Doc Believes I Have Primary Hypogonadism

I got my endo appointment moved up to the 12th. I’m pretty sure he’ll do the rt3 test. How much would this lab cost? And from where? My resources are very low because I’ve been off work since Nov 5 17.

I recently paid $26 for fT3 and fT4 and rT3 $83. Note you need to run fT3 and rT3 together, the ratio of the two are important.

Sound good! I’m taking 200 selenium + 2mg iodine a day. I’m using Nature’s Way Kelp. Is this worth doing? Should I get the 12.5 or 50mg lodoral?

Had my lab done this morning. Quest told me they could only do E2. They said E2 sensitive was for 18 and under. Will regular E2 be okay?

Nonsense, E2 sensitive is for male testing. Regular E2 is for postmenopausal women and children. We typically ignore standard E2 testing here, you wasted your money. Quest has an E2 ultrasensitive test.

Whoever you talked to is hugely misinformed!

E2 levels in children, postmenopausal women, and men are much lower than in women of reproductive age. The increased sensitivity and specificity that are achieved by LC/MS-MS are the more appropriate choice for these clinical situations than the electrochemiluminescence immunoassay (ECLIA) method.

I really tried but they wouldn’t have it. The only other option was ultra sensitive. I ask if money was an issue they said no. She called my Dr and he told them they want sensitive. In the end they told me it’ll be regular E2 because there isn’t a code for over 18.

Is there any value in E2 regular?

Only if you are a female.

Should I call and have it canceled?

Questxl calls the test estradiol, ultra sensitive, LC/MS/MS

Test code 30289

I’m here with them now. They’re saying that one has an age on it, 18 and over. They’re having an issue because 30289 says under 18.

Go on their website. Let me try and paste it

Thanks! They some how edited it and it allowed 30289.

https://www.questdiagnostics.com/testcenter/TestDetail.action?ntc=30289&searchString=Estradiol

It says right in there for men

Idiots. They should find a new job

How silly, next time go to Labcorp.

That is really strange, something so common and it took 5 of them and 3 phone calls to figure it out.

Might just be labcorp next time. I’m sure my endo will want more test on the 12th.
Thanks again

Here are more results from recent blood work. Not sure if any of the test besides estradial matter, but maybe it does. Still waiting on a cushing’s test result.

CYTOMEGALOVIRUS ANTIBODIES (IGG,IGM)
CURRENT OVER TIME
CYTOMEGALOVIRUS ANTIBODY (IGG)

10.00 H
U/mL
U/mL Interpretation
----- --------------
<0.60 Negative
0.60-0.69 Equivocal
or = 0.70 Positive

A positive result indicates that the patient has
antibody to CMV. It does not differentiate between
an active or past infection. Show Less
CYTOMEGALOVIRUS ANTIBODY (IGM)
<30.00
AU/mL
AU/mL Interpretation
----- --------------
<30.00 No Antibody Detected … Show More
Out of Range EPSTEIN BARR VIRUS ANTIBODY PANEL
CURRENT OVER TIME
EBV VIRAL CAPSID AG (VCA) AB (IGM)
<36.00
U/mL
U/mL Interpretation


<36.00 Negative … Show More
EBV VIRAL CAPSID AG (VCA) AB (IGG)
315.00 H
U/mL See Note 1
EBV NUCLEAR AG (EBNA) AB (IGG)
25.30 H
U/mL See Note 1
INTERPRETATION:

Suggestive of a past Epstein-Barr virus infection.
In infants, a similar pattern may occur as a result
of passive maternal transfer of antibody.

IODINE, SERUM/PLASMA
CURRENT RANGEOVER TIME
IODINE, SERUM/PLASMA
73
52-109 mcg/L
This test was developed and its analytical performance
characteristics have been determined by Quest
Diagnostics Nichols Institute Chantilly, VA. It has … Show More

ESTRADIOL, ULTRASENSITIVE LC/MS/MS
CURRENT RANGEOVER TIME
ESTRADIOL, ULTRASENSITIVE LC/MS/MS
< OR = 29 pg/mL
See Note 2
14
< OR = 29

PREGNENOLONE, LC/MS/MS
CURRENT RANGEOVER TIME
PREGNENOLONE, LC/MS/MS
22-237 ng/dL
See Note 2
126
22237

LYME DISEASE AB W/REFL TO BLOT (IGG, IGM)
CURRENT OVER TIME
LYME AB SCREEN
<0.90
INDEX

Is my estrogen at a good level?

Would you still suggest this from my labs:
“60-70 twice weekly, .5mg Arimidex at injection time and HCG 250-500iu 2-3 times a week.”

You need to cut your AI dose in half, your estrogen is too low and it could have consequences later. Osteoporosis is associated with low estrogen. You need to work towards removing the AI at a later date if possible, less drugs the better.

The AI is the Arimidex?
What should my estrogen be?