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Testosterone Replacement, Low T, HCG, & Beyond
Blood Test Discussion
What tests should I request before TRT?
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<blockquote data-quote="madman" data-source="post: 195354" data-attributes="member: 13851"><p>Here is my past test history:</p><p></p><p><strong><u>August 2015</u></strong></p><p><strong></strong></p><p><strong>Albumin - <u>4.3 g/dL</u> - Range 3.5-4.8 g/dL</strong></p><p><strong></strong></p><p><strong>Free Testosterone, LC-MS/MS - <u>119.0 pg/mL</u></strong> <strong>- Range 47.0-244.0 pg/mL</strong></p><p><strong></strong></p><p><strong>Total Testosterone - <u>781.0 ng/dL</u></strong> <strong>- Range 300.0-890.0 ng/dL</strong></p><p></p><p><em><strong>Estradiol - 42.1 pg/mL - Range 0.0-39.8 pg/mL</strong> - Saw a urologist but nothing really was done.</em></p><p></p><p></p><p>No clue where your SHBG sat and as you can see your TT is robust and your FT level is under mid-range.....mind you was tested using the calculated method which I would not rely upon and you would have needed to have your FT tested using the most accurate assays such as the gold standard Equilibrium Dialysis or Ultrafiltration (next best) to know where your FT level truly sat.</p><p></p><p>Either way, these labs are outdated!</p><p></p><p></p><p></p><p><strong><u>October 2019</u></strong></p><p><strong></strong></p><p><strong>Albumin - <u>4.0 g/dL</u></strong> - Range 3.4-5.0 g/dL</p><p></p><p><strong>Free Testosterone, LC-MS/MS - <u>162.9 pg/mL</u></strong> - Range 47.0-244.0 pg/mL</p><p></p><p><strong>Total Testosterone - <u>825.7 ng/dL</u></strong> - Range 300.0-890.0 ng/dL</p><p></p><p><strong>Estradiol - 41.0 pg/mL </strong>- Range 11.0-52.5 pg/mL</p><p></p><p></p><p>Again no clue where your SHBG sat and as you can see TT is robust and your FT is just above mid-range (far from being considered low).....mind you was tested using the calculation method and you would have needed to have it tested using the most accurate assays (ED or UF) to know where your FT level truly sat.</p><p></p><p></p><p></p><p>Next set of labs:</p><p></p><p><strong>Testosterone, Free, Calc - <u>140 pg/mL</u> Range 47-244 pg/mL</strong></p><p><strong>Percent Free Testosterone - 1.4 % - Range 1.6-2.9 %</strong></p><p><strong>Testosterone, Adult, Male - <u>983 ng/dL</u> - Range 300-890 ng/dL</strong></p><p><strong>Testosterone, Bioavailable - 407 ng/dL - Range 131-682 ng/dL</strong></p><p><strong>Sex Hormone Binding Globulin - <u>61 nmol/L</u> - Range 11-80 nmol/L</strong></p><p></p><p></p><p>Finally, you had your SHBG tested and it is on the higher end which would definitely have a big impact on binding up your T which would result in a lower FT but it still comes down to where your TT level sits and as you can clearly see your TT is very robust at almost 1000 ng/dL and FT is just below mid-range but far from being considered very low.....mind you was tested using the calculated method which I would not rely upon especially in cases of altered SHBG!</p><p></p><p>You would need to have your FT tested using the most accurate assays (ED or UF) to know where it truly sits.</p><p></p><p>Again unfortunately these labs are old and all that truly matters is where your hormones sit as of now 2/2021!</p><p></p><p></p><p></p><p></p><p><strong><u>January 2020</u></strong></p><p>Ferritin - 69.1 ng/mL - Range 30.0-490.0 ng/mL</p><p>Vitamin D, 25OH, Total - 62.3 ng/mL - Range 30.0-100.0 ng/mL</p><p></p><p>What tests should I request and my upcoming annual exam? Thoughts/concerns on my past testing history?</p><p></p><p>Thanks in advance!</p><p>----------------------</p><p></p><p></p><p></p><p></p><p>Nothing to work with here and you would need a full set of labs that includes the most accurate assays for TT/estradiol (LC/MS-MS) and FT (Equilibrium Dialysis or Ultrafiltration).</p><p></p><p>Keep in mind that thyroid/adrenal health is critical and you should get a full thyroid panel /cortisol.</p><p></p><p>Where does your body fat level sit?</p><p></p><p>I would look into using Nelsons discounted labs and get this panel which includes the most accurate assays for TT, estradiol, and <u>free testosterone.</u></p><p></p><p>[URL unfurl="true"]https://www.discountedlabs.com/catalog/product/view/id/54/s/pre-trt-male-hormone-wellness-panel/[/URL]</p><p></p><p></p><p></p><p>Again when it comes to testing FT which is critical you would need to use the most accurate assays such as the gold standard Equilibrium Dialysis or Ultrafiltration (next best) to know where your FT level truly sits.</p><p></p><p>Especially in cases of altered SHBG!</p><p></p><p>1. <a href="https://www.discountedlabs.com/hematocrit-total-and-free-testosterone-1500-ng-dl" target="_blank">Testosterone, Total and Free (NO Upper Limit) plus Hematocrit</a></p><p></p><p>2. <a href="https://www.discountedlabs.com/testosterone-free-dialysis-and-total-ls-ms-ms" target="_blank">Testosterone, Total, LC/MS and Free (Equilibrium Ultrafiltration)</a></p></blockquote><p></p>
