Results from blood work, can you decifer this for me.

[Ricci82]

TSH SENSITIVE:4.06
FT4:1.18
PROLACTIN:8.07
FSH:1.4
LH:3.81
TESTOSTERONE :219.5
UROBILINOGEN:0.2
ASAP GLUCOSE:108.0
CREATINE:1.5
I know this is not all that needs to be done as per the sticky i read, but thats thethe military for ya. Thanks

[xtitan1]

Ricci is there any way you can put up some reference ranges for those values?

[Ricci82]

Here are the ranges to the BW.

TSH SENSITIVE:4.06 RANGE:0.34-4.82
FT4:1.18 RANGE: 0.6-1.4
PROLACTIN:8.07 RANGE: 4.04-15.2
FSH:1.4 RANGE:1.5-12.4
LH:3.81 RANGE:1.7-8.6
TESTOSTERONE :219.5 RANGE:249-846
UROBILINOGEN:0.2 RANGE: 0-2
ASAP GLUCOSE:108.0 RANGE: 70-110
CREATINE:1.5 RANGE: 0.8-1.3

[steroid.com 1]

TSH SENSITIVE:4.06 RANGE:0.34-4.82
TSH is very elevated and suggests further Thyroid testing beyone the FT4 below. Suggests Hypothyroidism.

FT4:1.18 RANGE: 0.6-1.4
Over the reference range but need to see FT3, RT3 and antibodies to make sense of this panel.

PROLACTIN:8.07 RANGE: 4.04-15.2
Normal.

FSH:1.4 RANGE:1.5-12.4
Tanked and suggests Secondary Hypogonadism. Are you taking Testosterone now?

LH:3.81 RANGE:1.7-8.6
Low and in line with FSH.

TESTOSTERONE :219.5 RANGE:249-846
Tanked and in line with FSH again suggesting Secondary Hypogonadism.

UROBILINOGEN:0.2 RANGE: 0-2
ASAP GLUCOSE:108.0 RANGE: 70-110
CREATINE:1.5 RANGE: 0.8-1.3

You need more labs but clearly you are a candidate for TRT.

Need to know much more about you however.

[Ricci82]

I am going to try and get all the labs done that is on the sticky. Dont know if my doc will sign off on that. I was taking 5mg androderm patches but stopped because they kept falling off. 30 year old male, 5'11" 210lb. Diet is not that bad, could be better, i have a 1 month old baby so prepping a good meal is hard sometimes. I have been working out solid for the past 4 years, breaks here and there but do not have the motivation or the desire to go the gym recently.

[xtitan1]

Your initial thyroid tests indicate an issue, which means you need to re-do a more extensive thyroid panel.

TSH
Free T4
Free T3
RT3

Also GD I think you may have read his FT4 wrong, it's within reference range. He may have high RT3 or poor FT4-FT3 conversion that is causing the high TSH, but obviously we won't know until he re-does the more extensive panel.

What age are you Ricci? Are you on TRT currently or in the past? Have you ever had a pituitary MRI?

[Vettester]

Agree on the MRI possibility. For being 30, your pituitary is producing as if you were 70.

See if you can't get your doctor to refer you for a MRI, then take it from there once you get the results.

[kelkel]

^^The plane landed Vette?

[Vettester]

^^The plane landed Vette?

Well, there's one you know about that was questionable a few weeks ago.

Sorry Ricci, just friends catching up. The forum can be like family, ya know?

[HRTstudent]

Id definitely start my search for a trained expert in male HRT. Your age, thyroid, and testosterone are all cause of concern to me.

It doesn't mean you need to go on TRT necessarily, but there is definitely something(s) to be addressed.

[steroid.com 1]

His FT4 is very high and yes my error within reference range...it's still very high and could mean that he's not converting FT4 to the most important FT3 which would contribute to his problems.

Very possible for his age that he's Hypothyroid which is his reason for being Secondary Hypogonadal.

He needs to be diagnoised by a trained Physician who understands these things...

[Ricci82]

Would a ENDO be the best doc to see about this? Sounds like a Endocrinologist job to me. Should i be worried? This kinda pisses me off becuase the military doc that read me the BW said everything was fine.

[steroid.com 1]

Yes, you should be concerned; at your age this isn't right.

Find and Endo who truly understands both the Thyroid and Androgenic Hormones...a lot of Endo's play in the diabetes world and this is new stuff for many of them...good due dilligence pays off.

[kelkel]

^^Exactly. The title endo does not mean they know TRT. Case(s) in point: I initially had an endo who I soon realized I knew more than. I fired him face to face and advised him to stick to diabetes and metabolic diseases. That night he called me at home to try and defend himself (turd.)

My brother was just referred to an endo for hopefully better TRT treatment as he is being mistreated IMO (and i kinda have a clue here.) I took the liberty of calling the potential doc's office for him so he doesn't waste his time. I asked specific questions about his methodology and will he treat with T, HCG and an AI if necessary. They answered no, only gel.

Gee, what are the odds!

[HRTstudent]

Would a ENDO be the best doc to see about this? Sounds like a Endocrinologist job to me. Should i be worried? This kinda pisses me off becuase the military doc that read me the BW said everything was fine.

Typically, an endo is not your best bet. And by typically I mean 99% of the time. Endo's focus on diabetes and thyroid. Diabetes has them busier than they could ever handle, so they typically know little to nothing about TRT... ESPECIALLY when it comes to quality of life vs treating a "disease".

I would not go to an endo, but I would go to an internist or urologist, who I found out beforehand specifically knows a lot about male TRT. This is crucial to avoid further waste, frustration, and wasted energy and money.