She did mention Gilberts and that i didn’t have any jaundice, which i’ve never noticed. Guess i’ll not worry about that one.
I have no issue going private. I’d just like to get the complete picture. Would a private clinic look for the reason why or just balance the hormones? Just concerned about the potential pituitary/kidney issues.
The private doctors tend to be more informed about the risks of TRT, they know TRT doesn’t cause prostate cancer, heart attack and strokes and care about optimal levels and relieving symptoms.
Once you are checked out and there are no health problems, there are a couple of clinics in the UK, Balance My Hormones and Men’s Health Clinic. The NHS is notorious for being very bad at hormone therapies and most say it is pointless seeking treatment there.
Any kidney issues will need to be addressed in the NHS, the hormone clinics only do hormones.
If kidneys are not functioning well, you may need a diuretic to help with water retention while on TRT.
Ok, that’s really helpful thank you.
I’ll have a look at their websites.
Respectfully sir, you keep repeating the same incorrect statements, biased towards your own experience and beliefs.
The above mentioned article discusses all of the aspects mentioned by you, it is the most comprehensive review of the current understanding published in one if the highest ranking peer reviewed journals but in your general disrespect for the medical and scientific community you keep ignoring it. Or you simply dont have access to the full article and base your opinion on abstracts.
Instead of sharing your personal experience and declaring it as exactly this you go on and diagnose members based on a couple of lab values, thats inappropriate.
You show an incredible amount of passion for this topic, if somehow possible go to medical school and turn your energy into a profession. I am sure that with the basis of such an education and your passion for helping others you would make a great physician.
In respect of the member who opened this thread i will stop it right here.
He’s basing his information on experience dealing with actual people with actual problems that find corrections to their problems. I work in a sales field that uses studies to sell shit. I know first hand that you have to be very careful with them because behind the scenes there’s a lot more going on than anyone realizes. You do you but don’t discredit him. I don’t always agree with him but he knows his shit. If you have a different opinion post it and give the OP options.
From what i’ve understood so far. If the blood tests are accurate then there is likely to be an issue with the pituitary gland, which could be either damage through injury or benign tumour.
The next step is confirmation. If for example, it turned out to be a tumour then i’d have to have treatment to manage or remove it. This could result in recovery of the LH/FSH levels but also might not and that’s the point i’d need to consider TRT right?
Thanks for all the contributions 
Until now you have the results of 2 finger prick tests of which 1 shows normal T and 1 T in the lower range.
LH is secreted in pulses. Prolactin is only mildly elevated. ROC analysis demonstrated a cutoff of about 800 mIU/L for prolactinoma with 99% sensitivity and 90% specificity. However an MRI is indicated I agree.
Men per se do not need freeT in the top range to feel good. Thats an incorrect generalization.
A firm diagnosis on the basis of the results that you have sofar is simply not possible.
You do the correct thing. Get the proper blood tests and then draw the conclusions.
Yes completely agree that it is not conclusive and need to dig deeper.
Am I correct in saying (from my limited research) that although the elevated prolactin does not highlight a prolactinoma, It might indicate a non-functioning adenoma due to the possible obstruction of LH/FSH. A few articles i looked at suggested that slightly elevated prolactin can be caused by a non-functioning adenoma pressing on the pituitary stalk?
Yes correct. Thats why an MRI is indicated.
Ok, thanks very much for the feedback. Much appreciated
I couldn’t have said it better myself, I have a excellent track record for helping men find success on TRT. Your own experience can allow you to gain insight and the ability to help others, afterall you own experiences in life allows you to help others in a similar situation.
I just read that eating or drinking can lower testosterone levels by up to 30%. Is that correct?
Yes, correct.
There are two reasons why you want to standardize T measurements → blood draw in morning after overnight fasting
Interesting and thanks.
My tests (non testosterone) said must be fasted however my testosterone one says no such thing. They’re NHS. Is it possible they evaluated from a non-fasted state?
A good point and many are guilty of this. Doctors are busy, and can be flooded with new research. It’s probably not a good idea to rely heavily on the conclusions in the abstracts.
You have one test below range and one above the threshold, you need consistency if these symptoms are ever going to resolve.
I don’t think it’s unreasonable to prescribe TRT to someone who is below midange on multiple occasions and symptomatic, the problem is socialized medicine and sick care are just overly focused on the reference ranges.
The extremely low estrogen should be enough to get TRT approved because low estrogen can cause osteoporosis. If you levels are only above the threshold 50% of the time, that’s no good.
I’ve seen guys test below this threshold on three separate occasions and one test above this threshold and TRT is denied based off this one test and it’s just ridiculous to where it’s almost like a sick game where they would rather have you stay unhealthy rather than you be healthy.
Makes sense. Thanks.
It doesn’t say anything about low luteinising hormone. I suppose it says the recommendations “include”.
I’ll make sure i don’t do anything like exercise around the test just in case.
I got my NHS test results back tonight.
Serum testosterone 19.8 nmol/L (8.3 - 30.2)
Serum prolactin level 135 mIU/L (73 - 407)
The odd thing is I took a third set of medichecks fingerprick tests the morning before. They had prolactin at:
565 mU/L (86 - 324) - so moving progressively up
Can I ask, are the finger prick tests completely unreliable?
Prolactin can be elevated temporarily buy all kinds of weird shit. Like if you ejaculated the day of the test for example.
Oddly I didn’t before the high one but did before the low nhs one.