Just got these tests back....My PCP tested these after having low testosterone....

[Hackamaniac]

LH munit/ml 4.7 normal range 1.7-8.6

FSH munit/ml 3.1 normal range 1.5- 12.4

Prolactin ng/ml 9.8 normal range 4.0-15.o

She said everythings normal???? I don't know anything about these tests....Any info would be appreciated!!!!

[steroid.com 1]

LH munit/ml 4.7 normal range 1.7-8.6
Lutenizing Hormone - Release from your Pitituary Gland to tell your testes to do thier thing...like produce Testosterone. You're normal.

FSH munit/ml 3.1 normal range 1.5- 12.4
Follicle Stimulating Hormone - Tells sex organs to do their thing as well and from the Pituitary gland. Low but nothing concerning IMO.

Prolactin ng/ml 9.8 normal range 4.0-15.o
Sex hormone and responsible for many things like libido. Normal as well.

She said everythings normal???? I don't know anything about these tests....Any info would be appreciated!!!!

Google will tell you everything you need to know about these sex hormones.

Why did you get these panel tested? What about all other male sex hormones? This is jut a small picture.

[bass]

Google will tell you everything you need to know.

Why did you get these panel tested? What about all other male sex hormones? This is jut a small picture.

i wondered the same thing! BTW GD, please edit your post and bold your answers. Thanks!

[zaggahamma]

guys i think he did have them tested but didnt list them

i guess he wants interpretation on just these 3 alone

hack, do you have another thread or a specific problem?

[Hackamaniac]

I had really low test .....Total and free... She put me on androgel and was trying to find out why my test is low...I just got these test results in the mail ..I see her again next week and we will go over everything........Then, I see and endo in a couple more weeks....My main problem has been fatigue.....I am so tired that i feel sick all the time....Can't think clearly and don't have drive to do much.......

[zaggahamma]

how long on the gel? feelin any better since? thats why i asked if you had another thread about your hrt

[Hackamaniac]

2 weeks on the gel this saturday......Don't really feel any different.... I was thinking about asking her if i can swith to injections, but thought I should give the gel a chance.........I did have another thread....Sorry, guess I should of added this to that one??? I'm telling you my brain isn't working....lol...

[zaggahamma]

2 weeks on the gel this saturday......Don't really feel any different.... I was thinking about asking her if i can swith to injections, but thought I should give the gel a chance.........I did have another thread....Sorry, guess I should of added this to that one??? I'm telling you my brain isn't working....lol...

i always prefer/preach yes to add to a thread UNLESS something way different...so easy to scroll up and see wassup

you know

i know where your coming from and a lot here had that same start....i've seen a lot lower fsh and lh but those figures will be goin down as you continue your trt as they are signals to produce test which you wont do anymore because your supplying it for the body...

find you old post and at least copy and paste the rest of the bloodwork and/or add the link to the thread for any other posts that might help

[bass]

I had really low test .....Total and free... She put me on androgel and was trying to find out why my test is low...I just got these test results in the mail ..I see her again next week and we will go over everything........Then, I see and endo in a couple more weeks....My main problem has been fatigue.....I am so tired that i feel sick all the time....Can't think clearly and don't have drive to do much.......

have you checked for Vitamin D and B12? you may not be absorbing the gel well enough, also been only 2 weeks, perhaps give it another 2 weeks, if not then consider injections.

[Hackamaniac]

Yes, vitamin d was low....I am taking a supplement for that......Don't know if I've been checked for B12, will look into that....Thanks for the suggestions!!! I might talk to her about injections next week.....

[steroid.com 1]

Thyroid???

Test for:
TSH
Free T4
Free T3
RT3

Hypothyroidism has many of the same sides as low testosterone .

What were your E2 levels?

I doubt you will be diagnosed Secondary Hypogonadism.

Have you ever had any injuries? Testicle injuries?

[Hackamaniac]

She said she did check for thyroid problems, but I don't see any of the tests you mentioned......She didn't test for e2....She checked my testicles and said everything was fine....I've never had any bad injuries of any sort.....I'm hoping my endo will know alot more and test for everything you've mentioned....I asked to the endo if i should stop the gel until I see her, she said do what my regular doc said to do......I just feel overwhelmed by all of this.....Thanks for all the help, I really appreciate it!!!!!

