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Testosterone Replacement, Low T, HCG, & Beyond
Blood Test Discussion
TRT 3 years in - Labs higher on same old dosing
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<blockquote data-quote="Plainview" data-source="post: 168870" data-attributes="member: 40021"><p><span style="font-size: 15px">Well to bring this thread full circle I received an unexpected phone call from my Dr.’s office this past monday and They called to tell me my testosterone labs came back normal. So I logged on to the portal and it appears my Dr. Ran two sets of labs for T. An immunoassay as well as an LC MS/MS comprehensive for T. I think he was only gonna run the immunoassay until the nurse came in to draw blood and I started asking her about which T test he ordered so she drew a plain red top just incase. This result was exactly what I would have expected.</span></p><p></p><p><span style="font-size: 15px">total t 971 250-1100</span></p><p><span style="font-size: 15px">Free T 144 46-224</span></p><p><span style="font-size: 15px">Bioavailable 316 110-575</span></p><p><span style="font-size: 15px">SHBG 34 10-50</span></p><p><span style="font-size: 15px">Albumin 4.8 3.6-5.1</span></p><p></p><p><span style="font-size: 15px">seems the consensus is that the lc ms/ms is the standard for testing T and the immunoassay can overestimate T. If anyone has any influence with their Dr or a say in their treatment, then I would never let them use the immunoassay method for a T lab. Of course most know that doesn’t tell the whole story anyway. So in the end my dr. Agreed to allow me to stay on my previous dose of 120mg a week rather than cut me back to 60mg every 5 days which only amounts to 84mg a week.</span></p><p><span style="font-size: 15px">My next puzzle is the fact that my SHBG went up from what has always been 15-22 to 34. Don’t know if this is good bad or otherwise but I know my free T at peak would be pretty high even at 100-120mg a week when it was lower. Now it’s just a little above the middle which theoretically could call for a dose increase if anything. I was briefly looking to see what could have changed that and it appears through one paper I found that rezveratrol can increase SHBG. Guess that results in smoother more consistent Free T levels. I would think that would be a desired effect.</span></p></blockquote><p></p>
[QUOTE="Plainview, post: 168870, member: 40021"] [SIZE=15px][FONT=Segoe UI]Well to bring this thread full circle I received an unexpected phone call from my Dr.’s office this past monday and They called to tell me my testosterone labs came back normal. So I logged on to the portal and it appears my Dr. Ran two sets of labs for T. An immunoassay as well as an LC MS/MS comprehensive for T. I think he was only gonna run the immunoassay until the nurse came in to draw blood and I started asking her about which T test he ordered so she drew a plain red top just incase. This result was exactly what I would have expected.[/FONT][/SIZE] [SIZE=15px][FONT=Segoe UI]total t 971 250-1100[/FONT][/SIZE] [SIZE=15px][FONT=Segoe UI]Free T 144 46-224[/FONT][/SIZE] [SIZE=15px][FONT=Segoe UI]Bioavailable 316 110-575[/FONT][/SIZE] [SIZE=15px][FONT=Segoe UI]SHBG 34 10-50[/FONT][/SIZE] [SIZE=15px][FONT=Segoe UI]Albumin 4.8 3.6-5.1[/FONT][/SIZE] [SIZE=15px][FONT=Segoe UI]seems the consensus is that the lc ms/ms is the standard for testing T and the immunoassay can overestimate T. If anyone has any influence with their Dr or a say in their treatment, then I would never let them use the immunoassay method for a T lab. Of course most know that doesn’t tell the whole story anyway. So in the end my dr. Agreed to allow me to stay on my previous dose of 120mg a week rather than cut me back to 60mg every 5 days which only amounts to 84mg a week.[/FONT][/SIZE] [SIZE=15px][FONT=Segoe UI]My next puzzle is the fact that my SHBG went up from what has always been 15-22 to 34. Don’t know if this is good bad or otherwise but I know my free T at peak would be pretty high even at 100-120mg a week when it was lower. Now it’s just a little above the middle which theoretically could call for a dose increase if anything. I was briefly looking to see what could have changed that and it appears through one paper I found that rezveratrol can increase SHBG. Guess that results in smoother more consistent Free T levels. I would think that would be a desired effect.[/FONT][/SIZE] [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Blood Test Discussion
TRT 3 years in - Labs higher on same old dosing
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