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Thread: 20 and test level at 361

  1. #41
    Crazy yetty is offline New Member
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    Quote Originally Posted by MuscleInk View Post

    That's difficult to say. Each patient is different and every case needs to managed individually. I will say however, that if a man comes to me for TRT with a low normal or below normal free T and his bf% is greater that 20 and/or has a history of hypertension, hyperlipidemia, hypercholesterolemia, or other factors, I'm certainly not going to allow his testosterone to go much beyond an upper range of 500-550 initially and my treatment plan would involve dose adjustments to keep him around that level. Now, if he brings his bf% down and I'm comfortable with his blood work, then I would consider a marginal increase.

    Age is another variable that has to be weighted in on the treatment plan. Most 50+ year old men don't need a circulating testosterone level equivalent to a 19 year, although I'm sure many would like to. Again, the patient's overall health and well being have to be weighed against the risks. If treating him to a range of 450-500 was a substantial improvement and all other health factors (including QOL assessments) remained normal or were improved beyond baseline T levels, I would find it very difficult to argue he needs more than the dose that is keeping his levels at midrange.

    Im the original poster of the 20 year old with 361 t score, I have yet to get a full bloodwork panel done but tested my base t and was 361, very low for a 20 year old, I dont have libido issues but im always tired, I do a lot of training but at 20 I should not feel this way, after I get more bloods done I might go to an endocrinologist.
    If my bw shows im low everywhere should I go on trt??

  2. #42
    MuscleInk's Avatar
    MuscleInk is offline Knowledgeable Member
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    Quote Originally Posted by kelkel

    Yes I do.
    You were the exception I was referring to. I think you know that. Lol

    I don't keep my T levels at 500, but I accept responsibility of potential health risks for my own health. I can't put other men at my age or above at unnecessary risk. I'd have no license to practice! Lol

  3. #43
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    kelkel is offline HRT Specialist ~ AR-Platinum Elite-Hall of Famer ~ No Source Checks
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    No, find the problem and fix it first. If not correctable then consider it.
    Don't just go to an endo. Find a doc that understands hormones. Specialty doesn't matter at all. Unless your looking for an A4M Cert.
    Pull an Iron panel as well to check for anemia.
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  4. #44
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    kelkel is offline HRT Specialist ~ AR-Platinum Elite-Hall of Famer ~ No Source Checks
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    Quote Originally Posted by MuscleInk View Post
    You were the exception I was referring to. I think you know that. Lol

    I don't keep my T levels at 500, but I accept responsibility of potential health risks for my own health. I can't put other men at my age or above at unnecessary risk. I'd have no license to practice! Lol
    Agreed. The patients lifestyle and overall health should be evaluated when making this type of decision, like you previously referenced.
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  5. #45
    MuscleInk's Avatar
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    Quote Originally Posted by kelkel
    No, find the problem and fix it first. If not correctable then consider it.
    Don't just go to an endo. Find a doc that understands hormones. Specialty doesn't matter at all. Unless your looking for an A4M Cert.
    Pull an Iron panel as well to check for anemia.
    ^^^Correct comp labs and hormone panels are important for a proper assessment and treatment plan. Many endos love androgel . I'm not a proponent of it at all unless its a patient's preference.

  6. #46
    Crazy yetty is offline New Member
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    What could cause my t level to drop? How would I go about fixing it? I know a doctor that lives 30 minutes that prescribes low t all the time but I think he does it just to sell juice or whatever thats what people tell me , should I go to him? My doctor is smart but he didnt suggest a full hormone panel. .

  7. #47
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    ^ ^^^ lolz

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    A4m docs are they knowledgeable about male hormones and trt

  9. #49
    MuscleInk's Avatar
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    Quote Originally Posted by Crazy yetty
    What could cause my t level to drop? How would I go about fixing it? I know a doctor that lives 30 minutes that prescribes low t all the time but I think he does it just to sell juice or whatever thats what people tell me , should I go to him? My doctor is smart but he didnt suggest a full hormone panel. .
    Wow, that's almost as simple to answer as the question, "why do we age". There are many possible causes of low T
    - genetics
    - trauma
    - autoimmune disorders
    - drugs
    - hemochromatosis
    - liver and/or kidney disorders
    - infections
    - nutritional deficiencies
    - tumors

    In some cases it can be idiopathic (no known cause).

  10. #50
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  11. #51
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    ottomaddox is offline "Better Safe Than Sorry"
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    Are you on any prescription meds?

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    Cool thanks

  13. #53
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    Quote Originally Posted by MuscleInk View Post
    That's difficult to say. Each patient is different and every case needs to managed individually. I will say however, that if a man comes to me for TRT with a low normal or below normal free T and his bf% is greater that 20 and/or has a history of hypertension, hyperlipidemia, hypercholesterolemia, or other factors, I'm certainly not going to allow his testosterone to go much beyond an upper range of 500-550 initially and my treatment plan would involve dose adjustments to keep him around that level. Now, if he brings his bf% down and I'm comfortable with his blood work, then I would consider a marginal increase.

    Age is another variable that has to be weighted in on the treatment plan. Most 50+ year old men don't need a circulating testosterone level equivalent to a 19 year, although I'm sure many would like to. Again, the patient's overall health and well being have to be weighed against the risks. If treating him to a range of 450-500 was a substantial improvement and all other health factors (including QOL assessments) remained normal or were improved beyond baseline T levels, I would find it very difficult to argue he needs more than the dose that is keeping his levels at midrange.
    followup question- do you think those sides would occur on hcg mono or clomid mono? im running just hcg now..maybe im imagining it but i think i have less hair in the front...but i do have curly hair so maybe that's why...been really curly lately in front.

  14. #54
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    Quote Originally Posted by powerlifterty16

    followup question- do you think those sides would occur on hcg mono or clomid mono? im running just hcg now..maybe im imagining it but i think i have less hair in the front...but i do have curly hair so maybe that's why...been really curly lately in front.
    Could be related to estrogen levels. Alopecia (hair loss) or thinning is atypical for HCG and clomid.

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    Quote Originally Posted by MuscleInk View Post
    Could be related to estrogen levels. Alopecia (hair loss) or thinning is atypical for HCG and clomid.
    m prob imagining it..or my hair is just being too wavy....my e2 was only 31 on 25 mg per day clomid....and i just started hcg yesterday lol.

  16. #56
    Crazy yetty is offline New Member
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    I was on albenza to kill a parasite, literally last week and their not sure if the parasite is gone, some kind of intestinal worm

  17. #57
    Anonymous-polack is offline New Member
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    Anyone know good private endo in Canada ???

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