[steroid.com 1]

She said she did check for thyroid problems, but I don't see any of the tests you mentioned......She didn't test for e2....She checked my testicles and said everything was fine....I've never had any bad injuries of any sort.....I'm hoping my endo will know alot more and test for everything you've mentioned....I asked to the endo if i should stop the gel until I see her, she said do what my regular doc said to do......I just feel overwhelmed by all of this.....Thanks for all the help, I really appreciate it!!!!!

From what i can conclude your BW wasn't nearly thorough enough to make any clinical diagnosis.

Thyroid "fine" means what?

The reference ranges for TSH on most, if not all, labs is not considered accurate by many in the know. You need, at a minimum, the assays listed above.

You really need a complete and thorough BW done.

Don't be overwhelmed it will be figured out.

One word of advise if I can add; most Endo's don't understand TRT protocols for men and therefore don't know what to look for or test for. PLEASE make sure your Endo has a lot of experience in testing for and formulating TRT procotols for men. If not, you may find yourself in an even worse place. Trust me on this, it's happened to a lot of members here.

[Hackamaniac]

My endo made me stop testosterone and get retested first thing in the morning.......These are all my results..She told me my numbers weren't that bad but would start me on 50mg test cyp but won't ever mess with hcg or ai.......So i've moved on.......I have now started seeing a new doctor and she thinks i'm hypothyroid and getting another tsh test, t3, t4, tomorrow.... So if i treat my thyroid will it improve my testosterone levels ....Or will i still need trt??? Any other info is appreciated

Testosterone- 243ng/dl 300-1080
Tesosterone free 62pg/ml 47-244
Testoserone totatl 2.28ng/ml 1.93-8.36
SHGB 14nmol/l 11-80
Estradiold serum 27.25pl no ranges
TSH 2.940 Top was 4. something
Free thyroxine 1.21 no ranges
cortisol level 23.51 mcg/dl no ranges

I have alot more tests but for some reason they are missing ranges...My Creatnine and bun were out range, on the high side.....Seeing a kidney specialist in a couple of weeks...Already had an ultrasound pcp said it's normal.... I also had low iron saturation...I was under the low range....Any help is appreciated I know it's hard without some ranges, but this is what i have infront of me......

[bass]

she is another moron! is she for real? dude you levels are in the tank! look for another doctor so you can be treated properly. reading these kinds of posts lately going to clinics makes it worth the money!

[steroid.com 1]

Good on getting the thyroid checked...see my previous posts.

Thyroid may normalize when you bring back your Testosterone levels but doesn't work the other way around.

[Hackamaniac]

she is another moron! is she for real? dude you levels are in the tank! look for another doctor so you can be treated properly. reading these kinds of posts lately going to clinics makes it worth the money!

Yea, why i won't see that endo again.......BTW, i'm only 31...I've already started seeing a new doctor.....She is very open minded, she thinks i'm hypothyroid..She will treat me for my low t, but first we want to figure out why i'm low, and see why my kidneys aren't functioning properly....I just was curious if people treat there hypothroid and Test levels improve?????......If not.....I'll restart trt as soon as I talk to my kidney specialist....If news is good!!!

[bass]

what were your readings on the kidneys? and did you have kidney stones before?

[steroid.com 1]

Low testosteron levels can and will cause Hypothyroidism.

[Hackamaniac]

Yes, I asked my first two doc's if they'd check t3 or t4......Both said no not needed.....This new doc will check it and thinks it is needed....So i was listening to you...My docs just weren't listening to me...haha!! Thanks for all your help!!!

[Hackamaniac]

what were your readings on the kidneys? and did you have kidney stones before?

Never any kidney stones........ Creatnine 1.65 .6-1.2 mg/dl
BUN 22 7-18 mg/dl

[ecdysone]

Never any kidney stones........ Creatnine 1.65 .6-1.2 mg/dl
BUN 22 7-18 mg/dl

While both are obviously elevated, I wouldn't read too much into it: a lot of labs use higher ranges anyway (creat up to 1.5 and BUN up to 20) so you're within ±10% of those. Could be other reasons they are high. Typically if you have liver/kidney disorders the BUN/creat. ratio goes wacky, but yours is normal. Probably to eliminate those from your thinking is to just re-test but make sure you are well hydrated for a few days earlier and make sure you don't ingest excessive protein before the test.

