Levels of 600 per se dont mean much, I guess. How much is the free T ? Mine was 8 to 9.
But, If I had 600, I´d delay it a bit, unless I was having symptoms.
I re-call the doctor who agreed with me to run these T tests in the first place, because I understood I was an athlete, near 40, and with a bit of difficulty recovering from exercise, even if better than average.
He always said he would treat a symptom, not a low T level per se. But he advised me to go to an anti-aging clinic which is very far away.
Yes, but even my Endo said it was absolutely normal. I reckon he´s over 65 and even if very experienced, prescribing T in my case would be only if I was super skinny, white pale and with a T of 100.
Maybe we don´t need to go that far to see an issue or an issue coming. But that´s the doctors said : " it´s low, but not thaaaat low " or " What do you expect? You´re married, children, you´re almost 40 and not looking for new woman like young males… .so your brain is not stimulated to produce more T".
OK, at least we can fix that (joking)
I´m even surprised with my T (total and free) that I have morning wood a few times of the week and a regular libido. But, as I said… sometime ago I was having a lack of interest in sex among other symptoms.
That´s why i´d like to re-test. But yeah, I understand my levels will not naturally increase to good ones anymore, unless I do TRT.
My free is the same. This endo will never help you and never prescribe you T. You are wasting your time with him. You need to look for other options how to get it.
Well, just been there once. Probably won´t be there twice. That´s for sure.
I´m OK at the moment. No really bad symptoms. Waking up nicely, working normally without brain fog. Morning wood sometimes, and normal libido for a 38yr old guy.
But I just came from vacations and haven´t started my training and normal routines yet. It could just be the normal effect of resting a little and stress relief, which, are also very important factors for well being.
If I see symptoms coming or the T level going even lower, then… i have to address this differently.
Your doctor is a moron, the endocrinology guidelines state TRT can be prescribed even with a Total T 345> using good clinic judgment, you doctor is just uneducated and wouldn’t want him treating me. Treating a number of <100 is stupid.
Doctors are taught in range is normal and isn’t true when talking about testosterone because everyone is biochemically unique.
He probably still believes low T is prostate cancer friendly, he is actually causing you harm by not prescribing TRT.
The locally weighted regression showed that total testosterone levels of 440 and 480 ng/dL were associated with increased Framingham CVD riskand an increased probability of increased hsCRP, respectively. Men with sexual dysfunction (poor sexual performance, decreased morning erection, and loss of libido) had significantly greater CVD risk.
Yes, I recall him saying that elevated levels of T would be associated with prostate problems.
But who said I want them “elevated” ? I just want them to be normal !!
My prostate markers are really low from last bloodwork, so I should be just fine with my prostate.
There´s so much contradictory info in TRT medicine, that it´s hard to understand what we should or should not do. And the worse part is I will hardly see a doctor interested in follow me up in that regard. And with the proper TRT background.
He believes what he was taught, that high testosterone causes prostate cancer. You’re basically playing the doctor lottery when seeking TRT inside your health insurance network or state healthcare system.
The historical notion that increasing testosterone was responsible for prostate cancer growth was based on elegant yet limited studies from the 1940s and anecdotal case reports. Current evidence reveals that high endogenous androgen levels do not increase the risk of a prostate cancer diagnosis. Similarly, testosterone therapy in men with testosterone deficiency does not appear to increase prostate cancer risk or the likelihood of a more aggressive disease at prostate cancer diagnosis.
You should never trust your doctors blindly, especially with regards to TRT. When you visit another doctor, you need to quiz him/her about TRT, like do they believe TRT causes prostate cancer or what levels to you target, if the answer is unsatisfactory, take a walk.
Well,
I´ve done some routine checkup and my testosterone levels came like this today (test made 21/2):
Total testosterone 386,3 ng/dl (I had 271,1 / 345,8 and 283,8 from recent to oldest).
Free testosterone : 23,48 pg/ml (my previous one was 8,39 !! in 03/2018, when total was 283,8)
I had just finished a box of D-aspartic acid a few days earlier (so, I took it for 15 days more or less) and I am still finishing a box of magnesium, zinc, and a few other minerals).
Isn´t this a too drastic growth of my free T ? My Libido and energy are OK, but I don´t feel super like my teen or early 20s days. However, I get more excited about women than usual.
As mentioned, it would be nice to see full lab results. Not sure what I would make of it, except increases in total and free test are not linear. Off the top of my head, I would say a 2x times increase in total testosterone is often accompanied with a 3x increase in free, and usually explainable. For you, a ~10% total increase comes with a 200% free increase. Unusual. Makes me wonder about possible lab error.
I´m out of the Endo appointments since that only time.
These tests were requested by my “family” doctor who wanted to check me up because i´m reaching 40. So, she fully agreed to include the testosterone and see " how´s it going ".
She also included a plethora of other general health indicators/labs.
What I need to understand is the boost in the Free T that I had. Consideing that Free T is very important, I don´t understand how it went from 8 to 23 pg/ml !! My total test is still fairly low : 386ng/dl, but it is the highest of the recent two years !
Is this related to SHBG ? That hormone was not included in the test. I´d like to understand better , that´s just it.
Cheers
The endo only requested a few variables to be tested, which happened only one (1) time.
All the other previous and post routine testing I do is requested by my “family doctor” who is specialized in general healthcare. She´s not an endo. She referred me once to an Endo for a second opinion.
Among many other things i´ve tested in my system, a few of them were related to hormones.
Here´s the hormone related lab results :
As I said, my Free T was only 8 in 03/2018. I´m trying to understand the causes for improvement from 2,8% of total T to 6% of total T. Could it have been the D-aspartic Acid, Selenium, Magnesium, Zinc ? I did suplement for 15 days but that was it…nothing else, really…
That’s the best damned suggestion that I’ve heard in a long time. I need to tell my son that. He’s 31 but still, better than waiting until he’s in his 40s or 50s and not knowing what “normal” was. I sure wish the hell I knew.
I really wish someone had made me do that. I actually had bloodwork about 3 months before all this started and found out later he literally didn’t test a single sex hormone, so I have nothing to compare to. No testosterone, no thyroid, nothing. Just cholesterol and some liver stuff.
(joking)
