
Originally Posted by
powerlifterty16
if you dont mind ill summarize it with a few questions
1-my last lh was 5.2 scale was 1.7-8.6...could i still be secondary with an lh this high? No, secondary would mean that there's suppression with the HPTA. 5.2Iu/L is good, and indicates fairly normal LH production.
2-since my t to e ratio is very good now, even though my tt is low, do you think ill feel better with a higher tt? I'm personally not into this T to E ratio stuff. IMO, optimize your test, and optimize your E2; both separate variables. Additionally, total serum really doesn't hold much weight if you don't have your free testosterone in check. The guy with 350 TT could have more actual bio-available test than the guy at 700 total serum if their SHBG has significant variances. Dive into the big picture of it, there's much, much more than just the total serum program
3-any thoughts on why my platelets are always low year after year hematologist a few yrs back had nothing to offer lol. Difficult department ... I've incurred the same issue as I've got older. Start with looking at B12 (methylcobalamin is the ticket IMO). I would consult a specialists to review your history and test for pathology if it persists. I am a carrier for hemochromatosis, so have your physician check you out for that as well (Iron tests, ferritin)
4-my doc wants me on hcg for 6 weeks at a dose of 350iu 3x per week. his hope is that it will stimulate my natty t and i wont have to use trt since im so young...is it possible the hcg can have permanent effects or do ineed to use it forever? This is idiotic on his part. HCG therapy will just induce complete suppression of your HPTA. LH and the testis work on a negative feedback loop process. When endogenous (natty) test gets elevated, the pituitary reduces production of LH ... Then when testosterone serum decreases, the pituitary recognizes this depletion and increases LH, which in turn is the signaling agent to promote testosterone production in the testis. If you take HCG, it is simply an EXOGENOUS form of the LH analog, which will signal the testis to produce natural testosterone. If your testosterone serum is increased, then the HPTA (based on the feedback loop) will have no need to produce more endogenous LH. So, when your doctor pulls you of the HCG, your testosterone serum is gong to drop, drop, drop, you will be shutdown.