[QUOTE="madman, post: 195354, member: 13851"] Here is my past test history: [B][U]August 2015[/U] Albumin - [U]4.3 g/dL[/U] - Range 3.5-4.8 g/dL Free Testosterone, LC-MS/MS - [U]119.0 pg/mL[/U][/B] [B]- Range 47.0-244.0 pg/mL Total Testosterone - [U]781.0 ng/dL[/U][/B] [B]- Range 300.0-890.0 ng/dL[/B] [I][B]Estradiol - 42.1 pg/mL - Range 0.0-39.8 pg/mL[/B] - Saw a urologist but nothing really was done.[/I] No clue where your SHBG sat and as you can see your TT is robust and your FT level is under mid-range.....mind you was tested using the calculated method which I would not rely upon and you would have needed to have your FT tested using the most accurate assays such as the gold standard Equilibrium Dialysis or Ultrafiltration (next best) to know where your FT level truly sat. Either way, these labs are outdated! [B][U]October 2019[/U] Albumin - [U]4.0 g/dL[/U][/B] - Range 3.4-5.0 g/dL [B]Free Testosterone, LC-MS/MS - [U]162.9 pg/mL[/U][/B] - Range 47.0-244.0 pg/mL [B]Total Testosterone - [U]825.7 ng/dL[/U][/B] - Range 300.0-890.0 ng/dL [B]Estradiol - 41.0 pg/mL [/B]- Range 11.0-52.5 pg/mL Again no clue where your SHBG sat and as you can see TT is robust and your FT is just above mid-range (far from being considered low).....mind you was tested using the calculation method and you would have needed to have it tested using the most accurate assays (ED or UF) to know where your FT level truly sat. Next set of labs: [B]Testosterone, Free, Calc - [U]140 pg/mL[/U] Range 47-244 pg/mL Percent Free Testosterone - 1.4 % - Range 1.6-2.9 % Testosterone, Adult, Male - [U]983 ng/dL[/U] - Range 300-890 ng/dL Testosterone, Bioavailable - 407 ng/dL - Range 131-682 ng/dL Sex Hormone Binding Globulin - [U]61 nmol/L[/U] - Range 11-80 nmol/L[/B] Finally, you had your SHBG tested and it is on the higher end which would definitely have a big impact on binding up your T which would result in a lower FT but it still comes down to where your TT level sits and as you can clearly see your TT is very robust at almost 1000 ng/dL and FT is just below mid-range but far from being considered very low.....mind you was tested using the calculated method which I would not rely upon especially in cases of altered SHBG! You would need to have your FT tested using the most accurate assays (ED or UF) to know where it truly sits. Again unfortunately these labs are old and all that truly matters is where your hormones sit as of now 2/2021! [B][U]January 2020[/U][/B] Ferritin - 69.1 ng/mL - Range 30.0-490.0 ng/mL Vitamin D, 25OH, Total - 62.3 ng/mL - Range 30.0-100.0 ng/mL What tests should I request and my upcoming annual exam? Thoughts/concerns on my past testing history? Thanks in advance! ---------------------- Nothing to work with here and you would need a full set of labs that includes the most accurate assays for TT/estradiol (LC/MS-MS) and FT (Equilibrium Dialysis or Ultrafiltration). Keep in mind that thyroid/adrenal health is critical and you should get a full thyroid panel /cortisol. Where does your body fat level sit? I would look into using Nelsons discounted labs and get this panel which includes the most accurate assays for TT, estradiol, and [U]free testosterone.[/U] [URL unfurl="true"]https://www.discountedlabs.com/catalog/product/view/id/54/s/pre-trt-male-hormone-wellness-panel/[/URL] Again when it comes to testing FT which is critical you would need to use the most accurate assays such as the gold standard Equilibrium Dialysis or Ultrafiltration (next best) to know where your FT level truly sits. Especially in cases of altered SHBG! 1. [URL="https://www.discountedlabs.com/hematocrit-total-and-free-testosterone-1500-ng-dl"]Testosterone, Total and Free (NO Upper Limit) plus Hematocrit[/URL] 2. [URL='https://www.discountedlabs.com/testosterone-free-dialysis-and-total-ls-ms-ms']Testosterone, Total, LC/MS and Free (Equilibrium Ultrafiltration)[/URL] [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Blood Test Discussion
What tests should I request before TRT?
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