I got my lab results and according to this site i need TRT but doc doesnt think so

[thedarkfnknight]

According to the Interpretation of free test thread on the sticky i am low on test and i carry symptoms as well but since there are no sources of the information ive quoted below he could not prescribe me testosterone . my testicles are shrunkin, have gyno, and i have a horrible looking abdominal fat, low libido, and many other symptoms. i KNOW i have a problem with testosterone.

FSH: 2 (1.5-12.4)
LH: 6 (1.7-8.6)
Free test: 14.6 (9.3-26.5)


Free Testosterone. Free testosterone blood levels should be at the high-normal of the reference range. We define high-normal range as the upper one third of the reference range. Under no circumstances should free or total testosterone be above the high end of the normal range.

What too often happens is that a standard laboratory "reference range" deceives a man (and his physician) into believing that proper hormone balance exists because the results of a free testosterone test fall within the "normal" range. The following charts show a wide range of so-called "normal" ranges of testosterone for men of various ages. While these normal ranges may reflect population "averages," the objective for most men over age 40 is to be in the upper one-third tes-tosterone range of the 21- to 29-year-old group. Based on the following reference range chart from LabCorp, this means that optimal free testosterone levels should be between 21-26.5 nanogram/dL in aging men.

Reference Intervals for Free Testosterone from LabCorp

* 20-29 years 9.3-26.5 picogram/mL
* 30-39 years 8.7-25.1 picogram/mL
* 40-49 years 6.8-21.5 picogram/mL
* 50-59 years 7.2-24.0 picogram/mL
* 60+ years 6.6-18.1 picogram/mL

An example of how this chart can be deceptive would be if a 50-year-old man presented symptoms of testosterone deficiency (depression, low energy, abdominal obesity, angina, etc.), but his blood test revealed his free testosterone to be 9 picogram/mL. His doctor might tell him he is fine because he falls within the normal "reference range." The reality may be that to achieve optimal benefits, testosterone levels should be between 21-26.5 picogram/mL. That means a man could have less than half the amount of testosterone needed to overcome symptoms of a tes-tosterone deficiency, but his doctor will not prescribe testosterone replacement because the man falls within the "average" parameters. That is why it is so important to differentiate between "average" and "optimal." Average 50-year-old men often have the symptoms of having too little testosterone . Yet since so many 50-year-old men have lower than desired testosterone levels , this is considered to be "normal" when it comes to standard laboratory reference ranges.

[bigboy67]

More importantly, you need to have your estradiol (E2) tested, it's probably a huge contributing factor

[user12345]

You have to find another doctor then. Some doctors are so stubborn. Stick with another endo if you have insurance to save money. If no insurance, then just go to an anti aging clinic. They won't turn you away.

[thedarkfnknight]

You have to find another doctor then. Some doctors are so stubborn. Stick with another endo if you have insurance to save money. If no insurance, then just go to an anti aging clinic. They won't turn you away.

I dont know because by the sound of my doctor i might get the same run around from every other physician. he pulled out some cellphone app doctors used and looked up male hypogonadism and didnt find anything i showed him in the app. he said "anyone could have wrote that" and disregarded it because it was without sources. honestly, i wouldve said the same too....... fortunately, there is an internal medicine doctor who works there too and hes been doing it for 20 years and i see him on nov 27. i really wish i could find sources to that article backed by anything because if i dont have that then it wont do any good. he mentioned that the reason why he could not give me a testosterone supplement is because he was afraid of it going a little too high and i would gain risks of enlarged heart, liver problems, etc.


EDIT: Im thinking about trying ZMA out. Anyone feel a difference while on that stuff? Do you guys think this might help my problem with testosterone?

[bigboy67]

Your doctor is an outdated dinosaur. This is all well accepted science, but the old timers are slow on the go because they didn't learn this on 1970 when they got their phd's.

Find someone else that knows what he is doing.

[bigboy67]

Oh, and anytime your doc uses an app on his phone to diagnose you, RUN!!!

[Times Roman]

Welcome dark knight!

I totally get your frustration. Unfortunately, most docs only treat clinical disease, and are not really interested in "health optimization".

I was in your shoes a few years back, and had to invent some cockamamee story about no libido and how that was impacting my relationship with my woman. This was something the doc could treat, so this is how i got my mainstream doc to get me going on trt.

You may be able to apply some of that to your situation?

Good luck!
---Roman

[thedarkfnknight]

Welcome dark knight!

I totally get your frustration. Unfortunately, most docs only treat clinical disease, and are not really interested in "health optimization".

