Some test results.

M

-Maximus-

New member
I just some test results back prior to an endocronologist appointment on thursday.

Thyroid Stimulating Hormone 1.9 mU/L (0.40-4.00)
Prolactin 9 ug/L ( < 15)
Testosterone 6 nmol/L (10.0-33.0)
Free Testosterone 23 pmol/L (60.0-130.0)
SHBG 13 nmol/L (13-71)

I had total and free testosterone tested at the end of October which resulted in:

Testosterone 7 nmol/L (5.0-25.0)
Free Testosterone 26 pmol/L (60.0-130.0)

Why would the accepted range be different in the two tests if they are sent to the same lab? only thing I can think of is if it is adjusted for time collected (Oct 2:30pm, Last week 11:30am)

I understand that there is some tests that have probably been missed but i wanted to front load the endocronoloigst with some results prior to seeing him to try and reduce timeframes. The tests dont cost me anything anyways but moreso to avoid time delays especially over the Xmas period.

Id be interested to hear from some others with smiliar levels to what they found before and after starting TRT.

I am on anti-depsressants as well so hopefully trying to incrase mood and energy levels through testosterone replacement therapy (TRT) as well as therapy etc.
 
Well, tomorrow is my appointment with the endocronologist. Does anyone have any advice on specific things to ask or discuss, or how i should approach the meeting?

If he is to prescribe Test I am going to ask him for injectable. I take enough oral medication as it is and i dont want to use creams/gels as I have two youing children. I also plan on asking him about anti-estrogen and other supporting medication. Might be a bit of a long bow to draw but no harm in asking right...
 
Not sure if anyone is actually reading this, but my endronologist appointment today was pretty much a non-event. More blood tests have been ordered testing pretty much the same things as i already have results for, plus a few more, t3,t4 etc.
He said that if they come back ok then he will get an MRI done on the Pituitry gland to rule out issues there. So more time and money to be spent to work out IF I am able to get TRT.
 
Oh, another thing he did say is that Free Testosterone figures dont realyl mean much. More important are the total Test levels as well as the SHBG.
 
The usual:
Very low labido, no energy, depression, clouded thought, some extra fat on my abdomen ( partly attributed to some other medication ). I also find it difficault to gain in the Gym. My routine does have a bit to do with that though.
My diet is fairly good but i recetly found my cholesteral is a bit elevated. It runs in my family so I will look to work on my diet a bit to lower it hopefully without the need for medication.
 
I have seen this scenario play out a a million times, you will get to the end and be lucky if you get androgel, then you will realize not only is androgel a pain in the ass, it rarely works efficiently.
 
Yeah that is what i am afraid of. It is sad that some times people arent able to legitimately acquire what they need, or what they think they need to address an issue. But I guess rules are rules for a reason. They were made up by (hopefully) smarter people than I, and hopefully for the right reasons.
 
Androgel works.. The stuff costs ,hope you have Ins. But it does work.. (my 2 cents). You really want the Test Cyp ,and it will probally be (Watson) 2,000 mg/ 10ml. Thats the best test out there.... again (my 2 cents) If you could get him to let you inject 200mg/ about every 10 days,you'll be GOOD.. He will probally start you at 200mg per 2 weeks, and you'll have to work with him from there. But even every 2 weeks,you'll fill better.. Good Luck Bro..
 
-Maximus- said:
Yeah that is what i am afraid of. It is sad that some times people arent able to legitimately acquire what they need, or what they think they need to address an issue. But I guess rules are rules for a reason. They were made up by (hopefully) smarter people than I, and hopefully for the right reasons.
Click to expand...

Well not really, the truth of the matter is the medical community as a whole is way behind on testosterone replacement. This is because of Charles Huggins, who in 1938 organized a study and the conclusion was that testosterone causes and increases your risk of prostate cancer. Well In 2001 ( I think) Dr Morgentaler from the University of Harvard presented Morgentaler's Paradigm which raised the question that testosterone may not be responsible for prostate cancer but on top of that, healthy levels may also prevent it.

Morgentaler argued that the control in Huggin's study was invalid, and then turned around and did 4 small scale studies showing that testosterone injections in men with stage 2-3 prostate cancer actually slowed or stalled the progression.

Recently large scale studies have surfaced that back his claims.

