Help Reading My Blood Test

Hey guys n gals, I was wondering if I could have some help in deciphering my results. To clarify I am a 23 year old male who has been training for a fair few years now, I do not take hormones as of yet…

Oestradiol: 132 pmol/L
Testosterone: 14.9 nmol/L
Calc Free Testosterone: 343
DHEAS: 6.2 umol/L
SHBG: 24

All my other vitamin values came back good, I sleep well, eat clean… but my test seems low… like I said idk!

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Your numbers put your calculated Free T at 10.5 ng/dL = 2.44 %, I will add 6 weeks ago my TRT protocol resulted in a Free T at 15.1 ng/dL = 2.86% and didn’t feel well. Your Free T score is where most men start to experience symptoms.

Estrogen looks great at 35.95 pg/mL by our US measurements. If libido and erections are strong and you have plenty of energy I wouldn’t be overly concerned.

Your numbers will only look bad when symptoms are present. I’ve seen guys come in here with Total T numbers in the 250 ranges and libido and erections are stronger than ever, energy to boot.

Do you have ranges for DHEA-S?

In terms of symptoms

  • I do feel fatigued even though I get adique hours of sleep at the right times, when I wake up I feel groggy for hours.

  • I am generally a depressed person, nothing severe but pretty down always have been since I can remember.

  • My memory is shocking at times too, simple things slip my mind

  • Concentration when not in the Gym? To quote my school reports from years ago, “always distracted”.

TMI I can and do get erections multiple times a day no problem when it comes to libido.

I’ll provide all references and recommended ranges from the lab

  1. Oestradiol pmol/L (40 - 200)

  2. Testosterone nmol/L (12.0 - 32.0)

  3. Calculated Free Testosterone pmol/L (260 - 740)

  4. DHEAS umol/L (5.7 - 15.0)

  5. SHBG nmol/L (17 - 56)

The Total T numbers your showing men typically start having lowered libido first, you get any lower and you’re expecting to have erection troubles.

Your low DHEA-S is linked to your low libido, depression, fatigue, loss of strength, loss of muscle mass.

It will be tough to find a doctor to give you TRT, going private is the only way. Insurance companies require a reading below 300 ng/ng to qualify for TRT.

I would fix the low DHEA-S and see how it goes, young men should have DHEA-S close to the top of the range and you’re at the bottom.

What would be advisable to raise DHEA-S? Thank you!

50mg DHEA-S is a good starting dose, you may need a prescription from a doctor. Here in the US you can buy it almost anywhere.