[bass]

While both are obviously elevated, I wouldn't read too much into it: a lot of labs use higher ranges anyway (creat up to 1.5 and BUN up to 20) so you're within ±10% of those. Could be other reasons they are high. Typically if you have liver/kidney disorders the BUN/creat. ratio goes wacky, but yours is normal. Probably to eliminate those from your thinking is to just re-test but make sure you are well hydrated for a few days earlier and make sure you don't ingest excessive protein before the test.

i agree! drinking water will lower creatinine, also cranberry choice will do miracles for your kidneys, trust me i know! your kidneys are functioning at 80%, so i wouldn't worry about it, just keep monitoring it to make sure its not getting worse, if it stays the same then you're fine.

[Hackamaniac]

Thanks guys!!! That makes me feel alot better!!!!!

[Hackamaniac]

Just got some more bloowork back....Good news Creatnine and bun are in range...Bad new TSH High....Isulin High....Where do I go from here??? Still don't really know why my testosterone is low.....Do I go back on injections r start thyroid meds first???? Just don't know what to do next....My doctor will prescribe amour thyroid and injections whenever i'm ready.....Haven't talked about my insulin levels with her yet...Any suggestions are appreciated!!!

Test were done fasting at 8:40 in am


Insulin 20 uIU/ML no ranges....Just says high and should be less than 10-12

Cortisol 19 mcg/Dl 6-29 ug/dl

Dhea sulfate 246 mcg/dl 80- 560 mcg/dl

t4free 1.26 ng/dl .89-1.76 ng/dl

T3free 2.97 pg/ml 2.30-4.20 pg/ml low normal

TSH 4.502 miu/l .350-4.000 miu/l High

Tesosterone free 62p g/ml 47-244 pg/ml Had this tested three times...Always same and my totatl testosterone is always under 300...

Creatnine 1.3 mg/dl .4-1.5 mg/dl

Bun 17.7 no ranges for some reason says normal

Glucose 97 mg/dl 20-99 mg/dl

CI 108 meq/l 98-110 meq/l

Vit b6 21.8 ug/l 5.3-46.7 ug/l

Vitb12 625 pg/ml 211-911 pg/ml

[zaggahamma]

Symptoms bro?

[Hackamaniac]

Extremely tired all the time
Depressed feeling
Just no energy is the biggest thing
Sleep is terrible
Recovery sucks...If I do feel good enough to workout, I feel terrible and run down for several days afterward
Hungry at night
Brain fog
irritable
moody
get dizzy at times
Anxious at times
Hard to lose weight
and probably more

[zaggahamma]

If it were me i would get on a treatment plan replacing test levels and helping my thyroid
My .02

[bass]

i agree with JP! correcting testosterone will correct other hormones as well. what did you do to improve your kidney function, did you drink more water/cranberry juice?

[Vettester]

Hack, I'm jumping in a little late ... Been reading top to bottom ...

Other members comments are pretty spot-on! GD hit it on the head with the LH and FSH post. Having low T, it does lead one to speculate that you might be primary; meaning your testicles aren't producing sufficient amounts of testosterone for one reason or another. LH & FSH would usually be low if your testicles were healthy, but your testosterone numbers are low. I know there's a zillion things going on with this, the thyroid, kidneys, etc., but I would also discuss keeping an option open with a Urologist to possibly do an exam with your testicles. If your pituitary is still producing these levels of LH and FSH after being on testosterone, then that also raises some questions with the condition of the pituitary. Guess I'm saying to rule everything out (tumors, cysts and such) as much as you can. It's a little more concerning when all of this happens at 31 (and even younger as of late).

Yes, keep that discussion alive with your doc (or another doc) regarding your thyroid. At a glance it looks pretty hypothyroidism to me. Other members here have taken Armour; hopefully a few of them will chime in on any pros and cons that they've experienced with it.

[Hackamaniac]

I was on androgel for 4 weeks then injections for about another 4 weeks...I haven't been on testosterone for like seven weeks.....I had an mri three years ago...So my endo didn't think i needed another one.....My pcp examined my testicles and said no lumps or anything....I'm just confused about what to do next......I want to keep searching but I'd like to feel better also....

[Vettester]

I was on androgel for 4 weeks then injections for about another 4 weeks...I haven't been on testosterone for like seven weeks.....I had an mri three years ago...So my endo didn't think i needed another one.....My pcp examined my testicles and said no lumps or anything....I'm just confused about what to do next......I want to keep searching but I'd like to feel better also....

If you're confident in your medical team, and everything in the range of tumors or other disorders has been ruled out, then where you go next is forward. Read, and reread various threads, stickies, and Google research subjects related to the endocrine system and hypogonadism. If your doctor is ready to proceed with treatments, then start you treatment and take every step to repair yourself back to the person you once were.

