Strange lab fluctuations...T

JimBob

Active Member
I'm 61, 6'2", 170lbs, and not on HRT.
June 2018 I ran total and free T labs. Results were 368 for total T, 8.83 for free T. My FNP said I was not a candidate for TRT due to the 368 total T.
Jan 2019, I ran the same labs. Results are 609 for total T, and 15 for freeT.

The lifestyle changes since June 2018 are losing 10-12lbs, and going on a modified Atkins diet. I have been weight training 5 days a week since July 2017. Nothing else to speak of. Are wide swings like this common in T labs? If so, what is the value of these labs, anyway? I can't say I feel any different with the higher T scores. I'm just surprised by the wide swing. Thanks.
 
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Lifestyle changes definitely will make a difference in levels. We're both labs done about the same time early morning.
 
There's still a large room for improvement in your FreeT.
That's probably why you aren't feeling much of a difference but it's good to see your numbers are improving!
You'd be a candidate with any of the top docs out there who treat partial androgen deficiencies.
 
There's still a large room for improvement in your FreeT.
That's probably why you aren't feeling much of a difference but it's good to see your numbers are improving!
You'd be a candidate with any of the top docs out there who treat partial androgen deficiencies.
Yeah, definite room for improvement. I'm testing red light therapy daily for the next 2 months to see if I can raise the free-T. That's why I had the January lab done just prior to the red light therapy. I'll do the next blood draw in 2 months.
 
That's why I thought maybe a lab error. Not that it matters, the first lab was done at the hospital; the second was at Labcorp.

It absolutely does matter, you can't compare labs side-by-side from different labs. You'd think a lab test is a lab test with no difference but they're not.
 

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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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