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Testosterone Replacement, Low T, HCG, & Beyond
Blood Test Discussion
Should I consider TRT?
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<blockquote data-quote="Systemlord" data-source="post: 158669" data-attributes="member: 15832"><p>This is typical of western medicine doctors, drugs are whats in the toolbox and what there are trained to prescribe and doctors stick with what they know best.</p><p></p><p>Your TT while decent isn't the active hormone, the FT is the active portion of testosterone and the only one that matters.</p><p></p><p>Your FT using the Tru-T calculator considering your TT and SHBG levels is 17.50 (ranges 16-31) is on the lower end due in part to your slightly elevated SHBG and/or rate at which you metabolize testosterone. SHBG is a protein made in the liver, it binds testosterone.</p><p></p><p>Lowering SHBG naturally is next to impossible, sure you might lower it a little, but probably not enough and as you age SHBG increased so the time is not on your side.</p><p></p><p>In your case your SHBG is binding up of good portion of your testosterone lowering FT. Your prolactin is high and can lower testosterone, we would need to see where LH sits since it is the stimulating hormone for the testicles which then produces testosterone.</p><p></p><p>Prolactin may or may not be responsible for a decrease in testosterone, but an MRI is needed to look for prolactin releasing pituitary tumors.</p><p></p><p>It wouldn't hurt to order a thyroid panel, low thyroid hormones (fT3/high rT3) can increase prolactin.</p></blockquote><p></p>
[QUOTE="Systemlord, post: 158669, member: 15832"] This is typical of western medicine doctors, drugs are whats in the toolbox and what there are trained to prescribe and doctors stick with what they know best. Your TT while decent isn't the active hormone, the FT is the active portion of testosterone and the only one that matters. Your FT using the Tru-T calculator considering your TT and SHBG levels is 17.50 (ranges 16-31) is on the lower end due in part to your slightly elevated SHBG and/or rate at which you metabolize testosterone. SHBG is a protein made in the liver, it binds testosterone. Lowering SHBG naturally is next to impossible, sure you might lower it a little, but probably not enough and as you age SHBG increased so the time is not on your side. In your case your SHBG is binding up of good portion of your testosterone lowering FT. Your prolactin is high and can lower testosterone, we would need to see where LH sits since it is the stimulating hormone for the testicles which then produces testosterone. Prolactin may or may not be responsible for a decrease in testosterone, but an MRI is needed to look for prolactin releasing pituitary tumors. It wouldn't hurt to order a thyroid panel, low thyroid hormones (fT3/high rT3) can increase prolactin. [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Blood Test Discussion
Should I consider TRT?
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