I don’t think he is hypo. I mean he is near top of the range.
My point is yea you can send your bloods to 3 different labs and you will get back 3 different results.
They are either near the top, in the middle, or near the bottom. There is no need for a super precise measurement.
For instance, everyone says “measure T in the morning it is highest”. TT only variates 10% throughout the entire day, so you think whether someone comes in at 330 or 300 it is a game changer?
So do this for me, give me two case examples, use both methods, then show me how a discrepancy changes the assessment?
I am not saying don’t test SHBG, I only said there is no need for us to do it. Its not important, its not valuable, kind of LH on a blood test.
I never told people not to test SHBG instead of free t. It doesn’t matter. Feel like you are moving the goal post here.
Edit: and for us it is not more expensive. It is cheaper bundled.
I said no, why would you even need to test SHBG, in the context of having free t already.
Maybe read the thread? I assumed you like to read.
Seriously so ridiculous this is what we are talking about when we have a nearly anemic patient on 210 mg of T a week.
Did you even read the case study I posted? I would LOVE to hear your thoughts on that.
@anon18050987 - I’m confused now about my recent results from Quest with converted free T being 10 points lower than the calculator.
Could my albumin be really really high and I just don’t know it?
Quest -
Calculator -
Any thoughts on these?
Then you should have no problem explaining to me how a discrepancy can make a big difference in assessment, with case examples.
Side Note: I will ask this again, I did not get a reply. IS THE PATIENT ON CREATINE, if so stop IMMEDIATELY.
That was a moment in time earlier this year. I ran that course for about 8 weeks but I didnt feel better than when on a lower dose so I am back down to 65mg twice a week. These are more current labs:
TT = 1137 (250 - 1100)
Free T = 295.6 (35 - 155)
E2 (Ultra Sens) = 65 (< = 29)
Vitamin D = 58
SHBG = 24
In regard to HCT I was low 40s before TRT:
Date Hematocrit
Range=> 40.6-51%
10/16/14 40.6
11/3/15 41.1
11/9/16 40.6
8/21/17 42.4
START OF TRT 11/2017
11/21/17 42.4
4/9/18 42.7
5/23/18 42.8
7/25/18 43.3
9/12/18 42.7
This is also since TRT:
Thanks man.
Finally 
If you are correct seems there is a good reason to have symptoms at 9ng/dl when some people advocate going above 30.
Ok lets say 30 is too much, but at least I need to double that number
But the only thing I dont understand is why Im at the top of my clinic’s ragne?
Not really it doesn’t change your assessment at all IMO. Free T goes up and down a lot. You still have good TT and your free T is not terrible.
You are a special circumstance, hard to compare you to normal cases because many of your symptoms may not be due to low T at all.
But how can 500 be decent total T when almost all people report symptom resolution above 900?
@systemlord is one of the few here who is feeling well with 600 total t bug he has very low SHBG
It doesn’t matter how you got there. I don’t know your history have you ever used AAS prior to TRT?
Your HCT should be climbing, and there is only 1 reason possible that it is not. You are destroying red blood cells about the same rate as you are making, even though you are on 210 mg of T.
Thats not normal. You can chalk it up to a blessing, but I thought you were all about science?
No prior AAS use. You could say it climbed from 40.6 to near 44.9. I dont know what a blessing is dude…its just me and my physiology. I train hard, I drink alcohol, I eat well, I sleep 7 hours a night, I control snoring, I take a fistful of supplements. AND my doctor or the 3 different endos Ive been to have never been concerned with that. I just tested HCT at 44.9 in July and I was on 55mg twice a week with a total T of 992 @ trough. Met with endo early August and he wasnt concerned.
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All this sound normal to me and your total t is not that high man, not high at all. Its high compared to my pathetic natural T…
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Well my natural T was 265 (shudder)
Well from what I’ve learnt from this forum - 500-600 is pathetic and 270 is out of question tragic but at the end we want to be optimized, is that right ?
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All this stuff is related to your kidneys is all I am saying man. Maybe you are an outlier, but I don’t buy it.
It is not a surprise to me that you tested higher on a lower dosage, as this is all related to kidney function. A higher dosage will have more impairment on the kidneys, hence destroy more cells.
This is all well known stuff guys, large doses of steroids for LONG periods really screw up your kidneys. The fistful of sups and alcohol is not helping.
The anemia case study I posted was same kind of thing, body builder, lots of supplements (they specifically note creatine seems to always be involved) which makes sense cause your stressing your kidneys more.
So we know, and have known for a long time that supra doses of T, or any steroid, is bad for your kidneys. It is not something that happens right away, it is a slow momentum building process that takes place over years. All the sudden you’re sitting there and your BP shoots up to 250/180 and you got kidney failure.
The great thing about it is if you stop steroids then your body heals itself, rather quickly. But you are now way more susceptible to these issues.
To be clear, I am not saying someone who does time on time off steroids will suffer this inevitable fate, this is the whole reason for the time on/ time off.
I have explained this 18 different ways, hopefully this time it really sticks.
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I lived like that for most of my life sir so it was all very normal to me. Looking back now I am surprised I made it this far. I can be a bit stubborn LOL
Hope after some time the say the same thing…
I dont use creatine. And how can you say the supps dont help if you dont even know what they are!
Im on a TRT dosage of 65mg twice a week and my hct is 44.9. The 210mg a week didnt buy me much so I brought the dosage back down. Are you saying that based on my history of HCT readings you feel that there is an issue with my kidneys?
