Possible low testosterone and in the military need help

I only know the relevance of Total Testosterone in ng/dl.
The rest of the blood work I only have experience in nmol/l.
 
I appreciate all the help. It looks like I'm stuck with no option for he time being. The Urologist ordered me labs for October so I have to wait until then. Being in the military has it's cons because I just can go somewhere else. Sure I could get a second opinion by the doctor that has an office right next to my current Dr. abd that will probably do nothing. I'll try to have my primary put me in for more testing, but it will probably just be Total T since they won't do anything else without the urologist. Maybe it's all in my head, but numbers don't lie. My Dr said that nobody is naturally in the 600-700s, only people on TRT, but there aren't enough studies to prove him wrong. I wish all labs posted the reference ranges by age instead of just 250-1200. So frustrated!
 
That's funny. My doc said same thing all his patients are at 10-18 nmol/l natty T. (288-520 ng/dl)
Urologists are not the place for TRT man. They mostly deal with plumbing issues. Ya shir it's nice if they can hell you out...but don't hold your breath for miracles.
My dad at 55 y.o. was 25.7 nmol/l TT. ...
That's 750 ng/dl....
Your doctor knows nothing and is trying to scape goat from treating you. They would rather you just went away and suffered in silence. Theres many docs that don't have confidence in themselves treating patients with TRT.
Waiting till October is horrible. Disgusting!
 
Thanks for this, I've ton a ton of reading about this, but being in the military I don't have many Doc options, but I've seen a Urologist, so I'm not sure if I can tell my Primary I'm unhappy and want to see an Endocrinolgist. Is my LH of 2.9 good? Also why do they only recommend morning tests? If your morning T was 700 but afternoon T was 190, you would feel great in the AM and crappy in PM! I mean maybe there is no way if can drop that low, but for someone like me, even 385 in the AM isn't below 350, but if I drop down to under 200 after 1230pm, then all afternoon I feel like crap. Unless morning T should keep you going all day, but I don't see much of that talked about, only to get it done in the AM.

Also my Doc is saying that everyone is different so the total T is just a number. 300 for him is different that 300 for me. (I feel like that is easy for him to say because I never had a baseline T taken in my 20's). Is any of that true?

I feel I might be lost until I retire in 3-4 years and can just pay for it on my own. Does anyone know how much T injections weekly along with an Estrogen blocker and possibly HCG would cost per year if you paid for it on your own with zero insurance?

I'm pretty sure if u had TT of 700 ng/dl in the A.M. you would not go down to 190 ng/dl in the afternoon. ..
Thats way too much of a crash.
 
Well I don't see either/or having stellar reviews by the general public. Look at the mess with the VA on the news.

It is a mess. We send these men and woman off to decade long wars and don't bother to prepare for their return.
 
Thats what I figured. Even if I got my total T to 600 in the morning, even if it dropped to 400 in the afternoon, I think I would feel a hell of a lot better in the evening. I'm 6'0 200 lbs. I hold most of the weight in my stomach and chest. I've always had a loose kind of look, even when I was younger. I have skinny wrists and ankles. I've worked out since I was 16 and never had the strength gains some friends did. What I've described, is that a look of someone with high estradiol (Estrogen)? I asked the same worthless Dr. and he pointed to hemoglobin or some other number that said I should be ok. He wouldn't test my estrogen level. I plan on going to just get it done myself through Private MD Labs, it's like $65 and they will do Total T, Estradiol, LH, and a blood count a ********* profile. It's through LabCorp which I saw was certified by CDC. Any thoughts on any of that?
 
do it. However, you need fsh, lh and prolactin as well if you haven't started trt.

actually I think the female panel has fsh and lh...
 
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Ya alot of docs wont test for Estradiol. If they do and the test result comes back High....they have nothing they can treat it with that is "on label" FDA approved. Nor do many have the experience or confidence treating it. Hence they avoid it.
 
BDTMD

I've had endos flip out after they heard I was on low dose Adex with my HRT protocol. They wrote letters to my primary saying if they took over my care...they would not prescribe it due to safety concerns etc.
 
What is considered "normal" LH levels. I see where some website say 1-15, some say 1.8-8.6. I looked at the endocrine society clinical guidelines for hypogonadism, and they say secondary hypogonadism is the result of low to low normal LH levels, but they don't define low to low normal. My Dr thinks 2.9 is normal, but in the ranges I listed I would say they are low normal. I need some research to show him, does anyone know the levels and scientific research to support? is 2.9 low or low normal?
 
