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New Member - Seeking Advice - Have Labs - Really lost and need some help on right direction of TRT
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<blockquote data-quote="madman" data-source="post: 105267" data-attributes="member: 13851"><p>Post labs again with ranges.</p><p></p><p>No one would deny that your symptoms are real.</p><p></p><p>Yes first few labs your total t hovers around low-mid/high 400s which is not terrible but it depends on your free t which you list around 8-10 on average. More than likely is low but again post up lab ranges so we can get a better idea where your levels sit.</p><p></p><p>Your last few labs your total t hovers around high 200s to low 300s which is low but again we need to see your free t lab ranges.</p><p></p><p>One thing that stands out to me is your prolactin which may be on the high end if I were to put those numbers in the range that is commonly used but again we need to know your lab ranges and high prolactin can kill ones libido!</p><p></p><p>Also understand that energy/libido/mood among many other things can be related to a dysfunctional thyroid gland.</p><p></p><p>Many other factors can also effect ones testosterone levels such as excess stress/lack of sleep/unhealthy lifestyle (poor diet, abuse alcohol and recreational or prescription drugs/underlying health issues/dysfunctional thyroid and adrenal gland/excess body fat (obesity).</p><p></p><p>Regarding testosterone levels 8-12 nmol/L is what is considered the grey zone where most men tend to experience low t symptoms and under the Testosterone Deficiency Guidelines if a patient is experiencing low t symptoms along with lab ranges showing that their total t falls between 8-12 nmol/L than a trial of trt would be recommended.</p><p></p><p>Regarding your blood work was each test done fasted and in the morning preferably between 8-10 am as this is the time to have ones testosterone levels checked as healthy young males natural circadian rhythm (24hr) testosterone levels will rise (peak) in the early am and gradually be elevated throughout the day until it slowly declines (trough) in the late afternoon/early evening.</p></blockquote><p></p>
[QUOTE="madman, post: 105267, member: 13851"] Post labs again with ranges. No one would deny that your symptoms are real. Yes first few labs your total t hovers around low-mid/high 400s which is not terrible but it depends on your free t which you list around 8-10 on average. More than likely is low but again post up lab ranges so we can get a better idea where your levels sit. Your last few labs your total t hovers around high 200s to low 300s which is low but again we need to see your free t lab ranges. One thing that stands out to me is your prolactin which may be on the high end if I were to put those numbers in the range that is commonly used but again we need to know your lab ranges and high prolactin can kill ones libido! Also understand that energy/libido/mood among many other things can be related to a dysfunctional thyroid gland. Many other factors can also effect ones testosterone levels such as excess stress/lack of sleep/unhealthy lifestyle (poor diet, abuse alcohol and recreational or prescription drugs/underlying health issues/dysfunctional thyroid and adrenal gland/excess body fat (obesity). Regarding testosterone levels 8-12 nmol/L is what is considered the grey zone where most men tend to experience low t symptoms and under the Testosterone Deficiency Guidelines if a patient is experiencing low t symptoms along with lab ranges showing that their total t falls between 8-12 nmol/L than a trial of trt would be recommended. Regarding your blood work was each test done fasted and in the morning preferably between 8-10 am as this is the time to have ones testosterone levels checked as healthy young males natural circadian rhythm (24hr) testosterone levels will rise (peak) in the early am and gradually be elevated throughout the day until it slowly declines (trough) in the late afternoon/early evening. [/QUOTE]
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New Member - Seeking Advice - Have Labs - Really lost and need some help on right direction of TRT
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