I was in your shoes a few years back, and had to invent some cockamamee story about no libido and how that was impacting my relationship with my woman. This was something the doc could treat, so this is how i got my mainstream doc to get me going on trt.

You may be able to apply some of that to your situation?

Good luck!
---Roman

Thank you for the excellent advice. I have just gotten off the phone with an anti aging doctor's nurse and they sound like a very good staff. I hope to get trt from them.

[bass]

Thank you for the excellent advice. I have just gotten off the phone with an anti aging doctor's nurse and they sound like a very good staff. I hope to get trt from them.

excellent move, this way you don't waist time!

[bass]

Oh, and anytime your doc uses an app on his phone to diagnose you, RUN!!!

LMAO! i wonder if he called chacha!

[JohnnyVegas]

Oh, and anytime your doc uses an app on his phone to diagnose you, RUN!!!

Nah, the doc was just playing Angry Birds and PRETENDING to diagnose.

[thedarkfnknight]

http://www.lef.org/magazine/mag2010/...Members_01.htm

Guys, i just found that website (IT HAS SOURCES!)

I love you, God.

We at Life Extension suggest that men maintain their free testosterone in the range of 20 to 25 pg/mL of blood.35 Others with expertise in this area believe free testosterone as low as 15 pg/mL is adequate.36

35.Faloon W. Physician’s guide: Using blood tests to safely induce weight loss. Life Extension Magazine. 2009 Jun;15(6):42-63.

36.Turhan S, Tulunay C, Güleç S, et al. The association between androgen levels and premature coronary artery disease in men. Coron Artery Dis. 2007 May;18(3):159-62.

[JohnnyVegas]

I know you are working hard to prove that you need it, but the proof will be in the treatment. I hope the new doc gets you feeling well. Let us know your progress!

[bass]

http://www.lef.org/magazine/mag2010/...Members_01.htm

Guys, i just found that website (IT HAS SOURCES!)

I love you, God.

We at Life Extension suggest that men maintain their free testosterone in the range of 20 to 25 pg/mL of blood.35 Others with expertise in this area believe free testosterone as low as 15 pg/mL is adequate.36

35.Faloon W. Physician’s guide: Using blood tests to safely induce weight loss. Life Extension Magazine. 2009 Jun;15(6):42-63.

36.Turhan S, Tulunay C, Güleç S, et al. The association between androgen levels and premature coronary artery disease in men. Coron Artery Dis. 2007 May;18(3):159-62.

not positive about this but i don't think you can post sources or links to clinics or on-line stores!

[JohnnyVegas]

Make sure you keep reading and learning as many clinics do not have your health as their first priority. Some are high-volume sales machines that will insist on a program that includes things you don't need. Don't fall for it.

The good news is they are happy to treat you. The bad news is some are unscrupulous.

[bass]

exactly what JV said! and a standard TRT protocol is,

1. test
2. AI
3. hCG

[thedarkfnknight]

thanks for all of this advice you guys.

i went to a different doctor and he has given me the diagnosis of hypogonadism(sp?) but didnt want to prescribe the test because he didnt know much about it.

He referred me to see a urologist and i cant wait for that!

[durak]

thanks for all of this advice you guys.

i went to a different doctor and he has given me the diagnosis of hypogonadism(sp?) but didnt want to prescribe the test because he didnt know much about it.

He referred me to see a urologist and i cant wait for that!

I moved locations and had switched Drs many times.

1. The key is: google "hrt clinic" or "bioidentical hormone replacement" for your city. You are looking for real Drs not the expensive pill mills.
2. Call these Drs first and say
--- I am on hrt and just moved here. I need a dr to handle my hrt.
Or
--- I am suffering from low T and need help.
3. Ask what are the T levels the dr wants on trt...
Or
--- I am currently aiming for 750 T level (name the number) is that acceptable?
4. I currently self -inject at home. Will the Dr allow this?
Or
--- I am too busy to drive to the dr each time, may I handle the injections at home?
5. If you want throw in the need for weekly injections...none of the 2 weeks crap.
6. If you get negative answers, move to the next number.

It is your insurance money. If you don't have insurance, this is still cheaper than a steroid clinic.

You have the right to interview a Dr's practice before making an appointment. There is no need to waste time with a Dr that will not meet your medical needs.

[zaggahamma]

thanks for all of this advice you guys.

i went to a different doctor and he has given me the diagnosis of hypogonadism(sp?) but didnt want to prescribe the test because he didnt know much about it.

He referred me to see a urologist and i cant wait for that!

spelling impeccable

good luck at the uro...but i though you were all set already?