High Free low Total Test>????

[jomamma007]

results 2/5/13

Tsh 2.7 .450-4.5
T4 free 1.27 .82-1.77
Test total 270 low 348-1197
Free 4.2 low 9.3-26.5
Prolactin 10.6 4-15.2
Estrogen total 43 40-115
SHBG 59.9 high 16.5-55.9



Results 3/1/13

SHBG 67.5 high 16.5-55.9
Cortisol 7.4 2.3-19.4
Prolactin 12.2 4.0-15.2
Tsh 1.530 .450-4.5
T4 free 1.63 .82-1.77
Estrogen total 80 40-115
Vitamin D 25-hydroxy 50 30-100
Testosterone total 381, 348-1197
Free 26.8 High, 9.3-26.5
Estradiol 24.8, 7.6-42.6



My main symptom right now is lethargy . How can my free test be so high while my shbg is high and total test is low. I had a feast the day before (10k cals) as well as had sex if that has any input.

[BallSak]

Lab error. Your lethargy is confirmed with those lab numbers. Your cortisol, if that is AM, should be 2-2.5 times higher. Free Testosterone (4.2) should be 5-6 times higher. Your vit-D and FT4 are the only decent numbers. You've got some work to do!

[jomamma007]

Lab error. Your lethargy is confirmed with those lab numbers. Your cortisol, if that is AM, should be 2-2.5 times higher. Free Testosterone (4.2) should be 5-6 times higher. Your vit-D and FT4 are the only decent numbers. You've got some work to do!

results taken at 2:30pm. How am I to be sure it was a lab error?

[HRTstudent]

Lethargy is complicated, and not always related to testosterone . It plays a part, but just a part.

Elevated SHBG is usually just an indicator of other things in the body. The fact that you have high free T and very high SHBG yet low total T is quite odd. I would be looking at my labs again to make sure I read it right! Other than that, I might just be confused and get rechecked.

Your thyroid changed a lot, what meds are you on?

[jomamma007]

No meds, and i`m not reading the numbers wrong. Im confused too :/

[BallSak]

results taken at 2:30pm. How am I to be sure it was a lab error?

I'm not an expert...but I'm pretty sure it is nearly impossible to have a TT of 381 and a SHBG of 67.5 with a free T anywhere close to 26.8. Besides that, why would your free T jump so drastically from 4 to 27 with no meds? That's why I believe your free T is a lab error.

[jomamma007]

I suppose , try convincing my doctor that though lol...

[steroid.com 1]

SHBG 67.5 high 16.5-55.9
Way to high. Make sure you are supplementing DHEA and D3 to help get this down. I agree with HRT that elevated SHBG is usually a sign of something amiss in the body.

Cortisol 7.4 2.3-19.4
Prolactin 12.2 4.0-15.2
These are fine.

Tsh 1.530 .450-4.5
T4 free 1.63 .82-1.77
These are fine but to really assess Thyroid health you need more labs.

Estrogen total 80 40-115
Vitamin D 25-hydroxy 50 30-100
Noted on D3.

Testosterone total 381, 348-1197
Low. How old are you?

Free 26.8 High, 9.3-26.5
Given you elevated SHBG this makes no sense.

Estradiol 24.8, 7.6-42.6
Fine.

You are a candidate for HRT but I'd like to see more labs as noted in kel's sticky on finding a TRT Doc.

[jomamma007]

21 years old. Yes the free test is throwing me off considering shbg is almost at 70, i guess ill chalk this up to a lab error as i am getting re tested tomorrow. Will post results here.

[HRTstudent]

Will be interested to see these updated numbers. Good luck. Don't work out the day before or get drunk!