I received my T results among other test results posted below and want to know if theyre normal for a man of 54 years of age suffering from ED and low libido...
Testosterone: 506
Testosterone: 506
Please check out my testosterone test results!!
- Thread starter sileebo
- Start date
FunkOdyssey
Seeker of Wisdom
That's all pretty normal. What you're missing that is really important here is SHBG, so you could calculate your free testosterone. You'll want to repeat the total T, and this time I would add SHBG, estradiol (ultrasensitive) and LH.
Free T is basically all that matters for hypogonadal symptoms, total T is pretty useless by comparison.
madman
Super Moderator
Not much to chew on here as you are missing the most critical blood marker free testosterone.
Although TT is important to know FT is what truly matters as it is the active unbound fractions of T responsible for the positive effects.
You need to have your FT tested using the most accurate assay (Equilibrium Dialysis) to know where it truly sits.
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If you do not have access to such testing method highly doubtful if you live in the US then you would need to use/rely upon the linear law-of-mass action Vermeulen (cFTV) available online for free free by plugging in your TT, SHBG and Albumin.
Unfortunately you did not have your SHBG tested.
The only way your FT would be low-end/low with a TT 500 ng/dL is with highish/high SHBG.
Bottom line you need to know where your FT level sits!
madman
Super Moderator
As usual Nelson's house is where it's at!
event.on24.com
Testosterone imbalances affect men, women, and children differently. In males, testosterone deficiency (hypogonadism) can lead to low libido, fatigue, and muscle loss, while excess may contribute to aggression and cardiovascular risks. In females, testosterone excess (hyperandrogenism), often associated with polycystic ovary syndrome (PCOS) or adrenal disorders, can cause excess hair growth, weight gain, and menstrual irregularities. In children...
Importance of free testosterone measurement in assessing androgen disorders
Thursday, March 27, 2025 at 1:00 PM Eastern Daylight Time.
Testosterone imbalances affect men, women, and children differently. In males, testosterone deficiency (hypogonadism) can lead to low libido, fatigue, and muscle loss, while excess may contribute to aggression and cardiovascular risks. In females, testosterone excess (hyperandrogenism), often associated with polycystic ovary syndrome (PCOS) or adrenal disorders, can cause excess hair growth, weight gain, and menstrual irregularities. In children...
Seagal
Well-Known Member
DeepSeek Answer:
Based on your results, your labs are **overall very good for a 54-year-old man**, with no major red flags. However, your testosterone level (506 ng/dL) falls within the "normal" range but is **on the lower end for your age group**, which *could* be a contributing factor to your ED and low libido symptoms. Here's a detailed breakdown:
**Key Findings & Analysis:**
1. **Testosterone (506 ng/dL):**
* **Result:** Within the typical lab reference range (often ~300-1000 ng/dL), but **low-normal for age 54**. Many men experience symptoms in this range.
* **Relevance to Symptoms:** This is the most relevant result for ED and low libido. While "normal," levels below 550-600 ng/dL can often cause symptoms in men, especially when combined with other factors. **This is the most likely contributor to your symptoms.** Request a **Free Testosterone** level – it's the active form and more relevant than total T.
2. **Prostate-Specific Antigen (PSA: 2.0 ng/mL):**
* **Result:** Excellent. Well below the common threshold of 4.0 ng/mL for concern at your age.
* **Relevance:** Rules out significant prostate issues as a cause for sexual symptoms. Important baseline for future monitoring.
3. **Hemoglobin A1c (5.0%):**
* **Result:** Excellent. Indicates well-controlled blood sugar over the past 3 months, far below the diabetes threshold (6.5%).
* **Relevance:** Diabetes is a major cause of ED. This result rules out diabetes as a factor.
4. **Liver Function (ALT: 8 U/L, Alk Phos: 73 U/L, Bilirubin: 0.7 mg/dL):**
* **Result:** All well within normal ranges.
* **Relevance:** Healthy liver function is important for hormone metabolism, including testosterone. No issues indicated.
