I was first dx hypogonadic in 2000. I was re-dx'd last year......Both Total Testosterone levels were 220-240. In 2000 I was 220 lbs and 6'2". Now I am 330 lbs....... I was on Androgel for 10 months and TT levels were 179- 425. I stopped taking the gel crap for 3 weeks and went to an Endocrinologist who did some more test as follows:
Testosterone, Serum 142 (241-827)
Test, %F+W Bound 38.1 (9.0 - 46%)
Test, F+W Bound 54.1 (40- 250ng/dl)
The Nurse called me the results and said the doc said I was not truly hypogonadic and my testosterone results were "fine." I am a RN and a recently graduated FNP............ I work at the same hospital and printed my results up before they called......I asked her what my total testosterone was and she said " wait a minute...uh it is 142" I said how the hell is 142 normal if they recommend tx below 300? She then said well Doc xyz did say you could take the Testosterone shots if they make you fell better............ I pick up my Rx later today.
Here are my questions:
1) Is Nolvadex a good tx for the high estradiol? Or is Arimidex vastly superior?
2) Do you think a Estradiol level goal below 30 or the Testosterone/ estradiol ratio is
better for tx.
3) I wonder if I should have tried to block the estrogen and not try test supplementation
4) The LABCORP Bioavailable Testosterone could have been off due to the low Total
Testosterone, High estradiol, androgel use, etc? Correct?
Thanks for your time
P.S I know I need to lose weight.......once I get my test "normal" I think I can do it........I would like to avoid a roux-n-y mutilation!