So now there is a huge backlash, the medical community in large part is very behind on the subject and now they are seeing overwhelming amounts of clinical trials showing that optimal levels of testosterone actually decrease your risk of developing things like CVD and Diabetes.

So the people making the rules "doctor's" (which by the way the rules are not clear at all, and there are not many) actually are clueless about this entire situation. They do not understand testosterone replacement therapy (TRT) and the real risk's and benefits because they have no experience treating it. They are very cautious because of liability reason's, and because they have no experience. So they always start with androgel because they think it is safer. This is simply because the patient would have a hard time taking too much androgel, it would be extremely hard to put your levels out of range with it, so the physician is in control, but if it does not rectify symptoms there is no point. They are afraid if they prescribe injections that the patient will take too much. Meanwhile they have no problem doling out high amounts of antidepressants, physicians as a whole have a long history of overprescribing. A couple years ago in the month of January more men in service died overseas from suicide than in combat, and we have never medicated them more heavily with Anti-D. If testosterone replacement therapy (TRT) is so dangerous, where are the bodies? Did you know that high hemoglobin from testosterone replacement therapy (TRT) causing a heart attack or stroke has never been shown in the clinical setting?

Then to talk about Human Chorionic Gonadotropin (HCG) or aromatase inhibitor with them? Most will immediately think you read about Human Chorionic Gonadotropin (HCG) on some diet website, and they are unfamiliar with what exactly the benefits are for men. AI's were originally designed and marketed as a breast cancer medication, so when you request to control your estrogen, they are like a deer in headlights, and most do not understand the importance of estrogen in men to begin with.

I could go on and on and on, but hopefully you get the point. One thing I have learned in my time researching testosterone replacement therapy (TRT) is that you can read until you are blue in the face, until you experience it for yourself, then you really can not understand it, so unless your Dr is on testosterone replacement therapy (TRT) himself, he most likely doesn't have a clue.
 
Last edited:
IMT staff said:
Well not really, the truth of the matter is the medical community as a whole is way behind on testosterone replacement. This is because of Charles Huggins, who in 1938 organized a study and the conclusion was that testosterone causes and increases your risk of prostate cancer. Well In 2001 ( I think) Dr Morgentaler from the University of Harvard presented Morgentaler's Paradigm which raised the question that testosterone may not be responsible for prostate cancer but on top of that, healthy levels may also prevent it.

Morgentaler argued that the control in Huggin's study was invalid, and then turned around and did 4 small scale studies showing that testosterone injections in men with stage 2-3 prostate cancer actually slowed or stalled the progression.

Recently large scale studies have surfaced that back his claims.

So now there is a huge backlash, the medical community in large part is very behind on the subject and now they are seeing overwhelming amounts of clinical trials showing that optimal levels of testosterone actually decrease your risk of developing things like CVD and Diabetes.

So the people making the rules "doctor's" (which by the way the rules are not clear at all, and there are not many) actually are clueless about this entire situation. They do not understand testosterone replacement therapy (TRT) and the real risk's and benefits because they have no experience treating it. They are very cautious because of liability reason's, and because they have no experience. So they always start with androgel because they think it is safer. This is simply because the patient would have a hard time taking too much androgel, it would be extremely hard to put your levels out of range with it, so the physician is in control, but if it does not rectify symptoms there is no point. They are afraid if they prescribe injections that the patient will take too much. Meanwhile they have no problem doling out high amounts of antidepressants, physicians as a whole have a long history of overprescribing. A couple years ago in the month of January more men in service died overseas from suicide than in combat, and we have never medicated them more heavily with Anti-D. If testosterone replacement therapy (TRT) is so dangerous, where are the bodies? Did you know that high hemoglobin from testosterone replacement therapy (TRT) causing a heart attack or stroke has never been shown in the clinical setting?

Then to talk about Human Chorionic Gonadotropin (HCG) or aromatase inhibitor with them? Most will immediately think you read about Human Chorionic Gonadotropin (HCG) on some diet website, and they are unfamiliar with what exactly the benefits are for men. AI's were originally designed and marketed as a breast cancer medication, so when you request to control your estrogen, they are like a deer in headlights, and most do not understand the importance of estrogen in men to begin with.

I could go on and on and on, but hopefully you get the point. One thing I have learned in my time researching testosterone replacement therapy (TRT) is that you can read until you are blue in the face, until you experience it for yourself, then you really can not understand it, so unless your Dr is on testosterone replacement therapy (TRT) himself, he most likely doesn't have a clue.
Click to expand...

