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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Basics & Questions
Should I do TRT?
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<blockquote data-quote="madman" data-source="post: 182825" data-attributes="member: 13851"><p>The biggest mistake you made was not using an accurate assay when testing your FT level.</p><p></p><p>You should have had it testing using the most accurate assay such as the gold standard Equilibrium Dialysis or Ultrafiltration (next best).</p><p></p><p>You stated your SHBG was 44 nmol/L which is far from being really high.</p><p></p><p>Sure your TT of 536 ng/dL may not be robust and with an SHBG of 44 nmol/L your FT is most likely far from optimal but doubtful it is as LOW as you seem to think.</p><p></p><p>If you truly are experiencing low-t symptoms at such levels than there is no harm in starting trt as long as you do not run into this headfirst with high expectations.</p><p></p><p>Sure it may very well work out for the best but do understand that there can be many bumps along the way and you may run into issues.</p><p></p><p>Trt is not the end all be all as other factors come into play especially having healthy thyroid/adrenals.</p><p></p><p>You are in good hands with Dr. Saya but be prepared as this may be a work in progress!</p><p></p><p>Also, be mindful about what some tout on these forums as trt being the saviour to all their miseries as some of these same individuals are running absurdly high TROUGH TT(1600+)/FT (60-80ng/dL) levels claiming they feel best when in fact they are just jacked up on T.</p><p></p><p>Although treating the symptoms is what truly matters the goal of trt is to relieve/improve low-t symptoms and improve overall well being while at the same time avoiding/minimizing any potential side-effects and keeping blood markers in a healthy range.</p><p></p><p>Even though TT is important FT is what truly matters as it is the unbound active fraction of testosterone responsible for the beneficial effects.</p><p></p><p>Achieving a healthy FT which results in improved overall well-being is what matters and highly doubtful one would ever need absurd levels to achieve such.</p></blockquote><p></p>
[QUOTE="madman, post: 182825, member: 13851"] The biggest mistake you made was not using an accurate assay when testing your FT level. You should have had it testing using the most accurate assay such as the gold standard Equilibrium Dialysis or Ultrafiltration (next best). You stated your SHBG was 44 nmol/L which is far from being really high. Sure your TT of 536 ng/dL may not be robust and with an SHBG of 44 nmol/L your FT is most likely far from optimal but doubtful it is as LOW as you seem to think. If you truly are experiencing low-t symptoms at such levels than there is no harm in starting trt as long as you do not run into this headfirst with high expectations. Sure it may very well work out for the best but do understand that there can be many bumps along the way and you may run into issues. Trt is not the end all be all as other factors come into play especially having healthy thyroid/adrenals. You are in good hands with Dr. Saya but be prepared as this may be a work in progress! Also, be mindful about what some tout on these forums as trt being the saviour to all their miseries as some of these same individuals are running absurdly high TROUGH TT(1600+)/FT (60-80ng/dL) levels claiming they feel best when in fact they are just jacked up on T. Although treating the symptoms is what truly matters the goal of trt is to relieve/improve low-t symptoms and improve overall well being while at the same time avoiding/minimizing any potential side-effects and keeping blood markers in a healthy range. Even though TT is important FT is what truly matters as it is the unbound active fraction of testosterone responsible for the beneficial effects. Achieving a healthy FT which results in improved overall well-being is what matters and highly doubtful one would ever need absurd levels to achieve such. [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Basics & Questions
Should I do TRT?
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