halfwit
I like turtles.
Hey guys,
I've been on testosterone replacement therapy (TRT) for 3 years now and have been at a nice happy 700-800ng/dL total test with an in-range free test every time I get a blood test as part of my testosterone replacement therapy (TRT) regimen. This has worked beautifully with all my other results coming in at normal levels and even some on the optimal side as I've been working really hard to get as healthy as possible. What I find perplexing is that I received a phone call from my doc's office saying that they need me to come in as my bloods came back in and for some reason my TT was 908 (that's normal considering the pin was done in close proximity to the draw) but my FT was 313pg/mL! (Range of 35-155pg/mL)
I've been doing a lot of reading to see why on earth my FT would suddenly spike like this and the only thing I can think of is that my SHBG has decreased, allowing me to keep more of the test floating around in my bloodstream. I don't see any issues with this elevated value personally, but my doctor is one of those "numbers" guys that flips out when he sees that HI on a blood test. Does anyone know *why* this would happen or if perhaps I'm overlooking something? I have been getting over a doozy of a cold recently so I haven't been to the gym in a little over a week, but I doubt that would cause this...
Additional information:
Total Test: 908ng/dL (250-1100)
Free Test: 313pg/mL (35-155)
Estradiol: 29pg/mL (7.6-42.6)
SHBG: (Plan on having him order this)
CBC/RBC/Hematocrit: in range (on different report that's in the car - d'oh!)
PSA: in range
Others are all in range such as lipids/metabolic panel/etc.
Note: I am a type II diabetic and I know that insulin resistance can play into this, but I thought that it caused SHBG to elevate.
Your thoughts?
I've been on testosterone replacement therapy (TRT) for 3 years now and have been at a nice happy 700-800ng/dL total test with an in-range free test every time I get a blood test as part of my testosterone replacement therapy (TRT) regimen. This has worked beautifully with all my other results coming in at normal levels and even some on the optimal side as I've been working really hard to get as healthy as possible. What I find perplexing is that I received a phone call from my doc's office saying that they need me to come in as my bloods came back in and for some reason my TT was 908 (that's normal considering the pin was done in close proximity to the draw) but my FT was 313pg/mL! (Range of 35-155pg/mL)
I've been doing a lot of reading to see why on earth my FT would suddenly spike like this and the only thing I can think of is that my SHBG has decreased, allowing me to keep more of the test floating around in my bloodstream. I don't see any issues with this elevated value personally, but my doctor is one of those "numbers" guys that flips out when he sees that HI on a blood test. Does anyone know *why* this would happen or if perhaps I'm overlooking something? I have been getting over a doozy of a cold recently so I haven't been to the gym in a little over a week, but I doubt that would cause this...
Additional information:
Total Test: 908ng/dL (250-1100)
Free Test: 313pg/mL (35-155)
Estradiol: 29pg/mL (7.6-42.6)
SHBG: (Plan on having him order this)
CBC/RBC/Hematocrit: in range (on different report that's in the car - d'oh!)
PSA: in range
Others are all in range such as lipids/metabolic panel/etc.
Note: I am a type II diabetic and I know that insulin resistance can play into this, but I thought that it caused SHBG to elevate.
Your thoughts?
While we're starting to see more and more docs that are willing to treat hypogonadism, most of them are only doing so because of the high percentage of retirees down here, and aren't really (in my opinion) qualified to do so. The ONLY reason I'm with my doc is because he actually listens to me and is willing to order whatever tests I want based on my research. He isn't willing to handle AI's/HCG so I just "use" him for the 250mg/wk script for testosterone replacement therapy (TRT) and follow up support. 
