Simons test results are in- dr lied and said i was normal!!

[Simon1972]

hey guys, test results are in and Dr said i was "normal" - is that your diagnosis??
i haven't had my next appointment with the "mens health doctor" i got the results faxed to me so i could review them and put together a few questions before i went in.

thanks in advance for your opinions. i hope to get my self into the optimal range soon and not settle "normal"

ive made adjustments to the results to suit conversions most of the guys are used to seeing.





DATE 19-5-2012
TEST--------------------RESULT/UNIT----RANGE

ENDOCRINOLOGY
TestosteroNE ---------12.9nmol/L--------8.0-30 (379ng/dl range 235-882ngd/L)
SHBG ------------------53nmol/L----------17-66 (1588ng/dl range 499-1940ngd/L)
FreeAndrogenIndex--24.3%------------ 23.3-103 (FAI=free test/sbgh)
free TEST--------------190pmol/L--------170-500
FSH---------------------3.6IU/L-----------1.0-18.0****SEEMS LOW
LH---------------4.2I/UL(1.0-12.0****SEEMS LOW ... (1.3IU/L previously wrongly reported)
PROLACTIN------------0.3UG/L-----------<20
VITAMIN D ------------63nmol/L---------->75 ***SEEMS LOW
OESTRADIOL-----------96pmol/L---------<150
CORTISOL--------------242nmol/L-------70-450
TSH---------------------1.75Miu/l---------0.35-5.50
PSA---------------------1.17UG/L---------<2.51

GENERAL CHEMISTRY
SODIUM----------------141MMOL/L-------135-145
POTASSIUM------------4.3MMOL/L-------3.7-5.3
CHLORIDE--------------102MMOL/L------95-110
BICARBONATE---------34MMOL/L--------20-32***SEEMS HIGH
UREA -------------------5.4MMOL/L--------2.5-8.0
CREATININE-----------85UMOL/L ------55-110
EGFR--------------------87Ml/min/1.73m2
T PROTEIN-------------77g/L--------------60-82
ALBUMIN---------------43g/L--------------35-50
ALP---------------------96U/L ------------30-120
BILIRUBIN-------------8UMOL/L----------<25
CCT---------------------22U/L--------------<51
AST---------------------28U/L--------------<41
ALT---------------------43U/L--------------<51

LIPID STUDIES
TOTAL CHOL-----------4nmol/L------------????
TRIGLYCERIDE---------0.9nmol/L---------<1.5
BIOCHEMISTRY
GLUCOSE---------------4.3MMOL/L--------3.0-5.4
C R P -------------------2.5MG/L------------<3.0

IRON STUDIES
IRON -------------------17.5UMOL/L--------10.0-30.0
TRASFERRIN------------2.34G/L-------------2.10-3.80
SATURATION-----------30%-----------------16-60
FERRITIN----------------165UG/L------------20-300

HAEMOTOLOGY
HAEMOGLOBIN---------144g/L--------------130-180
RBC----------------------4.79??-------------4.50-6.50**SEEMS LOW
PCV----------------------0.44??--------------0.40-0.55**SEEMS LOW
MCV---------------------91Fl-------------------80-99
MCH---------------------30.1pg--------------27.0-32.0
WCC---------------------12.5%----------------11.0-15.0
RDW---------------------5.9??------------------4.0-11.0**SEEMS LOW
NEUTROPHILIS---------3.2??------------------2.0-8.0***SEEMS LOW
LYMPHOCYTES----------2.1??------------------1.0-4.0
MONOCYTES------------0.4??-------------------<1.1
EOSINOPHILS-----------0.1??-------------------<0.6
BASOPHILS--------------0.1??------------------<0.3
PLATELETS--------------252??----------------150-450

[DanMan250]

Your doctor is a dickhead. I'll send u a PM

[GotNoBlueMilk]

You are in the bottom quartile, but technically you are not below the low end of the range. Depending on what doc you go to, he will consider you low or not low. Unfortunately, most will say not low.

Your low LH is your problem. You would probably benefit from HCG mono therapy and Clomid therapy. I'm not a fan of either as a solution, but that is your decision to make.

[bass]

SHBG, high, you could be binding, lowering SHBG can increase test levels.
FSH and LH are both low, ECD's made a good suggestion.
Vitamin D is low, i would supplement with 10,000 iu ed.
OESTRADIOL, (assuming its E2) not sue what type test it is but it seems to be a little on the high range, lowering it could help raise you T levels.
PSA, mid range, just keep an eye on it.

i agree, your doc doesn't understand how to treat you, so he is a loon for saying you're okay, he should send you to a specialist to see why your LH and FSH are low.

