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Testosterone Replacement, Low T, HCG, & Beyond
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Online prescription of TRT/HCG
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<blockquote data-quote="madman" data-source="post: 152074" data-attributes="member: 13851"><p>Regarding the Canadian Testosterone Deficiency guidelines when a patient is presenting symptoms along with blood work which shows that TT levels fall within what is called the grey zone TT 8-12 nmol/L than most doctors in the know would offer the patient a 6 month trial of trt.</p><p></p><p>Unfortunately most GPs/endos/uros will turn around and tell the patient his TT levels are ok if they are borderline low/low-normal of the reference range when in fact the patient is truly suffering low-t symptoms not only due to having sub-par TT levels but more importantly low/low-normal FT levels.</p><p></p><p>Many doctors unfortunately only test for TT which is ridiculous as although TT is important to know FT is what truly matters as it is the unbound active fraction of testosterone responsible for the positive effects.</p><p></p><p>Many men suffering from low-t symptoms who have borderline low/low-normal TT/FT levels are denied treatment simply because their levels fall in the reference range.</p><p></p><p>To make matters worse there are many men with descent TT levels but still have low/sub-par FT levels due to having high SHBG.....and unfortunately in most cases doctors do not test for SHBG.....let alone FT!</p><p></p><p>Your TT levels are definitely sub-par and although they are low-normal of the reference range 10 nmol/L (288 ng/dL)/ (reference range 7.6-31 nmol/L).....I would put money on it that your FT levels are low.</p><p></p><p>Your hemoglobin/hematocrit are low and RBC's borderline low.....common in hypogonadal men.</p><p></p><p>LH/FSH are basically high, sperm count low and TT is on the lower end.....you are most likely primary.</p><p></p><p>You just need to find a doctor who specializes in trt.</p><p></p><p>Easier said than done as it can be difficult finding a doctor in Canada but they are out there although far and few.</p><p></p><p>You will need a referral from your family doctor in order to seek out a 2nd opinion from a trt specialist.</p><p></p><p>My TT levels pre-trt were a little higher than yours 11.3 nmol/L (325 ng/dL)/ (reference range 8.6-28.8 nmol/L) and my FT was borderline low.</p></blockquote><p></p>
[QUOTE="madman, post: 152074, member: 13851"] Regarding the Canadian Testosterone Deficiency guidelines when a patient is presenting symptoms along with blood work which shows that TT levels fall within what is called the grey zone TT 8-12 nmol/L than most doctors in the know would offer the patient a 6 month trial of trt. Unfortunately most GPs/endos/uros will turn around and tell the patient his TT levels are ok if they are borderline low/low-normal of the reference range when in fact the patient is truly suffering low-t symptoms not only due to having sub-par TT levels but more importantly low/low-normal FT levels. Many doctors unfortunately only test for TT which is ridiculous as although TT is important to know FT is what truly matters as it is the unbound active fraction of testosterone responsible for the positive effects. Many men suffering from low-t symptoms who have borderline low/low-normal TT/FT levels are denied treatment simply because their levels fall in the reference range. To make matters worse there are many men with descent TT levels but still have low/sub-par FT levels due to having high SHBG.....and unfortunately in most cases doctors do not test for SHBG.....let alone FT! Your TT levels are definitely sub-par and although they are low-normal of the reference range 10 nmol/L (288 ng/dL)/ (reference range 7.6-31 nmol/L).....I would put money on it that your FT levels are low. Your hemoglobin/hematocrit are low and RBC's borderline low.....common in hypogonadal men. LH/FSH are basically high, sperm count low and TT is on the lower end.....you are most likely primary. You just need to find a doctor who specializes in trt. Easier said than done as it can be difficult finding a doctor in Canada but they are out there although far and few. You will need a referral from your family doctor in order to seek out a 2nd opinion from a trt specialist. My TT levels pre-trt were a little higher than yours 11.3 nmol/L (325 ng/dL)/ (reference range 8.6-28.8 nmol/L) and my FT was borderline low. [/QUOTE]
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