From the sounds of things, you might see a HUGE difference in your well being just by getting your thyroid on the right track. That's a good starting place, see where it takes you, but just make sure you're 100% confident with the doctor who is steering the helm. Take as much control as you can, and you can do that with education. Education is found in many places, including here. We're your resources, utilize us throughout this process.

[Hackamaniac]

Thanks Jpkman, Bass, and Vetteman for your opinions.....So my understanding is all three of you would restart Trt and keep looking for problems??? I don't trust my medical team 100 percent....I've seen three different docs and only like one of them.....She doesn't know anything about hcg , but will prescibe injections and an ai if needed....All three didn't think I needed another mri though.....I might tell my new doc that i still want one.....As far as my kidneys, I didn't change anything Bass.....Hopefull Gd will chime back in as well....Would you'll be concerned about high Insulin levels???

[zaggahamma]

Thanks Jpkman, Bass, and Vetteman for your opinions.....So my understanding is all three of you would restart Trt and keep looking for problems??? I don't trust my medical team 100 percent....I've seen three different docs and only like one of them.....She doesn't know anything about hcg, but will prescibe injections and an ai if needed....All three didn't think I needed another mri though.....I might tell my new doc that i still want one.....As far as my kidneys, I didn't change anything Bass.....Hopefull Gd will chime back in as well....Would you'll be concerned about high Insulin levels???

yes, if tumor presence is ruled out i can only see good in a hormone treatment...like vette stated armour is used in hrt in conjunction with test treatment ive seen it prescribed by clinics mostly...thyroid meds have to be monitored closely..keep that in mind

[steroid.com 1]

Yo Yo Yo!!!

Hack - All you symptoms can point to BOTH low testosterone levels and hypothyroidism and if both are present the symptoms are way more pronounced the X2!

I wouldn't worry too much about insulin ...could have been just the time blood was pulled. What did previous panels say?

Your quote: "I was on androgel for 4 weeks then injections for about another 4 weeks...I haven't been on testosterone for like seven weeks"

If the above is true then you have crashed and are in the tank. Eight weeks of exogenous Testosterone will shut down or severely suppress HPTA function.

You need to get back on a complete and well thought out TRT protocol ASAP. As noted, all other levels will most likely fall into place.

Adding in some amour is not a bad idea as well.

Your Physician needs to understand TRT protocols...period. Someone who doesn't understand the need for hCG tells me she doesn't get it...so how can she read BW and prescribe the right meds?

Seek out the right help.

Is all this covered by insurance or are you paying for it?

[Hackamaniac]

Thanks GD!!! typed like you maybe it'll be easier for you'll to read...haha

I dont think i'd ever had insulin tested bfore, it was tested 8:40 am after fasting.

So far all this has been covered by insurance.

...I just found a new doc and will have to pay out of pocket to see him....I just talked to his nurse.. 225 for first visit....She said most of his patietns are on 200mg of cyp weekly, and also use arimidex .....

I asked if he would prescribe me hcg , so my testicles don't shrink and hurt....She said he probably would, but usually uses it for weight loss.....I will seem him on the 18th so hopefully everything goes well....

I found him throught life extensions.....

[Hackamaniac]

Do you guys think I'd be a canidate for Hcg therapy?? Any info is appreciated!!!

[Hackamaniac]

^ I was asking about HCG mono therapy....Didn't know if it could help me......

I talked to one of my doctors today and she said i'm insulin resistant...She wants me to start on this high protein, moderate fat, and low carb diet....Only carbs coming from fruits, vegetables,...Anyone have any experienc with this??? Would it effect my hormones much or have any impact on trt???

I finally see an hrt specialist this coming Saturday...Hope he knows what he's doing....I'm so confused with all this...Just seems like i keep finding out more and more problems ..And I feel like complete shit!!! I could sleep all day, I can hardly function......No matter how I much rest, I never feel refreshed.

[bass]

man that sucks bro, and the diet thing is crap idea, its only good to get in shape and will have little to no effect on your hormones. best to wait and see the specialist regarding hormone therapy.

[Hackamaniac]

Yeah, but she said it could keep me from becoming diabetic.....So if true that would be worth it.. She would treat me for trt but I don't think she knows what she's doing...

Looking forward to Saturday.....I found this doctor through life extensions.....I had a free phone consultation with him and he sounded legit.....He'll be the 5th doctor i've seen for hrt......

Thanks for your support Bass!