Endo says my levels are normal and he wont treat me (Blood tests inside)

[CoolCat20]

Endo basically agreed the symptoms match with a hormone problem but said my levels are normal and he wont treat me.
He said many times my Estrogen is normal and he would be happy if he had that level and my testosterone is fine. He even said if i was to take an Aromatase inhibitor (AI) i could have bone problems?
He basically said he didnt know what to do or why i was having these problems - i kept pointing out my testosterone level is not healthy for someone of my age and its clear why im feeling these symptoms and he said my bioavalable testosterone is within the top 99% of the population so he dosent see my testosterone levels as low.

I also got the results from the blood test i last had for cortisol, test, estrogen etc..

These tests were at 9 am but i hadnt slept and had woke up at 5pm the day before... so it was basically my night time.

TSH 6.9 Miu/L (.020-6.00)

Free T4 15.9 Pmol/L (10.0-25.0)

SHBG: 16 (13-71)

Prolaction 257 (0-550)

Oestradiol (extractn) 132 pmol/L (<150)

Testosterone 8.9 nmol/L (8.0-30)


Cortisol 246 nmol/L (Random cortisol is dependent on time of sample: 0900h cortisol 150 - 600 nmol/L 2400h (midnight) cortisol <50 nmol/L)

Cortisol after short synacthen test: 495 nmol/L


Now i asked the endo if it mattered how id slept or if i did at all before i got my cortisol checked and he said no, but in the brackets next to my reading it states "Random cortisol is dependent on time of sample" does that mean my Cortisol level of 246 should really be compared within the midnight range? so under 50 - witch it isnt.

 

[cjw2021]

total test is borderline out of range low. very ugly. the synacthen test looks good. Cortisol is very finicky and is best done several times throughout the day when your circadian rhythm is on (you get a good night sleep). the combo of a high estro and low t level probably is what gives you your symptoms. SHBG looks good.

 

[MoparMuscle]

It makes a HUGE difference if you have not slept and it's done basically at your "PM". Stresslevels also affect.

 

[MonsterMedic]

Endo basically agreed the symptoms match with a hormone problem but said my levels are normal and he wont treat me.
He said many times my Estrogen is normal and he would be happy if he had that level and my testosterone is fine. He even said if i was to take an Aromatase inhibitor (AI) i could have bone problems?
He basically said he didnt know what to do or why i was having these problems - i kept pointing out my testosterone level is not healthy for someone of my age and its clear why im feeling these symptoms and he said my bioavalable testosterone is within the top 99% of the population so he dosent see my testosterone levels as low.

I also got the results from the blood test i last had for cortisol, test, estrogen etc..

These tests were at 9 am but i hadnt slept and had woke up at 5pm the day before... so it was basically my night time.

TSH 6.9 Miu/L (.020-6.00)

Free T4 15.9 Pmol/L (10.0-25.0)

SHBG: 16 (13-71)

Prolaction 257 (0-550)

Oestradiol (extractn) 132 pmol/L (<150)

Testosterone 8.9 nmol/L (8.0-30)


Cortisol 246 nmol/L (Random cortisol is dependent on time of sample: 0900h cortisol 150 - 600 nmol/L 2400h (midnight) cortisol <50 nmol/L)

Cortisol after short synacthen test: 495 nmol/L


Now i asked the endo if it mattered how id slept or if i did at all before i got my cortisol checked and he said no, but in the brackets next to my reading it states "Random cortisol is dependent on time of sample" does that mean my Cortisol level of 246 should really be compared within the midnight range? so under 50 - witch it isnt.

Get with Chip or another testosterone replacement therapy (TRT) clinic in your area. Let them have a look from here on in, your tests are borderline at best.

 

[CoolCat20]

does/can chip hook people up with AI's?

 

[jomamma007]

does/can chip hook people up with AI's?

If you're levels imply you need just and Aromatase inhibitor (AI), talk to Chip. The doctors at Maximus will analyze your blood panel and prescribe you whats needed. They do prescribe AI'.

 

[transcend2007]

CoolCat....do you have any steroid or pro hormone experience? There are a number of potential causes for low test, however, you're 19 - 6' - 220 pounds just curious.

There may be more natural ways to increase testosterone and reduce estrogen at your age. Diet and supplementation would be a good place to start.

HRT is a life long commitment. I would recommend trying anything and everything natural first.