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Testosterone Replacement, Low T, HCG, & Beyond
Blood Test Discussion
There is something funny about these numbers - can anyone help me interpret them?
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<blockquote data-quote="madman" data-source="post: 201345" data-attributes="member: 13851"><p>I know it was out of your hands but this is why we should always have blood work done using the same lab, same assays (most accurate) let alone when comparing.</p><p></p><p>You are on a whopping dose of T 200 mg/week (100 mg every 3.5 days) and as you can see in the 1st set of labs although your trough TT is not absurdly high it is in the upper end almost 900s but more importantly, your trough FT would be high as your SHBG is only 23 nmol/L.</p><p></p><p>Although TT is important to know FT is what truly matters as it is the active unbound fraction of testosterone responsible for the positive effects.</p><p></p><p>The only way to know where your FT level truly sits is to have it tested using the most accurate assays such as the gold standard Equilibrium Dialysis or Ultrafiltration.</p><p></p><p>Unfortunately, you did not have your FT tested using the most accurate assays (both sets of labs)!</p><p></p><p>Your trough FT is most likely much higher than you think.</p><p></p><p>Also, you never posted one of the most critical markers RBCs/hemoglobin/hematocrit (both sets of labs)?</p><p></p><p>[URL unfurl="true"]https://testdirectory.questdiagnostics.com/test/test-detail/18944/testosterone-free?cc=MASTER[/URL]</p><p>[ATTACH=full]14280[/ATTACH]</p><p></p><p></p><p></p><p></p><p>The second set of labs:</p><p></p><p></p><p>TT 1080 ng/dL reference range (200-600 ng/dL).....seems odd?</p><p></p><p>TT 1630 ng/dL refernce range (240-950 ng/dL)</p><p></p><p></p><p>The bottom of the page states TT (LC/MS-MS).</p><p></p><p>Regardless of whether your trough TT truly sits at an absurd 1630 ng/dL or a very high 1080 ng/dL your trough FT would be very high--->absurdly high as your SHBG is only 31 nmol/L.</p><p></p><p>Again your FT was not tested using the most accurate assays (ED or UF) which is critical if you want to know where it truly sits.</p><p></p><p>My advice would be to take matters into your own hands and use Nelson's discounted labs which uses Quest and retest your TT and FT using the most accurate assays (ED or UF).</p><p></p><p>Then you can see whether your trough TT is closer to 1000 ng/dL or an absurd 1630 ng/dL.....<strong><em>let alone know where your <u>FT level truly sits</u>!</em></strong></p><p></p><p>Many men would hit an absurdly high TT/FT level when injecting a whopping dose of T (200mg/week) let alone split twice-weekly (100 mg every 3.5 days).</p><p></p><p></p><p><strong>Total Testosterone (LC/MS- No Upper Limit) and Free Testosterone</strong> <strong>(Equilibrium Dialysis) </strong></p><p>[URL unfurl="true"]https://www.discountedlabs.com/hematocrit-total-and-free-testosterone-1500-ng-dl[/URL]</p><p></p><p></p><p></p><p><strong>Testosterone,Total, LC/MS and Free (Equilibrium Ultrafiltration)</strong></p><p>[URL unfurl="true"]https://www.discountedlabs.com/testosterone-free-dialysis-and-total-ls-ms-ms[/URL]</p></blockquote><p></p>
[QUOTE="madman, post: 201345, member: 13851"] I know it was out of your hands but this is why we should always have blood work done using the same lab, same assays (most accurate) let alone when comparing. You are on a whopping dose of T 200 mg/week (100 mg every 3.5 days) and as you can see in the 1st set of labs although your trough TT is not absurdly high it is in the upper end almost 900s but more importantly, your trough FT would be high as your SHBG is only 23 nmol/L. Although TT is important to know FT is what truly matters as it is the active unbound fraction of testosterone responsible for the positive effects. The only way to know where your FT level truly sits is to have it tested using the most accurate assays such as the gold standard Equilibrium Dialysis or Ultrafiltration. Unfortunately, you did not have your FT tested using the most accurate assays (both sets of labs)! Your trough FT is most likely much higher than you think. Also, you never posted one of the most critical markers RBCs/hemoglobin/hematocrit (both sets of labs)? [URL unfurl="true"]https://testdirectory.questdiagnostics.com/test/test-detail/18944/testosterone-free?cc=MASTER[/URL] [ATTACH type="full" alt="Screenshot (4720).png"]14280[/ATTACH] The second set of labs: TT 1080 ng/dL reference range (200-600 ng/dL).....seems odd? TT 1630 ng/dL refernce range (240-950 ng/dL) The bottom of the page states TT (LC/MS-MS). Regardless of whether your trough TT truly sits at an absurd 1630 ng/dL or a very high 1080 ng/dL your trough FT would be very high--->absurdly high as your SHBG is only 31 nmol/L. Again your FT was not tested using the most accurate assays (ED or UF) which is critical if you want to know where it truly sits. My advice would be to take matters into your own hands and use Nelson's discounted labs which uses Quest and retest your TT and FT using the most accurate assays (ED or UF). Then you can see whether your trough TT is closer to 1000 ng/dL or an absurd 1630 ng/dL.....[B][I]let alone know where your [U]FT level truly sits[/U]![/I][/B] Many men would hit an absurdly high TT/FT level when injecting a whopping dose of T (200mg/week) let alone split twice-weekly (100 mg every 3.5 days). [B]Total Testosterone (LC/MS- No Upper Limit) and Free Testosterone[/B] [B](Equilibrium Dialysis) [/B] [URL unfurl="true"]https://www.discountedlabs.com/hematocrit-total-and-free-testosterone-1500-ng-dl[/URL] [B]Testosterone,Total, LC/MS and Free (Equilibrium Ultrafiltration)[/B] [URL unfurl="true"]https://www.discountedlabs.com/testosterone-free-dialysis-and-total-ls-ms-ms[/URL] [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Blood Test Discussion
There is something funny about these numbers - can anyone help me interpret them?
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