[SEOINAGE]

Did you tell him you thought you had a problem or explain symptoms? I know my first blood test doc said everything was fine, other than lower dietary fat and exercise more lol, and that was when I was 6 days a week, weights and cardio, and intense stuff. But I also didn't tell him I had a problem, just that I wanted to check where I was at. Was hoping I was a lot higher, so now I'm on trt, had symptoms and junk but didn't want to think that was it. Went to a diff doc though, which you might need, although I'm on my third doc and its great. Try to find someone that knows his stuff, regular endocrinolgists usually dont.

[Simon1972]

SHBG, high, you could be binding, lowering SHBG can increase test levels. how can i do this?
FSH and LH are both low, ECD's made a good suggestion i dont understand ECD's-what is ecd's?
Vitamin D is low, i would supplement with 10,000 iu ed.- about to get some from the chemist
OESTRADIOL, (assuming its E2) not sue what type test it is but it seems to be a little on the high range, lowering it could help raise you T levels. Would you suggest clomid /nolvadex therapy?
PSA, mid range, just keep an eye on it.

i agree, your doc doesn't understand how to treat you, so he is a loon for saying you're okay, he should send you to a specialist to see why your LH and FSH are low.

Thanks bass, can you advise on the above points- i looked up low FSH and LH and a cause was pituatry tumor- kinda got me flipping out- reading up about it as we speak- doctors not requiring me back to discuss these results has shaken my trust in them.

[DanMan250]

Did you get my PMs Simon?

[Simon1972]

hey dan just checked your email sorry about that! thanks for the advice- im trying to get a list together and make a few calls on drs in melbourne who can help Dr crisler seems like a good option to pm. i spoke to a doctor here that charges a consult fee and then $25 a week for testosterone treatment- but its not covered by health insurance- ends up being $1300 a year, not too bad- but i wanted to get my GP to take a look at my fsh and LH to make sure everything was 100% on point, before i go down that road.

im really worried as to the reasons for the low fsh and Lh levels- needed advice on the causes and guidence so i can convince my doc to look deeper.

[DanMan250]

99.9% of GPs are a total waste of time for treating male hormone problems. Even if you have the T levels of a 80 year old man, they will tell you you're ok. You need to see an anti-aging doc like Dr H or a TRT specialist like Dr Z. Dr Z would probably be cheaper than Dr H. Both of them should prescribe HCG which judging by your low LH you need! Your LH could just have declined naturally with age. I know mine has and I was really helped by HCG. Don't listen to someone who says they will put you on a test cream/gel with no HCG because your balls are working and you want them to keep working!

[Simon1972]

declining with age is one thing, im 39 so im guessing its something to do with pituatry, is HCg a temporary therapy? as in for a period of months , should i expect my lh and fsh levels to come back on their own after HCG?

how about shbg?- will that drop with HCG or is there another therapy for that as well? sorry about all the questions guys- these test results have spooked me its different when they are your own, and they are this low and i have never even tried AAS before.

my plan was to see an endocrinologist- get any underlying issues treated, before i go to a trt specialist or anti aging clinic- im not sure if a trt specialist would do any more than just trt

i appreciate all the comments please keep them coming- its helping me get my head around whats going on- my anxiety levels are thru the roof over this.

[DanMan250]

Endocrinologists = COMPLETE WASTE OF TIME! Seriously, they are in the dark ages when it comes to treating male hormone issues. Trust me, they will tell you you're fine and give you a bill for several hundred dollars. HCG will not boost your LH and FSH. It acts like LH so will boost your T levels. Your natural LH will be suppressed further while using HCG though because your pituitary will see no need to release it. HCG should lower your SHBG though. You can stimulate the hypothalamus by using clomid or nolva. These can boost LH and SHBG. Dr Crisler recommends clomid over nolva and no more than 50mg per day. The problem I found with clomid is my sex drive got worse even though it did boost my LH and test levels a bit.
Btw no need to stress out so much Simon. There are a lot folks around here who started out with much lower T levels and ended up feeling a lot better with proper treatment.

[Vettester]

Simon, your diagnosis definitely looks to be secondary hypogonadism. Although, your test serum score isn't high by any means, I'm actually surprised to see it in the 300's at all with a 1.3 LH score. Doubt it's a tumor or anything negative, but it's always suggested to run an MRI on the pituitary just to be safe.

Would really rather see a E2 sensitive assay instead to the one you provided ...

