39M - testing the waters here.
From what I see the numbers look OK? Meaning that if I decided to go down the TRT route it would not strictly be clinically necessary?
Your FT and TT are pretty reasonable, but “clinically necessary” is a loaded term.
If you feel you are experiencing Low T symptoms and want relief, go for TRT - just know you don’t “need” it according to your blood test.
If you aren’t having Low T symptoms, then I suggest leaving your natural production alone and improving your sleep, stress, and nutrition.
Your levels look fine IMO. This boils down to whether or not you’re experiencing Low T symptoms and want relief really.
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These are pretty much text book normal numbers. Don’t mess with your health seeking out something that isn’t there.
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Usually, guys going to the trouble and expense of getting labs checked are doing it for a reason. I put guys with those levels on testosterone all the time. They feel like crap, tired, gaining fat, decreased muscle mass, decreased libido, no motivation, etc. Increase testosterone, they feel good, have more energy, gain muscle, lose fat, gain strength, improve libido and sexual function.
Correct, it is not strictly clinically necessary. This is totally your call based on your desires, goals and expectations.
By the way, don’t pay (if you do pay) for the free PSA. It is not necessary given your total PSA level. Also, you do not need the more expensive estradiol test.
Good luck with your decision.
Thanks for the replies everyone. Still mulling this over. Motivation, fitness goals and libido could be better but overall borderline.
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How are your stress levels?
How’s your sleep?
Diet?
These all play a HUGE role in your natural T production. If these aren’t on point, I recommend improving them as much as possible before pulling the trigger on TRT. Your levels are completely normal, if even slightly better than average.
Dr. Mohit Khera looked at a group of 60 men, some feeling lousy at a Total T of 450 ng/dL and some feeling fantastic at 250 ng/dL.
When Dr. Mohit Khera looked at their DNA, he found a big difference in the level of activity at the androgen receptors, gene CAG repeats long/short.
Those men with long gene CAG repeats needed more testosterone to feel normal when compared to the men with a short CAG repeat.
So simply going off a single testosterone panel isn’t going to be able to determine if you have a testosterone deficiency.
A 20-35 pg/mL estrogen level is normal for adult men.
Men who are obese tend to have estrogen levels well above 35 pg/mL as do men on TRT.
TT is fine, FT is low, SHBG must be higher. I’d focus on lowering that before considering something like TRT
Ia that “cag repeat” something you can have tested ?
It’s not widely available yet.
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Would be interesting too see if my low T is not that low after all, or if my body could make good use from it. Anyway, symptoms are good indicators too.