Thread: TRT test questions
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11-10-2016, 08:58 AM #1
TRT test questions
I am now totally confused. Dr only checks total test. I have been consistently low. 169, a week later 172, off all suplementos for 6 weeks and same result 172.
I was then prescribed androgel and went back and requested other application. DR then sends me to an endocrinologist who now asks for test albumin, and shbg.
Test now tested 192.
Albumin. 4.5 g/dL. Range 3.3- 4.8
Shbg. 21 nmol/L. Range. 11-78
Why would my test increase so much?? Last cycle was completed in July.
I would have expected the albumin to be high with hypogonadism.
Does anyone have any insight on the results of these three items?
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11-10-2016, 10:38 AM #2
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11-10-2016, 11:19 AM #3
I had the additional testing when I was doing the tests myself outside of the country. I am now following Doc's requirements. He did do some of them but not all.
He is also only checking total test. Why would my testosterone levels increase so much? They appeared stable at 1.7.
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11-10-2016, 04:38 PM #4
What kel said^^^.
But why dont you ask the doctor? If I was paying for this bloodwork no way I would repeat bloodwork (with same tests) with only few weeks apart. I would just show him all the bloodworks and say I'm not paying for the same.
172 to 192 ng/dl is not a big testosterone increase.
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11-10-2016, 09:57 PM #5Originally Posted by Mr.BB
I feel that I am dealing with unknowledgeable individuals.. Another reason I ask the questions here first.
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11-11-2016, 08:49 AM #6
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11-11-2016, 01:37 PM #7
Talked with endocrnologist. He says that I am fine. WTF?
He says that the shbg shows that I have enough free test so that is what counts. I do not want to go on TRT if I do not need to however 3 years ago they did actual free test bw and it was the free that was below the limit. Not sure how acurate the shbg test is. I know there is some sort of algorithm that calculates free test.
Missed out on time. Now its time to prepare for the 2017 competitions.
Well i know that my kidneys are functionng after all of the testing. ?
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11-11-2016, 03:01 PM #8
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11-11-2016, 04:06 PM #9Originally Posted by kelkel
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11-11-2016, 04:19 PM #10
Personally, I would not go to an Endo unless I had a reference from someone that they were "low test friendly." They aren't trained so much in treating low test in men and further they don't really care. I have a friend who is an Endo and she is adamantly opposed to pellets and does not think test should be prescribed if you fall anywhere in the normal range whatsoever. This is speaking to US, no idea the climate in other countries.
Most vets here are (kelkel for example) are WAY more knowledgeable than many docs. They teach an hour or two worth of lectures in med school on the whole HPTA axis and that's it.
There are good docs out there who do HRT for men who are not endo and who are good, just have to find them.
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11-11-2016, 04:47 PM #11
Keep telling you guys that endos are useless, you need an andrologist.
Pretty easy to search the internet for an andrologist in my small corner of the world, should be even easier in the US.
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11-11-2016, 05:08 PM #12
There are some that are considered as such, but it isn't even something I was familiar with (and I"m a doc here) until you mentioned it. The urologists make way bigger bank by operating and procedures than they do for TRT so a few will do it I am guessing by the profiles I found but it isn't as prevalent here.
There are some "anti-aging" or "age management" docs that are pretty okay and better than endocrine by leaps and bounds. See now, if you guys hadn't lost the revolutionary war we wouldn't be having this issue!
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11-11-2016, 09:07 PM #13
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11-11-2016, 09:31 PM #14Originally Posted by kelkel
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11-11-2016, 09:41 PM #15
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11-12-2016, 09:54 AM #16Originally Posted by kelkel
I was thinking on going and getting my free T testing accomplished. That is what started this whole thing years ago. My T was low but within range however my free T was way below.
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11-12-2016, 10:37 AM #17
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11-12-2016, 05:15 PM #18Originally Posted by kelkel
Can you provide the website that you found this on? Most of them are 2%, which means my free test is ok..... I mean above the minimum.
I know that i am being a pest, but I need information when talking to the Dr. Because if I do not have the education I can only accept what they say.
I decided to have my test total and free accomplished in Mexico since I cannot in the US without a Dr. And the medical group that I am with does not do free test they use the albumin, shbg, and total test. My research shows that there are four major ways of calculating.
I am going to request an andrologist (-as requested by Mr. BB). Does anyone have input as to the argument to request an androgolist? My argument is that 2 Dr.'s have prescribed TRT and the endocrinologist has not. I want to further find out why my total test is low.
Thank you in advance for your advice. I want to know if I accept my condition or contimue to pursue answers.
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11-12-2016, 05:57 PM #19
Think you are confusing free testosterone and free testosterone %, its 2 different values.
Although in my book knowledge is always good, you dont really need it, you have your symptoms.
Would you accept going to a doctor with a broken hand and him saying you were fine, no treatment needed, while you were full of pain???
Why is it any different with hypogonadism? If you are not alright, and have symptoms you need to tell the doctor you need help. The doctor is not there to treat the bloodwork, he is there to treat the symptoms. Personally, if a doctor would tell me I was fine with less than 200ng/dL and that he wouldn't give me any treatment I would clearly say I would not pay for the consult. If it was a clinic/hospital would fill written complain referring doctor was denying me treatment.
Of course, that ultimately one should not need to go through such endeavours...
Edit: Argument->Doc, I feel like tired all the time, my libido is very low which is creating conflict with my wife and sometimes can't even get it up.Last edited by Mr.BB; 11-12-2016 at 06:01 PM.
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11-12-2016, 08:07 PM #20
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11-14-2016, 07:57 PM #21
Kelkel- at mayomedicallaboratories.com the amount of free test for 50-55 years shows me 4.06. I am above that. Just want to have all my info in order.
I am now beginning to understand ( or at least think I am ). It seemed like Chinese at first but the research shows that it is not that complicated
I went to Mex. and am testing my free and my total test. The lab tech was not able to explain how the free test is determined. There is just one test purchased so I think it is direct however i did not find much info on the internet.
Under my insurance, i was not able to find an andrologist however there are urologists. Is a Urologist acceptable? I know that an andrologist is a Specialized Urologist. I will obviously ask for an Andrologist but expect to be recommended a Urologist.
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11-14-2016, 08:36 PM #22
You are not a number on scale developed using random people in an uncontrolled environment with god knows what issues. The number given may be the norm but honestly, who wants that? Only you know how you feel and like BB said, the doctor should treat the symptoms, not the bloodwork. One man may be perfect at that level, another may not.
Nothing wrong with Uro's at all. That's what mine is.
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11-14-2016, 11:03 PM #23Originally Posted by kelkel
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