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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Basics & Questions
Some Advice for a New Guy, Please
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<blockquote data-quote="Vettester Chris" data-source="post: 14965" data-attributes="member: 696"><p>Keyser, from one So Cal guy to the other, welcome to EM! Glad you joined!</p><p></p><p>Great talking points noted above from Nelson and Pac!</p><p></p><p>Couple things ... On the labs for LH & FSH, the problem is that you have already been on exogenous therapy for a month now, so gonadotropin production will naturally be suppressed. The point of getting them at baseline is to determine if your testosterone deficiency (aka hypogondism) is diagnosed as primary or secondary. </p><p></p><p>My suspicion is that you were more than likely "secondary", meaning your HPTA was probably not producing sufficient amounts of LH and FSH, thus a lack of signal to the testes to produce testosterone. However, it's only speculation without the baseline labs. Not that you should put a stop on the current labs, but the anticipated results should no doubt be noted low and well under the reference range ...</p><p></p><p>With everything you have described, there's a "good" chance that some level of hypothyroidism could be evident. This could stem or contribute to other sub-related areas like the adrenals, electrolytes, and as you noted B12, which could also tie-in with iron serum, binding capacity, ferritin, and D3. Without getting too deep into a litany of all the different labs, I would suggest just getting a thorough and complete thyroid panel. The results will tell us a lot about what is or isn't going on, and used as a marker for other areas to address. If you're going to do it, get the following ...</p><p>* TSH</p><p>* T3 - Free Serum</p><p>* T4 - Free Serum</p><p>* Reverse T3</p><p>* Antibodies .. TPO, TgAb. (If they add TSI, that's OK, but the first two are musts)</p><p></p><p>The only other comment for the moment is your RBC's .. Would IMO be good to see them lower. Not sure if you know what is contributing to this? Maybe some form of inherent secondary polycythemia? I know San Diego isn't in the Alps, so I hope your medical team is addressing this? TRT will further promote RBC's to increase, so I strongly encourage to get a plan in place promptly!</p></blockquote><p></p>
[QUOTE="Vettester Chris, post: 14965, member: 696"] Keyser, from one So Cal guy to the other, welcome to EM! Glad you joined! Great talking points noted above from Nelson and Pac! Couple things ... On the labs for LH & FSH, the problem is that you have already been on exogenous therapy for a month now, so gonadotropin production will naturally be suppressed. The point of getting them at baseline is to determine if your testosterone deficiency (aka hypogondism) is diagnosed as primary or secondary. My suspicion is that you were more than likely "secondary", meaning your HPTA was probably not producing sufficient amounts of LH and FSH, thus a lack of signal to the testes to produce testosterone. However, it's only speculation without the baseline labs. Not that you should put a stop on the current labs, but the anticipated results should no doubt be noted low and well under the reference range ... With everything you have described, there's a "good" chance that some level of hypothyroidism could be evident. This could stem or contribute to other sub-related areas like the adrenals, electrolytes, and as you noted B12, which could also tie-in with iron serum, binding capacity, ferritin, and D3. Without getting too deep into a litany of all the different labs, I would suggest just getting a thorough and complete thyroid panel. The results will tell us a lot about what is or isn't going on, and used as a marker for other areas to address. If you're going to do it, get the following ... * TSH * T3 - Free Serum * T4 - Free Serum * Reverse T3 * Antibodies .. TPO, TgAb. (If they add TSI, that's OK, but the first two are musts) The only other comment for the moment is your RBC's .. Would IMO be good to see them lower. Not sure if you know what is contributing to this? Maybe some form of inherent secondary polycythemia? I know San Diego isn't in the Alps, so I hope your medical team is addressing this? TRT will further promote RBC's to increase, so I strongly encourage to get a plan in place promptly! [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Basics & Questions
Some Advice for a New Guy, Please
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