Ive been in the place of this guy. When your total t is 200-300 and free t below range decision is easy,
but when your are 500-600 with free t in range well it makes you hesitate and look for a qualified opinion
Only a competent doctor who gets it may help here. After all this guy should not go on TRt based on unknown people from the internet with no authority, but we can at least guide him what options to look for.
You said it well in your first opinion here and after that this thread became crap and unnecessary fighting
He simply said your numbers look good. As in, on the surface your numbers look good. He never said your numbers look good so it can’t be that. Somehow you turned it into that and then said you wanted to smash in peoples faces?
Yep, I agree just I cannot agree they look good, but that they look normal. Good looking testosterone natural is 800-900+. I know a guy in his 30s with over 1000. His numbers look good
Guy comes here for help and leaves with no help because everyone is misinterpreting what the other person said and bickering. Awesome! Another person that wasn’t helped because of petty bickering.
Basing it strictly on numbers, you wouldn’t be considered deficient, but at the end of the day numbers have no real bearing as to how someone feels. There is no ideal number for anyone. You may only find symptom resolution at levels twice as high, or three times as high, for all we know. First step is to determine if there is anything obvious that could also be a cause of your symptoms. If the obvious are ruled out, you can try a trial of TRT and see what the outcome is. If that helps, regardless of what the numbers were, you’ll have your answer.
Thats for sure but there is a high change the combination of symptoms with these blood numbers to mean the majority of symptoms are caused by testosterone deficiency.
I dont say it is 100 percent for sure
That’s reasonable but instead you started with saying, you’re wrong, you’re a keyboard warrior, you would never say that to my face, post a pic and I want to get you in a room so I can smash your face, lol. What do you think outsiders that have no idea about TRT and hear stories about roid rage do when they come here looking for help and hear stuff like that?
I get it but do you see my point? Everyone went on and on bickering and the original poster is gone. If you could just tone it down a tad and not be so abrasive you could help so many more people.
I don’t know enough about lenono. I don’t think he is a never TRT guy. He simply said the numbers looked ok. So what? On the surface the numbers do look in the range. He never said low T is not your problem. The answer cannot always be it’s not low T but the answer cannot also not be it must be low T. The guy is 34 years old, has 4 kids, says he is working a ton and sleeping poorly. We are also in the middle of a pandemic that is wreaking havoc on people’s livelihood and well being. Should he maybe try to get a little more sleep, work a little less and reduce stress? Or just go right to T?
I’m not a no to TRT, otherwise I wouldn’t be using it. I don’t agree with over range numbers on TRT, but that’s not for this thread.
Apologies to the original poster for the way this thread turned out, the name calling in my response didn’t help. Hopefully the mods can clean it up a bit to make it More useful.
I completely get that you don’t feel anybody should have numbers above the clinical range. I get it. The problem is that we see men coming in by the droves who have all the symptoms of low testosterone but have normal numbers. They go see their doctors desperate for help and the doctors tell them their numbers are normal so they must be fine. You and I both know they aren’t fine. The doctor has no other method or solution to offer other than pharmaceutical drugs such as antidepressants or Viagra or painkillers. The same men spend years trying to find the solution to their problem. Some of them spend an extraordinary amount of money on a million different treatments that don’t work. Others just give up and accept the fact that they are getting older and that they are destined to a life feeling like crap because that’s just the way things are. When these man wind up getting on testosterone therapy, only to have all their symptoms resolved because it turns out that was the issue, you should see how some of them react. How angry and upset they get at having spent so many years feeling the way they did. How all the doctors dismissed them because their numbers looked fine. I see this probably 20 times a day at this point. I went through the exact same thing where for five years doctors told me my numbers were normal so it must be something out else yet they couldn’t tell me what the something else actually was because they didn’t know. Turns out it was all I needed to literally fix everything. So when I see someone come into a forum like this just telling people their numbers look fine and it is most likely something else all it does is bring back the hundreds, and at this point probably thousands of people who told me the exact same story and how miserable it made them.
When it comes to hormones, including thyroid, numbers don’t really dictate anything specific. They could provide hints and clues but by no means should we be relying on them to determine treatment. All I ask is that people address the obvious factors, such as sleep, stress, diet, and so on. If there are no issues with any of those you can try a trial of trt and see if it helps. There are tons of guys that try a trial of trt and it doesn’t help, and then there are a ton where it does help. If they try it for 2 months and it doesn’t do anything worse case they can stop and restart their natural production, big deal. But if it completely changes their lives within a few weeks, I would hate to think that they waited so many years to feel that way living a life of misery just because someone told them they were normal.
Spend a bit of time trying to ensure that it isn’t something else, absolutely! But don’t spend years of your life looking for a different solution without at least potentially keeping this one as a viable option because it’s very easy to determine whether or not it helps you or not. One option is a hell of a lot better than no options. Many of these men are frequently left with no options and that angers me to no end.
Western medicine has failed in its attempt to treat via lab ranges. They should treat symptoms until they resolve. If you have low t symptoms, you should consider getting therapy started ASAP.
Some folks just need more T than others. The guys gave you some good answers above. Just don’t trust doctors who follow ranges. They are lost in the world of health insurance and pharmaceuticals.
Only because you didn’t need it. You aren’t sitting in someone else’s shoes who needs 35 free t to feel normal. Or whatever they need. There are so many plausible reasons why someone needs more.
We aren’t even taking into account that lab ranges were higher ten years ago than they are today. Shit it was 24 or something when I started and one year later it was 21.