Now if only more docs had a clue like you guys do. (Or if you guys took insurance! :P) Drives me nuts every time I read about a doctor that thinks elevated E2 does nothing or that the symptoms of low T are better treated with anti-depressants. Great post imo!
 
Great post!
I was unaware about the turn around in the prostate cancer thing, so thanks very much for that.
I didnt even mention Aromatase inhibitor (AI) with him on purpose. I was going to wait until he prescribed treatment, and even then he will probably wait a few months until more tests results come back. Im also going to push the issue with him very hard regarding injections over gel due to my lifestyle and the fact that I have two young children and dont want ANY possibility of cross contamination.
I was thinking about this last night when I went to bed. I have been tested twice now showing very similiar results. I am not going to get more tests and potentially an MRI to treat something that a lot of men probably deal with day to day. It is a pretty simple thing as far as i am concerned. Yet the patient in there before me was in the office for about 90 minutes, 30 of which was in my appointment slot. From what i gathered from overhearing waiting room conversation was that 'he' is trans-gender. Furthermore his partner is also a man. Meaning that when 'he' was a girl she was hetro, and turned gay after the sex change. Talk about confusing. I am by no way judging, each to their own but it is a funny comparison of total opposite ends of the scale.
 
-Maximus- said:
Great post!
I was unaware about the turn around in the prostate cancer thing, so thanks very much for that.
I didnt even mention Aromatase inhibitor (AI) with him on purpose. I was going to wait until he prescribed treatment, and even then he will probably wait a few months until more tests results come back. Im also going to push the issue with him very hard regarding injections over gel due to my lifestyle and the fact that I have two young children and dont want ANY possibility of cross contamination.
I was thinking about this last night when I went to bed. I have been tested twice now showing very similiar results. I am not going to get more tests and potentially an MRI to treat something that a lot of men probably deal with day to day. It is a pretty simple thing as far as i am concerned. Yet the patient in there before me was in the office for about 90 minutes, 30 of which was in my appointment slot. From what i gathered from overhearing waiting room conversation was that 'he' is trans-gender. Furthermore his partner is also a man. Meaning that when 'he' was a girl she was hetro, and turned gay after the sex change. Talk about confusing. I am by no way judging, each to their own but it is a funny comparison of total opposite ends of the scale.
Click to expand...

Don't over simplify trt. Keeping your hormones in proper balance can be challenging. Sometimes every action you take affects something else. Having a good doctor help you and the knowledge shared in forums like this can be invaluable. Be prepared to have ups and downs on your testosterone replacement therapy (TRT) journey before you find the right balance. Remember that everyone is different.
 
One of the best self-injection videos of testosterone on youtube is by a trans-gender. Blows me away at how much hormones can change a person!
 
Yeah, it is pretty scary and realyl does make you understand how some people can be born one gender but everything about them is the opposite... anyhow.. not my cup of tea but hey. more the power to them.
Will see how these test results come back. I have already asked my pharmacy ( I get free healthcare ) what they stock and can get. They both get both gels and injectables so that is good. I did ask her about Human Chorionic Gonadotropin (HCG) and supporting medication and was met with some blank looks and a comment about proper studies supporting prescriptions etc.. So we will see how that one works out. Worse comes to worse I will get that myself if results dictate I need it, which I am fully expecting they will.
 
Well after another lot of bloods to confirm levels and an MRI on my Pituitary ( all good ) I was prescribed Primosteston Testosterone Enanthate 250mg ( in 1 mL syringe ) every 3-4 weeks. I am supposed to get bloods done again in 3 weeks to determine any changes to the dosing schedule. My concern is that with such a large amount of time between injections I will bottom out before the next jab. I understand that the Enanthate is a long estered solution is will release over a longer period of time but I am keen to hear anyone elses experience with this.
I did ask him about Aromatase inhibitor (AI) as i am concerned about water retention, conversion to Estrogen etc but he did not feel it was required. I guess once I have been on for a while I will get bloods done again and see where it ends up.
 
If i get re-tested in a few weeks and levels are in the normal range would I be able to just divide whatever the dosage is over those weeks?
Is there anyone out there with similiar results to mine care to share what dose of what you are on?
 
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