5. **Kidney Function (eGFR: 99, Creatinine: 0.92 mg/dL, BUN: 11 mg/dL):**
* **Result:** Excellent kidney function. eGFR >90 is optimal.
* **Relevance:** Kidney disease can contribute to ED and hormonal issues. Not a factor here.
6. **Electrolytes & Minerals (Calcium: 9.4, CO2: 22, Chloride: 104, Potassium: 4.1, Sodium: 141):**
* **Result:** All perfectly within normal ranges.
* **Relevance:** General health indicators; no imbalances contributing to symptoms.
7. **Protein & Albumin (Total Protein: 6.9 g/dL, Albumin: 4.5 g/dL, Globulin: 2.4 g/dL):**
* **Result:** All within normal ranges.
* **Relevance:** Good indicators of nutritional status and liver function. No issues.
8. **Complete Blood Count (CBC):**
* **Result:** **Entirely normal.** Red blood cells (RBC, Hgb, Hct), white blood cells (WBC, differentials), and platelets (Plt) are all within standard ranges.
* **Relevance:** Rules out anemia (which can cause fatigue/low libido), infection, inflammation, or blood disorders as causes.
**Conclusion & Recommendations:**
1. **Overall Health:** Your lab results are **very reassuring** regarding general health (liver, kidneys, blood sugar, blood counts, electrolytes, prostate screening). There are no underlying systemic diseases evident from these tests causing your symptoms.
2. **Primary Concern - Testosterone:** Your total testosterone level (506 ng/dL) is the most relevant finding. While technically "normal," it is **low-normal for your age** and is a **plausible explanation** for your ED and low libido.
3. **Next Steps:**
* **Discuss Testosterone with Your Doctor:** Focus the conversation on your symptoms (ED, low libido) and your testosterone level. Ask specifically about:
* Testing **Free Testosterone** (more important than total T for symptoms).
* Testing **LH and FSH** (pituitary hormones that signal the testes - helps determine if the issue is testicular or central).
* Testing **Prolactin** (high levels can suppress testosterone and cause sexual dysfunction).
* Testing **Thyroid Function (TSH)** (thyroid problems can cause similar symptoms).
* **Discuss Other Causes:** ED/Low Libido have many potential causes beyond testosterone:
* **Cardiovascular Health:** High blood pressure, high cholesterol, vascular disease. (Check your BP and lipids if not done recently).
* **Medications:** Many common drugs (blood pressure meds, antidepressants, etc.) can cause sexual side effects.
* **Lifestyle Factors:** Lack of exercise, obesity, excessive alcohol, smoking, poor sleep, high stress.
* **Psychological Factors:** Depression, anxiety, relationship stress.
* **Neurological Conditions.**
* **Holistic Approach:** Be prepared to discuss these other areas with your doctor. Treating low T alone might not resolve symptoms if other factors are significant.
**In summary: Your results are normal except for a total testosterone level that is low-normal and potentially symptomatic. This warrants further investigation with your doctor, focusing on Free Testosterone and other hormone levels (LH, FSH, Prolactin, TSH), as well as exploring other potential causes of ED and low libido.** Do not hesitate to advocate for your symptoms.
That is impressive. Once we have fixed the problem that they sometimes hallucinate ...voila
Based on your results, your labs are **overall very good for a 54-year-old man**, with no major red flags. However, your testosterone level (506 ng/dL) falls within the "normal" range but is **on the lower end for your age group**, which *could* be a contributing factor to your ED and low libido symptoms. Here's a detailed breakdown:
**Key Findings & Analysis:**
1. **Testosterone (506 ng/dL):**
* **Result:** Within the typical lab reference range (often ~300-1000 ng/dL), but **low-normal for age 54**. Many men experience symptoms in this range.
* **Relevance to Symptoms:** This is the most relevant result for ED and low libido. While "normal," levels below 550-600 ng/dL can often cause symptoms in men, especially when combined with other factors. **This is the most likely contributor to your symptoms.** Request a **Free Testosterone** level – it's the active form and more relevant than total T.
