level when it comes to trt.</p><p></p><p>Blood work is critical pre-trt and during therapy.</p><p></p><p>Ranges are not set in stone and are only used as a guideline and unfortunately, when it comes to the reference ranges for TT they have been lowered over the years and the nail in the coffin is the low-end of the reference range which has been driven down so low that many men experiencing low-t symptoms even with a TT in the 300-400 range would be considered normal let alone men with a much higher TT (due to high SHBG).</p><p></p><p>At least he is referring you to an endocrinologist and although many lack the understanding of updated protocols when it comes to trt let alone can be sticklers when it comes to numbers and keeping your T levels in some puff the magic dragon range (usually mid-normal) you will definitely be given the option to pursue trt as your TT/FT levels are horribly low let alone you must feel horrendous!</p><p></p><p>You would be much better served looking into a provider such as Defy or digging deeper and finding a doctor or well know urologist who is specialized in trt.</p><p></p><p></p><p><span style="font-size: 15px"><span style="font-family: 'Arial'"><strong>In general,<u> I just want to get my T back to a middle normal range (hopefully this will help with the lethargy, sex drive, etc.)</u>. I've never been able to put on a lot of muscle mass working out, and I'm not trying to pack on a lot of muscle at my age. I could stand to lose 10-15 lbs of fat, but I'm not trying to bulk up.</strong></span></span></p><p></p><p>Forget worrying about where your levels need to be as many men may need higher-end TT levels to achieve a healthy FT.</p><p></p><p>It comes down to where your SHBG level sits and what TT level would be needed in order to achieve a healthy FT level which would result in relief/improvement of low-t symptoms and increased overall well-being.</p><p></p><p>The goal of trt is to replace physiological levels of testosterone through the use of exogenous testosterone in order to achieve a healthy TT/FT level which will result in the relief/improvement of low-t symptoms while at the same time minimizing/avoiding any potential side-effects (cosmetic/overall health) while keeping blood markers healthy long-term.</p><p></p><p>FT level 5-10 ng/dL would be considered low.</p><p></p><p>FT 16-31 ng/dL would be considered a healthy level.</p><p></p><p>Most men will do well with FT in the 20-30 ng/dL range and some may choose/need to run slightly higher levels</p><p></p><p>Again it comes down to the individual as some men will do better running higher TT/FT levels whereas others may feel better running lower levels.</p><p></p><p>Some men will always struggle with side-effects when running too high an FT level.</p></blockquote><p></p>
[QUOTE="madman, post: 195067, member: 13851"] [SIZE=15px][FONT=Arial][B]I asked my primary care doctor about a testosterone test, and it came back at [U]137 ng/dL, with a SHBG of 17.8 nmol/L[/U]. Using the Free and Bioavailable T calculator ([URL='http://www.issam.ch/freetesto.htm']Free & Bioavailable Testosterone calculator[/URL]) results in [U]free T of 3.49 ng/dL[/U] = 2.55 %, and bioavailable T of 81.8 ng/dL = 59.7 %.[/B][/FONT][/SIZE] [B][/B] [SIZE=15px][FONT=Arial][B]The test results list Standard Ranges of 21.63 - 113.13 nmol/L for SHBG and [U]86.98 - 780.10 ng/dL[/U] for testosterone.[/B] What lab did your doctor send you to for bloodwork as the reference range (bottom end) for TT is horribly low [U][B]86.98 [/B]- 780.10 ng/dL[/U]?[/FONT][/SIZE] Unreal to say the least! Most men can experience hypogonadal symptoms with TT in the 300-400 ng/dL range let alone if one has high SHBG they could experience low-t symptoms even having a much higher-end TT. Although TT is important to know FT is what truly matters as it is the active unbound fraction of testosterone responsible for the positive effects. When testing TT one needs to know where their FT level truly sits let alone SHBG level. Regardless of your lowish SHBG 17.8 nmol/L seeing as your TT is horribly low 137 ng/dL your FT will be absurdly low. Your doctor is an idiot for beating around the bush on this one! [SIZE=15px][FONT=Arial][B][U]My doctor says he does not prescribe TRT unless someone is outside the "normal range" (i.e. the "Standard Range" listed with the test results). In other words, my T level would need to be below 86.98 ng/dL[/U]. [U]I mentioned my symptoms of lethargy and no sex drive, and my doctor offered to refer me to an endocronolgist[/U]. My general impression is that he goes strictly by the numbers for everything, perhaps for fear of having his license suspended or revoked.[/B][/FONT][/SIZE] A stickler for numbers yet it is clear as day that your TT/FT levels are horribly low. Treating symptoms is what truly matters and reference ranges are used as guidelines as there is also such a thing as too high T level when it comes to trt. Blood work is critical pre-trt and during therapy. Ranges are not set in stone and are only used as a guideline and unfortunately, when it comes to the reference ranges for TT they have been lowered over the years and the nail in the coffin is the low-end of the reference range which has been driven down so low that many men experiencing low-t symptoms even with a TT in the 300-400 range would be considered normal let alone men with a much higher TT (due to high SHBG). At least he is referring you to an endocrinologist and although many lack the understanding of updated protocols when it comes to trt let alone can be sticklers when it comes to numbers and keeping your T levels in some puff the magic dragon range (usually mid-normal) you will definitely be given the option to pursue trt as your TT/FT levels are horribly low let alone you must feel horrendous! You would be much better served looking into a provider such as Defy or digging deeper and finding a doctor or well know urologist who is specialized in trt. [SIZE=15px][FONT=Arial][B]In general,[U] I just want to get my T back to a middle normal range (hopefully this will help with the lethargy, sex drive, etc.)[/U]. I've never been able to put on a lot of muscle mass working out, and I'm not trying to pack on a lot of muscle at my age. I could stand to lose 10-15 lbs of fat, but I'm not trying to bulk up.[/B][/FONT][/SIZE] Forget worrying about where your levels need to be as many men may need higher-end TT levels to achieve a healthy FT. It comes down to where your SHBG level sits and what TT level would be needed in order to achieve a healthy FT level which would result in relief/improvement of low-t symptoms and increased overall well-being. The goal of trt is to replace physiological levels of testosterone through the use of exogenous testosterone in order to achieve a healthy TT/FT level which will result in the relief/improvement of low-t symptoms while at the same time minimizing/avoiding any potential side-effects (cosmetic/overall health) while keeping blood markers healthy long-term. FT level 5-10 ng/dL would be considered low. FT 16-31 ng/dL would be considered a healthy level. Most men will do well with FT in the 20-30 ng/dL range and some may choose/need to run slightly higher levels Again it comes down to the individual as some men will do better running higher TT/FT levels whereas others may feel better running lower levels. Some men will always struggle with side-effects when running too high an FT level. [/QUOTE]
Insert quotes…
Verification
Post reply
Share this page
Facebook
Twitter
Reddit
Pinterest
Tumblr
WhatsApp
Email
Share
Link
Sponsors
Forums
Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Basics & Questions
New Member Question Re "Standard Range=86.98 - 780.10 ng/dL"?
This site uses cookies to help personalise content, tailor your experience and to keep you logged in if you register.
By continuing to use this site, you are consenting to our use of cookies.
Accept
Learn more…
Top