These tests are needed for a diagnosment.
Total T
Free T
SHBG
Estradiol Sensitive (E2)
LH-Luteneizing Hormone
FSH-Folicle stimulating hormone
Prolactin
Cortisol
Thyroid Panel
CBC-complete blood count
Comprehensive Metabolic Panel
Lipid profile/panel
So your total test is pretty high for someone who isn’t on testosterone, but i’d still consider it normal, especially considering your age.
A free test level of 25ng/DL is in the upper range of normal, which means you probably have high SHBG. I’m not sure if high SHBG is a bad thing if you have high free T as well. Many men with high SHBG have low free T and therefore symptoms of androgen deficiency. You have testosterone levels most men dream of having. I would require literally about 350mg of testosterone/week to achieve your total testosterone levels (granted my free T would be higher).
Get other parameters checked like thyroid, cortisol, prolactin… Nvm systemlord already recommended which tests to get, just saw that.
As to your baseline, believe it! Some people, especially those not exposed to all the variables Today’s lifestyle has to offer, will have very high testosterone levels. In Today’s society, with all the prescription medications being dished out, sedentary lifestyles, environmental pollutants, chemical exposure, shitty diets, suppression of masculinity etc have far lower testosterone (in my opinion, I could be wrong) than what men had a long time ago. I wouldn’t be surprised if normal testosterone levels in healthy young men once all the variables were taken out turned out to be like 800-1500ng/DL (once again I could be wrong).
Also prescription meds aren’t always a bad thing, I’m not bashing doctors (being a doctor is a very respectable profession). Some people require meds to live a normal life or as close to a normal life as possible. I do think, however that certain medications such as SSRIs, statins and amphetamines are frequently prescribed in instances where they aren’t nessecary, and this can cause more harm than good (although once AGAIN I could be wrong, maybe they aren’t overprescribed, I just think they are but I’m not an expert)
The results do say 24.7 pg/ml (5.53 - 28.00).
Yesterday I got blood drawn to check e2 and SHBG. I guess my SHBG will come out very high since you’re saying that my free test is low.
Mid to end of July I’ll be seeing an Endo at which I had a full bloodwork done when I was around 17 and will ask for a new bloodwork.
Thanks for the help, still a little desperate here!
No mate, your free test isn’t low, i got confused. References ranges vary wildly but your free T is up near the top of this one, I’m saying your shbg is probably high because your total T is WAY above the reference range (however I wouldn’t consider it to be ridiculously high or anything) and your free T is upper range. Testosterone is bound to SHBG, the higher your SHBG the lower your free T but the higher your total T will be. However you seem to have an adequate supply of free testosterone. I got confused, where I live free test is measured in pmol/l. Your free test is actually pretty high. I say you have high SHBG because if your SHBG was like 30 (other factors factor in here as well) your free T, just like your total T would be quite a bit over the reference range but it isn’t. Sorry man I fucked up.
It’s alright man, you’re just trying to help!!
Then I guess the symptoms I’m experiencing will come down to be from abnormal e2 levels.
Can’t wait to get the results.
A man with high total testosterone and high SHBG can have low bioavailability and experience low T.
Even if my free test levels are in range?
In ranges doesn’t mean much if your body was designed to operate closer to high normal, these ranges had sick people captured within them who probably had low testosterone. The ranges are seriously flawed and isn’t definitive proof testosterone is normal for you.
Some men can have testosterone below 250 ng/dL have have no symptoms while others in the low 500 can have symptoms, life has more diversity than doctors believe. We aren’t a monolithic creature were everyone is the same.
So my best solution would be to go to the endo I made a full blood work when I was around 17 and compare it with a current one?
His free T is fairly high, his total T is high, what are the chances, realistically that his bioavailable T is low? @nellopastello do you have a copy of said blood work at age 17 we could have a look at?
Update:
Just got the results for e2 and SHBG.
E2 25.0 pg/ml (11 - 44)
SHBG 76 nmol/l 13.5 - 71.4
Guess it was the use of clomid that rose my shbg that high, but weird that my high free T still isn’t enough to make me feel normal.
I’ll be seeing my Endo where I had the bloodwork done when I was 17 mid to end of this month. I’ll get hold of the copy of the old one and post here as well.
Is bioavailable T and free T not the same?
Norp. Free test is testosterone that is unnattatched to anything and is free in the bloodstream. Bioavailable test is the sum of free testosterone + albumin bound testosterone. Testosterone is bound to SHBG and albumin.
You have high shbg, however your TT is still enough that despite your high SHBG your free T is in the upper quartile of the reference range. That being said it is very possible this level of free T is not where your body is meant to be, especially if you have symptoms of low T. I’m interested to see how high your levels were when you were 17.
So you’re thinking that my body is/was used to even higher free T levels than my current one?
Does SHBG levels regulate itself with time after stopping the clomid?
I’ll definitely post my old bloodwork when I get my hands on it, could help someone in the future. This is definitely a situation no one wants to experience.
Look mate I can’t give you an exact answer, I’m not a doctor. Your body SHOULD regulate itself back to homeostasis, but it may take time, as to how long I don’t know. Whether your free T levels were higher, possibly, I don’t know, you’re quite genetically gifted if that is the case.
How do you know this supplement was cut by a PH btw? And if so do you know which PH, are we talking like a DHEA variant like (1-androsterone) or full on super harsh c-17AA designer steroid precursors like methyl 1 androstenediol (PH to M1T)
It’s just an assumption from all these symptoms that started like 2 days after I stopped using it. Also blood test showd low vit d levels, etc.
Another question is, should I keep working out? Am I still able to build muscle with SHBG this high?
Of course!! With your total and free test you should have NO problem bulking up, the SHBG doesn’t factor in here unless it’s so high your Free T is low. how fast one can bulk up varies on body type, genetics, diet and the influence of various other hormones (igf-1, GH, cortisol and a bunch of others) that have positive and negative effects.)
That being said given your age and test levels you should be able to make great gainz.
What supplement was it, some brands have been known to spike their supplements with PH’S, especially companies marketing SARMs.
I don’t believe AAS or PH use has anything to do with low vitamin D levels, CORTICOSTEROIDS are associated with vit D deficiency but I believe AAS have a positive effect on vitamin D and bone mineral density. What else was low, was LH or FSH low?
Had read a study somewhere stating that aas use can cause vit d deficiency.
Well, I had the bloodwork done after the use of clomid (around 1 month or so after stopping the use) and the levels were within range, as you can see ln the first post.
You might be confused with this study https://einstein.pure.elsevier.com/en/publications/association-of-glucocorticoid-use-and-low-25-hydroxyvitamin-d-lev-2 I’ve seen it before. It’s talking about Corticosteroids not AAS. I could be wrong though as to whether AAS cause vit D deficiency, I’ve just never heard of AAS causing a vitamin D deficiency. If your vit D is low take some, vitamin D deficiency can lower testosterone.
Look I’m not doubting your assumption, however I’m not entirely sure you took AAS. You have no outright proof you took any hormone at all other than the conclusion you came to. There’s a chance you took nothing suppressive at all.