I am asking this after doing plenty of research and reading mixed analysis of results.
Age: 20 years old
Lifting (Bench, DB Curls, Squats/Leg press, Back exercises)
I lift pretty regularly, taking week long breaks every couple months. I eat pretty well, I eat plenty of protein.( meats, yogurt, milk ) I’ve noticed that I am small for my Height only being 135lbs with thin wrists and legs. If I try to put on mass, fat ends up building up around my chest, stomach/hips
On to why I went to get checked up. I’ve noticed a decrease in motivation socially, academically, and fitness wise recently where I’m not really feeling like I want to do things things as much as I should. Sexually I have had decreased erection strength( like 70-80%, sometimes worse ) and a longer refractory period.
The doctor ordered me a Total Serum Testosterone test, metabolic panel, cbc w/ diferential, and a TSH test. Lastly, she looked up my history and I had testicular torsion and lost one of my testicles before puberty and said that contributed to her decision to take the Testerone Test. However, my doctor before told me that one should work just as well as having two.
TSH 1.210 uIU/mL. Ref(.450-4.5)
T4, free(Direct) 1.26 ng/dL. ref(0.82-1.77)
Total Serum Testosterone
Testosterone, Serum 448 ref(348-1197) ng/dL
My Doctor, who worked at the student health center at my college, seemed to have little idea what she was doing or looking at and told me she had no answers to any of problems. She told me my Test levels were fine because they were within range. Now I eat very well, keep my calories up, and eat plenty of meats.
I also participate actively very often and have been lifting for a while now. I was expecting my test numbers to be a bit higher than that to be honest. But I am only 100 ng/dL over the MINIMUM range for the reference. So if I took this test another time it could be higher or god forbid… lower? Now how do these reference ranges work?
In some labs 448 is pretty high, but they also have lower reference ranges like 200-800. Who is included in the making of these ranges? Do they include all men of all ages? Is my 448 from this lab average for someone who is 20 or going on 50-60?
I only ask this because my Doctor looked like she really didn’t know what she was doing while she was attempting to diagnose me or explain to me my results. I’d like to know if it is worth it to seek another opinion.