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Thread: Normal to "test" level of response prior to TRT

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  1. #1
    Quote Originally Posted by kelkel View Post
    First, did you doc determine what is causing your test to be low? There's normally a causative factor and your doc's efforts should be to find it and correct it.
    There's no need to "test your response" as if it may or may not work. It's testosterone and will raise your T levels effectively. Some docs will front load their first injection but we're talking 200 mgs. 300 is a bit much, imho.

    It doesn't seem like your doc understands the half-life of testosterone, which is about 5-7 days metabolism dependent. Terminal life would be 14 to 18 days or so depending on the ester injected. Average starting dose would be about 100 mgs per week. You need consistency and time to properly determine a viable dosing protocol and blood work should be used to do this at about the 6 week mark.

    Do you have BW you can post up? Love to see it and see what he may be missing. Did he even discuss what may be causing your low T? If not, you should have issues with that....
    I have my bloodwork from 2 years ago I can post however, I don't have the recent, it never posted to my online account, so yeah I think we have some issues with this doc. This is an Ohio State University Doctor, so I feel as if I am good hands, or felt. I just requested a copy of the bloodwork I had done a few weeks back, I'll come back and post that once I get it.

    Here is from 2 years ago and in speaking with my doctor I am significantly lower than this now.
    ESTRADIOL, ENHANCED 0.0 - 39.8 pg/mL 29.1
    ALBUMIN 3.4 - 4.8 g/dL 4.6
    SEX HORMONE BINDING GLOBULIN,SER 10 - 57 nmol/L 20
    TESTOSTERONE 241 - 827 ng/dL 247
    ESTRADIOL, SERUM 25
    LH 8.5
    FSH 3.1


    We did have discussions about the causes or what the issue might be and he determined it to be hypogonadism.

  2. #2
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    Quote Originally Posted by LikeAMachine View Post
    I have my bloodwork from 2 years ago I can post however, I don't have the recent, it never posted to my online account, so yeah I think we have some issues with this doc. This is an Ohio State University Doctor, so I feel as if I am good hands, or felt. I just requested a copy of the bloodwork I had done a few weeks back, I'll come back and post that once I get it.

    Here is from 2 years ago and in speaking with my doctor I am significantly lower than this now.
    ESTRADIOL, ENHANCED 0.0 - 39.8 pg/mL 29.1
    ALBUMIN 3.4 - 4.8 g/dL 4.6
    SEX HORMONE BINDING GLOBULIN,SER 10 - 57 nmol/L 20
    TESTOSTERONE 241 - 827 ng/dL 247
    ESTRADIOL, SERUM 25
    LH 8.5
    FSH 3.1


    We did have discussions about the causes or what the issue might be and he determined it to be hypogonadism.

    Well, looking at your LH level here and assuming it's a normal Labcorp type range it's at the top of the scale. This would indicate the problem is primary in nature, meaning that your testicals are not responding to the ramped up stimuli (LH) from the pituitary gland.

    Have you suffered any testicular trauma?
    Have you been examined for varicoceles?
    -*- NO SOURCE CHECKS -*-

  3. #3
    Quote Originally Posted by kelkel View Post
    Well, looking at your LH level here and assuming it's a normal Labcorp type range it's at the top of the scale. This would indicate the problem is primary in nature, meaning that your testicals are not responding to the ramped up stimuli (LH) from the pituitary gland.

    Have you suffered any testicular trauma?
    Have you been examined for varicoceles?
    No I have no suffered any trauma to my testes that I can remember. Yes, he did examine me for Varicoceles, he has felt up my balls more times than I would like to admit, ha.


    I also had an MRI done, everything came back normal with my pituitary gland and brain stem.

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