Blood work results are in. Would appreciate your thoughts.

I am in a non-English speaking country so seeing a physician myself isn't so easy, so I'm trying to find out what I can on my own.

After my first blood test (IGF-1 and T) showed such interesting results, I decided to expand the blood work and see if I could learn more. Here are the results:

Testosterone: 3.28 (normal range is 2.6-11) LOW
T free: 9.66 (normal range for my age 8-36) LOW
LH: 2.94 (normal range 1.9-9.4) LOW
Estradiol : 41 (normal range 15-47) HIGH
IGF-1: 141 (normal range 160-318) VERY LOW
FT4: 10.98 (normal range 10-22) LOW
PSA free/PSA total ratio: 25.3% (normal range 15-20%) HIGH

The following were all normal: T4, FT3, TSH, FSH, Prolactin

I have already started on HGH, which should help, but clearly there are other things which could be better too. Is my low T due to my low LH and high Estradiol, for example?

Your low T is probably the result of low LH. Low LH is probably the result of you being overweight, drinking way too much coffee, eating poorly, etc. Of course, I do not know if any of this is true, but your high Estradiol with low T is usually the result from what I stated.

I would not worry about low IFG-1. Get your health where it should be and that will go up. Higher T will raise that. Trying to raise IGF-1 w/o dealing with the cause is of no real value, from a health perspective.

What is your age, height, weight, and body fat % if you actually know (don't estimate)?

Age: 42, Height: 185cm (6'1), Weight: 75kg (165 lb), body fat around 12-15% according to the trainer at the gym yesterday.

I'm certainly not overweight. I have an almost ideal BMI of 21.9.

I drink about 1 coffee per month too, so that's not it, and my diet is very good.

Your PSA is a concern. What is your age? Follow up with a urologist before adding HGH.

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Originally Posted by testluva

Your PSA is a concern. What is your age? Follow up with a urologist before adding HGH.

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I'm 42. My PSA Total was 1.78 ng/ml which is fine according to the lab (the normal range indicated was <2.5 ng/ml. The PSA Free however was 0.45 which I assume is high.

Thanks to your post, I looked into this and found the following:

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High free PSA -- above 25% -- usually indicates BPH (benign prostatic hyperplasia).
Low free PSA likely signals prostate cancer. Most men with prostate cancer have a free PSA below 15%.

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So I assume I'm ok to continue with HGH as I am a likely candidate for BPH, not prostate cancer.

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Originally Posted by GotNoBlueMilk

Your low T is probably the result of low LH. Low LH is probably the result of you being overweight, drinking way too much coffee, eating poorly, etc. Of course, I do not know if any of this is true, but your high Estradiol with low T is usually the result from what I stated.

I would not worry about low IFG-1. Get your health where it should be and that will go up. Higher T will raise that. Trying to raise IGF-1 w/o dealing with the cause is of no real value, from a health perspective.

What is your age, height, weight, and body fat % if you actually know (don't estimate)?

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We see countless people every day who have low t and low LH who are not overweight at all. I can't tell you how many people come through our program who have for years been disciplined with their diet and exercise and then all of the sudden things just aren't working right any more.

It's very common to want to blame low testosterone on this or that, and often this or that is the case. But in many other cases low testosterone just happens with age and all the diet and exercise in the world won't change that.

I'm 6'3" 215 lbs (15 lbs since starting TRT with my lifts in the gym quite a bit higher and still fitting into my 34" pants). My doctor looked at me and said I don't look like low T as I eat clean, workout 5X a week, don't smoke, etc. etc., but I certainly am low T with my pre-TRT bloodwork showing less T than what 80 - 90 year-old men have. Just letting you know you're not the only one :)

The upside is that you technically could qualify for daily Cialis under insurance (I know you are not in the US, just saying). BPH is about the only reason insurance will cover it AFAIK.

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Originally Posted by GotNoBlueMilk

I would not worry about low IFG-1. Higher T will raise that.

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This is the first time I've read this anywhere. Can you possibly link me to a source? It would of course be ideal to fix my body rather than pump hormones into it.