I would get with a doctor that can treat you effectively for this condition. BTW, although it's minor, the conversion on your testosterone serum is 371ng/dl. I wanted to just verify because of the LH score you provided. Just so you know, your free test % is 1.48% based on your provided SHBG and Albumin. Ideally, you would like to see this somewhere between 2% and 3%. This can be achieved by lowering your SHBG, which won't be overly difficult, but at the moment that shouldn't be the priority.

You will probably need to get with a HRT specialist, but if your endo can help then great!

[bass]

Thanks bass, can you advise on the above points- i looked up low FSH and LH and a cause was pituatry tumor- kinda got me flipping out- reading up about it as we speak- doctors not requiring me back to discuss these results has shaken my trust in them.

my clinic prescribed anavar to free up test from binding (SHBG), i am sure there are other ways, maybe some of the members can chime in on this.

oops sorry ECD! i meant member GotNoBluwMilk (GNBM)

[jamotech]

FSH and LH are both low, ECD's made a good suggestion.

Im guilty of many mistakes in posts so I shouldnt be talking, but I believe GNBM made the good suggestion, just giving credit where due bro

[Simon1972]

Simon, your diagnosis definitely looks to be secondary hypogonadism. Although, your test serum score isn't high by any means, I'm actually surprised to see it in the 300's at all with a 1.3 LH score. Doubt it's a tumor or anything negative, but it's always suggested to run an MRI on the pituitary just to be safe.

Would really rather see a E2 sensitive assay instead to the one you provided ...

I would get with a doctor that can treat you effectively for this condition. BTW, although it's minor, the conversion on your testosterone serum is 371ng/dl. I wanted to just verify because of the LH score you provided. Just so you know, your free test % is 1.48% based on your provided SHBG and Albumin. Ideally, you would like to see this somewhere between 2% and 3%. This can be achieved by lowering your SHBG, which won't be overly difficult, but at the moment that shouldn't be the priority.

You will probably need to get with a HRT specialist, but if your endo can help then great!

thanks vette, looks like i will get onto the hrt specialist asap...i will be cutting and pasting a few responses to take with me and get his take on my issues- hopefully it may fire up a different way of thinking - in australia anti aging isnt common and docs down here tend to be conditioned into thinking differently to North America

[Vettester]

thanks vette, looks like i will get onto the hrt specialist asap...i will be cutting and pasting a few responses to take with me and get his take on my issues- hopefully it may fire up a different way of thinking - in australia anti aging isnt common and docs down here tend to be conditioned into thinking differently to North America

Yeah, I hear it's not very friendly down there this type of treatment. If a person really takes a close look at this, it really doesn't make much sense. All anyone expects is just to get their hormones to be "normal." It's not all that difficult, and the rewards for a patient are life changing!! Makes you wonder what they're so afraid of?

[kelkel]

Add Vit D to lower your SHBG as well as stinging nettle root or avenacosides.

[Vettester]

Add Vit D to lower your SHBG as well as stinging nettle root or avenacosides.

Forget who it was, but someone was real bent out about using nettle root cause they didn't want it to mess with their DHT. Oh well, regardless, I'm on the same page with you for this suggestion, which IMO is the best way to go!!! Especially if the SHBG is elevated like the OP's.

[kelkel]

Vette, to your point: http://www.ncbi.nlm.nih.gov/pubmed/17509841

Just the last sentence....

And this is interesting:

http://www.lifeextensionvitamins.com/nawatocotelo.html

[Simon1972]

just got back from drs office- put her on the spot and asked about my fsh and lh levels- i asked about clomid therapy and she said "no no its for women only and it would be dangerous" she also was curious why a fsh and lh test was conducted- "they are womens hormones" she said.

it was at that stage i asked her if she had any idea about hormones at all- - at the end she was so flustered and at a loss for words- she gave me a referal for an MRI and a referal for an endo just to get me out of her office. Its scary these people actually practice medicine...

i will take up the mri to check my pituatry and chase down a specialist dr from perth ( he flies to melb monthly) with the results.

if nothing good comes from this i will just self medicate and go on a clomid binge.

[Simon1972]

sorry guys the results that i was FAXED read incorrectly , my LH levels are actually 4.2 not 1.3 as previously posted. (damn faxes!)a bit better but still on the low side-and its still worrying, so looking at running all my recovery work using UGL products . i will be relying on the knowledge and experience of the VETS on this board, a big thankyou to all the guys that have taken an interest and chimed in.
i contacted a HRT company- who seemed more interested to get me on trt and sell their own test directly to me instead of restarting my htpa - not sure if my anxiety and paranoia over this is a direct response to my E levels and lack of free test. but im trying to be as rational about this as possible.