Questions on Quest Testosterone, Free (Dialysis)

Zooka15

Member
So, I started getting the Testosterone, Free (Dialysis) done at Quest, I read on this forum and else where it is the most accurate test to have. What I'm confused about is the range. Most experts on this forum state Free T should be between 20-30ng/dL. On the recommended Quest test the range is 35-155pg/ml. So if my results came back as 150pg/ml on this quest test, would that convert to 15ng/dl? which would be below the 20-30, but it is actually the high end on the quest scale of 35-155pg/ml. So I guess I just don't know what is optimal from this test then.
 
As you've seen there's no harmonization yet, so you can only directly compare results from the same test at the same lab. You can do an indirect comparison by seeing where results fall relative to their respective reference ranges. For example, you might say that your result of 150 pg/mL is at 96% of the reference range.

If you're looking for a target range then it's better to consider a healthy normal reference range. For Vermeulen calculated free T this is about 10-20 ng/dL. For Tru-T it's 16-31 ng/dL. Don't hold me to it, but I think I once estimated the equivalent range for this Quest dialysis test to be about 95-155 pg/mL. In any case, it's fair to say that your measurement of 150 pg/mL is plenty high and with it you would have leeway for a reduction.
 
The range does not really matter as long as free T is equal to greater than 2% of total T and Total T is above at least 450 ng/dL .

As your T goes up, so should your free T amount and percent (up to a certain point). SHBG decreases with as T dose increases.

 

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TRT Hormone Predictor Widget

TRT Hormone Predictor

Predict estradiol, DHT, and free testosterone levels based on total testosterone

⚠️ Medical Disclaimer

This tool provides predictions based on statistical models and should NOT replace professional medical advice. Always consult with your healthcare provider before making any changes to your TRT protocol.

ℹ️ Input Parameters

Normal range: 300-1000 ng/dL

Predicted Hormone Levels

Enter your total testosterone value to see predictions

Results will appear here after calculation

Understanding Your Hormones

Estradiol (E2)

A form of estrogen produced from testosterone. Important for bone health, mood, and libido. Too high can cause side effects; too low can affect well-being.

DHT

Dihydrotestosterone is a potent androgen derived from testosterone. Affects hair growth, prostate health, and masculinization effects.

Free Testosterone

The biologically active form of testosterone not bound to proteins. Directly available for cellular uptake and biological effects.

Scientific Reference

Lakshman KM, Kaplan B, Travison TG, Basaria S, Knapp PE, Singh AB, LaValley MP, Mazer NA, Bhasin S. The effects of injected testosterone dose and age on the conversion of testosterone to estradiol and dihydrotestosterone in young and older men. J Clin Endocrinol Metab. 2010 Aug;95(8):3955-64.

DOI: 10.1210/jc.2010-0102 | PMID: 20534765 | PMCID: PMC2913038

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