2-8 is usually a standard "normal" range. 2-3would be low normal. 4-6 would be mid-mid high and so on.
Basically the higher the LH and the lower the Testosterone is not really good news. Means there is ample signal to make T but your balls can't make it....
I.e. primary hypogonadism.

Theres more stuff you can do with secondary hypogonadism if u want to keep your system running.
You are not in bad shape....
Theres guys with 4 + for LH and lower T levels than you...
they would do better on T shots. E.t.c etc
 
When I was young I did a cycle once...
Tested LH, TT after beibg off for 8 months
LH would be 3 and TT would be 580-663 ng/dl
FSH stayed low for a year at 1.....
You can still have 3's and 4's for LH and make decent T.
It all depends how healthy your balls are.
Given your numbers, age u might very well do good off HCG mono.
 
Getting labs run in the morning at a Labcorp facility. I'm going to get them done at around 8:30 to 9:00 am. I see its recommended between 7-11am, but I'm not sure how much of a difference an hour either way will make. I'm guessing tomorrow's labs will tell me how much I want to push and pursue. I'm sure the military docs won't do HCG and Clomid protocols since the meds are to treat female fertility. I was thinking of also maybe getting a stimulation test for my pituitary to see if HGH is at the proper levels also.
 
getting labs run in the morning at a labcorp facility. I'm going to get them done at around 8:30 to 9:00 am. I see its recommended between 7-11am, but i'm not sure how much of a difference an hour either way will make. I'm guessing tomorrow's labs will tell me how much i want to push and pursue. I'm sure the military docs won't do hcg and clomid protocols since the meds are to treat female fertility. I was thinking of also maybe getting a stimulation test for my pituitary to see if hgh is at the proper levels also.

6-10 a.m.
Always after a restful nights sleep.
Get Cortisol A.M. as well while you're at it.
 
I am active duty as well and have been for about 13 year. I got a referral to endo off base...This is essential. Find a good knowledgeable endocrine doc and demand a referral from your pcm. I've been on trt for over a year now and i self inject. The military has no issues with my medication protocol but if i had not gotten that referral then i likely wouldnt be on trt today.

I may have missed it, but what service are you in?
 
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I am active duty as well and have been for about 13 year. I got a referral to endo off base...This is essential. Find a good knowledgeable endocrine doc and demand a referral from your pcm. I've been on trt for over a year now and i self inject. The military has no issues with my medication protocol but if i had not gotten that referral then i likely wouldnt be on trt today.

I may have missed it, but what service are you in?

I'm in the Navy and stationed in San Diego, CA. You don't happen to know a good endo in San Diego? What service and where are you? Also I asked about seeing a Endo, my PCM said it probably wouldn't do me any good. So far I've only seen a Urologist at the Naval Hospital. Any thoughts?
 
So I got back my lab results. Any thoughts on what is going on would be helpful:

Total Testosterone 269 ng/DL Ref 349-1197 ng/DL
LH 3.1 miu/mL Ref 1.7-8.6 miu/ml
FSH 1.6 miu/ml Ref 1.5-12.4 miu/ml
Estadiol 12.7 pg/ml Ref 7.6-42.6 pg/ ml
Albumin 4.7 g/DL Ref 3.5-5.5 g/DL

Do those numbers put up any red flags?
 
So I got back my lab results. Any thoughts on what is going on would be helpful:

Total Testosterone 269 ng/DL Ref 349-1197 ng/DL
LH 3.1 miu/mL Ref 1.7-8.6 miu/ml
FSH 1.6 miu/ml Ref 1.5-12.4 miu/ml
Estadiol 12.7 pg/ml Ref 7.6-42.6 pg/ ml
Albumin 4.7 g/DL Ref 3.5-5.5 g/DL

Do those numbers put up any red flags?

You're secondary hypo since your lh and fsh are in the low normal range. Have you had other tests, like thyroid? The reason why I'm asking is because I have a friend who has low t and was ready to get on T when they checked his thyroid and saw that was screwed up. He's working on that in hopes of it bring up his t levels and alleviating his symptoms.
 
Yes I've had my thyroid checked and sleep apnea, both were normal. Is 12.7 on estradiol low? Or is it just low because T is also low? I thought 20-30 was good estrogen target
 
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