Help with Bloodwork. Low Testosterone or...?

They all adnormal. Even liver ALT.

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well on the new blood test the liver enzymes went back into the range. OnlyBillirubin is slightly elevated , uric acid. Doc is not worried about cholesterol because I have high HDL. Ratio of Total to HDL is 3.8

bump

My bloodwork looked very similar to yours before I started trt. I experienced many of the same side effects your dealing with now. My T was a little lower than yours. I fought it for a while. E2 is the culprit here. Only way to fix it is to raise your testosterone. It most certainly is the wrong e2 test and cant be trusted. Either way your e2 is low and you need to do something or risk osteoporosis among other things. I was about to lose my mind when my e2 was low for so long.

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how old were you when this all started, and what do you think triggered it?

Also…dont really understand how someone who never took trt, and had decent t levels at around 590ng/dl. Would have issues with low e. Is this just a rare case?? I dont really have the joint aching. Just numb genitals, dry tired eyes , low ejaculate volume, no feeling in orgasm, no morning/spontaneous erections. Never in my wildest dreams would I imagine this. I have been to two urologists, 2 endos and 2 neuros with little to no answers. I feel like someone punched me in lower right abdomen. Feeling of urine in urethra. And discomfort in right testicle.

I’ve seen it before, either he isn’t converting enough testosterone into estrogen or his liver is too good at clearing it out of his system or his Free T is low not giving him enough to convert into estrogen.

His Free T may quite low compared to his Total T, SHBG is lower so Free T should be higher.

Would like to see ranges for Free T, normally Labcorp measures pg/mL, not ng/dL.

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Truly grateful for all the help I’ve been getting. God bless you all. Here in Europe, they are not able to give me Free Testosterone in an absolute value. My last Total T came back at

Total T: 601 ng/dl.
Albumin: 54.3 ng/dl ** H (42-50)
SHBG 22.2nmol/L (16,5-55.9)

I think my Free t comes out to 12ng/dl

I am 37 now and was diagnosed in May of last year but it was going on for years before that. I just kept making up excuses for everything. My shoulders hurt so bad I couldn’t lift anything above my head and I just told myself I workout to much and I’m getting old. Hell I was seeing an orthopedic surgeon back in 2011 and he was pumping my shoulders full of cortisone back then. I dont know if it was due to low e but I’ve always had problems like that. They told me it was just inflammation. My pecker stopped working once in 2016 and 3 times in 2017 and everyone told me ā€œit happens to everyone. It’s just stressā€ so I wrote that off as well. Then out of nowhere like getting hit by a ton of bricks I woke up one day in a deep depression. I could barely contain my emotions. It went on for months and wouldnt stop or get better so i finally saw a doctor and asked for bloodwork. That’s when we figured out what was going on.

I dont know if this is what we are dealing with but aromatase enzymes are responsible for converting testosterone into estrogen. If for some reason you have low aromatase enzyme you wont have much estrogen. Could be low testosterone or low low bodyfat. Not sure really. When I injected testosterone my estrogen went up with it so there must be some aromatase enzyme in me.

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hm… it says that it only occurs in females though. If my total testosterone is slowly getting better, shouldn’t my e2 also have gone up.

Total T 601ng/dl
E2 13pg/ml

Ratio of T to E is 46.2

It doesn’t say that it only occurs in females. Virilization only affects women. This condition can certainly affect men as well. I would say yes if your testosterone is increasing than so should your e2.

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will have to get a new E2 test done soon, anything else I should have tested with that?

I would take a real close look at your thyroid while your at it.

posted thyroids above

All I see is tsh, ft4 and ft3. Your tsh alone says you have an issue at 2.5. Check rt3 and daily body temps am and pm.

Dude. I all of a sudden was very emotional, extreme anxiety , basically had a mental breakdown. Couldn’t sleep, heart paps, hot flashes , Ed. Did you get any of these too?
I ask cause I also had sporadic Ed months and year B4, then it was all the above at the same time. Lasted weeks . Cardiologist gave me Xanax which I never took before and it broke my cycle of anxiety. I dont take it now.

Absolutely. I dealt with all of the above. Sometimes when I was falling asleep I would wake up with a very rapid heart beat. I was scared I was having a heart attack. I would lay there using controlled breathing trying to get it under control then fear going back to sleep. Very strange.

Me to. Laying down going to sleep was the worst. I though I was going to have a heart attack.

I just can’t understand how all these things happened so fast I figure it would be gradual. That’s why I question by secondary hypogonadism dx

I think my t and e2 went down to a certain point then it was a sharp downhill ride.