2. **Prostate-Specific Antigen (PSA: 2.0 ng/mL):**
* **Result:** Excellent. Well below the common threshold of 4.0 ng/mL for concern at your age.
* **Relevance:** Rules out significant prostate issues as a cause for sexual symptoms. Important baseline for future monitoring.
3. **Hemoglobin A1c (5.0%):**
* **Result:** Excellent. Indicates well-controlled blood sugar over the past 3 months, far below the diabetes threshold (6.5%).
* **Relevance:** Diabetes is a major cause of ED. This result rules out diabetes as a factor.
4. **Liver Function (ALT: 8 U/L, Alk Phos: 73 U/L, Bilirubin: 0.7 mg/dL):**
* **Result:** All well within normal ranges.
* **Relevance:** Healthy liver function is important for hormone metabolism, including testosterone. No issues indicated.
5. **Kidney Function (eGFR: 99, Creatinine: 0.92 mg/dL, BUN: 11 mg/dL):**
* **Result:** Excellent kidney function. eGFR >90 is optimal.
* **Relevance:** Kidney disease can contribute to ED and hormonal issues. Not a factor here.
6. **Electrolytes & Minerals (Calcium: 9.4, CO2: 22, Chloride: 104, Potassium: 4.1, Sodium: 141):**
* **Result:** All perfectly within normal ranges.
* **Relevance:** General health indicators; no imbalances contributing to symptoms.
7. **Protein & Albumin (Total Protein: 6.9 g/dL, Albumin: 4.5 g/dL, Globulin: 2.4 g/dL):**
* **Result:** All within normal ranges.
* **Relevance:** Good indicators of nutritional status and liver function. No issues.
8. **Complete Blood Count (CBC):**
* **Result:** **Entirely normal.** Red blood cells (RBC, Hgb, Hct), white blood cells (WBC, differentials), and platelets (Plt) are all within standard ranges.
* **Relevance:** Rules out anemia (which can cause fatigue/low libido), infection, inflammation, or blood disorders as causes.
**Conclusion & Recommendations:**
1. **Overall Health:** Your lab results are **very reassuring** regarding general health (liver, kidneys, blood sugar, blood counts, electrolytes, prostate screening). There are no underlying systemic diseases evident from these tests causing your symptoms.
2. **Primary Concern - Testosterone:** Your total testosterone level (506 ng/dL) is the most relevant finding. While technically "normal," it is **low-normal for your age** and is a **plausible explanation** for your ED and low libido.
3. **Next Steps:**
* **Discuss Testosterone with Your Doctor:** Focus the conversation on your symptoms (ED, low libido) and your testosterone level. Ask specifically about:
* Testing **Free Testosterone** (more important than total T for symptoms).
* Testing **LH and FSH** (pituitary hormones that signal the testes - helps determine if the issue is testicular or central).
* Testing **Prolactin** (high levels can suppress testosterone and cause sexual dysfunction).
* Testing **Thyroid Function (TSH)** (thyroid problems can cause similar symptoms).
* **Discuss Other Causes:** ED/Low Libido have many potential causes beyond testosterone:
* **Cardiovascular Health:** High blood pressure, high cholesterol, vascular disease. (Check your BP and lipids if not done recently).
* **Medications:** Many common drugs (blood pressure meds, antidepressants, etc.) can cause sexual side effects.
* **Lifestyle Factors:** Lack of exercise, obesity, excessive alcohol, smoking, poor sleep, high stress.
* **Psychological Factors:** Depression, anxiety, relationship stress.
* **Neurological Conditions.**
* **Holistic Approach:** Be prepared to discuss these other areas with your doctor. Treating low T alone might not resolve symptoms if other factors are significant.
**In summary: Your results are normal except for a total testosterone level that is low-normal and potentially symptomatic. This warrants further investigation with your doctor, focusing on Free Testosterone and other hormone levels (LH, FSH, Prolactin, TSH), as well as exploring other potential causes of ED and low libido.** Do not hesitate to advocate for your symptoms.
That is impressive. Once we have fixed the problem that they sometimes hallucinate ...voila
Last edited:
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